scholarly journals Assimilation of the Patient Rights Law and Code of Ethics into Israeli Physical Therapy Services

2014 ◽  
Author(s):  
Tamar Jacob ◽  
Ilana Zilberstein
Keyword(s):  
Physical Therapy ◽  
Physical Therapists ◽  
Code Of Ethics ◽  
Daily Practice ◽  
Health Maintenance Organizations ◽  
Ethics Committee ◽  
Ethical Conduct ◽  
Patient Rights ◽  
Structured Interviews ◽  
Health Maintenance

The ethical conduct of physical therapists is usually based on intuition rather than on theoretical knowledge. This study aimed to examine to what degree rules of ethics anchored in the Patient Rights Law and in the Physical Therapy Code of Ethics in Israel have been assimilated in physical therapy (PT) services. A qualitative study based on personal semi structured interviews with national directors of PT services in Israel was conducted. The directors think that the ethical conduct of physical therapists is based mainly on intuition and on self-perceived ethics rather than on learned principles. In their opinion, the Patient Rights Law and the PT Code of Ethics, as well as the activity of the Ethics Committee of PT, have probably contributed to raising awareness of the need to promote the issue of ethics, but there are still no structured training programs on this topic in any of the Health Maintenance Organizations. (HMOs). Collaboration between the Ethics Committee of PT and representatives of the clinical field and of academe has the potential to advance the knowledge, thinking and discussion on ethics within all the community in all PT facilities. Part of this process is the assimilation of ethical rules in the daily practice of physical therapists.

scholarly journals The Revised APTA Code of Ethics for the Physical Therapist and Standards of Ethical Conduct for the Physical Therapist Assistant: Theory, Purpose, Process, and Significance

2010 ◽  
Vol 90 (5) ◽  
pp. 803-824 ◽  
Author(s):  
Laura Lee Swisher ◽  
Peggy Hiller ◽  
Keyword(s):  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Code Of Ethics ◽  
Codes Of Ethics ◽  
Ethical Conduct ◽  
Vision 2020 ◽  
Deliberative Process ◽  
Physical Therapist Assistant ◽  
Physical Therapist Assistants

IntroductionIn June 2009, the House of Delegates (HOD) of the American Physical Therapy Association (APTA) passed a major revision of the APTA Code of Ethics for physical therapists and the Standards of Ethical Conduct for the Physical Therapist Assistant. The revised documents will be effective July 1, 2010.PurposeThe purposes of this article are: (1) to provide a historical, professional, and theoretical context for this important revision; (2) to describe the 4-year revision process; (3) to examine major features of the documents; and (4) to discuss the significance of the revisions from the perspective of the maturation of physical therapy as a doctoring profession.Process of RevisionThe process for revision is delineated within the context of history and the Bylaws of APTA.Format, Structure, and Content of Revised Core Ethics DocumentsThe revised documents represent a significant change in format, level of detail, and scope of application. Previous APTA Codes of Ethics and Standards of Ethical Conduct for the Physical Therapist Assistant have delineated very broad general principles, with specific obligations spelled out in the Ethics and Judicial Committee's Guide for Professional Conduct and Guide for Conduct of the Physical Therapist Assistant. In contrast to the current documents, the revised documents address all 5 roles of the physical therapist, delineate ethical obligations in organizational and business contexts, and align with the tenets of Vision 2020.SignificanceThe significance of this revision is discussed within historical parameters, the implications for physical therapists and physical therapist assistants, the maturation of the profession, societal accountability and moral community, potential regulatory implications, and the inclusive and deliberative process of moral dialogue by which changes were developed, revised, and approved.

Ethics Case Consultation in Primary Care: Contextual Challenges for Clinical Ethicists

2009 ◽  
Vol 18 (4) ◽  
pp. 397-405 ◽  
Author(s):  
ANNE SLOWTHER
Keyword(s):  
Primary Care ◽  
Clinical Ethics ◽  
Western Europe ◽  
Ethics Consultation ◽  
Ethics Committees ◽  
The United States ◽  
Health Maintenance Organizations ◽  
Ethics Committee ◽  
Health Maintenance ◽  
Case Consultation

The development of ethics case consultation over the past 30 years, initially in North America and recently in Western Europe, has primarily taken place in the secondary or tertiary healthcare settings. The predominant model for ethics consultation, in some countries overwhelmingly so, is a hospital-based clinical ethics committee. In the United States, accreditation boards suggest the ethics committee model as a way of meeting the ethics component of the accreditation requirement for payment by Health Maintenance Organizations (HMOs), and in some European countries, there are legislatory requirements or government recommendations for hospitals to have clinical ethics committees. There is no corresponding pressure for primary care services to have ethics committees or ethics consultants to advise clinicians, patients, and families on the difficult ethical decisions that arise in clinical practice.

scholarly journals Measuring evidence-based practice in physical therapy: a mix-methods study

PeerJ ◽  
2022 ◽  
Vol 9 ◽  
pp. e12666
Author(s):  
Ricardo M. Ferreira ◽  
Pedro N. Martins ◽  
Nuno Pimenta ◽  
Rui S. Gonçalves
Keyword(s):  
Logistic Regression ◽  
Physical Therapy ◽  
Evidence Based Practice ◽  
Physical Therapists ◽  
Population Sample ◽  
Individual Characteristics ◽  
Evidence Based ◽  
Structured Interviews ◽  
Academic Degree ◽  
And Behaviors

Background Evidence-based practice (EBP) is considered the “holy grail” to manage patients by health practitioners (such as physical therapists). However, sometimes, patients are not treated with the best interventions for their condition. Although studies already explored the facilitators and barriers for this issue, they increase in the level of importance if the information gathered are context appropriated. As the profession is relatively new in Portugal, currently little is known about the implementation of EBP in Portuguese physical therapists context. So, the aim of this study is to know if the Portuguese physical therapists use an EBP, and collect and deeper understand the factors, barriers and facilitators associated with EBP. Methods This study incorporated a mixed-methods design (quantitative and qualitative). In an attempt to ensure the correct population sample, a national professional association e-mail database and the e-mails of past students from national schools were requested. For the quantitative data it was choose an e-survey, adapted from the EBP: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists Portuguese version questionnaire, consisted of 55 close-ended questions. It was analyzed response frequencies and associations between variables with logistic regression analyses. For the qualitative data, it was choose to perform semi-structured interviews in purposefully selected physical therapists to include different sociodemographic factors (especially those found to be statistically significant in the logistic regression) and survey responses regarding the physical therapists’ beliefs, attitudes, knowledge, and behaviors. The interviews were performed in an online software, where only audio contact was performed. The audios were anonymized and verbatim transcribed, and the texts explored by the thematic approach. Results From the 277 physical therapists that shown interest in participating in the study, 193 fully completed the questionnaire and, from those, 10 participated in the interviews. The Portuguese physical therapists reported positive beliefs, attitudes, knowledge, and behaviors regarding EBP. Among the physical therapists characteristics it seems that age (younger therapists), education (participating in continuing education courses; belonging to practice-orientated organizations; having a doctorate degree; pursuing a higher academic degree; and being a clinical instructor), and workplace (working for someone else account; and academic sector) are the main factors in the Portuguese EBP implementation. The Portuguese physical therapists, beyond the physical therapists individual characteristics and workplace, also stated that evidence, patients, clinical experience, schools, country and physical therapy characteristics, may behave as facilitators or barriers when performing an EBP.

scholarly journals Parents’ Perceptions Regarding the Implementation of a Physical Therapy Stimulation Program for Children with Disabilities in Bolivia: A Qualitative Study

2020 ◽  
Vol 17 (17) ◽  
pp. 6409 ◽  
Author(s):  
Sagrario Pérez-de la Cruz ◽  
Ivonne Ramírez
Keyword(s):  
Physical Therapy ◽  
Physical Therapists ◽  
Exercise Program ◽  
Children And Families ◽  
Structured Interviews ◽  
Teaching Techniques ◽  
Economic Support ◽  
The Family ◽  
Professional Care

The purpose of this study was to explore how parents of children with neuromotor disorders in the department of Chuquisaca (Bolivia) perceive attendance to a physical therapy stimulation program and the expectations they place on the therapy and professional care provided to their children. Semi-structured interviews were conducted with the parents, related to their role in supporting the recommended exercise program for the child, generating topics such as benefits of the therapy for the child, impact on the family, and role of the project in terms of therapy and the physical therapists providing treatment, including both positive and negative aspects of the overall process. This study revealed the importance of understanding the feelings of families receiving intervention under a pioneering program in Bolivia for the detection and treatment of children with neuromotor disorders. Being able to access these types of services provides them with extensive personal, social, and economic support. Knowing their concerns, desires, and demands will allow us to continue to improve and offer the best care for children and families. The professionals involved should also be encouraged to develop effective teaching techniques to promote the inclusion of parents in the stimulation program.

Guide to Physical Therapist Practice

1997 ◽  
Vol 77 (11) ◽  
pp. 1163-1650 ◽  
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Professional Education ◽  
Health Care Services ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Daily Practice ◽  
Care Services ◽  
Provision Of Services ◽  
American Physical

Preface All health care professions are accountable to the various publics that they serve. The American Physical Therapy Association (APTA) has developed Guide to Physical Therapist Practice (“the Guide”) to help physical therapists analyze their patient/client management and describe the scope of their practice. The Guide is necessary not only to daily practice but to preparation of students. It was used as a primary resource by the Commission on Accreditation in Physical Therapy Education (CAPTE) during its revision of evaluative criteria for physical therapist professional education programs and is an essential companion document to The Normative Model of Physical Therapist Professional Education, Version 97. Specifically, the Guide is designed to help physical therapists (1) enhance quality of care, (2) improve patient/client satisfaction, (3) promote appropriate utilization of health care services, (4) increase efficiency and reduce unwarranted variation in the provision of services, and (5) promote cost reduction through prevention and wellness initiatives. The Guide also provides a framework for physical therapist clinicians and researchers as they refine outcomes data collection and analysis and develop questions for clinical research.

Preface

1997 ◽  
Vol 77 (11) ◽  
pp. 1167-1170
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Professional Education ◽  
Health Care Services ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Daily Practice ◽  
Care Services ◽  
Provision Of Services ◽  
American Physical

Preface All health care professions are accountable to the various publics that they serve. The American Physical Therapy Association (APTA) has developed Guide to Physical Therapist Practice (“the Guide”) to help physical therapists analyze their patient/client management and describe the scope of their practice. The Guide is necessary not only to daily practice but to preparation of students. It was used as a primary resource by the Commission on Accreditation in Physical Therapy Education (CAPTE) during its revision of evaluative criteria for physical therapist professional education programs and is an essential companion document to The Normative Model of Physical Therapist Professional Education, Version 97. Specifically, the Guide is designed to help physical therapists (1) enhance quality of care, (2) improve patient/client satisfaction, (3) promote appropriate utilization of health care services, (4) increase efficiency and reduce unwarranted variation in the provision of services, and (5) promote cost reduction through prevention and wellness initiatives. The Guide also provides a framework for physical therapist clinicians and researchers as they refine outcomes data collection and analysis and develop questions for clinical research.

scholarly journals Patient-Reported Outcome-Based Quality Indicators in Dutch Primary Care Physical Therapy for Patients With Nonspecific Low Back Pain: A Cohort Study

2021 ◽  
Author(s):  
Arie C Verburg ◽  
Simone A van Dulmen ◽  
Henri Kiers ◽  
Maria W G Nijhuis-van der Sanden ◽  
Philip J van der Wees
Keyword(s):  
Quality Improvement ◽  
Back Pain ◽  
Physical Therapy ◽  
Quality Indicators ◽  
Physical Therapists ◽  
Daily Practice ◽  
Patient Reported Outcome ◽  
Added Value ◽  
Core Set ◽  
Patient Reported

Abstract Objective The purpose of this study was to define and select a core set of outcome-based quality indicators, accepted by stakeholders on usability and perceived added value as a quality improvement tool, and to formulate recommendations for the next implementation step. Methods In phase 1, we defined 15 potential quality indicators for patient-reported outcome measures (PROMs) and associated domains, namely the Numeric Pain Rating Scale (NPRS) for pain intensity, the Patient Specific Functioning Scale (PSFS) for physical activity, the Quebec Back Pain Disability Scale (QBPDS) for physical functioning, and the Global Perceived Effect - Dutch Version (GPE-DV) for perceived effect. We described their comparability and discriminatory characteristics using cohort data. In phase 2, a core set of quality indicators was selected based on consensus among stakeholders in focus group meetings. Results In total, 65,815 completed treatment episodes for patients with nonspecific low back pain (NSLBP) were provided by 1009 physical therapists from 219 physical therapist practices. The discriminability between physical therapists of all potential 15 quality indicators was adequate with intraclass correlation coefficients between 0.08 and 0.30. Stakeholders selected a final core set of 6 quality indicators: 2 process indicators (the routine measurement of NPRS and the PSFS) and 4 outcome indicators (pretreatment and posttreatment change scores for the NPRS, PSFS, QBPDS, and the minimal clinically important difference of the GPE-DV). Conclusion This study described and selected a core set of outcome-based quality indicators for physical therapy in patients with NSLBP. The set was accepted by stakeholders for having added value for daily practice in physical therapy primary care and was found useful for quality improvement initiatives. Further studies need to focus on improvement of using the core set of outcome-based quality indicators as a quality monitoring and evaluation instrument. Impact Patient-reported outcome-based quality indicators developed from routinely collected clinical data are promising for use in quality improvement in daily practice.

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