EXPLORATION OF KNOWLEDGE ABOUT MEDICAL ETHICS AMONG YOUNG PHYSICAL THERAPISTS IN LAHORE, PAKISTAN
DOI:
https://doi.org/10.71000/53j94z81Keywords:
Code of Conduct, Ethical Decision Making, Ethical Education, Gender Preference, Medical Ethics, Physical Therapy, ProfessionalismAbstract
Background: Ethical competence plays a crucial role in the quality and safety of physical therapy practice. Physical therapists regularly navigate complex clinical situations that demand sound ethical judgment, particularly in culturally sensitive contexts. In countries like Pakistan, where societal, religious, and institutional dynamics influence healthcare delivery, a strong understanding of medical ethics and professional codes of conduct is vital. Identifying gaps in ethical awareness among young professionals is essential to inform education and clinical policy reform.
Objective: To explore the knowledge and experiences of young physical therapists in Lahore, Pakistan, regarding medical ethics and professional codes of conduct.
Methods: This qualitative study employed a grounded theory approach. A total of 15 in-depth semi-structured interviews were conducted with physical therapists having 2 to 5 years of clinical experience, selected through non-probability purposive sampling. The interviews were audio-recorded, transcribed, and analyzed using NVivo software. A thematic content analysis was performed to identify patterns and recurring themes, ensuring saturation of data.
Results: Thematic analysis revealed five major themes: gender preference (reported by 100% of participants), unethical response (66.7%), ethical decision making (80%), involvement of management bodies (73.3%), and knowledge about ethical codes of conduct (86.7%). Two subthemes also emerged—ethical education of young graduates and the role of management bodies in promoting ethical standards. Participants highlighted both their personal awareness and observed gaps among peers regarding ethical practices in physical therapy.
Conclusion: The study found that young physical therapists in Pakistan encounter several recurring ethical challenges. Strengthening early professional training, integrating ethics into curriculum, and engaging management bodies in ethics education are essential steps toward fostering a more ethically sound clinical environment.
References
Marques-Sulé E, Arnal-Gómez A, Cortés-Amador S, de la Torre MI, Hernández D, Aguilar-Rodríguez M. Attitudes towards learning professional ethics in undergraduate physiotherapy students: A STROBE compliant cross-sectional study. Nurse Educ Today. 2021;98:104771.
Tucker R, Moffatt F, Timmons S. Austerity on the frontline- a preliminary study of physiotherapists working in the National Health Service in the UK. Physiother Theory Pract. 2022;38(8):1037-49.
Stickley LA. A Brief but Spectacular Take: Reflecting on Professionalism by Student Physical Therapists. J Phys Ther Educ. 2025;39(1):49-53.
Andronic O, Lu V, Claydon-Mueller LS, Cubberley R, Khanduja V. Clinical Equipoise in the Management of Patients With Femoroacetabular Impingement Syndrome and Concomitant Tönnis Grade 2 Hip Osteoarthritis or Greater: An International Expert-Panel Delphi Study. Arthroscopy. 2024;40(7):2029-38.e1.
Imran S, Yasmeen R, Mansoor M. Development and validation of self-assessment instrument to measure the digital professionalism of healthcare professionals using social media. BMC Med Educ. 2024;24(1):243.
Cortés-Amador S, Arnal-Gómez A, Marques-Sule E, Hernández-Guillén D, Tolsada-Velasco C, Espí-López GV. Development of Advanced Competencies in Physiotherapy: Impact of a Single-Blinded Controlled Trial on Ethics Competence. Int J Environ Res Public Health. 2022;19(17).
O'Connor S, Zhang M, Honey M, Lee JJ. Digital professionalism on social media: A narrative review of the medical, nursing, and allied health education literature. Int J Med Inform. 2021;153:104514.
Pezdek K, Dobrowolski R. The Ethical Code of Conduct for Physiotherapists-An Axiological Analysis. Int J Environ Res Public Health. 2023;20(2).
Długołęcka A, Jagodzińska M, Bober WJ, Przyłuska-Fiszer A. Ethics of a Physiotherapist: Touch, Corporeality, Intimacy-Based on the Experience of Elderly Patients. J Bioeth Inq. 2024;21(3):461-74.
Sala Defilippis TM, Prati A, Scascighini L. Healthcare students' moral concerns and distress during the pandemic. Nurs Ethics. 2023;30(6):832-43.
Shah D, Behravan N, Al-Jabouri N, Sibbald M. Incorporating equity, diversity and inclusion (EDI) into the education and assessment of professionalism for healthcare professionals and trainees: a scoping review. BMC Med Educ. 2024;24(1):991.
Sviland R, Martinsen K, Nicholls DA. Løgstrup's thinking: a contribution to ethics in physiotherapy. Physiother Theory Pract. 2022;38(1):1-13.
Nyante GG, Andoh CK, Bello AI. Patterns of ethical issues and decision-making challenges in clinical practice among Ghanaian physiotherapists. Ghana Med J. 2020;54(3):179-85.
Darlow B, Stotter G, McKinlay E. Private practice model of physiotherapy: professional challenges identified through an exploratory qualitative study. J Prim Health Care. 2024;16(2):143-50.
Mohamadi M, Rojhani-Shirazi Z, Enjoo SA, Shamsi-Gooshki E, Abdollahi I, Fatemeh Bahmani FB, et al. Proposing a set of ethical guidelines for Iranian physiotherapists: results of a modified Delphi technique. Indian J Med Ethics. 2022;Vii(1):1-22.
Miller S, Neil ER, Moffit DM, Burns S, Mansell JL. Rehabilitative Health Care Professionals' Perceptions of Appearance-Based Professionalism. J Athl Train. 2024;59(5):558-69.
Fryer C, Sturm A, Roth R, Edwards I. Scarcity of resources and inequity in access are frequently reported ethical issues for physiotherapists internationally: an observational study. BMC Med Ethics. 2021;22(1):97.
Souri N, Nodehi Moghadam A, Mohammadi Shahbolaghi F. Iranian physiotherapists’ perceptions of the ethical issues in everyday practice. Iranian Rehabilitation Journal. 2020;18(2):125-36.
Nyante G, Andoh C, Bello A. Patterns of ethical issues and decision-making challenges in clinical practice among Ghanaian physiotherapists. Ghana Medical Journal. 2020;54(3):179-85.
Sakeena SN, Gulzar K, Islam F, Raza A. Ranking of Ethical Issues Related to Practice In Physical Therapy. Pakistan Journal of Physical Therapy (PJPT). 2021.
Jalil A, Mahmood QK, Fischer F. Young medical doctors’ perspectives on professionalism: a qualitative study conducted in public hospitals in Pakistan. BMC Health Services Research. 2020; 20:1-10.
Pais V, Vaswani V, Pais S. To evaluate the knowledge, attitude and practice of healthcare ethics among medical, dental and physiotherapy postgraduate students—a pilot study. International Journal of Ethics Education. 2021;6(1):97-107.
Sturm A, Edwards I, Fryer CE, Roth R. (Almost) 50 shades of an ethical situation—international physiotherapists’ experiences of everyday ethics: a qualitative analysis. Physiotherapy Theory and Practice. 2023;39(2):351-68.
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