Ethics in PT Practice (10/22b) [Integrative] Flashcards
Four Basic Ethical Traditions
Rule Based
End Based
Virtue Based
Care Based
Rule Based Ethics (Kant)
Rules
Duties/Responsibilities
Ethical Principles
Code of Ethics
End Based Ethics (Mill)
Teleology
Consequences
Outcomes
Greatest good for greatest number of people
Utilitarianism
Virtue Based (Aristotle)
Virtues and values that are good for society
Golden mean
Core values
Professional identity
Moral agency
Care Based (Gilligan)
Voice of care
Feminist ethics
Relationships are key
Life experience
Duties of Healthcare Providers
Autonomy
Beneficence
Nonmaleficence
Justice
Veracity?
Every clinical decision is an ___ ___
ethical decision
Physical Therapy Core Values
Accountability Altruism Compassion/caring Excellence Integrity Professional duty Social responsibility
Development of Ethical Reasoning - Kohlberg
“What is just?”
From less→more reasoning:
- do what you’re told
- let’s make a deal
- be nice & people will like you
- obey the law
- use due process
- be rational/impartial
Development of Ethical Reasoning - Gilligan
“Ethics of Care”
From less→more reasoning:
- self concern
- concern for the needs of others
- balancing self needs and needs of others
Contemporary Moral Reasoning
Moral courage as a value
Care based
- Relationship with patient/client is central
- Balance of emotional commitment and fiduciary responsibility
APTA Resources for Physical Therapists
Code of Ethics
CORE Values
Normative Model
CAPTE Criteria
Clinical Performance Instrument
Types of Codes of Ethics
Directive Nondirective Protective Specific Enforceable
Directive Code of Ethics
provide guidance for mandatory behavior
may use the term “shall”
EX: APTA is directive code of ethics
Nondirective Code of Ethics
permitted or recommended behavior
may use the term “should”
