Lecture One Flashcards
Describe the ICF model.
Name the seven essential competencies.
Expertise
Communication
Collaboration
Management
Leadership
Scholarship
Professionalism
What is an essential competencie?
Essential competencies: A required ability of a physiotherapist
Whats is an entry-to-practice milestone?
Entry-to-practice milestone: An ability (related to an essential competency) that is expected of a physiotherapist at entry-to-practice
What is an entry-to-practice proficiency?
Entry-to-practice proficiency: the expected level of performance associated with entry-to-practice milestones
Name the components of the essential competencie: physiotherapy expertise.
Physiotherapy expertise: experts in mobility and function. Use clinical reasoning that integrates unique knowledge, skills, attitudes to provide quality care and enhance the health and well being of their clients.
Employ a client-centered approach
Ensure the physical and emotional safety of the client
Conduct client assessment
Establish a diagnosis and prognosis
Develop, implement, monitor and evaluate an intervention plan
Complete or transition care (ex. Learning how to discharge a patient or when to discharge)
Plan, deliver and evaluate programs (collecting outcome measures to see how patients respond)
Name the components of the essential competencie: communication.
Communication:
Communicators
Use effective strategies to exchange information and to enhance therapeutic and professional relationships (body language, eye contact, etc.)
Use oral and non-verbal communication effectively
Use written communication effectively (SUPER IMPORTANT)
Adapt communication approach to context
Use communication tools and technologies effectively
Name the components of the essential competencie: collaboration.
Collaboration:
Collaborators
Work effectively with others to provide inter- and intra-professional care.
Promote an integrated approach to client services
Facilitate collaborative relationships
Contribute to effective teamwork (ex. Discharge planning)
Contribute to conflict resolution
Name the components of the essential competencie: management.
Management:
Managers
Manage self, time, resources and priorities to ensure safe, effective and sustainable services
Support organizational excellence
Utilize resources efficiently and effectively
Ensure a safe practice environment (safety for patient but you as a therapist as well)
Engage in quality improvement activities
Supervise others (ex. Clinical placements, you might become someone to supervise a placement for students like us)
Manage practice information safely and effectively
Name the components of the essential competencie: leadership.
Leadership
Leaders
Envision and advocate for a health system that enhances the well-being of society (ex. Advocating for your patient that the hospital wants to discharge but you know they won’t be safe if they go home)
Champion the health needs of your clients
Promote innovation in health care
Contribute to leadership in the profession (ex: getting involved in your associations)
Name the components of the essential competencie: scholarship.
Scholarship:
Scholars
Demonstrate a commitment to excellence in practice through continuous learning, the education of others, the evaluation of evidence, and contributions to scholarship.
Use an evidence-informed approach in practice
Engage in scholarly inquiry
Integrate self-reflection and external feedback to improve personal practice
Maintain currency with developments relevant to area of practice
Contribute to the learning of others
Name the components of the essential competencie: professionalism.
Professionalism
Autonomous, self-regulated professionals
Committed to working in the best interest of clients and society, and maintaining high standards of behavior.
Comply with legal and regulatory requirements
Behave ethically
Embrace social responsibility as a health professional
Act with professional integrity
Maintain personal wellness consistent with the needs of practice (includes taking care of yourself)
What are “ethics”?
Ethics
*The science of morals in human conduct and sub-discipline of philosophy
*The study of: Good and Bad, Authentic and Non-authentic Obligations, Rules of Conduct, Right and Wrong Morality, Duties
*Manifested in behaviours and assessed through ethical inquiry and critical moral reasoning
What are the steps to ethical decision making?
Recognize there is an issue
Identify the problem / Who is involved
Consider the facts, laws, principles, values
Establish and analyze potential options
Choose a course of action and implement
Evaluate the outcome and determine additional action needed
How can ethical dilemmas occur? What are they?
The best course of action is unclear
Strong moral reasons support each decision
Must choose between the most right and least wrong
What are the main differences between ethics and morals?
What are obligations and duties?
A commitment to act in a specific way
Keeping a promise
What are the five overarching principles?
Personal Values: guide our daily activities (e.g., protect/promote safety)
Integrity: ability to determine our actions (e.g., honest, objective)
Justice: public utility is maximized (e.g., equal access)
Respect: dignity of people as individuals (e.g., rights, traditions, culture)
Threats: poor policy/rules (e.g., bad standards)
Inability to identify the truth (e.g., conflict, ethical dilemma)
a) Give an example of a boundary. b) Why are boundaries fluid?
a) Personal space that one considers to be appropriately under her/his control
Crossed in a relationship when one does or says something
b) What we define as boundaries do not stay constant and may change:
With time
In different situations
From one person to another
Describe the continuum of professional boundaries.
How are therapeutic relationships different than other ones?
Differs from other relationships because it focuses on the needs, experiences, feelings and ideas of the patient only
Provider and patient agree about the areas to communicate, work on and evaluate
Always present and forms the foundation of the physiotherapist-patient interaction
Power, respect, trust, closeness
What are the steps we can take to establish clear professional boundaries? IMPORTANT FOR OSCES
- Introduce ourselves
- Obtain informed consent
- Adhere to privacy regulations
- Maintain professional social media pagesseparate and distinct from personal social media
Give examples of violated boundaries.
Should you date a patient? NEVER
What if a patient comes to you in the middle of december and they want to provide you something for your services: depends on what it is! (if there is a capacity to share it then it is usually acceptable)
Establishing dual relationships: no
Excessive self-disclosure
Giving or receiving significant gifts: blurry boundaries
Assuming the client’s values are the same as your own
Providing care to families or friends: avoid
Not unethical, not breaking a rule, but something we should try to avoid if we have the opportunity
Providing information to family or friends so they have the tools to advocate for themselves (ex: a scientific article)
Starting a social relationship with a former patient
What is a significant or appropriate amount of time to wait if you want to start a social relationship
Ignoring established conventions
- Ex: not following the set protocol of your clinic
What is the code of ethics’ purpose?
CANADIAN PHYSIOTHERAPY ASSOCIATION (CPA)
- Sets out the ethical principles governing the conduct of members of the physiotherapy profession in Canada
- A moral anchor that assures clients, the public, and other health care providers that members of the profession strive for the highest standards of ethical conduct
How do you use the code of ethics?
Does not tell practitioners exactly how to act in every situation
Provides a benchmark against which to measure ethical decisions in every day practice and in highly complex situations
It is the duty of members of the profession to act in an ethically responsible manner, using the principles of the Code to guide ethical conduct.
As ethical decision-making is often an interdisciplinary issue, practitioners are encouraged to seek additional advice or consultation when ethical decisions are unclear
Members of the physiotherapy profession should be able to articulate their rationale for all ethical decisions and should take responsibility for their decision-making and actions
Why are ethical principles important?
The foundation of ethical conduct and provide guidance along the pathway to ethical decision-making
Classical ethical principles as a basic guide to ethical conduct
The pursuit of excellence in all professional activities
The ability to act with (i) integrity, (ii) accountability and (iii) good judgment in the best interests of the client, the public, the individual (self) and the profession
Name the four ethical principles.
Respect for autonomy (patient should take part in the decision-making process)
Beneficence (greatest benefit for the patient)
Least harm (two treatment options that have contradictions, do the one is most ideal for the patient)
Justice
What are some professional values?
Responsibility, Excellence, Trustworthiness, Respect, Dignity, Communication, Honesty, Integrity, Professionalism, Citizenship, Collaboration, Advocacy, Transparency, Well-Being
The code of ethics gives us responsibilities to… (four answers)
The client
The public
Yourself
The profession
What is Nova Scotia’s College of Physiotherapy Code of Ethics?
