Kulju Kati, Suhonen Riitta, Leino-Kilpi Helena
Department of Nursing Science, University of Turku, Turku, Finland.
Nurs Ethics. 2013 Aug;20(5):568-77. doi: 10.1177/0969733012468462. Epub 2013 Jan 17.
This study identified and described ethical problems encountered by physiotherapists in their practice and physiotherapists' moral sensitivity in ethical situations. A questionnaire-based survey was constructed to identify ethical problems, and the Moral Sensitivity Questionnaire Revised version was used to measure moral sensitivity. Physiotherapists (n = 116) working in public health services responded to the questionnaire. Based on the results, most of the physiotherapists encounter ethical problems weekly. They concern mainly financial considerations, equality and justice, professionalism, unethical conduct of physiotherapists or other professions and patients' self-determination. The dimension of moral strength was emphasised in physiotherapists' self-evaluations of their moral sensitivity. As a conclusion, ethical problems do occur not only at individual level but also at organisational and society level. Physiotherapists seem to have moral strength for speaking on behalf of the patient. Scarce resources make them feel insufficient but much could still be done to provide quality care in co-operation with other health-care professionals.
本研究识别并描述了物理治疗师在实践中遇到的伦理问题以及他们在伦理情境中的道德敏感性。构建了一份基于问卷的调查来识别伦理问题，并使用修订版的道德敏感性问卷来衡量道德敏感性。在公共卫生服务机构工作的116名物理治疗师对问卷进行了回复。根据结果，大多数物理治疗师每周都会遇到伦理问题。这些问题主要涉及财务考量、平等与公正、专业精神、物理治疗师或其他职业的不道德行为以及患者的自主决定权。在物理治疗师对自身道德敏感性的自我评价中，强调了道德力量这一维度。总之，伦理问题不仅发生在个人层面，也发生在组织和社会层面。物理治疗师似乎有代表患者发声的道德力量。资源稀缺使他们感到力不从心，但与其他医疗保健专业人员合作仍可做很多事情来提供优质护理。
