Ethics, professional conduct and management - Learninglearning.ufs.ac.za/FST409_ON/Resources/2...

J. Human

2012

Core ethical

values and

standards

Ethics, professional

conduct and management

• Brief review of ethical cornerstones

• HPCSA: 13 core ethical values and

standards for good practice

• How to resolve ethical dilemmas

(WMA & HPCSA)

Skeleton for this lecture:

Vow of Graduands in Physiotherapy at UFS

On receiving my degree in Physiotherapy at the University of the Free State, and

my entrance to the profession of Physiotherapy, I hereby solemnly declare that:

• I shall dedicate myself to serve humanity;

• I shall maintain the integrity and honourable traditions of my

profession conscientiously and with dignity;

• I shall consider the promotion of the health of my patients as my

primary duty;

• I shall carefully protect all confidential information regarding my

patients;

• I shall always conduct myself honourably towards colleagues at all

times;

• I shall continue to promote the status of my University, and treat

those who had taught me with respect and gratitude.

Registration at HPCSA right and

privelege to practise our profession.

HPCSA – booklet 1

HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria

Correspondingly,

practitioners have moral

or ethical duties to others

and society.

(According to principles of the

SA Constitution (Act no. 108 of

1996) and obligations by law.)


Impossible to prescribe a set of rules for every

real life ethical situation.

Ethical reasoning


Ethical cornerstones in Physiotherapy –review

Ethics

• Autonomy • Beneficence • Non-maleficence • Justice

Human

rights

Medical

ethics

Medical

law

Rational

approach by

individual

Principlism


13 core ethical values and standards for good

practice


1. Respect for persons

Patients as persons

Acknowledge their instrinsic

worth

Dignity

Sense of value


2. Best interests or well being (Non-maleficence)

Not harm

Not act against best

interests of patients


3. Best interests or well being (Beneficence)

Act in the best interest of the patient


4. Human rights

Recognise the human rights of all

individuals


5. Autonomy

Honour the right of

patients to self-

determination and to

make their own

informed choices and to

live their lives by their

own beliefs, values and

preferences.


6. Integrity

Incorporate these core

ethical values and

standards as the foundation

for their character and

practise as responsible

health care professionals.


7. Truthfullness

Truth and truthfullness

should be regarded as the

basis of trust in their

professional relationships

with patients


8. Confidentiality

All personal or

private information

should be regarded

as confidential in

professional

relationships with

patients


9. Compassion

Sensitive to and

empathise with the

individual and social

needs of patients and

seek to create

mechanisms for

providing comfort and

support where

appropriate and possible


10. Tolerance

Respect the rights

of people to have

different ethical

beliefs

May arise from

deeply held

personal, religious

or cultural

convictions


11. Justice

Treat all individuals and

groups in an impartial, fair

and just manner


12. Professional competence and self-

improvement

Highest level of

knowledge and skills

required within their area

of practice.


13. Community

Strive to contribute to the

betterment of society in

accordance with your

professional abilities and

standing in the community


How to resolve ethical dilemmas

Ethical reasoning

• Formulate the problem

• Gather information

• Consider options

• Make a moral assessment


Decide if the issue at hand is an

ethical issue

Is there a better way of

understanding it







• Clinical, Personal and

Social data

• Consult

• Guidelines

• Assosiations (SASP)

• Respected colleagues

(determine how similar

matters are dealt with)







Alternative solutions in light of the

principles and values they uphold







What are the likely consequences of each

option?







What are the most important values,

duties and rights? Which weighs the

heaviest?







What are the weaknesses of the health

core practitioner ‘s individual view

concerning the correct option?







How would the health care practitioner

himself or herself want to be treated

under similar circumstances – that is,

apply the Golden Rule?







How does the health care practitioner

think that the patient would want to be

treated in the particular circumstances.







Discuss your proposed solution with those

whom it will affect



Act with sensitivity



Evaluate your decision and be prepared to

act differently in the future



• Brief review of ethical cornerstones

• HPCSA: 13 core ethical values and

standards for good practice

• How to resolve ethical dilemmas

(WMA & HPCSA)

Meat for this lecture:

Ethics, professional conduct and management - Learninglearning.ufs.ac.za/FST409_ON/Resources/2...

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