Influence of Professional Values on Attitudes towards Professional Ethics in Future Physical Therapy Professionals
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Design and Participants
2.2. Outcome Measures
- (1)
- Attitudes towards professional ethics, using the Attitudes Questionnaire towards Professional Ethics in Physiotherapy (AQPEPT) developed by Aguilar Rodríguez et al. [11]: It is a 33-item self-reported questionnaire in which the questions are divided further into 3 categories: (i) “Importance that future physical therapy professionals give to professional Ethics in Physical therapy degree”, including the following items of the questionnaire: 2, 3, 4, 7, 9, 11, 14, 15, 16, 17, 21, 26, 27, 32; (ii) “Future physical therapy professionals predisposition to train in professional ethics during the degree”, including items 8, 12, 18, 19, 20, 22, 24, 25, 28, 31; and (iii) “Impact of professional ethics training on their professional future”, composed of items 1, 5, 6, 10, 13, 23, 29, 30, 33). Each question was rated on a 5-point Likert scale (1 = Strongly disagree, 5 = Strongly Agree). Internal consistency of this questionnaire has been previously analyzed in physical therapy students (Cronbach’s alpha = 0.898) [11].
- (2)
- Professional values, using the Axiological Estimation of Professional Values Questionnaire (AEPVQ) developed by González-Serna et al. [12], which includes 30 professional values: The importance of each value is registered and rated on an 8-point Likert scale (0 = not important at all, 7 = very important). The higher the score, the greater the importance of the value for the student. The reliability of the internal consistency of the AEPVQ has been previously analyzed, with a Cronbach α = 0.84 for the yes/no question and a Cronbach α = 0.91 for the ranking Likert question.
2.3. Ethical Considerations
2.4. Statistical Analysis
3. Results
3.1. Correlation Analysis
3.2. Regression Analysis
4. Discussion
Limitations and Strengths
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Kulju, K.; Suhonen, R.; Leino-Kilpi, H. Ethical problems and moral sensitivity in physiotherapy: A descriptive study. Nurs. Ethics 2013, 20, 568–577. [Google Scholar] [CrossRef] [PubMed]
- World Confederation for Physical Therapy (WCPT). Policy Statement: Ethical Responsibilities of Physical Therapists and WCPT Members; World Confederation for Physical Therapy: London, UK, 2019. [Google Scholar]
- Riklikiene, O.; Karosas, L.; Kaseliene, S. General and professional values of student nurses and nurse educators. J. Adv. Nurs. 2018, 74, 666–676. [Google Scholar] [CrossRef] [PubMed]
- Ten Hoeve, Y.; Castelein, S.; Jansen, W.S.; Jansen, G.J.; Roodbol, P.F. Nursing students’ changing orientation and attitudes towards nursing during education: A two year longitudinal study. Nurse Educ. Today 2017, 48, 19–24. [Google Scholar] [CrossRef] [Green Version]
- Cantu, R. Physical Therapists’ Ethical Dilemmas in Treatment, Coding, and Billing for Rehabilitation Services in Skilled Nursing Facilities: A Mixed-Method Pilot Study. J. Am. Med. Dir. Assoc. 2019, 20, 1458–1461. [Google Scholar] [CrossRef] [PubMed]
- Kantek, F.; Kaya, A.; Gezer, N. The effects of nursing education on professional values: A longitudinal study. Nurse Educ. Today 2017, 58, 43–46. [Google Scholar] [CrossRef] [PubMed]
- McGinnis, P.Q.; Guenther, L.A.; Wainwright, S.F. Development and integration of professional core values among practicing clinicians. Phys. Ther. 2016, 96, 1417–1429. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Arnal-Gómez, A.; Muñoz-Gómez, E.; Espí-López, G.V.; Juárez-Vela, R.; Tolsada-Velasco, C.; Marques-Sule, E. Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study. Medicine 2022, 101, e30181. [Google Scholar] [CrossRef] [PubMed]
- Aguilar, A.; Stupans, I.; Scutter, S.; King, S. Exploring the professional values of Australian physiotherapists. Physiother. Res. Int. 2013, 18, 27–36. [Google Scholar] [CrossRef]
- Von Elm, E.; Altman, D.G.; Egger, M.; Pocock, S.J.; Gøtzsche, P.C.; Vandenbroucke, J.P. Declaración de la Iniciativa STROBE (Strengthening the Reporting of Observational studies in Epidemiology): Directrices para la comunicación de estudios observacionales. Rev. Esp. Salud Pública 2008, 82, 251–259. [Google Scholar] [CrossRef] [Green Version]
- Aguilar-Rodríguez, M.; Marqués-Sulé, E.; Serra-Añó, P.; Dueñas-Moscardó, L.; Sempere-Rubio, N. Elaboration and validation of the Attitudes questionnaire towards professional ethics in Physiotherapy. Fisioterapia 2017, 39, 148–157. [Google Scholar] [CrossRef]
- González-Serna, J.M. Interprofessional ethical shared values for an integral healthcare. Cuad. Bioet. 2013, 24, 377–389. [Google Scholar]
- Cohen, J. Statistical Power Analysis for the Behavioral Sciences, 2nd ed.; Routledge: London, UK, 1988. [Google Scholar]
- Poorchangizi, B.; Borhani, F.; Abbaszadeh, A.; Mirzaee, M.; Farokhzadian, J. The importance of professional values from nursing students’ perspective. BMC Nurs. 2019, 18, 26. [Google Scholar] [CrossRef] [PubMed]
- Arries, E. Patient safety and quality in healthcare: Nursing ethics for ethics quality. Nurs. Ethics 2014, 21, 3–5. [Google Scholar] [CrossRef] [PubMed]
- Tehranineshat, B.; Torabizadeh, C.; Bijani, M. A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran. Int. J. Nurs. Sci. 2020, 7, 313–319. [Google Scholar] [CrossRef]
- Behmaneshpour, F.; Irandegani, F.; Miandoab, N.Y. Relationship between the nurses’ observance of professional ethics and quality of nursing care from the patients’ point of view. Drug Invent. Today 2019, 15, 12. [Google Scholar]
- Anderson, D.K.; Irwin, K.E. Self-assessment of professionalism in physical therapy education. Work 2013, 44, 275–281. [Google Scholar] [CrossRef]
- Nelwati; Abdullah, K.L.; Chong, M.C. Factors influencing professional values among Indonesian undergraduate nursing students. Nurse Educ. Pract. 2019, 41, 102648. [Google Scholar] [CrossRef]
- Montemurro, D.; Vescovo, G.; Negrello, M.; Frigo, A.C.; Cirillo, T.; Picardi, E.; Chiminazzo, C.; El Mazloum, D.; De Caro, R.; Benato, M.; et al. Medical professional values and education: A survey on Italian students of the medical doctor school in medicine and surgery. N. Am. J. Med. Sci. 2013, 5, 134. [Google Scholar] [CrossRef] [Green Version]
- Guenther, L.A.; McGinnis, P.; Romen, M.; Patel, K. Self Assessment of Professional Core Values among Physical Therapists. HPA Resour. 2014, 14, J15–J24. [Google Scholar]
- Hoyuelos, S.B.; Fraile, C.L.; Weis, D.; Urien, E.D.L.; Elsden, C.A.; Schank, M.J. Nursing professional values: Validation of a scale in a Spanish context. Nurse Educ. Today 2010, 30, 107–112. [Google Scholar] [CrossRef]
- Rassin, M. Nurses’ professional and personal values. Nurs. Ethics 2008, 15, 614–630. [Google Scholar] [CrossRef] [PubMed]
- Marques-Sulé, E.; Arnal-Gómez, A.; Cortés-Amador, S.; de la Torre, M.I.; 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. [Google Scholar] [CrossRef] [PubMed]
- Venglar, M.; Theall, M. Case-based ethics education in physical therapy. J. Scholarsh. Teach. Learn. 2007, 7, 64–76. [Google Scholar]
Sociodemographic Variables | Total (n = 231) |
---|---|
Age (years), Mean ± SD | 22.30 ± 5.13 |
Gender, frequency (%) | |
Female | 122 (53.0%) |
Male | 109 (47.0%) |
Presence of relatives working in healthcare, frequency (%) | |
Yes | 74 (32.0%) |
No | 157 (68.0%) |
Willingness to choose the degree voluntarily, frequency (%) | |
Yes | 228 (98.7%) |
No | 3 (1.3%) |
Working perspectives after finishing the degree, frequency (%) | |
Yes | 228 (98.7%) |
No | 3 (1.3%) |
Variable | Professional Values (AEPVQ), r-Value | p-Value |
---|---|---|
AQPEPT total score | 0.26 | 0.01 * |
AQPEPT category 1 score: Importance that future physical therapy professional students give to professional ethics in the physiotherapy degree | 0.26 | <0.001 ** |
AQPEPT category 2 score: Future physical therapy professionals students’ predisposition to train in professional ethics during the degree | 0.19 | 0.004 * |
AQPEPT category 3 score: Impact of professional ethics training on their professional future | 0.26 | <0.001 ** |
Variable | Attitudes (AQPEPT Total Score) | Professional Values (AEPVQ Total Score) | ||
---|---|---|---|---|
r-Value | p-Value | r-Value | p-Value | |
Age | −0.35 | 0.01 * | 0.00 | 0.99 |
Gender | 0.08 | 0.22 | −0.08 | 0.23 |
Presence of relatives working in healthcare | 0.12 | 0.07 | 0.14 | 0.03 * |
Willingness to choose the degree voluntarily | 0.02 | 0.73 | 0.02 | 0.73 |
Working perspectives after finishing the degree | 0.02 | 0.78 | −0.08 | 0.25 |
Variables | Beta Coefficient | R2 | F | t-Value | p-Value |
---|---|---|---|---|---|
AQPEPT total score—AEPVQ total score | 0.256 | 0.065 | 16.08 | 4.01 | 0.00 * |
Age—AQPEPT total score | –0.173 | 0.030 | 7.11 | –2.66 | 0.008 * |
Presence of relatives in healthcare—AEPVQ total score | 0.137 | 0.019 | 4.35 | 2.09 | 0.04 * |
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Marques-Sule, E.; Baxi, H.; Arnal-Gómez, A.; Cortés-Amador, S.; Sheth, M. Influence of Professional Values on Attitudes towards Professional Ethics in Future Physical Therapy Professionals. Int. J. Environ. Res. Public Health 2022, 19, 13952. https://doi.org/10.3390/ijerph192113952
Marques-Sule E, Baxi H, Arnal-Gómez A, Cortés-Amador S, Sheth M. Influence of Professional Values on Attitudes towards Professional Ethics in Future Physical Therapy Professionals. International Journal of Environmental Research and Public Health. 2022; 19(21):13952. https://doi.org/10.3390/ijerph192113952
Chicago/Turabian StyleMarques-Sule, Elena, Heta Baxi, Anna Arnal-Gómez, Sara Cortés-Amador, and Megha Sheth. 2022. "Influence of Professional Values on Attitudes towards Professional Ethics in Future Physical Therapy Professionals" International Journal of Environmental Research and Public Health 19, no. 21: 13952. https://doi.org/10.3390/ijerph192113952