Journal of Research in Rehabilitation Sciences

Formulating the Code of Professional Responsibilities in Providing Rehabilitation Services based on a Narrative Review Study

Document Type : Review Articles

Authors

Associate Professor, Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

10.22122/jrrs.v14i3.3282

Abstract

Introduction: Rehabilitation is one of the most important components of health, and includes a set of services to empower people with disability. The first step in providing a secure framework for professional ethics, is identifying the needs and rights of persons with disabilities based on the evidence and scientific documentation, and also the use of experiences from developed countries. Therefore, the aim of this study was to examine the available evidence of professional ethics through a narrative systematic review study designed to provide the basis for professional ethics in Iranian rehabilitation services.Materials and Methods: This was a narrative systematic evidence-based review study. All Persian and English articles published in the past 10 years with the main focus of ethical issues related to the provision of rehabilitation services in physiotherapy, occupational therapy, and orthotics and prosthetics were considered. A structured search of the peer-reviewed literature catalogued in major electronic databases (Scopus, PubMed, and Web of Science) was conducted using the following words and their derivatives (Rehabilitation, Human right, Patient right, Professionalism, Justice, Autonomy, Responsibility, Ethics, Bioethics)Results: The initial search by two reviewers yielded 1260 papers. Following review of title and abstract, 98 articles were considered relevant. 67 articles had full text. Full text review reduced this number to 24. To categorize the articles, four principles of biomedical ethics in principlism method.Conclusion: A set of professional responsibilities for the rehabilitation services were categorized in four principles of respect for autonomy, beneficence, non-maleficence, and justice, and also 10 titles outlined in the charter of physicians.

Keywords

  1. Sohlberg MM, Mateer CA. Introduction to cognitive rehabilitation: Theory and practice. New York, NY: Guilford Press; 1989.
  2. Mazlina M, Julia PE. Attitudes of rehabilitation medicine doctors toward medical ethics in Malaysia. Singapore Med J 2011; 52(6): 421-7.
  3. Brashler R. Ethics, family caregivers, and stroke. Top Stroke Rehabil 2006; 13(4): 11-7.
  4. Green M, Carter B, Lasky A. Difficult discharge in pediatric rehabilitation medicine causing moral distress. J Soc Work Disabil Rehabil 2016; 15(1): 42-51.
  5. Ahadi T, Mianehsaz E, Raissi G, Moraveji SA, Sharifi V. Professionalism in residents of physical medicine and rehabilitation in Iran. J Med Ethics Hist Med 2015; 8: 3.
  6. Medical professionalism in the new millenium: A physician charter. J Am Coll Surg 2003; 196(1): 115-8.
  7. Saadah MA, Saadah LM. Autonomy and rehabilitation. Neurosciences (Riyadh) 2004; 9(2): 84-90.
  8. Mauk KL. Ethical perspectives on self-neglect among older adults. Rehabil Nurs 2011; 36(2): 60-5.
  9. Karlsson K. Handling dilemmas of self-determination in 'user-centred' rehabilitation. Disabil Rehabil 2007; 29(3): 245-53.
  10. Scheirton LS, Mu K, Lohman H, Cochran TM. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos 2007; 10(3): 301-11.
  11. Zaina F, Donzelli S, French MN, Fregni F. Ethics in rehabilitation: challenges and opportunities to promote research. Eur J Phys Rehabil Med 2016; 52(3): 267-70.
  12. Forghany S, Sadeghi-Demneh E, Trinler U, Onmanee P, Dillon MP, Baker R. The influence of staff training and education on prosthetic and orthotic service quality: A scoping review. Prosthet Orthot Int 2018; 42(3): 258-64.
  13. Alston RJ, Harley DA, Middleton R. The role of rehabilitation in achieving social justice for minorities with disabilities. J Vocat Rehabil 2006; 24(3): 129-36.
  14. Lequerica A, Krch D. Issues of cultural diversity in acquired brain injury (ABI) rehabilitation. NeuroRehabilitation 2014; 34(4): 645-53.
  15. Mu K, Lohman H, Scheirton L. Occupational therapy practice errors in physical rehabilitation and geriatrics settings: a national survey study. Am J Occup Ther 2006; 60(3): 288-97.
  16. Sadeghi-Demneh E, Forghany S, Onmanee P, Trinler U, Dillon MP, Baker R. The influence of standards and clinical guidelines on prosthetic and orthotic service quality: A scoping review. Disabil Rehabil 2018; 40(20): 2458-65.
  17. MikoĊ‚ajewska E, MikoĊ‚ajewski D. Ethical considerations in the use of brain-computer interfaces. Central European Journal of Medicine 2013; 8(6): 720-4.
  18. Savage TA, Parson J, Zollman F, Kirschner KL. Rehabilitation team disagreement: Guidelines for resolution. PM R 2009; 1(12): 1091-7.
  19. Hunt MR, Ells C. A patient-centered care ethics analysis model for rehabilitation. Am J Phys Med Rehabil 2013; 92(9): 818-27.
  20. O'Callaghan A, McAllister L, Wilson L. Healthcare consumers' need for brain-injury services: The critical importance of timing in planning future services. Brain Impairment 2012; 13(3): 316-32.
  21. Farin E, Gramm L, Schmidt E. The patient-physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation. J Behav Med 2013; 36(3): 246-58.
  22. Oliveira VC, Ferreira ML, Pinto RZ, Filho RF, Refshauge K, Ferreira PH. Effectiveness of training clinicians' communication skills on patients' clinical outcomes: A systematic review. J Manipulative Physiol Ther 2015; 38(8): 601-16.
  23. Peiris CL, Taylor NF, Shields N. Patients value patient-therapist interactions more than the amount or content of therapy during inpatient rehabilitation: A qualitative study. J Physiother 2012; 58(4): 261-8.
  24. Carrier A, Levasseur M, Mullins G. Accessibility of occupational therapy community services: a legal, ethical, and clinical analysis. Occup Ther Health Care 2010; 24(4): 360-76.
  25. Medina-Mirapeix F, Oliveira-Sousa SL, Sobral-Ferreira M, Montilla-Herrador J, Jimeno-Serrano FJ, Escolar-Reina P. What elements of the informational, management, and relational continuity are associated with patient satisfaction with rehabilitation care and global rating change? Arch Phys Med Rehabil 2013; 94(11): 2248-54.
  26. Yousafzai AK, Lynch P, Gladstone M. Moving beyond prevalence studies: screening and interventions for children with disabilities in low-income and middle-income countries. Arch Dis Child 2014; 99(9): 840-8.
  27. Fellin M, Desmarais C, Lindsay S. An examination of clinicians' experiences of collaborative culturally competent service delivery to immigrant families raising a child with a physical disability. Disabil Rehabil 2015; 37(21): 1961-9.
  28. Nguyen T, Baptiste S. Innovative practice: exploring acculturation theory to advance rehabilitation from pediatric to adult "cultures" of care. Disabil Rehabil 2015; 37(5): 456-63.
  29. Chiappedi M, Maltagliati S, Amoruso A, Dolci R, Carniglia C, Bejor M. Child rehabilitation refusal: why it happens and possible strategies to avoid it. Eur J Phys Rehabil Med 2009; 45(4): 487-92.
  30. Collins TL. The therapy threshold within the Medicare prospective payment system: Associated ethical dilemmas and influence of therapy practice patterns and quality of patient care. Home Healthc Nurse 2006; 24(9): 581-9.
  31. Stein J. Ethical issues in inpatient rehabilitation length of stay determination. Top Stroke Rehabil 2012; 19(1): 86-92.
  32. Weber LJ, Wayland MT, Holton B. Health care professionals and industry: reducing conflicts of interest and established best practices. Arch Phys Med Rehabil 2001; 82(12 Suppl 2): S20-S24.
  33. Sadeghi-Demneh E, Forghany S. Rehabilitation services in general health policies in Iran. J Res Rehabil Sci 2017; 13(6): 357-60. [In Persian].
Journal of Research in Rehabilitation Sciences
Volume 14, Issue 3 - Serial Number 3
August 2018
Pages 183-188
  • Receive Date: 08 April 2019
  • Revise Date: 26 April 2024
  • Accept Date: 22 May 2022