"Passion to do the right thing": searching for the 'good' in physiotherapist practice.

Autor:	Kleiner MJ; QuinnRehab, Barrie, ON, Canada.; Health and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, Canada., Kinsella EA; Health and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, Canada.; Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.; School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Miciak M; Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada., Teachman G; Health and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, Canada.; School of Occupational Therapy, Faculty of Health Sciences, Western University, Elborn College, London, ON, Canada., Walton DM; Health and Rehabilitation Sciences Graduate Program, Faculty of Health Sciences, Western University, London, ON, Canada.; School of Physical Therapy, Faculty of Health Sciences, Western University, Elborn College, London, ON, Canada.
Jazyk:	angličtina
Zdroj:	Physiotherapy theory and practice [Physiother Theory Pract] 2024 Feb; Vol. 40 (2), pp. 288-303. Date of Electronic Publication: 2022 Sep 13.
DOI:	10.1080/09593985.2022.2116740
Abstrakt:	Background: Practitioners' perspectives of what constitutes a 'good' physiotherapist have not been explicitly examined despite their potential implications for the future practice of physiotherapy. Physiotherapists' perceptions may inform professional priorities including education curricula, professional practices, competency profiles, and patient interactions. Purpose: The purpose of this research was to examine physiotherapists' perceptions of what constitutes a 'good' physiotherapist. The context of the study was musculoskeletal practice (MSK). Methods: A hermeneutic phenomenological investigation was undertaken. Semi-structured interviews were conducted with twelve experienced MSK physiotherapists to examine their perceptions of what constitutes a 'good' physiotherapist. Findings: Seven themes were identified. Good physiotherapists were depicted as: 1) oriented to care; 2) integrating knowledge sources; 3) competent; 4) responsive; 5) reflective; 6) communicative; and 7) reasoning. To deepen the understanding of these themes, we discuss the findings in relation to Joan Tronto's ethic of care theory. Conclusions: Physiotherapists' perceptions of what constitutes a 'good' physiotherapist highlight practices that may underpin an ethic of care including the pivotal role of person-centered and relational dimensions of practice. The findings call into question the profession's emphasis on a technical rationalist approach to education and clinical practice and invites conversation about future directions that balance technical competence with relational dimensions of practice.
Databáze:	MEDLINE
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