题名

Embedding Medical Ethics into Occupational Therapy Clinical Practice Education

DOI

10.6145/jme.202203_26(1).0003

作者

Yu-Chan Lin;Keh-Chung Lin

关键词

occupational therapy ; occupational therapy education ; ethical issues ; medical ethics education ; professionalism ; moral reasoning

期刊名称

Journal of Medical Education

卷期/出版年月

26卷1期(2022 / 03 / 01)

页次

8 - 20

内容语文

英文

中文摘要

Ethical issues in occupational therapy education are important, with a need for the development of internship curriculum and continuing professional education. Ethics education has evolved over the past 20 years, but international guidelines for ethics education in occupational therapy are lacking. This review has three aims: (1) identify published contents of ethics education in occupational therapy, (2) analyze relevant teaching methods and evaluation tools, and (3) summarize contemporary medical ethics theories. We searched PubMed for articles published in English from January 2015 to August 2021, with the keywords "occupational therapy," "ethics education," "ethical issue," "professionalism," and "moral reasoning." Retrieved articles were reviewed to assess contemporary education methods in the aspect of embedding medical ethics into occupational therapy clinical practice education. The study included 29 articles. We collected and organized them in the context of the current status in medical ethics education, including the education content, education methods, and education fields, and the way to evaluate the learning effectiveness. This review study provides a better understanding of contemporary medical ethic education, which shed light on embedding medical ethics into occupational therapy clinical practice education. Future research is warranted to improve evidence-based education methods of occupational therapy in this understudied area.

主题分类 醫藥衛生 > 醫藥總論
社會科學 > 教育學
参考文献
  1. Liu, YC,Huang, PC,Lee, YC(2021).The use of the mini-cex in occupational therapy postgraduate year training programs in Taiwan.J Med Educ,25(2),49-60.
    連結:
  2. American Occupational Therapy Association(2019).Enforcement procedures for the AOTA occupational therapy code of ethics.The Am J Occup Ther,73(Supplement2),7312410003p1-7312410003p14.
  3. American Occupational Therapy Association(2018).Philosophy of occupational therapy education.Am J Occup Ther,72(Supplement2),7212410070p1-7212410070p2.
  4. American Occupational Therapy Association(2020).AOTA 2020 occupational therapy code of ethics.Am J Occup Ther,74(Suppl3),7413410005.
  5. Arksey, H,O’Malley, L(2005).Scoping studies: Towards a methodological framework.Int J Soc Res Methodol,8(1),19-32.
  6. Barnett, R(1998).Ethical dilemmas in occupational therapy and physical therapy: A survey of practitioners in the UK National Health Service.J Med Ethics,24(3),193-199.
  7. Bazyk, S,Glorioso, M,Gordon, R(2010).Service learning: The process of doing and becoming an occupational therapist.Occup Ther Health Care,24(2),171-187.
  8. Bushby, K,Chan, J,Druif, S(2015).Ethical tensions in occupational therapy practice: A scoping review.Br J Occup Ther,78(4),212-221.
  9. Dieruf, K(2004).Ethical decision-making by students in physical and occupational therapy.J Allied Health,33,24-30.
  10. Donaldson, TM,Feinstein, E,Dunn, M(2010).Casebased seminars in medical ethics education: How medical students define and discuss moral problems.J Med Ethics,36(12),816-820.
  11. Durocher, E,Kinsella, EA,McCorquodale, L(2016).Ethical tensions related to systemic constraints: Occupational alienation in occupational therapy practice.OTJR (Thorofare),36(4),216-226.
  12. Edwards, I,van Kessel, G,Jones, M(2013).The development of moral judgment and organization of ethical knowledge in a final year physical therapy students.Phys Ther Rev,17,157-166.
  13. Gallagher, CT(2011).Assessment of levels of moral reasoning in pharmacy students at diff erent stages of the undergraduate curriculum.Int J Pharm Pract,19(5),374-380.
  14. Geddes, EL,Salvatori, P,Eva, KW(2009).Does moral judgment improve in occupational therapy and physiotherapy students throughout their prelicensure training?.Learning in Health & Social Care,8(2),92-102.
  15. Harden, RM(2018).Ten key features of the future medical school-not an impossible dream.Med Teach,40(10),1010-1015.
  16. Horowitz, BP(2003).Ethical decision-making challenges in clinical practice.Occup Ther Health Care,16(4),1-14.
  17. Howard, BS,Kern, C,Milliner, O(2020).Comparing moral reasoning across graduate occupational and physical therapy students and practitioners.J Occup Ther Educ,4(3)
  18. Hudon, A,Blackburn, É,Laliberté, M(2018).Supporting ethics educators in Canadian occupational therapy and physical therapy programs: A national interprofessional knowledge exchange project.J Interprof Care,32(4),452-462.
  19. Hudon, A,Laliberté, M,Hunt, M(2014).What place for ethics? An overview of ethics teaching in occupational therapy and physiotherapy programs in Canada.Disabil Rehabil,36(9),775-780.
  20. Hudon, A,Perreault, K,Laliberté, M(2016).Ethics teaching in rehabilitation: Results of a pan-Canadian workshop with occupational and physical therapy educators.Disabil Rehabil,38(22),2244-2254.
  21. Jeffrey, DI(2020).Empathy-based ethics: A way to practice humane medicine.Palgrave Macmill DOI.
  22. Jessen-Winge, C,Petersen, MN,Morville, AL(2018).The influence of occupation on wellbeing, as experienced by the elderly: A systematic review.JBI Database System Rev Implement Rep,16(5),1174-1189.
  23. Joanne, PE(2014).University of Kentucky.
  24. Johnson, JF,Bagdasarov, Z,Connelly, S(2012).Case-based ethics education: The impact of cause complexity and outcome favorability on ethicality.J Empir Res Hum Res Ethics,7(3),63-77.
  25. Kinsella, EA,Park, AJ,Appiagyei, J(2008).Through the eyes of students: Ethical tensions in occupational therapy practice.Can J Occup Ther,75(3),176-183.
  26. Kinsella, EA,Phelan, SK,Park Lala, A(2015).An investigation of students’ perceptions of ethical practice: Engaging a reflective dialogue about ethics education in the health professions.Adv Health Sci Educ,20(3),781-801.
  27. Kornhaber, R,Walsh, K,Duff, J(2016).Enhancing adult therapeutic interpersonal relationships in the acute health care setting: An integrative review.J Multidiscip Healthc,9,537-546.
  28. Lecours, A,Baril, N,Drolet, MJ(2021).What is professionalism in occupational therapy? A concept analysis: Qu’est-ce que le professionnalisme en ergothérapie? Analyse de ce concept.Can J Occup Ther,88(2),117-130.
  29. Liberati, A,Altman, DG,Tetzlaff, J(2009).The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration.BMJ,339,b2700.
  30. Liu, YC,Huang, PC,Chu, CL(2018).Using the mini-CEX for teaching evaluation in mental health occupational therapy clinical fieldwork.Journal of Taiwan Occupational Therapy Research and Practice,14(2),61-74.
  31. Macpherson, I,Roqué, MV,Martín-Sánchez, JC(2021).Analysis in the ethical decision-making of dental, nurse and physiotherapist students, through case-based learning.Eur J Dent Educ
  32. McAndrew, NS,Leske, JS,Garcia, A(2011).Influence of moral distress on the professional practice environment during the prognostic conflict in critical care.J Trauma Nurs,18(4),221-230.
  33. McLean, SF(2016).Case-based learning and its application in medical and health-care fields: A review of worldwide literature.J Med Educ Curric Dev,3,JMECD.S20377.
  34. McLeod-Sordjan, R(2014).Evaluating moral reasoning in nursing education.Nurs Ethics,21(4),473-483.
  35. Mohammadi, E,Mirzazadeh, A,Shahsavari, H(2021).Clinical teachers’ perceptions of role modeling: A qualitative study.BMC Med Educ,21(1),261.
  36. Murphy, S,Whitehouse, L,Parsa, B(2020).Teaching professionalism: Some features in Canadian physiotherapy programs.Physiotherr Theory Pract,36(5),615-627.
  37. Park, M,Kjervik, D,Crandell, J(2012).The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students.Nurs Ethics,19(4),568-580.
  38. Pashmdarfard, M,Shafarood, N(2018).Factors aff ecting the clinical education of rehabilitation students in Iran: A systematic review.Med J Islam Repub Iran,663-670.
  39. Penny, NH,Bires, SJ,Bonn, EA(2016).Moral distress scale for occupational therapists: Part 1. Instrument development and content validity.Am J Occup Ther,70(4),7004300020p1.
  40. Penny, NH,You, D(2011).Preparing occupational therapy students to make moral decisions.Occup Ther Health Care,25(2-3),150-163.
  41. Silva, LC,Troncon, LEA,Panúncio-Pinto, MP(2019).Perceptions of occupational therapy students and clinical tutors on the attributes of a good role model.Scand J Occup Ther,26(4),283-293.
  42. Swisher, LL(2010).Moral reasoning among physical therapists: Results of the defining issues test.Physiother Res Int,15,69-79.
  43. Tai, CT(2006).A survey on the eff ectiveness of bioethics teaching in medical institutes.Formos J Med Humanit,7(1&2),133-157.
  44. VanderKaay, S,Jung, B,Letts, L(2019).Online ethics education for occupational therapy clinician-educators: A single-group pre-/post-test study.Disabil Rehabil,41(23),2841-2853.
  45. VanderKaay, S,Jung, B,Letts, L(2019).Continuing competency in ethical decision making: An interpretive description of occupational therapists’ perspectives.Can J Occup Ther,86(3),209-219.
  46. Wong, MK,Hong, DZH,Wu, J(2021).A systematic scoping review of undergraduate medical ethics education programs from 1990 to 2020.Med Teach,1-20.
被引用次数
  1. Yu-Chan Lin,Keh-Chung Lin,Han-Kuei Fu,Chung-Pei Fu(2022)。Impact of the COVID-19 Pandemic in Taiwan: Implications for Occupational Therapy Education。醫學教育,26(3),131-140。