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Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences

Thesis (PhD)--University of Pretoria, 2015.

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Other Authors: Bornman, Juan, 1968-
Format: Thesis
Language:English
Published: University of Pretoria 2015
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access_status_str Open Access
author2 Bornman, Juan, 1968-
author_browse Bornman, Juan, 1968-
author_facet Bornman, Juan, 1968-
collection Thesis
dc_rights_str_mv © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD)--University of Pretoria, 2015.
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:36:17.390Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/50732 Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences Bornman, Juan, 1968- alida@eaglecad.co.za Naudé, Alida Maryna UCTD Thesis (PhD)--University of Pretoria, 2015. An understanding of the client, his/her needs, emotions and circumstances is fundamental to an effective therapeutic relationship. This holistic focus of the relationship and service excellence are, together with ethical sensitivity, important pillars for effective and competent practice. Since there are currently no measures available to evaluate ethical sensitivity in the therapeutic sciences, this study aimed at developing, implementing and evaluating a multidisciplinary measure of ethical sensitivity for healthcare professionals in the therapeutic sciences. The focus was specifically on four professions – audiology, occupational therapy, physiotherapy and speech-language therapy – within the South African context. The study followed a two-phase, sequential mixed-methods research approach. Phase 1, the qualitative exploration of ethical sensitivity, focused on developing a measuring instrument by means of a systematic review of the following: ethical codes of conduct; focus group discussions; individual in-depth interviews; an expert panel review; and public complaints websites. Phase 2, the quantitative stage, focused on implementing and evaluating the measuring instrument. One hundred participants – i.e. final-year students who represented the four professions included in this study – completed the measuring instrument. Participants’ overall scores on the Measuring Instrument for Ethical Sensitivity in the Therapeutic sciences (MIEST) were comparable for all four professions, which confirmed the multidisciplinary usability of the instrument. All participants tended to make decisions based on the principle of Beneficence. Participants were particularly sensitive about the impact of the therapist’s actions on the individual client (individualistic culture), and sometimes overlooked their duty to the community (collectivistic culture). Overall, participants selected an alternative response for the target principle of Non-Maleficence. The MIEST can be used to assess the ethical sensitivity of student therapists (and possibly qualified therapists as defined in this study) and describe the stage of their ethical sensitivity development throughout the course of their professional development. The constructed vignettes make the MIEST appropriate for use in problem-based learning programmes. Further research could focus on testing and refining the vignettes and items included in the MIEST to enhance reliability and validity. tm2015 Centre for Augmentative and Alternative Communication (CAAC) PhD Unrestricted 2015-11-25T09:48:26Z 2015-11-25T09:48:26Z 2015/09/01 2015 Thesis Naudé, AM 2015, Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences, PhD Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/50732> S2015 http://hdl.handle.net/2263/50732 en © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title_full Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title_fullStr Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title_full_unstemmed Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title_short Exploring ethical sensitivity in the South African context : developing and implementing a measure in the therapeutic sciences
title_sort exploring ethical sensitivity in the south african context developing and implementing a measure in the therapeutic sciences
topic UCTD
url http://hdl.handle.net/2263/50732