Employers that overemphasize productivity goals over evidence-based practice (EBP) may inadvertently set the stage for unethical behaviors by physical therapists (PTs) and physical therapist assistants (PTAs), say authors of an unedited new study published ahead of print in Archives of Rehabilitation Research and Clinical Translation. Organizational culture, say authors, is “the most easily changeable” factor in promoting ethical behavior.
In an email survey, researchers asked licensed PTs and PTAs in the state of Texas about their practice settings, their employers’ use of productivity goals, and observed unethical behaviors, such as inappropriately discharging patients or falsifying or changing documentation.
The majority of the 3,446 respondents were women (70.5%) and had been practicing an average of 15 years. One-third of respondents were PTAs. The most-represented practice settings were skilled nursing facilities (SNFs) (23.1%) and private outpatient clinics (17.7%).