Table 5 Items 14-43: Ranking of the responses of the total cohort and WP Regions based on M (±SD), N (population) and % of Agree, Neutral and Disagree Responses

36

Physiotherapists need to behave ethically because it is socially expected as their professional role

415

4.26 (±0.74)

1

372

89.6

46

97.9

97

90.7

182

88.8

41

85.4

6

75.0

32

7.7

1

2.1

4

3.7

20

9.8

6

12.5

1

12.5

11

2.7

0

0

6

5.6

3

1.5

1

2.1

1

12.5

27

Ethical decision-making requires more skills than just observing a code of conduct or ethical principles

450

4.23 (±0.69)

2

412

91.6

45

91.8

111

93.3

197

90.0

49

92.5

10

100

30

6.7

4

8.2

6

5.0

18

8.2

2

3.8

0

0

8

1.8

0

0

2

1.7

4

1.8

2

3.8

0

0

34

A recognisable organisational culture of ethical practice can help a physiotherapist to make a good ethical decision

415

4.19 (±0.75)

3

368

88.7

43

91.5

98

91.6

180

87.8

40

83.3

7

87.5

36

6.5

3

6.4

5

4.7

23

11.2

4

8.3

1

12.5

11

2.7

1

2.1

4

3.7

2

1.0

4

8.3

0

0

35

How senior physiotherapists represent their profession influences the attitude of junior physiotherapists in a good or bad manner

415

4.16 (±0.81)

4

355

85.5

41

87.2

96

89.7

167

81.5

43

89.6

8

100

42

10.1

5

10.6

10

9.3

24

11.7

3

6.3

0

0

18

4.3

1

2.1

1

0.9

14

6.8

2

4.2

0

0

21

In ethical decision-making I consider my professional obligations

450

4.12 (±0.68)

5

399

88.7

47

95.9

98

82.4

194

88.6

51

96.2

9

90.0

41

9.1

1

2.0

17

14.3

21

9.6

1

1.9

1

10.0

10

2.2

1

2.0

4

3.4

4

1.8

1

1.9

0

0

14

I can recognise a professional ethical situation

450

4.07 (±0.58)

6

402

89.3

46

93.9

105

88.2

191

87.2

50

94.3

10

100

43

9.6

3

6.1

13

10.9

25

11.4

2

3.8

0

0

5

1.1

0

0

1

0.8

3

1.4

1

1.9

0

0

32

Unethical behaviour increases where it stays unpunished

415

4.05 (±0.94)

7

324

78.3

43

91.5

95

88.8

139

67.8

40

83.3

8

100

57

13.7

3

6.4

8

7.5

42

20.5

4

8.3

0

0

33

8.0

1

2.1

4

3.7

24

11.7

4

8.3

0

0

22

In ethical decision-making I consider the viewpoints of all involved persons or/and facilities

450

4.04 (±0.70)

8

397

88.2

45

91.8

107

89.9

193

88.1

44

83.0

8

80.0

34

7.6

1

2.0

8

6.7

19

8.7

5

9.4

1

10.0

19

4.2

3

6.1

4

3.4

7

3.2

4

7.5

1

10.0

39

Healthcare system conditions can limit or permit unethical practices

415

3.90 (±0.92)

9

323

77.8

44

93.6

83

77.6

147

71.7

41

85.4

8

100

50

12.0

1

2.1

14

13.1

32

15.6

3

6.3

0

0

42

10.1

2

4.3

10

9.3

26

12.7

4

8.3

0

0

15

I can analyse and describe a professional ethical situation

450

3.87 (±0.70)

10

359

79.8

38

77.6

100

84.0

166

75.8

46

86.8

9

90.0

69

12.4

7

14.3

15

12.6

41

18.7

5

9.4

1

10.0

22

4.9

4

8.2

4

3.4

12

5.5

2

3.8

0

0

17

I can describe the difference between personal morality and professional ethics

450

3.86 (±0.84)

11

356

79.1

41

83.7

100

84.0

163

74.4

44

83.0

8

80.0

51

11.3

5

10.2

11

9.2

29

13.2

6

11.3

0

0

43

9.6

3

6.1

8

6.7

27

12.3

3

5.7

2

20.0

40

Contextual factors* can act as barriers or resources to ethical decision-making

(Characteristics unique to a particular situation, e.g., geographical location and setting, economic factors, resource pressures, institutional context, payment mechanisms)

415

3.81 (±0.85)

12

313

75.4

40

85.1

80

74.8

150

73.2

38

79.2

5

62.5

64

15.4

4

8.5

17

15.9

35

17.1

5

10.4

3

37.5

38

9.2

3

6.4

10

9.3

20

9.8

5

10.4

0

0

29

My personal values play a role in ethical decision-making

450

3.77 (±0.96)

13

322

71.6

34

69.4

84

70.6

159

72.6

38

71.7

7

70.0

76

16.9

9

18.4

24

20.2

33

15.1

7

13.2

3

30.0

52

11.6

6

12.2

11

9.2

27

12.3

8

15.1

0

0

43

Possible consequences of the decision play a role in my ethical decision-making

415

3.76 (±0.92)

14.5

303

73.0

37

78.7

79

73.8

149

72.7

32

66.7

6

75.0

59

14.2

6

12.8

18

16.8

30

14.6

5

10.4

0

0

53

12.8

4

8.5

10

9.3

26

12.7

11

22.9

2

25.0

18

I feel competent when I need to make a professional ethical-decision

450

3.76 (±0.82)

14.5

319

70.9

32

65.3

85

71.4

148

67.6

45

84.9

9

90.0

97

21.6

13

26.5

23

19.3

54

24.7

6

11.3

1

10.0

34

7.6

4

8.2

11

9.2

17

7.8

2

3.8

0

0

28

I have the ability to deal with uncertainty in an ethical situation

450

3.71 (±0.75)

16

315

70.0

33

67.3

86

72.3

145

66.2

44

83.0

7

70.0

105

23.3

10

20.4

27

22.7

62

28.3

5

9.4

1

10.0

30

6.7

6

12.2

6

5.0

12

5.5

4

7.5

2

20.0

16

I know the code of ethics for physiotherapists of the country I work in

449

3.70 (±0.95)

17

324

72.2

38

77.6

93

78.2

142

65.1

44

83.0

7

70.0

58

12.9

6

12.2

11

9.2

36

16.5

4

7.5

1

10.0

67

14.9

5

10.2

15

12.6

40

18.3

5

9.4

2

20.0

41

Cultural factors of the country I work in play a role in my ethical decision-making

415

3.60 (±1.03)

18

269

64.8

37

78.7

80

74.8

117

57.1

30

62.5

5

62.5

70

16.9

7

14.9

13

12.1

41

20.0

8

16.7

1

12.5

76

18.3

3

6.4

14

13.1

47

22.9

10

20.8

2

25.0

38

Ethical decision-making is more difficult when the factors that contribute to the situation are outside of the realm of my influence

415

3.56 (±0.95)

19

265

63.9

33

70.2

71

66.4

125

61.0

32

66.7

4

50.0

77

13.9

6

12.8

22

20.6

41

20.0

6

12.5

2

25.0

73

17.6

8

17.0

14

13.1

39

19.0

10

20.8

2

25.0

31

Bureaucracy tends to make physiotherapists to follow rules and obligations rather than to think independently about ethical decision-making

415

3.49 (±0.97)

20

232

55.9

29

61.7

60

56.1

111

54.1

26

54.2

6

75.0

110

26.5

10

21.3

31

29.0

52

25.4

16

33.3

1

12.5

73

17.6

8

17.0

16

15.0

42

20.5

6

12.5

1

12.5

37

When ethical behaviour is compromised regularly by a physiotherapist other colleagues will tend to also behave less ethically

415

3.45 (±1.04)

21

230

55.4

27

57.4

74

69.2

91

44.4

31

64.6

7

87.5

90

21.7

9

19.1

11

10.3

61

29.8

8

16.7

1

12.5

95

22.9

11

23.4

22

20.6

53

25.9

9

18.8

0

0

42

The type/kind of an ethical situation plays a role in my ethical decision-making (E.g., an ethical dilemma between competing principles which both seem to be right, a distress of which course of action to take, a temptation of choosing between ‘right’ and ‘wrong’ when you would benefit from doing the wrong thing, remaining silent in a situation which appears to be too difficult to be resolved)

414

3.38 (±0.94)

22.5

233

56.3

23

48.9

63

58.9

113

55.4

30

62.5

4

50.0

95

22.9

12

25.5

21

19.6

51

25.0

11

22.9

0

0

86

20.8

12

25.5

23

21.5

40

19.6

7

14.6

4

50.0

30

Contextual factors of the working system play a role in my ethical decision-making (Characteristics unique to a particular situation, e.g., setting, economic factors, competitive behaviour, resource pressures, institutional context)

415

3.38 (±1.00)

22.5

229

55.2

34

72.3

64

59.8

104

50.7

24

50.0

3

37.5

87

21.0

5

10.6

22

20.6

47

22.9

11

22.9

2

25.0

99

23.9

8

17.0

21

19.6

54

26.3

13

27.1

3

37.5

24

My gut-feelings play a role in ethical decision-making

450

3.37 (±1.00)

24.5

247

54.9

23

46.9

60

50.4

128

58.4

28

52.8

8

80.0

105

23.3

15

30.6

26

21.8

51

23.3

13

24.5

0

0

98

21.8

11

22.4

33

27.7

40

18.3

12

22.6

2

20.0

19

I refer to a professional framework for ethical decision-making

450

3. 37 (±0.99)

24.5

239

53.1

32

65.3

79

66.4

97

44.3

24

45.3

7

70.0

115

25.6

10

20.4

28

21.8

66

30.1

10

18.9

3

30.0

96

21.3

7

14.3

14

11.8

56

25.6

19

35.8

0

0

26

My emotions play a role in ethical decision-making

450

2.95 (±1.03)

26

163

36.2

12

24.5

34

28.6

95

43.4

19

35.8

3

30.0

112

24.9

10

20.4

31

26.1

52

23.7

15

28.3

4

40.0

175

38.9

27

55.1

54

45.4

72

32.9

19

35.8

3

30.0

25

The ethics education in my basic physiotherapy training provided a solid foundation for ethical decision-making (depending on the country this could be Bachelor’s degree,

Diploma, Physiotherapy school, in some countries the profession’s entry level is Master’s degree or Professional doctorate)

450

2.90 (±1.14)

27

167

37.1

24

49.0

58

48.7

50

22.8

31

58.5

4

40.0

101

22.4

9

18.4

26

21.8

55

25.1

9

17.0

2

20.0

182

40.4

16

32.7

35

29.4

114

52.1

13

24.5

4

40.0

23

Ethical decision-making stresses me out

450

2.77 (±1.00)

28

118

21.3

11

22.4

34

28.6

55

25.1

14

26.4

4

40.0

132

29.3

11

22.4

37

31.1

64

29.2

16

30.2

4

40.0

200

44.4

27

55.1

48

40.3

100

45.7

23

43.4

2

20.0

33

Organisational values have greater influence on my ethical decision-making than my own considerations

415

2.71 (±1.04)

29

104

25.1

18

38.3

38

35.5

40

19.5

6

12.5

2

25.0

106

25.5

12

25.5

30

28.0

52

25.4

11

22.9

1

12.5

205

49.1

17

36.2

39

36.4

113

55.1

31

64.6

5

62.5

20

My religious beliefs play a role in ethical decision-making

450

2.54 (±1.27)

30

119

26.4

22

44.9

41

34.5

42

19.2

13

24.5

1

10.0

94

20.9

14

28.6

23

19.3

42

19.2

14

26.4

1

10.0

237

52.7

13

26.5

55

48.2

135

61.6

26

49.1

8

80.0