ArticleArchives of rehabilitation research and clinical translation2019
Are Productivity Goals in Rehabilitation Practice Associated With Unethical Behaviors?
Article in Archives of rehabilitation research and clinical translation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The trial behind it
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Who cites it
3 citing papers in PubMed.
- Best Practices for Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From a Three-Round Delphi Study.Occupational therapy international · 2026Article
- Categories of the Patient-Specific Functional Scale Activities in Chronic Neck Pain and Their Relationship to the Neck Disability Index.Rehabilitation research and practice · 2024Article
- Ethical Conflict and Knowledge Hiding in Teams: Moderating Role of Workplace Friendship in Education Sector.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the presence of productivity goals among licensed rehabilitation clinicians and their relationship with observed unethical behavior.
designExploratory, cross-sectional survey.
settingOnline.
participantsLicensed physical therapy clinicians (N=3446).
interventionNot applicable.
main outcome measureParticipants completed an electronic survey regarding use of clinical productivity goals. They rated the frequency in which they observed 6 unethical behaviors on a 7-point Likert scale in their practice setting from 1=never to 7=always. An overall observed unethical behavior score was calculated by summing these scales.
resultsThe response rate was 12.8% (N=3446), with analyses showing low risk of nonresponse bias. Many respondents (73.9%) had a formal productivity goal. Most (89.4%) reported observing some form of unethical behavior, but many (68.6%) reported it occurred "rarely" or "never." Those in skilled nursing facility (SNF) settings reported higher frequencies of observance and were 4.1 times more likely to report more unethical behavior than the median compared with all other settings. A positive correlation existed between expected productivity rate and rate of unethical behaviors observed (ρ=0.225;
conclusionsUse of productivity goals in rehabilitation practice is significantly related with rate of unethical behavior observed. Frequency of observed unethical behavior in rehabilitation practice was very low overall. Organizational culture appears to be a greater predictor of observed unethical behavior than any individual clinician-related characteristics. The SNF setting displays the greatest areas of ethical concern.
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