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== Professional Standards ==
== Regulation and Professional Standards ==
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Regulation of rehabilitation professionals aims to protect the public and reduces the risks posed by rehabilitation professionals to cause physical or psychological harm to patients. Regulation also reduces the risks of causing adverse consequences as a result of interacting with health services. Regulatory systems, promote professionalism and harm prevention, and ensure that rehabilitation professionals have been certified as meeting and continuing to meet educational, ethical and professional practice standards, therefore, protecting the health and safety of the public. <ref name=":0">World Physiotherapy. Development of a System for Regulation of the Physiotherapy Profession. World Physiotherapy; July 2021. Available from https://world.physio/guideline/regulation-legislation [Accessed 11 March 2022]</ref>
 
Regulation of rehabilitation professionals varies significantly around the world, depending on both the country and the specific profession (i.e physiotherapy, occupational therapy etc.).<ref name=":0" /> If working in disaster and conflict settings outside of your own country of practice, rehabilitation professionals have a responsibility to register with the National Regulatory Authority, where it exists and work within existing legislative and regulatory frameworks in that country and always ensure have valid professional liability/indemnity insurance for the work they are undertaking. <ref name=":0" /><ref name=":1" />If travelling as part of an emergency medical team for shorter term deployments, rehabilitation professionals may often be required to follow regulation by both their own regulatory body and that of the country they are travelling to work in, and should ensure they meet whichever regulation is  tighter.  Rehabilitation professionals also have a responsibility to follow the professional standards around competence, knowledge, skills and personal, social and methodological abilities and the standards of professional conduct as defined by the relevant regulatory authority.<ref name=":0" /> <ref name=":2" /><ref name=":3" />


== Scope of Practice ==
== Scope of Practice ==
Scope of practice pertains to the full spectrum of roles, functions, responsibilities, activities and decision-making capacity that individuals within their specific rehabilitation profession are educated, competent and authorised to perform. <ref>World Physiotherapy. Policy Statement: Description of Physical Therapy. World Physiotherapy; May 2019. Available from: https://world.physio/policy/ps-descriptionPT [Accessed on 7 March 2022]</ref> While this can be broad for each profession, each individual will need to consider their own individual scope of practice, which will be unique to each individual and is influenced by your career, experience and development.<ref>Chartered Society of Physiotherapy. What is Scope of Practice. Available from https://www.csp.org.uk/professional-clinical/professional-guidance/scope-practice/what-scope [Accessed 3 March 2022]</ref> Working in humanitarian settings such as disaster and conflicts can be very challenging with rehabilitation professionals often pushed towards the boundaries of their individual scope of practice. Despite these challenges it is vital that all rehabilitation professionals have a responsibility to work within their own individual scope of practice at all times, and should only practice within areas where they have the skills and competency to safely work. Some additional tasks advanced or extended scope practitioners are involved in following further specialised training may be outside of what would normally be considered within scope of practice for a particular profession. Rehabilitation professionals who have an extended scope of practice or advanced practice, have an obligation to only work within the scope of practice for your profession as defined by the regulatory body within the country you are working in if there is one present, and only participate in their advanced practice if allowed within the setting in which you are working and where your insurance covers you. Rehabilitation professionals may have a role to play in working with national staff to support them in developing further skills and competencies, within the scope of practice as defined in the country in which they are working. <ref>Lathia C, Skelton P, Clift Z. [https://resources.relabhs.org/resource/early-rehabilitation-in-conflicts-and-disasters/ Early Rehabilitation in Conflicts and Disasters], 2020.</ref><ref>Skelton, P, and Harvey, A. [https://www.bond.org.uk/sites/default/files/resource-documents/rehabilitation_in_sudden_onset_disasters_complete_manual.pdf Rehabilitation in Sudden Onset Disasters].Humanity and Inclusion; 2015.</ref><ref>World Confederation for Physical Therapy. [https://resources.relabhs.org/resource/report-disaster-management/ WCPT Report: The Role of Physical Therapists in Disaster] Management. London, UK: WCPT; 2016</ref>
Scope of practice pertains to the full spectrum of roles, functions, responsibilities, activities and decision-making capacity that individuals within their specific rehabilitation profession are educated, competent and authorised to perform. <ref>World Physiotherapy. Policy Statement: Description of Physical Therapy. World Physiotherapy; May 2019. Available from: https://world.physio/policy/ps-descriptionPT [Accessed on 7 March 2022]</ref> While this can be broad for each profession, each individual will need to consider their own individual scope of practice, which will be unique to each individual and is influenced by your career, experience and development.<ref>Chartered Society of Physiotherapy. What is Scope of Practice. Available from https://www.csp.org.uk/professional-clinical/professional-guidance/scope-practice/what-scope [Accessed 3 March 2022]</ref> Working in humanitarian settings such as disaster and conflicts can be very challenging with rehabilitation professionals often pushed towards the boundaries of their individual scope of practice. Despite these challenges it is vital that all rehabilitation professionals have a responsibility to work within their own individual scope of practice at all times, and should only practice within areas where they have the skills and competency to safely work. Some additional tasks advanced or extended scope practitioners are involved in following further specialised training may be outside of what would normally be considered within scope of practice for a particular profession. Rehabilitation professionals who have an extended scope of practice or advanced practice, have an obligation to only work within the scope of practice for your profession as defined by the regulatory body within the country you are working in if there is one present, and only participate in their advanced practice if allowed within the setting in which you are working and where your insurance covers you. Rehabilitation professionals may have a role to play in working with national staff to support them in developing further skills and competencies, within the scope of practice as defined in the country in which they are working. <ref name=":1">Lathia C, Skelton P, Clift Z. [https://resources.relabhs.org/resource/early-rehabilitation-in-conflicts-and-disasters/ Early Rehabilitation in Conflicts and Disasters], 2020.</ref><ref name=":2">Skelton, P, and Harvey, A. [https://www.bond.org.uk/sites/default/files/resource-documents/rehabilitation_in_sudden_onset_disasters_complete_manual.pdf Rehabilitation in Sudden Onset Disasters].Humanity and Inclusion; 2015.</ref><ref name=":3">World Confederation for Physical Therapy. [https://resources.relabhs.org/resource/report-disaster-management/ WCPT Report: The Role of Physical Therapists in Disaster] Management. London, UK: WCPT; 2016</ref>


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Revision as of 21:01, 21 March 2022

Welcome to Rehabilitation in Disaster and Conflict Situations Content Development Project. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! If you would like to get involved in this project and earn accreditation for your contributions, please get in touch!

Original Editors - Naomi O'Reilly

Top Contributors - Naomi O'Reilly, Kim Jackson, Jess Bell, Lilian Ashraf, Aminat Abolade and Rishika Babburu      

Introduction[edit | edit source]

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Regulation and Professional Standards[edit | edit source]

Regulation of rehabilitation professionals aims to protect the public and reduces the risks posed by rehabilitation professionals to cause physical or psychological harm to patients. Regulation also reduces the risks of causing adverse consequences as a result of interacting with health services. Regulatory systems, promote professionalism and harm prevention, and ensure that rehabilitation professionals have been certified as meeting and continuing to meet educational, ethical and professional practice standards, therefore, protecting the health and safety of the public. [1]

Regulation of rehabilitation professionals varies significantly around the world, depending on both the country and the specific profession (i.e physiotherapy, occupational therapy etc.).[1] If working in disaster and conflict settings outside of your own country of practice, rehabilitation professionals have a responsibility to register with the National Regulatory Authority, where it exists and work within existing legislative and regulatory frameworks in that country and always ensure have valid professional liability/indemnity insurance for the work they are undertaking. [1][2]If travelling as part of an emergency medical team for shorter term deployments, rehabilitation professionals may often be required to follow regulation by both their own regulatory body and that of the country they are travelling to work in, and should ensure they meet whichever regulation is tighter. Rehabilitation professionals also have a responsibility to follow the professional standards around competence, knowledge, skills and personal, social and methodological abilities and the standards of professional conduct as defined by the relevant regulatory authority.[1] [3][4]

Scope of Practice[edit | edit source]

Scope of practice pertains to the full spectrum of roles, functions, responsibilities, activities and decision-making capacity that individuals within their specific rehabilitation profession are educated, competent and authorised to perform. [5] While this can be broad for each profession, each individual will need to consider their own individual scope of practice, which will be unique to each individual and is influenced by your career, experience and development.[6] Working in humanitarian settings such as disaster and conflicts can be very challenging with rehabilitation professionals often pushed towards the boundaries of their individual scope of practice. Despite these challenges it is vital that all rehabilitation professionals have a responsibility to work within their own individual scope of practice at all times, and should only practice within areas where they have the skills and competency to safely work. Some additional tasks advanced or extended scope practitioners are involved in following further specialised training may be outside of what would normally be considered within scope of practice for a particular profession. Rehabilitation professionals who have an extended scope of practice or advanced practice, have an obligation to only work within the scope of practice for your profession as defined by the regulatory body within the country you are working in if there is one present, and only participate in their advanced practice if allowed within the setting in which you are working and where your insurance covers you. Rehabilitation professionals may have a role to play in working with national staff to support them in developing further skills and competencies, within the scope of practice as defined in the country in which they are working. [2][3][4]

Ethical Practice[edit | edit source]

Ethics in health care and rehabilitation can be defined as the moral code of conduct that defines the relationship between the rehabilitation professional and their patient, and the therapist and other healthcare professionals based on mutual respect and trust. Ethical issues emerging in disasters have been identified as tensions between the respect for local customs and values imposed by external responders; different understandings of health, illness and diseases; external factors that hinder to providing adequate care such as scarce resources; questions of a “moral identity” for health workers; and trust and distrust between humanitarian workforce and local communities. Professionals’ roles and interactions are influenced by historical, political, social and commercial structures, aid agency policies and agendas that can contribute to ethically challenging situations. Ethical issues can also arise on the level of the patient-healthcare professional relationship.

You can read more about Ethics in Disasters and Conflicts.

Medical Records[edit | edit source]

Research[edit | edit source]

Resources[edit | edit source]

References  [edit | edit source]

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  1. 1.0 1.1 1.2 1.3 World Physiotherapy. Development of a System for Regulation of the Physiotherapy Profession. World Physiotherapy; July 2021. Available from https://world.physio/guideline/regulation-legislation [Accessed 11 March 2022]
  2. 2.0 2.1 Lathia C, Skelton P, Clift Z. Early Rehabilitation in Conflicts and Disasters, 2020.
  3. 3.0 3.1 Skelton, P, and Harvey, A. Rehabilitation in Sudden Onset Disasters.Humanity and Inclusion; 2015.
  4. 4.0 4.1 World Confederation for Physical Therapy. WCPT Report: The Role of Physical Therapists in Disaster Management. London, UK: WCPT; 2016
  5. World Physiotherapy. Policy Statement: Description of Physical Therapy. World Physiotherapy; May 2019. Available from: https://world.physio/policy/ps-descriptionPT [Accessed on 7 March 2022]
  6. Chartered Society of Physiotherapy. What is Scope of Practice. Available from https://www.csp.org.uk/professional-clinical/professional-guidance/scope-practice/what-scope [Accessed 3 March 2022]
  7. UCSF IPE Program. Module 2, Segment 3: Scope of Practice. Available from: https://youtu.be/bZ2hPw8Zai0[last accessed 03/03/22]