Study processes and participants' reflections and actions were captured using a web-based portfolio – Tayside Insightful Practice Portfolio (TIPP) [ 8].
The study design allowed us to explore the occurrence of ethical issues within the first session and brought forward variations in reflections and actions upon these.
At least two key team members kept research diaries and a recorder kept minutes of each bi-weekly meeting about the challenges, discussions, reflections, and actions taken.
The majority stressed that the influence of the clinical environment on ethical reflections and actions was evident, especially on the first session.
Four descriptive themes emerged: general reflections on ethics in physiotherapy; the importance of the first physiotherapy session; the influence of the clinical environment on the first session and; reflections and actions upon beneficence towards the patient within the first session.
Ethical issues do occur in Danish private practice, consciousness about ethical issues differs, and reflections and actions are based on an inadequate awareness of ethical theories, principles and guidelines.
They found the first session to be something special to be ethically aware about and, therefore, this study and its interview guide were adjusted towards reflections and actions within the first session.
The results of the analysis emerged as four themes: General reflections on ethics in physiotherapy; the importance of the first physiotherapy session; the influence of the clinical environment on the first session and; reflections and actions upon beneficence towards the patient within the first session.
The experienced interviewees told of a variety of reflections and actions upon the topic of this study, where others with less experience or the ones with many years of service did not have many reflections, a variation also shown in other studies of ethical issues in physiotherapy [ 5, 13- 15, 17, 18, 21, 29].
Isis becomes the meditation, reflection and action of its recruits.
