1.1B consider as part of the assessment, implementation and continuation of care, cultural aspects that are relevant to your client through culturally safe communication and response

1.1C document in clinical record with consent, ethnicity and where relevant cultural affiliation(s)

1.1D demonstrate working knowledge of relevant practice management systems and processes including digital health

1.1E effectively share information and explanations with the client and relevant others about the purpose of physiotherapy assessment, any relevant risks and options

1.1F plan a physiotherapy assessment drawing on applied knowledge of pathology, anatomy, physiology, other core biomedical sciences relevant to human health and function and determinants of health relevant to the client’s impairments, activity limitations and participation restrictions

1.1G collect information about the client’s prior function, physical abilities and participation and identify the client’s expectations of physiotherapy

1.1H incorporate relevant diagnostic tests, assessment tools and outcome measures during the physiotherapy assessment

1.1I analyse the client’s response and information gathered during the physiotherapy assessment using clinical reasoning to identify any relationships between assessment findings and modify the assessment appropriately

1.1J reflect on the client’s presenting problems and information gathered during the physiotherapy assessment and use clinical reasoning to explore and explain the diagnosis and/or causes of presenting problems

1.1K assist and support the client, other health professionals and relevant others to make informed health-care decisions by sharing information and explanations about the outcomes of the physiotherapy assessment and diagnosis and, where relevant, options for referral to other physiotherapists and health professionals for further investigation

1.1L assist the client and relevant others to understand the risks and rationale for physiotherapy and any referrals to other professionals

1.2B facilitate discussions with the client and relevant others to reach agreed goals of physiotherapy that reflect realistic expectations of the risks and likely outcomes

1.2C involve the client and relevant others in planning and implementing physiotherapy consistent with the agreed goals

1.2D use specific and relevant measures to evaluate a client’s response to physiotherapy, and recognise when that response is not as expected

1.2E share information and explanations with the client, other health professionals and relevant others about the client’s response to physiotherapy

1.2F work collaboratively with the client, other health professionals and relevant others to review agreed goals and implement appropriate modifications to subsequent physiotherapy to maintain or improve outcomes

1.3B engage with the client and relevant others to facilitate the client’s optimal participation in their everyday life

1.3C engage with the client and relevant others to develop an agreed plan to review the continuation of physiotherapy, recognise when physiotherapy is not suitable for the client and identify and facilitate access to more suitable options, including referral to other professionals

1.3D when relevant, facilitate the client’s transition to a new context, refer for further physiotherapy and link the client to relevant clinical and non-clinical support services

1.3E engage with the client and relevant others to promote health, well-being and client self-management

1.4B reflect on cultural factors and respond to the rights and cultural needs of the client and relevant others

1.4C advocate for the client’s equitable access to effective physiotherapy, other professionals and services that address their needs as a whole person, acknowledging that access broadly includes availability, affordability, acceptability and appropriateness

1.4D recognise when the client’s access to physiotherapy could be improved by resources such as technology and take action to facilitate that access when relevant

1.4E where relevant, advocate for adequate resources to meet service goals and achieve positive outcomes of physiotherapy for their clients

2.1B recognise the client’s health-care rights and prioritise the client’s needs, rights and interests, including their physical and cultural safety

2.1C provide ongoing opportunities for the client to make informed decisions and consent to physiotherapy

2.1D meet their legal, professional and ethical duties and obligations to clients, other health professionals, relevant others, regulators, insurers and/or funders, and the community more broadly

2.1E deliver care that is holistic free of bias, discrimination, and racism

2.1F complete documentation accurately and legibly using language and formatting that complies with relevant professional and legal obligations

2.1G comply with confidentiality and privacy requirements when sharing the client’s health and personal information

2.1H comply with work health and safety obligations relevant to their practice context and the environment

2.1I recognise and respect professional boundaries in professional and therapeutic relationships

2.1J recognise and effectively manage conflicts of interest

2.1K comply with legal and regulatory obligations when dealing with the client’s health and personal information, client’s health records and other physiotherapy documentation

2.1L recognise inappropriate or unethical health practice and comply with relevant professional and legal obligations

2.1M respond to serious public health events, comply with public health orders and directives of all legal notices and Standards set

2.2B show compassion, empathy and respect for clients, relevant others and professional colleagues

2.2C recognise and evaluate the socio-cultural and socio-economic factors that may influence client attitudes and responses to treatment

2.2D display culturally competent and culturally safe practice

2.2E apply professional ethical principles to decision-making

2.2F practise physiotherapy within the limits of their scope of practice and expertise

2.2G consult, share knowledge, refer or delegate when encountering an issue outside their scope of practice and expertise

2.3B seek appropriate guidance and support from relevant others to manage their physical and mental health and resilience

2.3C not knowingly expose the client or relevant others to increased risk associated with their (the physiotherapist’s) physical and mental health and resilience

Role 3:

Communicator

3.1B listen effectively to the client and relevant others and respond appropriately to verbal and non-verbal communication across face-to-face or digital engagement and seek to/have available culturally safe patient/caregiver information related to the service provider

3.1C integrate communication technology into practice within relevant legal, professional and ethical frameworks

3.1D recognise the culture, level of language and technology proficiency, health literacy and comprehension ability of the client and relevant others and provide communication in accessible formats

3.1E recognise their communication preferences are influenced by environmental factors and their own culture

3.1F recognise and adapt written, verbal and non-verbal communication to reflect the socio-cultural needs, language proficiency, comprehension, impairments, age and health literacy of the client and relevant others

3.2B subject to any legal obligations, including client consent, discuss physiotherapy assessment findings and outcomes, and share decision- making with relevant parties including other professionals

3.2C provide accurate and relevant information to insurers and other third parties

3.3B adapt communication to effectively resolve conflict with the client and relevant others through negotiation and cooperation, when relevant

3.3C seek assistance, as appropriate, to mitigate risk of conflict and to resolve conflict with the client and relevant others

3.3D understand the impact of systemic racism and recognise the influence of one’s own cultural identity on perceptions of and interactions with Aboriginal and Torres Strait Islander Peoples and Māori tāngata whenua in the context of Australia and Aotearoa New Zealand.

Role 4:

Reflective practitioner and self-directive learner

4.1B reflect on their professional practice, engage in critical questioning of themselves and others and engage in ongoing personal and professional development to maintain and improve professional practice

4.1C reflect on their culture and preferences to support cultural safety and cultural respect in their practice

4.1D reflect on unconscious bias and how that affects engagement with their client, their care giver and their practice

4.1E evaluate their professional support and guidance needs, and seek appropriate support and guidance to enhance professional competence, cultural safety and quality of practice

4.1F engage in scholarly physiotherapy practice

4.1G recognise opportunities to contribute to the development of new knowledge through research and enquiry

4.2B seek opportunities and engage in relevant activities to address their identified learning needs and maximise their learning

4.2C initiate and implement strategies to develop and achieve realistic goals for their professional development in the workplace

4.2D seek, accept, reflect on and respond appropriately to feedback from others in the practice context

4.2E recognise different forms of cultural bias and associated stereotypes that impact on indigenous peoples’ health and practice in a culturally sensitive and inclusive manner.

4.3B critically appraise, interpret and apply learning from continuing professional development, clinical data and client responses to physiotherapy

4.3C measure outcomes, analyse clients’ responses to physiotherapy and plan modifications to enhance therapeutic outcomes

4.3D advocate for physiotherapy that is supported by best available research evidence

4.4B practise in accordance with relevant clinical guidelines and use evidence-based practice to improve quality and minimise risk

4.4C measure and analyse outcomes of practice and implement modifications to enhance those outcomes

4.4D identify, assess, appropriately manage, report on, reflect and learn from risks, treatment injury, near misses and their consequences, adverse events and relevant contributing factors

4.4E recognise barriers to efficiency and effectiveness and facilitate strategies that lead to quality outcomes and improvement

4.5B seek appropriate professional, cultural guidance or assistance to effectively manage situations that are outside their scope of expertise or competence

Collaborative practitioner

5.1B work effectively, autonomously and collaboratively with the client, caregiver and relevant others in a way that acknowledges and respects the client’s dignity, culture, rights and goals

5.1C collaborate and participate in shared decision-making with the client and relevant others including caregiver as appropriate

5.1D respect opinions expressed by the client, family, whānau, other professionals and relevant others

5.1E facilitate discussions with their client and relevant others to negotiate and make decisions about physiotherapy for their clients

5.1F when appropriate, educate the client and relevant others to implement therapy and monitor client response to that therapy

5.1G actively identify and address barriers to effective interdisciplinary and cross sector collaboration

5.2B recognise that the membership and roles of interprofessional teams and service providers will vary, depending on the client’s needs and the context of physiotherapy

5.2C collaborate effectively as a member of interprofessional teams that enhance clients’ health care by contributing discipline knowledge and participating in collective reasoning and shared decision-making

5.2D consult and share knowledge with professional colleagues, seek guidance, assistance or professional support in situations that are outside their expertise or competence or when outcomes of physiotherapy are not as expected

5.2E gain cooperation and facilitate good respectful working relationships with the client, caregivers and relevant others

5.2F understand, acknowledge and respect the roles of others providing care and services for the client and work effectively and collaboratively with them

5.2G make appropriate decisions to delegate responsibility to, and accept delegation from, others when it is safe, effective and appropriate

5.2H work as part of a client-centred interprofessional team that keeps the client’s interests at the centre of the care process and recognises barriers to, and facilitates pathways for, efficient transfer of client care, when relevant

5.2I collaborate with the intraprofessional and interprofessional team to develop, implement, monitor and update policies and guidelines informed by best available research evidence

Educator

6.1B support the education of other professionals and physiotherapy students

6.1C educate physiotherapy assistants, health workers and relevant others to implement effective and safe therapy

6.1D educate, motivate and empower the client, and relevant others to manage their health and well-being and implement self-management strategies

6.1E recognise the educational value of learning experiences relevant to the physiotherapy setting

6.1F use education and empowerment strategies to promote and optimise the client’s health and well-being

6.2B facilitate others’ education

6.2C model good practice which can include reflection, cultural safety, cultural competence and cultural responsiveness

6.2D encourage and motivate others to engage in critical reflection and self-directed learning

6.2E engage with others to initiate and implement strategies to support their professional development

Manager/Leader

7.1B use appropriate skills, training, strategies and knowledge to effectively manage and supervise individuals and groups in their work   environment

7.1C recognise and respond appropriately to change, uncertainty and ambiguity in their work environment

7.1D operate effectively across a range of settings, and adapt effectively to changes in the practice context

7.1E adapt and, where relevant, innovate to achieve realistic goals within available resources

7.2B recognise their leadership style and adapt their leadership skills as relevant to the practice context and a positive work culture

7.2C encourage, support and motivate others to operate ethically, effectively and efficiently in the practice context

7.2D recognise and report risks within the workplace, including those associated with cultural safety, and work proactively to promote a risk-free environment for clients and relevant others

7.2E advocate, facilitate and, when relevant, lead physiotherapy practice that is informed by best available research evidence, based on client-centred and family, whānau focused (where relevant) approaches, and incorporates cultural safety and respect

7.2F facilitate change informed by best available research evidence when new ways of working are adopted in the practice context

7.2G model the behaviour and qualities expected of others within the relevant frameworks.

7.2H engage and assist others to review and pursue quality practice including steps to modify or remedy any areas identified for improvement.