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1.4 Professional and ethical practice

The Professional Standards for Speech Pathologists in Australia (SPA,  2020a) detail the knowledge, skills and attributes a speech pathologist practising in Australia must demonstrate and apply (including graduate speech pathology students in order to enter the profession).  The Speech Pathology Australia (SPA) Code of Ethics (SPA, 2020b) informs speech pathologists’ everyday professional practice. When undertaking this work, we do so with an awareness of the broader context of human rights of the individual.

1.4.1 Professional standards for speech pathologists in australia

The Professional Standards for Speech Pathologists in Australia (Professional Standards) detail:

  • the knowledge, skills and attributes a speech pathologist practising in Australia must demonstrate and apply, at any point in their career (from entry to the profession and throughout their career), across the spectrum of activities as relevant to their speech pathology role and work context;
  • the knowledge, skills and attributes a graduating speech pathology student must demonstrate and be able to apply by the time they complete their entry-level degree.

Speech pathologists must use their knowledge, skills and attributes to practise lawfully, safely and effectively and in a way that meets the Professional Standards.

The Professional Standards includes three Domains, with associated standards and elements:

  1. Professional conduct.
  2. Reflective practice and life-long learning
  3. Speech pathology practice

This video provides an introduction and outline to the Professional Standards.

Professional Standards – Introduction by Speech Pathology Australia

Professional Standards – Working with Aboriginal and Torres Strait Islander Peoples by Speech Pathology Australia

1.4.2 National code of coduct

The National Code of Conduct for Health Care Workers (the Code) is a minimum set of standards of conduct for all health service providers who are not regulated by the Australian Health Practitioner Regulation Agency (AHPRA). Speech pathologists are included in this group of health professionals. SPA is a full member of the National Alliance of Self-Regulating Health Professions (NASRHP). Other health providers the Code will apply to include dietitians, social workers, audiologists, allied health assistants and personal care workers. The Code sets national standards against which disciplinary action can be taken. In serious cases registration and right to practice can be withdrawn.

SPA ensures that its independently set standards align with NASRHP’s framework. NASRHP’s framework is closely modelled on the National Registration and Accreditation Scheme (NRAS), the regulatory framework administered by the Australian Health Practitioner Regulation Agency (AHPRA). A Certified Practising Speech Pathologist (CPSP) is a speech pathologist who has demonstrated they meet specific standards of practice in the field of speech pathology, as specified by SPA.  This includes meeting the SPA Continuing Professional Development (CPD) Requirements.

The National Code of Conduct states that practitioners must (Queensland Government, 2022):

  • provide services in a safe and ethical manner
  • obtain consent from their clients
  • display appropriate conduct when giving treatment advice
  • report concerns about treatment or care provided by other health care workers
  • take appropriate action in response to adverse events
  • adopt standard precautions for infection control
  • practice safely if diagnosed with infectious medical conditions
  • not make claims to cure certain serious illnesses
  • not misinform their clients
  • not practice under the influence of alcohol or drugs
  • modify or stop practicing if they have certain mental or physical impairments
  • not financially exploit clients
  • not engage in sexual misconduct
  • comply with relevant privacy laws
  • keep appropriate records
  • be covered by appropriate insurance
  • display information about this code and how to make a complaint.

1.4.3 Code of ethics

“Ethical conduct is a hallmark of professional practice, essential for safe and quality clinical care and upholding the reputation of healthcare professions” (Kenny et al.,  2023, p. 60).  It is essential that speech pathologists observe the highest standards of ethical practice. The Speech Pathology Australia Code of Ethics (SPA, 2020b) guides and informs our everyday professional practice and should be used by Speech Pathology Australia Members proactively.  The Speech Pathology Australia Code of Ethics (SPA, 2020b) must be considered along with relevant legislation, policies and procedures (e.g. The Privacy Act 1988, SPA National Code of Conduct).

“A code of ethics is not, however, designed as an instruction manual for SLPs to manage specific ethical issues that occur within their workplaces. Nor will a code address ethically complex professional scenarios where there may not be a sole ‘right’ response or when no options are perceived ideal. When ethical dilemmas occur, ethics education resources provide an essential bridge between an aspirational code and professional practice” (Kenny et al.,  2023, p. 60).

This video provides and introduction and overview of the Code of Ethics.

Overview of the 2020 Code of Ethics by Speech Pathology Australia 

The model of speech pathology ethical practice (figure 1) outlines how three underpinning elements (values, principles and standards of ethical practice) guide how speech pathologists practice and make ethical decisions.  Practice and decision-making is also informed by culturally responsive practice and person-centredness.

Speech Pathology Australia Code of Ethics components  are shown in interlinking circles.  Three circle components include Values, Principles, Standards of ethical practice.  In the central intersection of the three circles are the words: Ethical practice and decision making. In a circular border around the three inner circles are the words: Aboriginal and Torres Strait Island responsiveness.  Person centredness. Cultural and linguistic responsiveness.
Figure 1.  Model of Speech Pathology Ethical Practice by Speech Pathology Australia is used with permission of the copyright holder, Speech Pathology Australia, All Rights Reserved

Ethical Values (SPA, 2020b)

Ethical values underpin speech pathologists’ interactions. These values drive and inform how speech pathologists behave.

Respect and dignity: We promote a professional culture which embodies kindness through taking time to value, listen, and show compassion to others. In our professional work, we provide person- and relationship-centred care through respecting the worth of all people. We recognise and respect diversity, including the range of characteristics that make each person and community unique.

Responsiveness: We collaborate, engage, advocate and partner with individuals, families, colleagues, other professionals, and the community to respond to their needs. We promote accessible communities.

Quality and safety: We provide quality and competent professional services which follow evidence-based practice principles. We work within quality improvement and safety frameworks. We are responsible for managing our personal health and wellbeing to effectively fulfil our professional responsibilities.

Professionalism and integrity: We uphold the reputation of our profession in all our activities and communications. We act in an objective manner, and are transparent, accountable and keep our commitments.

Ethical Principles (SPA, 2020b)

We apply these principles to guide speech pathologists when making decisions in their everyday practice. These principles are inter-related and are of equal value.

Autonomy: We respect the rights of others to self-determination, and to make free and informed decisions. We support client autonomy in the way that we gain and share information.

Beneficence: We seek to benefit others through our activities.

Non-maleficence: We act to prevent harm, and do not knowingly cause harm.

Truth and veracity: We act honestly and demonstrate respect.

Justice and fairness: Our professional decision-making is fair and equitable. We consider the context and the needs of the person and the wider community.

Speech Pathology Australia ethics education resources

Speech Pathology Australia (SPA) have developed a range of online resources and education packages to support Speech Pathology Australia members (including speech pathology students who are student members of SPA).  You are encouraged to explore and familiarise yourself with these resources [note: you will only be able to access these online education packages if you are a SPA member]:

  1. Ethics Education Package (EEP)
    • This is a self-directed education resource that guides members to reflect upon their ethical practice and apply a deductive decision-making model to identify, analyse, and manage ethical issues presented in authentic case scenarios.
  2. Ethics in Professional and Clinical Practice
    • This is the first of two SPA online ethics learning modules. This module focused on developing knowledge about the application of ethics in the workplace.
  3. Enhancing Ethical Practice, Avoiding Snakes and Building Ladders
    • This is the second module in SPA’s online ethics learning resources and presented as an extension module. This module introduces alternative approaches to ethical reasoning, including narrative and ethics of care approaches.

(Kenny et al., 2023, p. 61)

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Introduction to Speech Pathology Practice: Foundational Concepts for Australian First-year Students Copyright © 2025 by Frances Cochrane, Louise Brown, Deborah Denman, Roger Newman and Sophie Vigor is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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