These guidelines define the professional boundaries that result in a therapeutic relationship between a nurse and the client. In a single day, healthcare workers may touch, dress, shower, feed, toilet, speak, console, cheer-up, and listen to one, or several clients; no small feat. Professional boundaries define the relationship that supports a therapeutic connection between the nurse and patient. However, the same rules of content apply: Keep posts professional and be cautious when you engage with people who tag or post on your professional pages and accounts. The nurse should work within the therapeutic relationship. They represent invisible structures imposed by legal, ethical, and professional standards of nursing that respect the rights of nurses and clients. A tribunal has suspended a registered nurse after she admitted to engaging in professional … One of the crucial lessons that nurses begin to recognize early in their education is that professional boundaries in nursing describe a different and more complex type of relationship that we're priviledged to share with patients. Professional boundaries are defined by the National Council of State Boards of Nursing (NCSBN) as “the spaces between the nurse’s power and the patient’s vulnerability” (NCSBN, n.d.). These boundaries ensure that the focus of the relationship remains on the client's needs, not only by word but also by law.
However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. Consider Lesley’s story and answer the following questions. Professional Boundaries 9 When a nurse has a pre-existing relationship with a health consumer, such as being a neighbour, acquaintance or business associate, the nurse needs to be aware of the potential for boundary confusion (by the nurse or health consumer) and possible harm. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. For example, if you have professional social media pages or accounts to promote your business or yourself as a nursing professional, it’s OK for patients to “like” your professional page or “follow” you on other platforms. Establishing these boundaries provide the nurse with authority to allow a confidential and professional therapeutic relationship with the patient (The National Council of State Boards of Nursing 2010, p. 25). Perhaps when you read the title, your first thought was, “Oh great. Understanding Professional Boundaries. 5m. To avoid breaches and infringement, these boundaries must be … This affiliation is much broader than professional relationships experienced by those in other careers. The nurse should examine any boundary crossing, be aware of its potential implications and avoid repeated crossings.
CPD. Professional boundaries separate therapeutic behaviour of the nurse2 from any behaviour which, well-intended or not, could decrease the benefit of care. 11 Dec 2019. No nurse begins her career thinking that she is going to cross or violate professional boundaries, and yet this is what happens, through a sense of familiarity and trust that has been built up with a patient, the seductiveness of the helping role, or simply a general lack of understanding of relevant boundaries. Healthy professional boundaries keep the nurse-client1 relationship safe and respectful. NCSBN’s video, Professional Boundaries in Nursing, explains the continuum of professional behavior and the consequences of boundary crossings, boundary violations and professional sexual misconduct.Watch now! PROFESSIONAL NURSING BEHAVIOR The nurse’s responsibility is to delineate and maintain boundaries. Care work requires a level of trust and intimacy that is unique to the profession. professional boundaries in nursing practice workbook page 11 Workbookctivity A #7 Most nurses who violate professional boundaries do not intend to do so, but end up in a situation where their violation potential is high, and they end up travelling down the Slippery Slope. Boundary violations can occur when there is uncertainty about the needs of the patient versus the needs of the nurse. This may be something as simple as the nurse and the parent of a pediatric client becoming close and the parent asking the nurse to stop by the store to bring the client’s favorite ice cream when she comes to see the client. Boundaries are an integral part of the nurse-client relationship. Follow these guidelines for implementing care within the zone of helpfulness: It's critical to treat all patients, at all times, with dignity and respect. Nursing and Midwifery Board Tribunal suspends nurse who breached professional boundaries . a boundary violation and, therefore, the nurse should not continue a pattern of boundary crossing (NCSBN, 2014). Published: 28 August 2019.


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