Professional Boundaries As A Registered Nurse

Nursing is known to be one of the most challenging careers, owing to the tough responsibilities that nurse practitioners are charged with and the immense sensitivity of their role (Li, 2013). Both Registered nurses and nurse practitioners work together monitoring a range of patients’ health and providing them with adapt care needed within their scope of practice. However, the roles and the responsibilities they bestowed are different. Creating a balance between a tough job and the extremely sensitive wellbeing of a patient, which lies in the decisions that a nurse practitioner makes, does surely propel one to the pinnacle of clinical nursing. As they carry out this sensitive role, they are also expected to be active in a wide range of other areas, including research, education, policy, and clinical governance. It is true that the working environment in which they work, to a considerable extent, does not provide the flexibility needed by nurse practitioners in an effort to carry out these complex roles, but they somehow have shown they are able to achieve this (Fleming & Carberry, 2011). This essay looks to justify the claim that nurse practitioners are the pinnacle of clinical nursing drawn from evidence from existing literature. It will demonstrate the roles and responsibilities a nursing practitioner holds a higher expectation than a registered nurse. It is also argued though that there is immense pressure on registered nurse, making the nurse practitioners role not as

It is important to integrate the concept professionalism into your nursing career because it allows you to flourish personally as a nurse but more importantly allows the patient to receive the care they deserve. Throughout the course of one’s nursing career there will be many slips and falls. Mistakes will happen but we as nurses are able to reflect and learn from them in a

Professional nursing practice has been developing for several centuries. Nursing as a profession can be traced back to the early Christian era. Since then the perception of nursing practice has changed significantly. “Nursing is caring, commitment, and dedication to meeting the functional health needs of all people” (Craven &

The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I

Nurses must display a knowledge of skills by portraying a functional ability to assess, treat, and prevent illness in the clinical setting. “The nurses are obliged to gain specialized knowledge, skills and training through the rigorous study of biological, physical and behavioral sciences and then use this knowledge to diagnose and treat patients suffering from different ailments. The patients treated must be under the supervision of skilled medical practitioners and the nurse must be equally directed by the expert medical practitioner. The prevention and management of illnesses, injury and ailments also forms some of the major tasks that have to be carried out by nurses. Politeness in expression, compassion for patients and proper uniform are also some of the main parts of professionalism in nursing.” (professonalism in nursing http://www.buzzle.com/articles/professionalism-in-nursing.html)

This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is

Nurses have a responsibility to provide safe, quality and competent nursing care and are therefore expected to conduct themselves personally and professionally in accordance with the code of conducts established by the Nursing and Midwifery Board of Australia. The Code of professional Conduct as well as the Code of Ethics for Nurses in Australia together provide a quality framework of professional practice for Nurses, outlining a set of minimum standards Registered Nurses are expected to maintain (Nursing and Midwifery Board of Australia, 2010). Unprofessional conduct is defined as “conduct that is contrary to the accepted and agreed practice standards of the profession” (Nursing and Midwifery Board of Australia, 2010). In the video “Crossing

Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and

Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. 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. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

The two clips compare two different approaches by the nurse to the patient. Non-verbal and verbal communication is both key factors in nurse patient relationships. Observing the first clip it can be seen where the patient is very stressed with pain and anxiety. The nurse's approach is abrupt and lacking empathy. The patient becomes more agitated. Whereas the second clip the nurse gently approaches the patient and sits down, talking in a calm point soothes the patient's anxiety as the nurse shows compassion and concern. The Code of Ethics for nurses emphasizes having empathy, respect and kindness to

As healthcare professionals, nurses are governed by and must have understanding of ethical, legal and professional frameworks which underpin practice (Gallagher and Hodge, 2012). They follow these frameworks to help direct themselves in making decisions in collaboration with service users to ensure person centred care is delivered.

This essay discusses public expectations of nurses, nurse-patient relationships and how to set their guidelines through professional behavior and professional boundaries, what they mean to nurses, and the connection between professional behaviour and professional boundaries.

The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future

This discussion is about the significant relationship between the Nursing Council of New Zealand (NCNZ) Code of Conduct of Nurses [NCNZ], 2012a). and Guidelines: Professional Boundaries [NCNZ], 2012b). Without these principles and guidelines the standard of nurses behaviours would not be appropriate towards the health consumer, Boundaries put the health consumer at risk in such a way that it could harm therapeutic relationship that is needed to be form between the health consumer and nurse for future and current medical treatment. Professional behavior is being competent at applying The Code of Conduct [NCNZ] (2012a).