Essay about Professional Boundaries

The ‘zone of helpfulness’ describes the centre of a continuum of professional behaviour. This zone is where the majority of interactions between a nurse and a person in their care should occur for effectiveness and the safety of that person. ‘Over involvement’ of a nurse with a person in their care is to the right side of the continuum; this includes boundary crossings, boundary violations and sexual assault and inappropriate relationships with the

Confidentiality is critical for nursing professional to understand and undertake. If a nurse did not keep a

A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).

In any field of work there is a code of conduct. If you choose to stray away from the rules it can lead to disciplinary action; denial, suspension, or even revocation of a license. A thing we are seeing a lot of any more is sexual misconduct in the work place. Nurse-patient relationship is founded on mutual trust. Sexual misconduct in the practice of nursing means violation of the nurse-patient relationship through which the nurse uses said relationship to induce or attempt to induce the patient to engage, or to engage or attempt to engage the patient, in sexual activity outside the scope of the practice or the scope of generally accepted examination or treatment of the patient. Sexual misconduct in the practice of nursing is prohibited. The following acts constitute grounds for denial of a license or disciplinary action, as specified in s. 456.072(2):
Making or filing false reports or records; false, misleading, or deceptive advertising; unprofessional conduct; Engaging or attempting to engage in the possession sale or distribution of controlled substances set forth in chapter 893; Being irresponsible and unable to practice without reasonable skill and safety to patients due to illness or use of alcohol, drugs, narcotics, or chemicals, or any other type of material as a result of any mental or physical condition. Failing to report to the department anyone who the

Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.

Nursing is an occupation in which professionalism (or lack thereof) can have a significant effect on not only patients and their health, but the nurse’s relationships with colleagues, patients’ families and even their community. A nurse must exemplify professionalism, especially in an environment that creates increased risk for loss of life or further injury. There are many aspects that are involved with professionalism in nursing, and many expectations set up on the nurse.

The ANMC (2010, pp.6) state on the topic of confidentiality, that nurses must insure the information obtained in a professional setting remain private and that information received is not used by nurses to give them an advantage or power in any way. Education in the matter is one solution to guarantee the boundaries and to keep a professional position. These breaches can be classified as boundary crossings, boundary violations or sexual misconduct and can lead to violations of a nurse’s professional responsibility causing consequences to occur.

With all of these regulations and standards in place, one would think that all nurses work at the same standard that has been outlined and therefore safety is of no concern. Yet, a peer review conducted a study on the safety of student and graduate nurses. They concluded that unprofessional image consisted of repetitive errors, disrespect, anger, defensiveness, overconfidence, low confidence, and apathy.

As healthcare providers, maintaining a patient’s confidentiality, human dignity and privacy is expected at all times. Nurses are faced with maintaining patient confidentiality on a daily basis. The Coded of Ethics for Nurses is the framework of nonnegotiable ethical standards and obligations that all nurses are to uphold. Nurses are to be accountable for their actions and are expected to advocate and strive to protect the rights, health and safety of patients (American Nurses Association, 2011).

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.

I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict

When nurses promote collaborative interdisciplinary care, they are ensuring the availability and accessibility of quality health care (ANA, 2010). As the nursing supervisor in this clinical setting, I would hold a staff meeting with the family nurse practitioner (FNP), nurse, licensed vocational nurse (LVN), nutritionist, and social worker. I would ask them to speak about their areas of expertise and explain how their knowledge will enhance this clinical team. The nutritionist’s expertise in diet, the social worker’s fluency in Spanish, the LVN’s training in education, and the nurse’s specialization in

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

The Merriam-Webster Online Dictionary defines professionalism as the conduct, aims, or qualities that characterize or mark a profession or a professional person. Yet the White Paper on Pharmacy Student Professionalism says it is displaying values, beliefs and attitudes that put the needs of another about your personal needs. There is still another definition. The Medical Professionalism Project says professionalism is the basis of medicine's contract with society. It demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health. In my opinion, a person's attitude, values, and behaviors

Trust is critical in the nurse-client relationship because the client is in a vulnerable position. The nurse-client relationship is one of unequal power. Although the nurse may not immediately perceive it, the nurse has more power than the client. Abuse means the misuse of the power imbalance intrinsic in the nurse-client relationship. It can also mean the