Professional Boundaries in Nursing Essay

Professional boundaries are a central component to the nurse-patient relationship. These boundaries also extend to the nursing student-patient relationships, and need to be continued in all situations both in a working environment and outside one. The National Council of State Boards of Nursing states that “[p]rofessional boundaries are the spaces between the nurse’s power and the patient’s vulnerability.” As a nursing student, service learning is an integral part of our learning, and the vulnerability of seniors is essential in protecting. This was the first situation in learning how to apply skills necessary in professional boundaries.

This means that nurses, along with student nurses, have a duty of care towards patients and this duty includes maintaining privacy, i.e., protecting the patients from undue intrusion and confidentiality by managing the information provided by the patient discreetly (Price, B., 2015). This must be upheld at all times by the registered nurses as well as the nursing students. Furthermore, nurses should not divulge information about a patient without their consent. The patients have the right to decide if they wish to share confidential information with their relatives or friends (Mazqai, M.,

The title of the article critiqued is,” The changing boundaries of nursing: a qualitative study of the transition to a new nursing care delivery model”. While researching articles this title drew interest to this nurse due to the frequent changes in the field of nursing today. From policies for reimbursement for hospitals, to changing care from theory-based practice (TBP) to evidence-based practices (EBP). The methods used in this study are revealed through the title of the article: “a qualitative study”. The authors’ of this study are all professionals in the field of nursing. Ann Rheaume, PhD, RN a professor at Ecole de science infirmiere, University de Moncton. Sophie Dionne, RN, MScN, clinical resource nurse in a surgery department, CHU Dr-L.-Dumont. Denise Gaudet, RN, MScN, consultant of DMG Initiatives Inc., Dieppe. Monique Allain, RN, BN, nurse manager in the emergency department at CHU Dr.-L.-Dumont. Estelle Belliveau, RN, BN, medical educator, Services Canada, Moncton. Laurraine Boudreau, RN, BN, a nurse manager in oncology center at CHU Dr. Georges-L.-Dumont. Laurianne Brown, RN, BN, Public health nurse at Provincial Public Health services. As one can see, the positions held by the listed authors’, are of importance to this study, by reason of the exposure of the changes seen in the new health care delivery models in all fields of nursing including the above authors’ designated fields of nursing.

The American Nurses Association has deemed 2015 the “year of ethics” due to the release of the revised code of ethics. This code of ethics embraces nursing behaviors that should be incorporated in the quality care that is given to patients from nurses. One of the ethical provisions is to maintain proper boundaries between the nurse and the patient and/or family. In order to provide safe care there needs to be professional boundaries between the nurse and the patient. If the lines are blurred it

As a nurse working in a small, rural hospital provides a challenge when it comes to maintaining professional boundaries. The patients that present to the hospital are not just patients. They are our loved ones, loved ones of our co-workers, or friends from the community. Some of these patients we take care of on a routine basis, which is where maintaining professional boundaries becomes difficult. Patients begin to feel as if we are part of their “family”. Nurses are with patients through the good and the bad. We know things about patients that sometimes their own family may not know. As a nurse, constantly reminding yourself and keeping each other in check, helps to keep from crossing the therapeutic nurse-patient relationship.

The professionalism of nursing is influenced on the knowledge that nurses inherit and the progression of their role over many years. The knowledge of a nurse is undefined because the knowledge of a nurse is constantly progressing, evolving in its profession (Akthar-Danesh , Baunman, Kolotylo, Lawler, Tompkins & Lee 2013), the role of a nurse cannot be displayed or portrayed by knowledge, that is constantly changing due to many factors(Nursing Times , 2005 ). To elaborate on the knowledge of a nurse you would be bias to think that the knowledge of the nurse doesn’t reflect on the professionalism of a Nurse, therefore they influence one another, during a career of a nurse. The professionalism of a nurse is represented through many factors; the

This course has been quite gratifying. It has taken me on a journey that has broadened my views and ideas regarding the profession that I love dearly. And surprisingly enough, the course textbook was enjoyable to read, offering insights that were thought provoking and informative.

This paper discusses historical events that influenced the nursing profession, how the ANA’s Scope of Nursing Practice publication contributes to the nursing profession, the impact of the AACN’s BSN essentials on nursing education, the role of the ANA’s Code of Ethics in Nursing, and how nurses are regulated by the Missouri Nurse Practice Act. This paper also looks at the disciplinary actions taken against a license and how the actions of the nurse are related to the Scope of Nursing Practice, Code of Ethics, and The Professional Role.

As an undergraduate nurse, I understand my obligations and duties, as well as knowing my limitations. I always work within my scope of practice, and I will not do things if I have not been trained to do it. I always follow the Principles of Safe Professional Practice, for instance, I am aware of the potential personal discomfort for my patients, involves personal contact or invasion of personal space, and I will avoid the sensitive and ethical topics when I communicate with my patients. Besides, I know nurses should establish and maintain the boundaries in their professional relationships with patients who are receiving care, as well as nurses should treat personal information obtained in a professional capacity as confidential and do not use

In today’s society, the growing demand on registered nurses to improve patient centred care has been a fundamental aspect of the nursing practice. Professional boundaries, behaviour and attitudes of the registered nurse towards patient centred care are vital to the progression of an effectual therapeutic nurse patient relationship. Professional boundary violations of ‘under and over’ involvement in the nursing practice can often affect the deprivation of a patient centred approach and a lack of respect and empathy for the patient’s health care needs. Using forms of professional communication approaches such as an emotionally intelligent and caring approach plays a paramount role in all circumstances of nursing care. In this paper, the video “Crossing professional boundaries as a registered nurse” will be analysed in relation to the professional practice anomalies identified in the video. A wide range of quality literature will be used in order to critically discuss therapeutic relationships in relation to the anomalies from the video and how these anomalies may have the ability to impact negatively on both the patient’s care and the nurse’s professional image. An annotated bibliography will be attached to this paper for two literary sources, with a short paragraph illustrating the importance of the sources to this piece of assessment.

Professional boundaries are limits to relationship between the nurse's power and the vulnerable patients. Professional nurses should always maintain relationship that is therapeutic and patient centered. Patients are at mercy of health care providers, when they access health care, their individually identifiable health information must be protected. We live in world of internet, social media and other electronic gadgets. These means have made communication much faster and easier. But nurses have to be aware of discretionary use of social media to maintain Health Insurance Portability and Accountability Act (HIPAA) privacy rule. Boundary crossing can range from purposeful or inadvertent, disseminating patient information on the social media,

Hall and Ritchie (2011) explain that all nurses are expected to apply therapeutic principles, which reflect professional and caring attitudes. The importance of building and maintaining working relationships with the patient should not be underestimated. The patient being cared for should be at the centre of the nursing care (Lloyd, 2007). Furthermore, nurses should hold in mind how to disengage from relationships and consider endings from the beginning while simultaneously making sure, that professional boundaries are always respected (NMC, 2015). My personal core values and beliefs are always respecting the patient and work colleagues.

As professional healthcare, nurses should always prevent any unlawful action that could result into a law suit. That can be done by being integrity in patient care management. Integrity management should be a priority not only because it is legally required, but because it is the right thing to do. All the patient who are in a healthcare setting must be received their information before a third party. Employees who practice in such particular workplace decisions, behaviors, and act in an ethically judged, they will prevent any violation not to occur to their patient. The nurse’s primary commitment is to protect patient right and to serve the patient with dignity, and to promote safety to the patient, the family, group, or community. Rich and

Nurses must adhere to the professional, legal and moral guidelines otherwise it may lead to some hazardous situations hampering patients as well as care providers’ lives. My friend, on whose

This assignment a discussion about nursing boundaries issues which happened in my workplace. The founder of modern nursing has rightly quoted that ‘nursing is the care which puts the person in the best possible condition for nature to either restore or preserve health or to prevent or cure injury’.