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Professional Boundaries In Nursing

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There are many boundaries we must face in life. Most of them are in our field of work, called professional boundaries. “Having professional boundaries, or limitations, means always treating a patient as a client and not becoming involved in issues of his or her private life that do not directly relate to healthcare” (Booth, Whicker, Terri p.33). “Throughout the course of their professional lives, nurses interact with a variety of people in a variety of contexts, and for a variety of reasons. During these social interactions they need to be able to effectively communicate with and relate to other people” (Jane Stein-Parbury p.3).
In the medical field, there is a “narrow scope of the nurse-patient relationship” (Griffith & Tengnah p. 43). “Relationship between community nurses and patients is a …show more content…

4). One question that is constantly asked by healthcare professionals is “Who is harmed by boundary violations?” (Frequently Asked Questions) Professional Boundaries INC. responded to this question with “Ramifications are widespread.” and “Damage usually extends to marriages, families, other patients, communities, clinics, institutions, and the profession is general.” A perfect example of those who are harmed, in 2012 “a nurse was made subject to a conditions of practice order by the NMC after being found to have crossed professional boundaries by taking a former patient on camping trips, meeting her for coffee, and making social visits to her house (NMC 2012a)” (Griffith, Tengnah p. 43). Per Griffith and Tengnah, the nurse was suspended for one year for professional boundaries misconduct. So how does a professional know if they are being too polite or if they are crossing the boundary line? Griffith and Tengnah respond “These allegations include disclosure of personal information to patients, contact details to patients and accepting gifts from patients”

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The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para

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On any given shift, nurses have access to some of the most personal private information about a patient and his or her family. A right to privacy is grounded in the society and is protected by the United States Constitution. In addition, the American Nurses Association (ANA) Codes for Nurses prohibits disclosure of confidential patient information, as do the ethical codes of many other professional organizations (Malek, 2010). The Joint Commission mandates that institutions maintain and adhere to policies and standards to protect patient information. According to Malek (2010), nurses must remember that a right to privacy protects more than the patient’s medical record; it protects them from unauthorized photographs and news stories, as well

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The article changed my way of thinking as it increases my understating why I need to maintain professional boundaries by keeping the conversation focused on the patient, provide care and support as a nurse, rather than a friend while keeping strict professional limits

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Peplau (1988, cited by Betts, 2002, in Kenworthy et al, 2002) argues nursing as an interpersonal process. Betts (2002) argues that effective communication is intricate and obscure. Both the nurse and the patient are distinctive individuals, and they both bring with them their perceptions, values, interpretations and experiences to the interpersonal process. To achieve trust, the nurse must use openness, honesty and effective communication

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Conflicts within the nursing profession may be seen among the different age generations, with senior nurses holding different values than new graduates. For example, there are many cases where horizontal violence and bullying occurs between senior nurses and new nurses. However, in most cases, nurse bullying results from ineffective communication (Sauer, 2012). Interprofessional conflict may occur due to the medical hierarchy and existing profession stereotypes. According to Whitehead (2007), a barrier to physician collaboration is the vision of a ‘flattened hierarchy’ where a physician’s traditional power, decision-making responsibility, and status is reduced.

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The author highlights how vulnerable patients will give their trust to nurses, they should begin their relationship with a rapport (Price, 2017). “Patients often feel vulnerable and there can be an imbalance of power between the nurse and the patient; similarly, patients who are receiving treatment in hospital can find themselves in an unfamiliar environment” (Price, 2017). In this situation the client was degraded, there was an imbalance of power. The client had an unfamiliar caregiver, creating confusion and anxiety. To create a therapeutic relationship trust must be created, it requires effective communication, honesty, and respect.

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