Boundaries: A Discussion Paper on Expectafions for Nurse-Client Relafionships ( ) in the Professional Boundaries in Nurse-Client Relationships. Professional boundaries can be defined as ''mutually understood, unspoken physical and emotional limits'' that frame the clinician-patient relationship.1 Proper. Key Principles Protect the Nurse-Client Relationship. 9. Guidelines for Professional Boundaries. PART THREE: TAKE ACTION WHEN A PROFESSIONAL.
An appearance before the tribunal, by its very nature, is not a pleasant experience and the best way to avoid this happening to you is to recognise the signs of becoming inappropriately involved with a patient or one of their family members see over-involvement sidebar.
What should a nurse do if a person in their care or a family member is attracted to them? Sometimes a nurse will find that a person that they are caring for, or their family member, is attracted to them and displays sexualised behaviour, perhaps flirting in the first instance. When this occurs, the nurse should firstly advise a colleague and consider contacting their professional body to seek advice on the most appropriate step to take. The nurse may decide to speak with the patient or family member displaying the attraction, gently explaining what they have noticed and then outlining the professional boundaries that they as a nurse are required to maintain.
This conversation is not an easy one for the nurse and the individual to have, and the individual should be reassured that the matter is being treated with the appropriate degree of confidentiality.
However, despite the best efforts of the nurse, it may be that the result is that the clinical relationship cannot be re-established. What if a colleague is becoming over-involved?
Unfortunately, sometimes a nurse will not recognise that their relationship with a patient or a member of their family is becoming intimate. If you think that colleague is in danger of failing to keep appropriate professional boundaries, you have a duty to do something about it.
If you witness such behaviour by a colleague, you cannot ignore it. Discuss the issues with those involved. Report to an appropriate person at the earliest opportunity and take other actions necessary to safeguard patients. If you decide to take this approach, remember that what you say may come as a total surprise to your colleague, so give some thought to when, where and how you raise this with them.
If you decide to speak to your colleague, you should explain: If you feel uncomfortable speaking to your colleague — or having spoken to your colleague, he or she fails to acknowledge the matter — you should speak to your supervisor. To ensure that you accurately recall the event you witnessed, and also to provide your supervisor with clear information, you should write down the details of the incident, including date, time, parties involved, and any other witnesses to the event.
If you have approached the nurse, you should document the detail of this conversation.
Taking this action protects the patient, the nurse and yourself. Key points A relationship with a current patient or a member of their family is deemed to be inappropriate. A relationship with a former patient or member of their family may be inappropriate.
Maintaining appropriate boundaries with patients | Nursing Review
Because these are very popular and convenient communication tools, having a policy that clearly defines how this avenue will be utilized will help set the expectations up front. However, she thinks the better option is to have a policy on how to handle this situation and to implement it consistently.
Advantages and Disadvantages Before you close your Facebook or other social networking accounts, or if you are considering opening one, you may want to keep in mind the following advantages and disadvantages of using online social networking sites in the delivery of healthcare services.
According to Sullivan, a social networking site is a good marketing tool that can help keep people up to date. It can do the following. Disseminate information quickly and to a large population for no cost.
Where to Draw the Line: Professional Boundaries in Social Networking
Send a message to patients that the institution is on the cutting edge. Provide a venue for online charts on various health-related topics. Serve as a bulletin for posting upcoming events such as health-related seminars and community activities.
Enecio points out that the lack of filtering systems in social networking sites is a major disadvantage. Some people post images or messages that have indelicate content.
Although users can enable different privacy settings, restricting some of the privileges on the Web site will defeat the purpose of online social networking. Despite the challenges that come with the professional use of social networking sites, Sullivan contends that the healthcare community should continue to strive in formulating guidelines and work on the use of this important communication technology to ensure that healthcare professionals are current and relevant to their patients in all areas.