...experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional and client based on the client’s needs. Being a perioperative nurse since year 2000, I can see many changes in nursing policy and also the hierarchy of relationship between the nurse and doctor. The changes in healthcare...
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...MODULE: PP0613 PROFESSIONAL BOUNDARIES BOUNDARIES BETWEEN NURSES AND PATIENT. As health care professionals, nurses strive to inspire confidence in their patients and their families, treat all patients and other health care providers professionally, and promote patients independence. Patients can expect a nurse to act in their best interests and to respect their dignity. This means that a nurse abstains from obtaining personal gain at the patient’s expense and refrains from inappropriate involvement in the patient’s personal relationships. "Boundaries are mutually understood, unspoken physical and emotional limits of the relationship between the patient and the nurse." (Farber, 1997) When these limits are altered, what is allowed in the relationship becomes ambiguous and possibly unethical. The health and well being of patients depends upon a collaborative effort between the nurse and the patient. Patients are extremely vulnerable to boundary violations because they trust us as their health care providers. They come to us in a time of need, presenting with physical, and often emotional, distress. Some patients demand continuous attention but are unaware of their insatiable neediness. (Muskin and Epstein, 2009) A nurse enters a therapeutic relationship with skills and knowledge that include a great deal of personal information about the individual in their care; and the authority to provide the care required by the individual. The community trusts that nurses...
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...undariesProfessional boundaries in Nursing 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’. Nursing has its own entity and ethics which makes it a profession. In response to the rising health needs, the need for independent nursing is the demand of the hour. This concept are formulated and implemented in develop countries. This has helped in meeting the consumers’ demand for health benefits. In the early years of the nursing profession, it generally believed that nurses served and cared for their patients by assisting physicians. However, now days role of nursing a more expending, not only bring title as register nurses but also as nurses practitioner, advanced nurses practitioner and clinical specialty. Those nurses require undergoing specialized post basic training and most of them are quiet senior staffs. Furthermore , some of the specialty of nursing such as wound care nurse, stoma nurse, diabetic nurse and so on and some of them also been as referred from the doctor for furthered management. In the healthcare set up, if all patient care only being a nurse’s job, this organization will be failure. It need other professional collaboration for better outcome specially in patient care such as physician, surgeons, pharmacists...
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...PP 0613 PROFESSIONAL NURSING BOUNDARIES University Student Number : 12040383 ID Number : 901003-07-5656 Word Count : 1999 Balanced therapeutic nurse-patient relationship can only be achieved through a controlled adherence to professional nursing boundaries. According to the National Council of State Boards of Nursing (NCSBN) professional boundaries are “the spaces between the nurse’s power and the patient’s vulnerability. It is the space between nurse and patients, doctors and other professionals bound to healthcare. “Similar to the fence around one’s yard or the walls around one’s house, metaphorically boundaries mark the parameters of the professional’s role”(Baron, 2001). In this essay, I will discuss professional nursing boundaries in the context of ICU nurse’s role in performing tracheal intubation in emergency. According to Wikipedia, tracheal intubation or usually intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. Moreover, Wikipedia also states that intubation is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation to prevent the possibility of asphyxiation or airway obstruction. Moreover, this essay will discuss issues related to professional nursing boundaries such as boundaries crossing...
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...The Discipline of Nursing Professional Boundaries As professionals in health care, the nurses’ aim is to have a therapeutic relationship with the patient, where boundaries of the relationship are strictly safe and within the code of ethics. Such boundaries are called professional boundaries that are defined as the ‘spaces between the nurse’s power and the client’s vulnerability’. Establishing these boundaries provide the nurse with authority to allow a confidential and professional therapeutic relationship with the patient (The National Council of State Boards of Nursing 2010, p. 25). To avoid breaches and infringement, these boundaries must be maintained throughout clinical practices and placements. The Australian Nursing and Midwifery Council, also known as ANMC, (cited in Kralik & van Loon 2008, p. 76) define professional boundaries as ‘the limit of a relationship between a nurse and an individual or between a nurse and any significant other persons, which facilitates safe and therapeutic practice and results in safe and effective care’. In regards to nursing, the ANMC (cited in Levett-Jones & Bourgeois, 2009, p. 103) advocates that professional boundaries are related to the responsibility, performance, morals and actions from the nurse and must be maintained when working with vulnerable individuals. This essay is an example of a student's work Disclaimer This essay have been submitted to us by a student in order to help you with your studies. This is not an example...
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...Professional Nursing Boundaries I am a trained nurse working in one of major reference hospital in a capital city of Sabah. I have 14 years experience working as a trained perioperative nurse in operating theatre. Working through the years gives me ample experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows...
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...many cases, nurses work double or triple shifts, to provide holistic nursing care. Nurses contribute major roles in the healthcare systems and as competent health care providers. Nursing is a dynamic profession and forever striving to meet the challenging needs due to constant change occurring in the profession. Nowadays, nurses generally became accountable for their own practices and they have been at the vanguard of new role development. However, nursing at times, will cross their boundaries in providing care, as an individual or teamwork to save patient lives. This may result overlapping of roles. Nurses adapting the changing environment and continually develops new skills (Chaboyer et.al., 2001). Doyal (1998) argues on nurses and others medical practitioner is doing physician’s work, which has involved the creation of new roles. As described by Nancarow & Borthwick (2005), the nurses have an opportunity to identify a new role in getting change within their expertise boundary. This paper will explore, discuss and critically analyze on the impact on professional roles on crossing professional boundary that often occur in my practice performs task which is suppose done by anesthetic physicians. The issues that I am going to debates here is on my daily activities, cross professional boundary of preparing, diluting and administering the intrathecal opiate drugs. Occasionally, most of the time, the boundaries usually consider that is not clear issues, whether right or wrong...
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...The Ministry Of Health Nursing Essay On the other hand, nursing practice is an act of providing care to the patients. This can be done by implementing a nursing care plan which is based on the initial condition of the patient. For certain people, the responsibilities of the nurses may seem apparent as all they need to do is following the orders from the doctor. Even for an experienced nurses, they still need to concede from the doctors in matters that they are restricted and not qualified in. This is called professional boundaries. According to CRNNS (2002), professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior which, well intentioned or not, could reduce the benefit of nursing care to individuals and communities. But in reality, the job of the nurses sometimes being pushed to the limit according to the patient's condition. This may lead to some instant decision making with or without the conceding from the doctors. This case however may be seen as the boundary violation. The boundary violation can be defined as a disruption of the barrier between a professional and the client. In our case, it is an act or interaction which damages the patient and the professional (nurse) relationship. The action of crossing the professional boundaries may be regarded as against the law. According to Allen (2001), five keys of nursing boundaries had been identified which consist of boundary among nurse and nurse itself...
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...Professional Boundaries in a Healthcare Setting Professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior that could reduce the benefit of nursing care to clients, well intentioned or not (as cited in Fronek et al., 2009). Paavillainen & Astedt-Kurki (1997) state that each nurse "ensures that the nurse-client relationship is a therapeutic relationship" and "maintains appropriate boundaries in all interactions with clients at all times" (p. 138). Nurses must maintain their professional boundaries and be aware of events or situations that may threaten them. They should have limitations in their scope of practice. It is staying within their role by refraining from personal involvement with a patient. As nurses, they are limited by their duties and activities as defined by their job scope, so it is very important for them to understand their job description (Gutheil, 2008). The concept of professional boundaries is so important to psychiatric nursing because the health and well being of patients depends upon a collaborative effort between the nurse and the patient (Muskin & Epstein, 2009). It is the nurse’s professional responsibility to understand the dynamics of the therapeutic relationship, to establish the relationship, and to maintain the relationship within therapeutic boundaries. Nurses must understand the differences between a therapeutic relationship and a social or personal relationship (Paavillainen...
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...Legal aspect of Nursing Nursing practice is ruled by many legal concepts. It is important for nurses to know the legal aspect of Nursing; because nurses are accountable for their professional judgments and actions. Accountability is a crucial concept of professional nursing practice and the Knowledge of laws that legalize and affect nursing practice is needed for two reasons: first to ensure that nurses’ decisions and actionsLegal aspect of Nursing Nursing practice is ruled by many legal concepts. It is important for nurses to know the legal aspect of Nursing; because nurses are accountable for their professional judgments and actions. Accountability is a crucial concept of professional nursing practice and the Knowledge of laws that legalize and affect nursing practice is needed for two reasons: first to ensure that nurses’ decisions and actions are consistent with legal principles and second to protect nurses from legal responsibility. What are the functions of law in nursing? The law serves a number of functions in nursing: it helps structure nursing actions in the care of clients are legal. It helps establish the boundaries of independent nursing action. It assists in maintaining a standard of nursing practice by making nurses accountable under the law. There are three sources of laws that affecting nurses: Federal Regulation, Criminal and Civil law and State law. Federal Regulations have a great impact on nursing practice for example The Health insurance portability and...
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...My Nursing Philosophy Miami Dade College Transition to Professional Nursing NUR 3805 ABSTRACT Nursing is a profession that besides of caring and showing compassion focuses on serving the people that need it most. This article basically talks about a personal philosophy of nursing where the main points are being shown through the definition and purpose of nursing. Other important points include the cultural diversity between nurses and clients, the role of the nurse in the community, and the relationship between the nurse and other health care professionals in relation to the nursing theories. There is a necessity to pay special attention at employing culturally competent assessment skills which demonstrates respect for culturally sensitive patients. Focusing on a holistic care gives attention to the role of the community nurse at arranging the adequate environmental setting for the restoration of the patient’s health. Professional and ethical boundaries are the main steps in achieving competence in the health care field. The description and explanation of two principles that guide professional nursing practice by demonstration and explanation of the meaning of discrimination and unlawful activity. Nursing is a profession that encompasses all aspects of medical care: knowledge, critical thinking and emotional care. This means that it requires knowing human anatomy, assessment of the condition of the body with psychological state and the compassion and empathy towards...
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...1 Introduction Te Kaunihera Tapuhi o Aotearoa/The Nursing Council of New Zealand (‘the Council’) under the Health Practitioners Competence Assurance Act 2003 (‘the Act’) is the responsible authority that governs the practice of nurses. The principle purpose of the Act is to protect the health and safety of members of the public by providing mechanisms to ensure health practitioners are competent and fit to practise their professions. The Council sets and monitors standards in the interests of the public and the profession. The Council’s primary concern is public safety. This Code outlines the standards of ethical conduct set by the Council under section 118(i) of the Act. This Code complements the legal obligations that nurses have under the Act, the Health and Disability Commissioner (Code of Health and Disability Services Nursing Council of New Zealand, PO Box 9644, Wellington 6011 www.nursingcouncil.org.nz Published June 2012 The Code of Conduct for nurses has been revised and rewritten. This document replaces the previous Code of Conduct for nurses published by the Nursing Council of New Zealand between 1995 and 2011. © Consumers’ Rights) Regulations 1996 and the Health Information Privacy Code 1994. The Act and Code of Rights can be found at http://www.legislation.govt.nz The Code of Conduct for nurses is a set of standards defined by the Council describing the behaviour or conduct that nurses are expected to uphold. The Code of Conduct provides guidance on appropriate...
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...Code of Professional Conduct for Nurses in Australia Introduction Professional conduct refers to the manner in which a person behaves while acting in a professional capacity. It is generally accepted that when performing their duties and conducting their affairs professionals will uphold exemplary standards of conduct, commonly taken to mean standards not generally expected of lay people or the 1 ‘ordinary person in the street’. The Code of Professional Conduct for Nurses in Australia is supported by the Code of Ethics for Nurses in Australia. This Code of Professional Conduct for Nurses sets the minimum standards for practice a professional person is expected to uphold both within and outside of professional domains in order to ensure the ‘good standing’ of the nursing profession. These two companion Codes, together with other published practice standards (e.g. competency standards, decisionmaking frameworks, guidelines and position statements), provide a framework for legally and professionally accountable and responsible nursing practice in all clinical, 2 management, education and research domains. The support and assistance of Royal College of Nursing (unified with The College of Nursing on 1 July 2012 to become Australian College of Nursing) and the Australian Nursing Federation in developing this edition of the Code of Professional Conduct for Nurses in Australia is acknowledged. In considering this Code and the Code of Ethics for Nurses in Australia, it should be borne...
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...Setzer Western Governors University Nursing In the Modern World Nurses of today have to make countless choices on how to provide the best care for each patient they care for. A nurse has to maintain a professional appearance and attitude while balancing making ethical decisions and putting aside own values and morals to given the best possible to care to each patient assigned to them each day. Some nurses assume the role as a charge nurse and have to make choices on how to divide the patients up to make it fair for safe each patient. In order to obtain these skills a nurse has to graduate for an accredited school of nursing and pass a state board. Each state has their own rules and regulations to maintain a current license. For example in the state of Washington the Washington Department of Health and Welfare regulates all nursing licenses and renewals, it also regulates the standards of care provided. The Department also has the right to take disciplinary actions against nurses. If a nurse chooses they can become certified in a specific field of nursing. These programs are private organizations such as the Association of Certified Medical- Surgical Registered Nursing. In order to qualify for this organization a nurse has to work a certain amount of hours in the stated field and take another test to prove that they have the knowledge to care for patients in this field of nursing. Nurses who are certified have to pay fees to maintain...
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...The Nursing Professional and Ethical Considerations for Using Web-Based Social Networking Sites The Nursing Professional and Ethical Considerations for Using Web-Based Social Networking Sites As nurses navigate web-based social networking sites there is a dangerously thin line between professional and personal online etiquette. Health care employees must maintain patient confidentiality and privacy at all times, as well as serve as a positive representation of their place of employment. Inappropriate use of social media often leads to disciplinary action; and in the most serious cases, can negatively affect a nurse’s career and license. A violation of patient confidentiality takes place as soon as a nurse shares information or even a small detail concerning a patient over the Internet. Examples include reflecting on the severity of a patient’s disabilities, or even commenting on the behavior of an Alzheimer’s patient. Healthcare Professionals must be diligent when it comes to using web-based social media sites. Anything that is posted on the internet is accessible to all and will stay in cyberspace even if the user deleted it off of their sites. Even with the strictest of privacy settings on their profile, it can still be seen by thousands even millions of people. So imagine that you post a picture on Facebook and you have 100 friends and those 100 friends share that post to their 100 friends and then they share that post with their friends. It could go on and on...
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