Reproduction for purposes other than those indicated above requires a licence or written permission, which may be obtained from the Australian Nursing and Midwifery Council. These two sets of companion Codes, together with other published practice standards e. These guidelines are designed to be read in conjunction with the above Codes and provide more detailed guidance and discussion in relation to the sometimes challenging area of managing professional boundaries; that is, identifying and differentiating the boundaries between professional relationships and personal relationships. In doing so, these guidelines aim to protect the community by helping to prevent distress, confusion, harm or abuse of people being cared for by nurses.
Nursing Professional Boundaries There are boundary issues in every aspect of nursing practice. Some of the issues range from stopping to purchase some groceries for a home-bound client, accepting gifts from clients, having friendship with clients and engaging in sexual relationships with clients.
While there is substantial gray area compared to black and white in the study of professional boundaries, nurses can make appropriate decisions if they have the relevant information concerning fundamentals of professional boundaries Kagle and Giebelhausen, Therefore, it is advisable for the nurses to read additional information and take part in discussions with their colleagues to widen their comprehension of the topic.
Professional boundaries refer to the limits that shield the liberty between the professional's authority and their client's susceptibility. This means that upholding proper boundaries will help in controlling the authority allowing for safe links between the nurse and client based on the client's wants.
In addition, owing to the various researches on the topic, there are different definitions of boundaries and professional boundaries. According to Avis et al.
In addition, according to the outline of nursing practice, nurses meet the professional necessities for practice when they exhibit the knowledge, proficiency and attitudes, which are apparent in the practice standards and capabilities.
However, many studies have concentrated on therapeutic behavior. Therefore, they have come up with their own definition: Although, at some instances, it is possible to identify professional boundaries, prior literature on the topic and various surveys, suggest that professional boundaries are complicated issues.
Therefore, maintaining appropriate boundaries arises from the nature of the client-nurse relationship.
Similar to other professionals, the client trusts the nurse who has expertise, proficiency and power. However, this paper focuses on the nurse-physician relationship in a healthcare setting.
Changing Roles of Nurses In the last decade, Malaysia has witnessed unprecedented increases in the number and variety of new nursing roles such as the acute care nurse practitioners, advanced case managers, and clinical nurse specialist practitioners Puteri, However, the roles have substantially occurred in acute care hospital environments.
In addition, research suggest that the increase in demand and change of nursing roles will continue into the 21st century, with expansion of other nursing roles in ambulatory and community environments. Several studies suggest that the main reason for the increase in nursing roles is the demand for nursing care and the advancing nursing practice Offredy, Recent changes in healthcare roles in Malaysia have called for maintenance of professional boundaries, in addition to upholding of nursing, laws and ethics.
Litigation connected to negligence and confidentiality has affected the role of nurses Puteri, This is because the Malaysian nursing law does not tackle numerous legal and ethical challenges that require a complete set of laws that identify the extensive junction between legal and ethical judgments.
In addition, technological advances in healthcare have also contributed to issues in Malaysian nursing profession, which in turn has led to the changing roles of the nurses.
Nurses are central to the provision of healthcare services between patients and the hospital, communities and healthcare systems. Owing to the hastily changing health setting in Malaysia, this has led to the extended roles in nurses to supplement services provided by the healthcare professionals.
In addition, the extension of roles has forced nurses in Malaysia to get involved in activities that may attract individual legal consequences. Subsequently, the nurses have influenced on their nursing practices and have identified the significance of a firm groundwork in legal and ethical codes, hence promoting competency when making complex decisions independently.
Relevance of Professional Boundaries Professional boundaries are vital elements in the nurse-physician relationship this is because they provide for sound personal connection. The difference in authority apparent between the nurses and physicians calls for the need to uphold safe professional boundaries to avoid the physicians disadvantaging the nurses.
However, it is possible to breach the boundaries through relationships, giving or accepting gifts, abuse physical, verbal or psychological, romantic or sexual relationships and negligence Hung, The boundaries are relevant in healthcare practice as an approach to avoid confusion in the daily practice.
Managing multicultural diversity is an essential part of the healthcare management in collaboration with the quality improvement. Into the bargain, nursing and medicine have a correlation in healthcare provision.
Patient outcomes greatly rely on the physician's skills during diagnosis and subsequent treatment, as well as the nurse's observation skills and communicating the correct information to the physicians.
Therefore, patient quality improvement will depend on an approach that secures continuous information and efficient nurse-physician relationship. Into the bargain, hospitals where nurses report good cooperation with physicians have reported higher job satisfaction.
Additionally, the maintenance of professional boundaries between these professionals will lead to improved patient care. Professional boundaries are relevant because the two professionals share a symmetrical relationship. This is because the two perceive cooperation differently on dimensions of patient care and the various levels in the status in the chain of command.Free Essay: Nursing surrounds the concept of patient care physically, mentally and ethically.
The therapeutic relationship that is created is built on the. PROFESSIONAL PRACTICE FRAMEWORK 4 OVER INVOLVEMENT A nurse’s guide to professional boundaries is a component of the ANMC Professional Practice Framework A nurse’s guide to professional boundaries is a component of the ANMC Professional Practice Framework 5 Guiding principles for safe, professional practice Professional Boundaries As A Registered Nurse Words | 7 Pages.
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 boundaries in nursing are defined as limits which protect the space between the professional’s power and the client’s vulnerability’ stated by (Nursing . Professional Boundaries As A Registered Nurse Words | 7 Pages.
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.
The Ministry Of Health Nursing Essay. This is called professional boundaries. According to CRNNS (), 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.