...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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...or agencies work together to provide integrated health and or social care for the benefit of service users”. The two day IP conference (2011), was a great opportunity to meet different professionals and agencies from different areas of health and social care profession and share their views and understanding on IP working and IP learning. The Centre for Advancement of Interprofessional Education (CAIPE) has defined IPE as “Interprofessional Education occurs when two or more professions learn with, from and about each other to improve collaboration and the quality of care" (CAIPE, 2002). CAIPE uses the term "Interprofessional education" (IPE) to include all such learning in academic and work based settings before and after qualification, adopting an inclusive view of "professional". Based on the key themes, we discussed how Interprofessional collaboration can provide best possible care to the service users and analyse where the services are lacking. Through group discussions, key note addresses and seminars, I was able to learn about the communication issues between the health and social care professionals, contrasting professional perspectives and values, ethics within teams and stereotyping, power imbalances and team processes ( Fletcher, 2008). Improving the quality of communication is now a key priority for health and social care (DoH, 2008). Staffs at all levels are expected to work in partnership with multi-professionals and agencies. Service users expect, and demand...
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...(‘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 behaviour for all nurses and can be used by health consumers, nurses, employers...
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...Boundary less Organizations Dalia M. Davidson January 16, 2012 HCS/325 David R. Campbell Boundary less Organizations Many healthcare workplaces are becoming known for being boundary less organizations. Employees are connecting to the outside world with a wide variety of co-workers, consultants, off-site employees, and other resources. Boundary less organization is a contemporary approach in organizational design. It is an organization that is not defined by, or, limited to, the horizontal, vertical, or external boundaries imposed by a predefined structure. Boundary less organization combines the business team and network structures with the addition of temporariness. Many entrepreneurial and start-up businesses are boundary less organizations. When businesses are able to make quick changes to their environments and come up with solutions to an issue makes them boundary less organizations. There are two types of boundary less organizations. Inside of boundary less organizations teamwork and communication replace formal lines of authority. Barriers that once separated organizational members are resolved and team members react spontaneously to problems that may occur. Outside boundary less organizations the needs are met through outsourcing contracts and outside alliances that come together. These relationships are forever changing so they would look different day to day. Technology and the absence of hierarchy have allowed for the acceptance of boundary less...
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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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...Maintaining Professional Boundaries in Social Care Task 1 Care homes are seen as a sanctuary for those who are physically or mentally vulnerable; the care industry operate on serving mankind with providing the best services possible that would benefit the health of its service users. Care workers (social workers) are seen as the medium through which patients are served and treated medically and via verbal therapy. Care workers are often bound to spend long hours with their respective patients, during which they get the opportunity to understand their patient’s health better and bond over this mutual understanding. The problem arises when the care worker blur the line between being professional and friendly, and crossing this line may lead to grave consequences. Because the work that care workers do can involve a lot of emotions, they often find themselves in a situation where they want to go an extra mile and treat their patient with much more responsibility and share their burden. This research paper will be looking into this problem and understanding why it is important to maintain the boundaries with the service user, more than it is in any other industry. Social workers, especially younger ones, often find themselves in circumstances where their emotional involvement can lead to a patient trying to gain advantage of their situation by asking a lot more of the user and using their vulnerability as a reason to do so. Not only can this put the worker’s employment at stake...
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...development of organizational policies and procedures. It establishes organizational ethics by which employees are requested to follow. This includes the professional conduct required of health professionals in the use of social media in the workplace. According to Brent (2011), "Social networking is the main source of communicating in today's society" (para. 1). Mobile communications, E-mail, Texting, and the use of Facebook and Twitter has set record breaking rates above any other form of communications in recent years (Badzek, 1998). Social networking empowers both the consumer and the health care provider. The use of the Internet plays an important role in finding health information, which allow the patient to become better informed concerning personal health, and more educated in decision-making. Health care providers also benefit by conducting real-time meetings online to discuss the most challenging cases, and to devise solutions to improve therapeutic regimens of patients. Health care providers are driven by professional connections and timely communications with patients, families, and other health care providers. Social networking is the media by which health care providers use for a range of professional purposes, primarily to educate patients or to foster provider-patient relationships, which is impressive. Although social networking has tremendous benefits to the consumer and provider, it comes with strong concerns, and confidentiality, and patient privacy issues top...
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...They may also struggle with mental health conditions alongside this, for example schizophrenia, depression, anxiety. An individual may have physical health conditions for example diabetes, obesity etc and also have learning disabilities such as Down syndrome, Fragile X syndrome. 1.2 Explain the impact of multiple conditions and/or disabilities on an individuals wellbeing and quality of life. Individuals with multiple conditions and/or disabilities can face additional challenges to their quality of life and wellbeing. Many conditions/disabilities will result in reducing an individual’s independence; they may then require additional help from people like support workers, carers, family and friends. They require this help to assist with daily tasks such as cooking,...
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...and development are emerging in the health and social care. A nurse basic professional responsibility is to provide care and support to people who need helps to improve their health issues. Its professional responsibility is to provide nursing care and support to the people who have been suffering from deterioration of health. A traditional way of nursing is to just provide primary care and follow the order of the professional practitioner, but now new concept of therapeutic relationship and implementation of therapeutic process is evaluated (Fournier, 2000). Nursing practices includes variety of settings and these settings will affect the processes which are out of control over nurse’s influence. These processes may be government laws, policies, management decisions and orders of other professional practitioners. The code of ethics outlines the intention of professional nurse to accept the individual rights and respect these rights in medical practices. Such code of ethic for nurses may affect to fulfil their moral obligation and other ethical problems they may face during their professionalism. Nurses are encouraged to take part in discussion and take decision for their moral obligation which they are facing in taking care and supporting their patient. (Gelman, White, Carlson & Norman, 2000) Over the period of time, there has been increasing emphasis on the on collaborating care and inter professional working between health and care supports. It has been widely argued...
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...PCN-505 Counselor Ethical Boundaries and Practices Denise I Ratliff Professor RaTonya Bennett March 30, 2016 * * * * Introduction Ethics, boundaries and potential dual relationships are important for counselors to comprehend. Understanding the code of ethics and understanding the many facets of counselor /patient scenarios that can arise during a professional relationship. Dual relationships is a gray area in which there is a very paramount question that the counseling professional need to address and that is; whether a dual relationship is necessary. Simply put, impractical dual relationships can be charged with unnecessary jeopardy. Certain situations may arise in which a dual relationship could be hard to avoid and may have its challenges. It is important that any counseling that is given regardless of the relationship should be safe and secure. Boundary Issues and Dual Relationships Part A – Decision-Making Model and Counseling Examples Engaging in dual relationships is risky business in being a counseling professional. Ethical issues related to professional boundaries and dual relationships can be complex because, dual relationships and the issues that follow are multi-faceted. “If a dual relationship is exploitative, whether it is before, during, or after a professional relationship, it should be avoided” (ACA, 2015). It is important that the counselor acknowledge the fine distinctions between crossing boundaries that lay in the difference...
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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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...of assisting individuals resolve life and relationship issues. E-therapy utilizes the power and convenience of the internet to allow simultaneous (synchronous) and time-delayed (asynchronous) communication between an individual and a professional. For the purposes of this paper, e-therapy is defined as a licensed mental health care professional providing mental health services via e-mail, video conferencing, virtual reality technology, chat technology, or any combination of these. It does not include self-help methods such as public bulletin boards or private listservs. E-therapy is not psychotherapy or psychological counseling per se since it does to presume to diagnose or treat mental or medical disorders. However, e-therapy is flexible enough to also address many difficulties which clients present to the online therapist. As in other types of therapy, such as bibliotherapy, occupational therapy, and rehabilitation therapy), e-therapy does assist a person in addressing specific concerns with specific skills. This article examines the following issues of e-therapy. First, the types of e-therapy and related services are described to provide a background for the article. Second, the ethical codes which have been adopted by three major professional organizations (American Counseling Association,...
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...services refers to a variety of delivery systems such as social welfare services, education, mental health services, and other forms of healthcare. Human services professionals may provide services directly to clients or help clients access services. Human services professionals also manage agencies that provide these services. And because of their engagement with human conditions, they are involved in policy development and advocacy. The academic discipline of human services educates these professionals at the associate, bachelor's, and graduate levels and studies how delivery systems and public policies affect service users. The history of human services as an academic discipline[edit] Human services has its roots in charitable activities of religious and civic organizations that date back to the Colonial period. However, the academic discipline of human services did not start until the 1960s. At that time, a group of college academics started the new human services movement and began to promote the adoption of a new ideology about human service delivery and professionalism among traditional helping disciplines.[2] The movement's major goal was to make service delivery more efficient, effective, and humane. The other goals dealt with the reeducation of traditional helping professionals to have a greater appreciation of the individual as a whole person and to be accountable to the communities they serve. Furthermore, professionals would learn to take responsibility at all levels of...
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...potential or current work environment My professional role is the director of a faith base substance abuse residential recovery organization in Kansas City, Missouri for homeless women, committed to overcoming their addiction and becoming responsible, productive drug and alcohol free members of the community. Author’s Tsai, Rosenheck, Kasprow & Mcquire (2012) study differentiated between programs that were once religious but are now secular from programs that have always been secular and programs that currently have a religious orientation. As a director for a non-profit organization and private business owner, this organization is to be considered a “service provider” facility, working directly to house, heal, feed, clothe, and educate females experiencing homelessness. Supervise a staff of 10, including an assistant director. B. Describe the population The organization would provide services to 30 single females in a Bible-based residential recovery program. Funded by Federal, State, City and private funders. The funding will be used for staff salary, food, utilities, up keep of the building, etc. Females would range from 25-45 years of age. C. Identify the appropriate code of professional ethics Ethical Standards of Human Service Professionals (2015), Retrieved from http://www.nationalhumanservices.org/ethical-standards-for-hs-professionals 1. Inform consent – Standard 2 Human service professionals obtain informed consent to provide services...
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...Boundaries Issues Ashley Decamp, Christina Karsen, Jose Cevallos, Katy Norris, Samantha Cruse, Monica Green BSHS 335 February 23, 2015 Mary Ann Little Boundaries Issues Human service professionals are taught to understand their client’s as well as the role they play in their life professionally. The most important part of that is understanding that it is a professional relationship and should be nothing more than that. Boundaries are put in place in many different parts of a person’s life to help them understand what they are to do and where they are to avoid. This is also something that is implemented with human service professionals. They are taught boundaries for themselves and given the tools to help their clients’ understand what their boundaries are. It is done so that the clients’ can receive the best possible help there is for them. The following is going to explore different boundaries and relationships between a client and the professional, what to avoid, and the best possible solutions if a boundary is compromised. Below is some examples of human services professionals, and clients experiencing the issues with boundaries. A caseworker for DHS-Child Welfare, receives an anonymous report, that a young child has been physically abused. After interviewing the child and reviewing family information, the caseworker realizes that this is the son of another women she attends a local Mom’s group with. The mother has spent time during recent group meetings...
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