Professional Boundaries In Nursing

Multi-disciplinary healthcare teams are important and critical in developing the comprehensive care and treatment for patients. Communication is indispensable for providing comprehensive services. One big challenge of communication between different parties in teams is causing the potential for conflict. Most of the organizations are inevitable encountering conflict and the clinical healthcare setting is no exception (Almost, 2006; Pavlakis et al., 2011).

A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts.

Driscoll (2000) model) consists of three stages (What, So what & Now what) completing one cycle help me to improve my caring practice continuously and learning from those experience for better practice in the future. The cycle starts with a description of the situation (“What”), which include analysis of the incident. “So what” evaluate the experience, including the analysis to make sense of the experience, and the final stage “Now what” is a conclusion of what else could I have done better and an action plan to prepare for, if the similar situation arose again. Baird and winter (2005) gave some reasons why reflection is required in the reflective practice. They highlighted that a reflection could generate the practical knowledge, help to adapt

With the continued change and increased complexity of the identity of the nurse it has led to the confusion as to what role nurses play – are they caregivers or clinicians? With the continued evolution of nurses professional identity nurses have moved away from the feminine role of just merely caring and have moved towards taking on more masculine role which have traditionally been associated with power. As traditionally power is mainly associated with masculinity and caring, which is the core value of nursing, as associated with femininity. From this it can be said that nurses have evolved from being the overshadowed caregivers to now taking on roles that traditionally would not be associated with nursing however still keeping the care element. In order to establish exactly how the identity of nurses has evolved over the years and to understand what it is today, we will look at the history of nursing as well as looking at how professional identity is formed and what factors

Claudia Kalb’s article “ Do No Harm,” published in the October 4, 2010, issue of Society, discuses the healthcare professionals’ defensive behavior that causes the malpractices among patients. Kalb reports that since the Health system’s applied the lawyer Boothman’s program of “ disclosure and compensation,” then the number of lawsuits reduced as well as the legal- defense costs have dropped around 61 percent. In 1999, there were around 100,000 Americans people are killed from the preventable medical errors, noted Kalb. Also, the header of Centers for Medicare and Medicaid Services even claims that there won’t be any refund to the hospitals for preventable medical error cases. According to Kalb, Harvard’s Institute for Professionalism and

I chose this competence because it teaches me that I need to have a positive self-esteem and a great attitude towards my clients, colleagues and every situation in order to be able to provide holistic quality care. and teaches me the

Professional boundaries are guidelines that help to keep a nurse and patient’s relationship professional. Professional boundaries help to keep the nurses focused on patient care and the patients focus on meeting their health care related goals.

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

There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved. A patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration

Confidentiality is an ethical value that remains deeply rooted in the nursing profession and has always been the cornerstone of the nurse-patient relationship. Since the days as nursing students, we were constantly reminded of the significance in maintaining patient’s confidentiality.

An event that was significant to me throughout clinical placement was when I forgot to introduce myself to a visually impaired client.

Nursing is a responsibility to provide the finest care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. Nurses must keep up to date on education, new processes, policies and keep informed about new laws and regulations in healthcare, so outstanding healthcare can be administered. As a nurse, you have undertaken a responsibility to provide people the finest quality care that can possibly receive. It is a nurses’ duty to follow the code of ethics, to act

Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005; Epstein, 2008; Gutierrez, 2005; Peter, 2008; Radzvin, 2010; Redman and Fry, 2000; Solomon et al. 2005; Sporrong et al. 2006; Wigglelon et al 2010).

Nursing is provision of professional care to individuals, families, and communities in order to make them attain, maintain or recover optimal health and resume the good quality of life. Other than the receiving professional training and possessing well-trained therapeutic skills, nurses should also have good ability of interpersonal communication, because during the process of therapy, large amount of communications are involved in it. Nurses and patients will experience an inter exchange of information between each other so as to reach their mutual goals.

The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice. Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,