Me and You

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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.

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To ensure a professional environment between the nurse and patient, a code of conduct, as well as a set of policies and ethics, are put in place. Daly, Speedy & Jackson (2006, p. 131) states that nursing ethics can be…...

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