5 pages/≈1375 words
Health, Medicine, Nursing
Maintaining Professional Boundaries for Better Nurse-Patient Relationship (Term Paper Sample)
Here is the instruction from the course instructor and my notes. The goal of this paper is to provide a you with the opportunity to demonstrate how the concepts and theories discussed in this course guide your practice. It is critical that you indicate how the material you discuss can specifically impact the care you give in your practice as a student and specifically how that can happen, through your use of appropriate examples from your practice, and the experience of nursing colleagues and/or the literature. Consistent links to the literature throughout the paper about the concept you are discussing is also required. The main focus of your paper is the theory/concept you choose. Select a topic from the list below. Include in your paper reference to course material, and, if you feel it is indicated, 1 or 2 other pieces of scholarly literature (not web sites), which deals with your topic. We find that students who use more than 5-6 references are usually just skimming the surface of that material rather than working in depth with the ideas discussed, and that can detract from the quality of the paper. Select from the following: a) Nursing knowledge & evidence-based practice b) Nursing ethics: values & principles c) Professional boundaries in patient care & challenging patients (i choose this one) d) Responding to diversity: Anti-racism & cultural safety e) Maintaining safety Format and Content Section 1 Begin your paper by explaining the perspectives of current literature on this theme and critically reflect on these perspectives by exploring views and ideas of various authors. Section 2 Select 2-3 clinical examples from your practice as a nursing student , and from your readings, and illustrate, with consistent referencing throughout this section, how these examples relate to literature (discussed in Section 1) about the theme you chose to discuss. (Some students combine Sections 1 & 2) Section 3 Finally, discuss, in light of the examples you have described, the relevance of this theme/topic for your own current practice as a nursing student. What is important about it for you? How does this influence how you provide care now?; indicate how. Link this discussion to the literature to illustrate your points as to why this is important/ how it enhances your care, presently, in your program. The paper will be evaluated on the basis of clarity of presentation, evidence of critical thinking, and originality. The extent to which you took direction from the guidelines (above) will be weighted heavily in the evaluation. Critical thinking is demonstrated, in part, by a discussion that not only explores the current state or situation, but also suggests ways in which such a situation may be either problematic or positive, as well as ways in which your actions, as guided by the literature can/does influence your current care as a student. The extent to which you effectively integrate course readings throughout the paper will also be evaluated. (It is not always necessary to go beyond the course readings, but for some topics, further research may enhance the quality of your paper.) Ensure you balance the use of readings with your own perspective or position on the topic. (In other words, do not simply summarize what you have read) The paper should be 6 pages in length, not counting the reference list, typed in double spaced APA format, and in 12 font. Please ensure you use APA format carefully. Note. 1. My clinical experience In my first clinical placement in St Michael\'s Hospital post partum unit, I observed a nurse (a nurse I was shadowing with)neglect a patient care needs. The patient was an immigrant who recently came to Canada and had not any family support. When the nurse briefed me about the patient, she said that the patient is low in cognitive ability and cannot communicate well. I saw the nurse not addressing the patient by her name, making a directive interaction with the patient and did not follow patient centred approach in establishing treatment goals When I later interacted with the patient, she was very polite, interactive and in fact her cognitive ability was quite normal. She told me that she felt at ease when communicating with me and she did not like the attitude of her nurse. I advocated for her wound dressing to be changed and get a lactation consultant to learn breast feeding technique. In general the nurse had a bias when collecting, interpreting and communicating information about her patient and did not promote the client's participation, choice and control in meeting her health-care needs . 2. please give any other example from the literature 3. the Reference used in our course reader are  Liaschenko, J. (1994). Making a bridge: The moral work with patients we do not like. Journal of Palliative Care, 10(3), 83–89.  College of Nurses of Ontario. (2006). Therapeutic nurse-client relationship. Toronto, Ontario, Canada: Author 4. Please add more scholarly references ( 2 or 3) 5. The paper should be based on canadian stiuation 6. If you have any question, please do not hesitate to contact me source..
Maintaining Professional Boundaries for Better Nurse-Patient Relationship
(November 17, 2012)
Maintaining Professional Boundaries for Better Nurse-Patient Relationship
Section 1, Literature Review
Professional Boundaries in nursing are often violated by the nurses and other medical practitioners. In professional nursing, nurses are expected to practice professional boundaries in making sure that healthy and open relationship exist between the patients and the nurses. Canadian medical practitioners have been sensitive on this issue. Nurses are expected to work diligently in a responsible care giving model. This is irrespective if the nurses are accepting gifts and whining to a patient on their personal life among other situations that attract emotions (Canadian Nurses' Association, 2011).
Effective professional boundaries are mutually understood by the nurses and by the patients. They are also unspoken emotional and physical limits between the relationship of the patient and the nurse. Altering the professional boundaries limits results to a conflict between the relationship of the patient and the nurse. Altered professional boundaries result to unethical and ambiguous practices. It is important stressing that the wellbeing of the patient is engraved in the practices of the nurses, who works in a collaborative model between the patient and the nurses (College of Nurses of Ontario, 2006). Most patients are characterized with physical challenges, distress and emotional challenges. There are some patients who demand continuous treatment, unaware of their health need; therefore nurses must act professionally.
Research indicates that a nurse who speak ill of the health facility or talk ill of the co-workers is absolutely after sympathy from the patients. The patients in such cases feel sorry for the prevailing situations (Hart, 2009). There are some nurses who achieve power of the patients by instilling fear, this is done by speaking to the patient on the poor staffing of the medical facility and the challenges faced in the line of duty (Canadian Nurses' Association, 2011). It has been noted that at most times, the nurses uses the situations to access some form of personal gain.
Symptoms of unhealthy boundaries
There are a number of warning signs that could alert a nurse on a situation leading to unhealthy professional boundaries of the relationship between the nurses and the patients. The first sign is sharing personal aspects and personal problems with patients particularly on the intimate life, keeping secrets exclusively between the nurses and the patients, feeling defensive particularly if other medical practitioners question the interaction between the patient and the nurse, accepting gifts from the patients, opening up to the patients on personal inability and professional needs and speaking poorly and unprofessional on the medical facility and coworkers (College of ...
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