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Essay on professional boundaries
Essay on professional boundaries
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Challenging Professional Boundaries: Performing venepuncture for babies by certified staff nurses in Radiology Department
Professional boundaries refer to the limits that guard against patient’s vulnerable state and the professional conduct displayed by the health care provider. It is essential for the health care provider to maintain a balance as this would ensure that any act is done for the betterment and in the best interest of the patients. Boundaries in a patient setting refers to mutually unspoken and spoken words, gestures, emotional and physical acts between a trusting patient and his health care provider. According to Avis et al (1983), limits, lines, or borders are included in the term of boundary.
Nurse’s intent to provide the best therapeutic care to their patients but in doing so, question is, are they crossing their professional boundaries? Nursing is a profession that changes according to economic viability, technological advances, and milestones in teaching and patients demands. In today’s society, nurses are often challenged with crossing their professional boundaries in decision making or ethical boundaries which is very complex to define due to the advances in technologies, higher qualifications of society and demands by patients and relative; this is a reality. Further, nurses like any other are humans and they have this skill of humanity which is both hard to gauge and never been measured.
Humanity in nursing is direct correlation to care and in the process of delivering care to the patient, nurses more than often cross professional boundaries. If we were to reflect the quotation of Walsh (2000), emotion of care cannot be separated from nursing which intends to meet the needs of society individually and s...
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... leadership structure to provide support and motivation to her peer which enhances effectiveness of the organisation.
Nurses can also utilise innovative conflict handling and negotiation skills to deal and prevent a conflict, take advice from subordinates and ensure there is no discrimination.
In conclusion, venepuncture for babies in the radiology department requires the nurse to be equipped with due knowledge, skills and training. It is also essential to highlight and address other factors surrounding the procedure as the ones mentioned in this discussion. At the end of the day, a multi-disciplinary team always co-exist for every patient’s need and it is inherent for each to perform the duties associated in a competent manner. It is also just to conclude no person is indispensable and nurses therefore must take on new courses and training to assume new duties.
Nurses practice in a complex environment. Providing the best patient care centers around moral, legal, and ethical values (Laureate Education, 2012). Ethical, moral, and legal principles must guide a nurse’s professional practice. The purpose of this paper is to discuss the conceptual frameworks, describe a dilemma in the workplace, analyze the moral, ethical, and legal implications, and finally, discuss the leadership affect of my particular leadership style on this dilemma.
The purpose of this paper is to discuss the issue of incivility in nursing and how this affects the work environment, the importance that this has in the microsystem and the nursing profession and how suggestions on how to create healthy work atmosphere through my advanced practice in the family nurse practitioner field.
Nurses face many legal and ethical issues on a daily basis and they must practice according to the standards of care in order to make the best decision for the patient and themselves. According to Furlong (2007), in making ethical decisions, three resources that are valuable for nurses are (1) the ANA Code of Ethics, (2) an understanding of ethical principles, and (3) the ethics of caring. Utilizing the information set by nursing organizations allow nurses to function as advocates for patient’s and avoid any legal issues. It is important for nurses to understand how ethics, nursing, and law intertwine. The law and legal authority to practice nursing in a state is implemented by the Nurse Practice Act, this is a core aspect every nurse should be familiar with (Furlong, 2007).
Although many stipulations and expectations of the nursing profession are predetermined through regulatory authorities and organizations, there is a deeper meaning to this profession and the care that it provides. For decades, nursing theorists have had an impact on the care that this profession delivers; however, it is also important for every practicing nurse to explore themselves and their personal thoughts and feelings on the profession they have chosen. As a nurse, I have been able to search myself and determine what nursing means to me and apply it in my daily interactions with my coworkers, patients, families, and the community in which I serve. The nursing metaparadigm serves as a framework on discovering and exploring these thoughts and values as it introduces four concepts: nursing, health, person, and environment. Nursing care is a delicate and integral balance of various components within these concepts. Nurses provide care to others during some of the most difficult times of life. Because of this, it is imperative to understand the meaning and application of these concepts and be able to apply that knowledge to the care we provide as a profession. As a nurse, it is important to realize that the care we provide is an extension of what we learn from textbooks; nursing care encompasses an understanding and acceptance of others as well as a continual willingness to help and improve society.
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Professionalism is an adherence to a set of values comprising both a formally agreed-upon code of conduct and the informal expectations of colleagues, clients and society. The key values include acting in a patient's interest, responsiveness to the health needs of society, maintaining the highest standards of excellence in the practice of medicine and in the generation and dissemination of knowledge. In addition to medical knowledge and skills, medical professionals should present psychosocial and humanistic qualities such as caring, empathy, humility and compassion, as well as social responsibility and sensitivity to people's culture and beliefs. All these qualities are expected of members of highly trained professions.
Professionalism plays a significant role in how a person is perceived; there are many characteristics to professionalism. The characteristics that are most important to me are reliability, punctuality, respect, knowledge, and presentation. These characteristics together represent the picture of professionalism
The nature of human caring is an art that must be present in a nurse. This
In a health care profession, people look up to those providing care and need to establish a trusting relationship with them. Since nurses are at the forefront of care in a hospital, it is crucial for nurses to show and have integrity in the hospital setting. As nurses, we are the person that is in constant interaction with the patient and the last line before administering or doing any care to the patient. Nurses develop integrity in many ways, through given situations and the need to stand up for what is right for the patient. The core value of integrity can be used in the clinical setting now as sophomore students and throughout our time as a nurse. The core concept of integrity is holding true to what is right for the patient and providing the most beneficial care to the patient.
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
“Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken’, said Myrtle Aydelott (Hammarskjold, 2000). Nurses have our patients trust with their lives every day. These patients have needs that must be understood and met, whether; physical, psychological, or emotional. Nurses must provide nonjudgmental care to those in need, regardless of culture, religion, lifestyle choices, financial status, or hues of the human race. To quote Jean Watson, nursing theorist, “I am here to care for others, regardless of where they came from” (Hammarskjold, 2000). I believe that the nursing profession chose me because I have always had a calling to help those in need. Nursing
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be