Nursing 4320A/B Lecture Notes - Lecture 10: Therapeutic Relationship, Comorbidity, Abstinence
17 Nov 2018
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Establishing, maintaining and navigating boundaries in the therapeutic relationship. Week 9 review: rn is working in on would lie a ucp to help give medications. What should she do before allowing the ucp to do this task: the nurse should not delegate this act to the ucp (nurses cant delegate) 2: start in year 1 (more theoretical, by year 4, its intertwined into clinical, ongoing professional development. Boundaries: a boundary indicates what is out of bounds in relationships it acts to constrain, constrict, and limit (austin et al. , 2006, p. 77, guidelines include, abstinence from personal gratification, neutrality, autonomy, putting the best interest of the client first. The boundary triad: porter, 2012, p. 62. Purpose of boundaries: protect clients from harm, protect the nurse/professional. Influenced by : needs & personality of client, character & training of the therapist, status of the treatment alliance, treatment setting (e. g. home versus hospital, geography (e. g. rural communities & dual relationships)
