Nursing 4320A/B Lecture 10: 4320 Week 10 Lecture
14 Feb 2019
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Document Summary
Establishing, maintaining and navigating boundaries in the therapeutic: nurses cannot delegate the act of dispensing medication. Key elements of therapeutic relationships: trust, respect, professional intimacy, you perform very intimate acts on patients and you learn about their lives, empathy, power, we have more power over them. 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, culture (e. g. acceptance of gifts) If a nurse daydreams, fantasizes, or considers crossing a line, this is referred to as drifting over the line.
