Unit 4 - Boundaries Flashcards
define boundary
a point or limit that indicates where two things become different
define boundaries
unofficial rules about what should not be done: limits that define acceptable behaviour.
what are personal boundaries?
physical, emotional and mental limits
what is the point of having personal boundaries
- allow us to separate who we are
- helps us express ourselves as unique individuals
Whats is the systems theory?
- Explains the breaking of whole things into parts; and all things working together in a system
- used To understand biological systems, and systems in families and nursing care
how are personal boundaries established?
- Know that you have the right
- Recognize needs and feelings
- Learn to say ‘no’
- Identify actions and behaviours
- Trust and believe in yourself
what are some examples of unhealthy personal boundaries?
- always trying to please others
- Giving all you can
- Taking all you can
- Letting others define you
- Expecting others to fill your needs automatically
- Cannot say ‘no’
- Not speaking up
- Falling apart
- Falling ‘in love’ with anyone who shows you affection
- Accepting unwanted attention
- Touching without asking
what are examples of healthy personal boundaries?
- Healthy self-confidence and self-concept
- In touch with reality
- Able to communicate with others
- Fulfilling relationships
- Stability and control over our lives
the core of nursing is ______ relationships.
therapeutic nurse client relationships
therapeutic relationships involve …..
- using nursing knowledge and skills
- applying caring attitudes and behaviour
- contributes to clients health and well-being
- trust, respect, empathy, professional intimacy, appropriate use of power
explain the continuum of professional behaviour.
***under involvement: unempathetic, negligence, uncaring
*** zone of helpfulness: meets client’s therapeutic needs
***over involvement: favouritism, abuse, social contact
what are the 4 components of a therapeutic relationship?
1) power
2) trust
3) respect
4) choice
what nursing qualities are needed for therapeutic relations?
- Awareness of self
- Clarification of values
- Exploration of own actions with patients
- Use of self as a role model
- Altruism (sense of selflessness)
- Ethics and responsibility
define professional boundaries
the spaces between the nurse’s power and the client’s vulnerability
what is the purpose of professional boundaries?
- provide a sense of legitimate control in a relationship
- sets limits to the nurse-client relationship
engaging a client in a professional caring relationship puts nurses at risk of…
nurses are at risk of overstepping their professional boundaries
define Boundary Crossings
- Grey zones in the area of nurse-client relationship boundaries
- Brief excursions across the boundary lines, with a return to established limits of the professional relationship
- May or may not be harmful to the client and should be assessed on a case by case basis
define Boundary violations
- The professional boundary has been crossed and is clearly not in the clients’ best interests
- includes acts of abuse in the nurse-client relationship
what are the 5 types of boundary crossings?
1) self disclosure
2) gift giving
3) Commencing a social relationship with a former client
4) Commencing or escalating a social relationship with families of clients
5) Entering a therapeutic relationship with family, friends or acquaintances
define self disclosure
- the revelation that occurs when a person reveals information about his/her self: ideas, values, feelings or attitudes, to another person
what are the benefits of self-disclosure
- Client sees nurse as a ‘real person’
- Develop trust between nurse and client
- Encourages the client’s self-exploration and self-understanding
- Helps the client focus more clearly on the problems they are facing
what problems occur with gift giving?
- not always clear when it is appropriate to accept gifts from clients
- Consider cultural beliefs and values of the client
- Assess the relationship
- Nurses must never solicit gifts from clients
- Be careful when admiring client belongings
- Cash should never exchange hands between clients and nurses.
- Always refer to agency policy on gift
what are some strategies to promote boundary maintenance?
- Be aware of warning signs
- Don’t become dependent on clients to meet your social needs
- Avoid inappropriate self-disclosure
- Examine potential boundary issues
- Talk to trusted colleagues
- Seek out clinical supervision
- Contribute to meaningful practice guidelines
define sexual misconduct
- an extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harassing or reasonably interpreted as sexual by the patient
- romantic / sexual relationships between nurses and clients aren’t appropriate.
