Professional boundaries in nursing education: is this our blind spot?

Author(s):  
Sandra Y. Walker
2019 ◽  
Vol 11 (3) ◽  
Author(s):  
John Coates ◽  
Fred H. Besthorn

Where are the boundaries between things located? When we meet another person or when we meet the tree in the forest or the sand by the shore each is changed by the other. We all know that at one level of reality we are different and yet we also know that the apparent rigidity between me and other dissolves in a constant and mutual exchange of cells, conversations and consciousness. In nature, the bridge between two points of apparent difference is a dynamic, interactive field of reciprocal engagement. Indeed, in nature, complex, reciprocal relationships are the sine qua non of ecosystems. Everything touches and is touched by everything else. It is in meeting, touching, listening and communicating with another that we discover most completely what we are and are able to express most eloquently who we are. The helping professions are increasingly seeking ways to bridge the epistemological gap between the atomistic and the ecological and cross those professional boundaries that have for too long kept helpers of every stripe separated and isolated from one another. Ironically, it is a new rediscovery of an ancient wisdom that is creating a catalyst for hope and change. Recently, those hopes to discover new linkages and a new era of collaborative professional partnerships to address pressing social and environmental problems took a small step forward. Professional helpers from a variety of disciplines including social work, psychology, nursing, education and environmental studies gathered in Calgary, Canada in May, 2009 for a first of its kind multi-disciplinary conference entitled: Building Bridges, Crossing Boundaries: Interdisciplinary Dialogues on Person, Planet and Professional Helping. The conference was suffused with both urgency and anticipation as professional helpers worked to better understand each other and those many ways they might cooperate across professional borders to build bridges to a more balanced and interdisciplinary view of the helping enterprise. This brief introduction provides a short sketch of the historical realities which created the ideological boundaries that the conference sought to bridge and how that has begun to change. It also provides a brief overview of each contributor’s work.


2021 ◽  
Author(s):  
◽  
Julia Margaret McLean

<p>Therapeutic relationships are central to mental health nursing. The nurse's role in maintaining professional yet therapeutic boundaries within this relationship can be challenging. When therapeutic boundaries are breeched within the nurse adolescent relationship the adolescent's safety within this relationship is compromised. There is currently limited literature on how nurses are managing professional boundaries in relationships with adolescents in this setting. The adolescent's nature is to push boundaries; therefore the nurse needs to be acutely aware of this boundary pushing in everyday practice settings. For the safety of the adolescent and the nurse it is vital the nurse understands her role in managing the professional boundary. This thesis explores, through the use of narrative inquiry, four adolescent mental health nurses' experiences of assessing, understanding and maintaining therapeutic boundaries with adolescents in a mental health setting in New Zealand. The unique and specific implications for adolescent mental health nursing are discussed. Three key themes emerged from the analysis and findings: the importance of the nurse clarifying his/her role; the learning that occurs throughout the practice journey; and the role of the nurse in keeping the adolescent and the nurse safe. These findings highlight the importance of clinical supervision and open communication with senior nurses and mentors, which assist the nurse in monitoring practice. When nurses do not have sufficient knowledge of the fundamental principles of adolescent mental health nursing; such as knowledge and skills in both adolescent development and psychodynamic nursing, they are at risk of boundary crossings. Recommendations from this research include more emphasis on psychodynamic nursing principles in nursing education and nursing practice. There is a need for specialised education for nurses in child and adolescent mental health nursing. Nursing entry to practice programmes for new graduate nurses working in mental health, could assist in providing this. There is a call for further research into therapeutic relationships and professional boundaries in this complex nursing specialty.</p>


2021 ◽  
Author(s):  
◽  
Julia Margaret McLean

<p>Therapeutic relationships are central to mental health nursing. The nurse's role in maintaining professional yet therapeutic boundaries within this relationship can be challenging. When therapeutic boundaries are breeched within the nurse adolescent relationship the adolescent's safety within this relationship is compromised. There is currently limited literature on how nurses are managing professional boundaries in relationships with adolescents in this setting. The adolescent's nature is to push boundaries; therefore the nurse needs to be acutely aware of this boundary pushing in everyday practice settings. For the safety of the adolescent and the nurse it is vital the nurse understands her role in managing the professional boundary. This thesis explores, through the use of narrative inquiry, four adolescent mental health nurses' experiences of assessing, understanding and maintaining therapeutic boundaries with adolescents in a mental health setting in New Zealand. The unique and specific implications for adolescent mental health nursing are discussed. Three key themes emerged from the analysis and findings: the importance of the nurse clarifying his/her role; the learning that occurs throughout the practice journey; and the role of the nurse in keeping the adolescent and the nurse safe. These findings highlight the importance of clinical supervision and open communication with senior nurses and mentors, which assist the nurse in monitoring practice. When nurses do not have sufficient knowledge of the fundamental principles of adolescent mental health nursing; such as knowledge and skills in both adolescent development and psychodynamic nursing, they are at risk of boundary crossings. Recommendations from this research include more emphasis on psychodynamic nursing principles in nursing education and nursing practice. There is a need for specialised education for nurses in child and adolescent mental health nursing. Nursing entry to practice programmes for new graduate nurses working in mental health, could assist in providing this. There is a call for further research into therapeutic relationships and professional boundaries in this complex nursing specialty.</p>


Author(s):  
Priya Baby ◽  
Manju Dhandapani ◽  
L Gopichandran

The current scenario of nursing in India forces us to introspect if the nurses are equipped enough to bring out their best contribution towards the health of our country and if their voices are well heard in the healthcare system. Despite being highly skilled professionals, nurses are neither facilitated nor rewarded enough to sustain their motivation and inputs. To understand the struggles faced by nurses in India, we reviewed literature that addresses Indian nurses’ concerns and brainstormed about the major challenges that nurses encounter with key nursing personnel from nursing education, clinical services and administration from selected hospitals of India. The major challenges that negatively affect the contribution of nurses are shortage of nurses, poor working conditions and career opportunity, ineffective leadership roles, poor educational quality, low salary and state neglect. The COVID-19 pandemic has proven the vast contribution and sacrifice of nurses. The competency of nurses has gone up with specialization, and advanced nursing degrees. Enhancing nurses’ involvement in collaborative healthcare research would be a hallmark in improving the quality patient care. To efficiently utilize the contribution of the nurses in healthcare system, the society and state have to recognize the potentials and vulnerabilities of nurses, appreciate their strengths and reciprocate responsibilities to their neglected concerns.


2018 ◽  
Vol 8 (9) ◽  
pp. 113 ◽  
Author(s):  
Jacqueline Limoges ◽  
Kim Jagos ◽  
Sara Lankshear ◽  
Sandy Madorin ◽  
Deb Witmer

Background: Little research exists to guide nursing faculty to respond to the most recent entry-to-practice education changes and subsequent practice and knowledge expansion for nurses. The purpose of this study was to explore the experiences of faculty as they teach about professional boundaries and role clarity to college and university nursing students and how this teaching is connected to in intra-professional collaboration.Methods: This qualitative research study used a critical feminist sociology to analyze interviews and relevant documents. Twenty-five nursing faculty from an Ontario, Canada school were interviewed.Results: Through our analysis we detected two main findings. The first was the activation of hierarchies positioning the university program with more status and legitimacy than the college program, and how this established power relations and impeded nursing education for role clarity. The second was the struggle to articulate the actual differences between the roles and contributions of the Registered Practical Nurse (RPN) and the Registered Nurse (RN) and how this struggle impeded education for effective collaboration and role clarity.Conclusions: Supporting faculty to recognize the distinct and overlapping contributions of each type of nurse can support educational reform that promotes competencies in collaborative care.


1975 ◽  
Vol 20 (8) ◽  
pp. 641-642
Author(s):  
JUDITH LONG LAWS

1989 ◽  
Author(s):  
Vanessa Laufer ◽  
Boja Vasic
Keyword(s):  

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