undariesProfessional boundaries in Nursing
This assignment a discussion about nursing boundaries issues which happened in my workplace. The founder of modern nursing has rightly quoted that ‘nursing is the care which puts the person in the best possible condition for nature to either restore or preserve health or to prevent or cure injury’.
Nursing has its own entity and ethics which makes it a profession. In response to the rising health needs, the need for independent nursing is the demand of the hour. This concept are formulated and implemented in develop countries. This has helped in meeting the consumers’ demand for health benefits.
In the early years of the nursing profession, it ...view middle of the document...
Hoder and Schnethal (2007) defined professional boundaries as are limit –lines protection in between the nurses and the patient. Same goes to Peterson (1992) he define professional boundaries in nursing as limits which protected the space between the professional‘s power and the client’s vulnerability. With boundaries also it can give each person a sense of legitimates control in a relationship. As a register nurse certified by nursing board of Malaysia there was a scope and professional boundaries must to be follows by me in order for practice my nursing license with was Nurses act 1950(act14), nurses act 1950 (Nurses Registration Regulation 1985) and Code of Professional Conduct for Nurses 1998).
In daily works at medical unit, sometimes the boundaries are been crossed with permission or without permission or violated. Blurring in professional boundaries can happen when there is imprecision about who do what. There is a sense is which some of boundaries is unavoidable. As a senior in that unit I noticed that the blurring boundaries are commonly happen in my units is cannulation in peripheral line. According to Allen (1997), an experienced and trained professional more easily blur boundaries compared with junior professional. Wall (1998) found that professional role will be a loss of efficiency when the boundaries being across.
In my practical setting, insertion IV cannula of peripheral supposed to be performs by the doctor but a senior nurse does it. It usually happens in night duty, as mostly there only specialist on call, one medical officer and one junior doctor on call. The junior doctor responsible to cover a few medical unit included acute medical ward with a few of patient there are unstable or with ventilated. In order to maintain the patient treatment either for circulator antibiotic level or to ensure the maintenance adequate fluid most reasons that the nurses undertaken the cannualtion themselves due to difficulties getting the junior doctor to come to the unit for set up cannula or busyness to covering a few units.
In addition, lacking of the doctor in my working area also make influence of the nurses action. However, if the doctor available in the units during office hour, they have to finish their entire plan of patient care. Snelgrove and Hughes (2000) found that night nurses often move across usual boundaries to ease pressure on over-burdened junior doctors. Some of nurses tend to take over the expended role as they are willing to learn and developing themselves. Workman (2002) found that nurses want undertake cannulation because they perceive that it improves the standard of patient care and provides personal and professional satisfaction. Meanwhile, Djukic and Kovner (2010) cited that nurses and physician practice overlapped can be useful for determine conventional role and responsibilities as well as opportunities for expanding established professional boundaries. Mitchinson and Goodland (1996) defined expended role as...