Communication Lab #3
Professional Boundaries
NURS 2520 Foundations in Nursing Communication Laboratory
Definition: Clearly established limits on the interpersonal relationship
that allow for safe connections between service providers and their
patients.
Consider:
Being with -not becoming the patient.
Being friendly (respectful, courteous, kind) but not friends.
The ability to know where you end and the patient begins.
Having a clear understanding of the limits and responsibilities of your
role as a nurse.
*Being ashamed to tell others about anything you say or do with your
patient * is a red-flag that you are committing (or about to) commit a
boundary violation.
Boundary issues and/or clear crossings occur as nurses have become
too involved with a patient and when nurses are under-involved with
their patients.
Discussion of Boundary Scenarios (Instructor will bring these)
Can you identify an example of a professional boundary issue (or
crossing which is more severe, and usually a clear violation)?
Can you describe how violating professional boundaries might affect
patients/families?
Can you describe how violating professional boundaries might affect
nurses?
What is a ‘dual relationship”, what should you do about them?
Communication Lab Objectives – Lab 3
TIPS for Healthy Boundaries
Establish at your first meeting (or as early as possible) clear agreements
about your role (including availability, best way to communicate with
you and (sometimes) what to do if you meet in public.
Decide what you are going to self-disclose- ensure it is related to the
client’s goals. Too much self-disclosure confuses the client in terms of
expectations of the relationship.
Sensitive relationships often require frequent clarification of roles and
boundaries- ask client to repeat back what you said (acre understanding;
also give opportunity for clarifying questions).
Use your supervisor if you have questions/concerns, especially if you
suspect boundary issues are impacting your ability to proved objective,
compassionate care.
Supervisors and peer nurses can give you advice if yo are uncomfortable
talking about boundaries with your clients.
Dual Relationships (a relationship before you became his/her nurse. Use
your professional judgment when interacting in social settings, pay
particular attention to confidentiality and physical and emotional
security.
Heed SELF Care- Leave work at work!
Communication Lab Objectives – Lab 3