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NURS2193 Nursing Therapeutics and Aged Clients Assignment Sample

This assessment for assignment help requires you to use your academic writing skills to produce a 1500-word essay.

This will contribute to 50% of your overall mark for the course and supports several of the course learning outcomes for this course:

» CLO 2: Compare and contrast the various work contexts of the professional nurse
» CLO 3: Prepare written communication relative to the acquisition of nursing knowledge
» CLO 5: Describe the basic principles of reflective practice and evidence their application in relation to particular learning tasks

Essay Topics

Choose any 1 topic from 2.

1. Professional boundaries are an important feature of therapeutic relationships between nurses and patients. Discuss this statement. Within your essay, identify the difference between boundary violationsand boundary crossings and provide an example of each.


2. Reflective practice is regarded as a key skill for nurses that enhance professional learning and growth. Discuss this statement Within your essay, comment on why reflective practice is valuable for nursing students and beginning registered nurses.


Nursing professionals need to engage with their patients or clients in a dynamic way that demands their participation in maintaining a healthy interaction with the patient ensuring the delivery of quality healthcare practice that is beneficial for the patient (Molina-Mula & Gallo-Estrada 2020). The behavior and relationship between the therapeutic nurses and the patient must be very consistent throughout the treatment and within a framework of professional boundaries. In this academic essay, a thorough discussion on the therapeutic nurse-patient relationship would be done followed by investigation of the importance of the professional boundaries and its importance in therapeutic care would be performed, the concepts of boundary crossing and boundary violation with several examples will be discussed throughout the next few paragraphs.

 The therapeutic nurse and patient relationship are one of the foundation blocks in nursing care. Throughout the treatment period, the nurses need to maintain the trust, respect, privacy, and dignity of their patients (Hartley et al., 2020). The nurse-patient relationship is a goal-oriented and fruitful relationship that serves the best interests of the patient as well as for delivering quality care. The therapeutic nurse-patient relationship is based on several foundational pillars as follows- firstly, trust, the therapeutic nursing practitioners must build trust between dim and the patient to deliver the best possible care for them. Secondly, respect, the therapeutic nurse needs to have respect start the values and culture of the patient who they treat. Thirdly, intimacy; The physical, psychological as well as emotional intimacy is required to deliver therapeutic play care and which creates a barn ability in the nurse-patient relationship.

The therapeutic nurse-patient relationship is different from the personal relationship in many aspects such as this relationship is based on several regulations and codes of ethics as per the professional standards and it is entirely goal-oriented and different from the spontaneous or uncontrolled interest-seeking personal relationship (Slobogian, Giles & Rent, 2017).

Boundaries are an important parameter in the case of a therapeutic nurse-patient relationship and the nurses should provide the care while staying within the boundaries of the relationship. Proper knowledge, skills and guidance are extremely important in maintaining the professional relationship between the therapeutic nurses and their patients, which is quite different from the personal relationship, where there is no formal education, guidance or advanced preparation required (Kornhaber et al., 2016). Boundaries that are common in the professional sector will be discussed in the subsequent paragraph of this study.

The professional boundaries are the little window in between the therapeutic nurses inability to control power and indulgence and the patients situational vulnerability. The professional boundary in therapeutic nursing care ensures and determines the lines through which they are professional and therapeutic behaviors are guided and in rectifying any behavior whether intentional or unintentional that serves their own interest rather than the patients care need. The therapeutic nursing practitioners must maintain professional relationships and boundaries to be able to maintain play respectful consistent relationships with their patients throughout the length of their treatment phase. The duty of maintaining professional boundaries lies only with the nursing practitioners but not with the patient. The boundary has some major importance in the therapeutic relationships between healthcare professionals and patients.

The professional boundaries in the relationship between the therapeutic nurse and the patient exist because of ensuring the safety and better care for the patients. The nurses need to follow these boundaries in order to sharpen the best interest of the patient throughout their treatment period, it is beyond their personal characteristics and affection. During the therapeutic relationship with the patient, the therapeutic nurse has access to patient information and they can influence the patient seeking care. These specialized knowledge skills as well as access to personal data create a vulnerability for the nurses to the patient. To ensure that the code of ethics professional boundaries, as well as patient safety, are maintained the nursing practitioners must always remain within their professional boundaries during real life practice. In the subsequent paragraph of this study, the author will specifically focus on approaches that are followed to cross the professional boundary in therapeutic communication and relation.

Boundary crossing in a professional relationship between the therapeutic nurse and the patient could be explained by short misconduct as per the professional behavioral standards during their service for the therapeutic care of the patient. The boundary-crossing incidents as moderate to low significance when it occurs for the first instance but overtime with frequent occurrence of boundary-crossing crossings this may lead to boundary violation and which has a serious impact on the professional code of conduct ( Kristoffersen, 2019).

Several actions that lead to boundary crossings when the therapeutic nurse encounters a vulnerable patient are as follows: Maintaining a personal relationship with the patient. Connecting with the patient through social media. Intentionally disclosing in front of the patient. Maintaining a behavior of gif taking from the patients. Providing favors to the patient outside of the job roles and responsibility. Providing special care for the patient beyond the job role ( Hazen et al., 2018). Providing therapeutic care for friends and family

Boundary violation is a serious concern in the case of the therapeutic relationship between the nurse and the patient. Boundary violations are a clear persistent breach of professional boundaries and underlying trust between the patient and nurse. When the nurse takes advantage of the professional relationship they have with their patients and fulfill their personal needs that is a clear indication of boundary violation. Boundary violations are not acceptable in the therapeutic nursing practice and it can impact the nurse’s career affecting licensing sanctions ( Manral, Pareek & Kaur, 2018). The underlying cause of the boundary violation could also be the lack of understanding and confusion present between the nerds and the patient’s relationship in case of what is the roll-up the nurse and play the therapeutic needs of the patient

Several examples of boundary violations are as follows: Engaging in a romantic or sexual relationship with the patient under treatment. Self-disclosure beyond a certain limit with the patient. Lending money or borrowing money from the patient who is receiving the treatment from the therapeutic nurse. Maintaining a culture of gift taking and giving and asking for a favor in return. Asking for benefit what the nurse by influencing the client’s will or power. Too much involvement with the patient that impacts their personal relationship. Using the patient as a medium for selling or promoting the nurse’s own business. Engagement of the patient in providing care to the nursing practitioner.

The violation of professional boundaries between the therapeutic nurse and their patient has a serious impact on the patient as well as the nurse and on the overall patient care that is given. The professional boundaries are in place to help protect the patient’s valuable information and the safety of their treatment. When the professional boundary is breached there is potential harm to the patient which is not always immediately noticed or recognized. Due to this boundary crossing and violation the negative consequences are faced by the patient ( Hook & Devereux, 2018 ). The altered expectations and behaviors if not sustained and managed can create mentally as well as physical trauma to the patient and interfere with their treatment. Crossing professional boundaries as well as violating the boundaries has a serious impact on the nursing practitioner’s professional career. Lawful action may be taken against the nerds and termination of their employment could be enacted. The violation of professional boundaries also has serious physical and mental struggles for the nursing practitioners which lead to their lack of effort in the daily practice impaired personal relationship and stress ( Reyes Nieva, Ruan & Schiff, 2020 ).

This academic essay summarizes the relationship between the therapeutic nurse and their patients and several parameters associated with this. Boundary crossing and boundary violation with respect to the therapeutic nurse-patient relationship is defined followed by several examples which indicate the behaviors associated with boundary crossings and violation. The impact of boundary crossing and the violation has a play on patient care and patient safety as well as on the professional as well as the personal life of the therapeutic nursing practitioner is critically discussed in this essay. 


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