The space between the nurse's power and the patient's vulnerability
What is professional boundaries?
100
Where every nurse-patient relationship can be plotted.
What is the continuum of professional behavior?
100
Person responsible for delineating and maintaining boundaries.
Who is the nurse?
100
The nurse discusses personal problems, feelings of sexual attraction or aspects of his or her intimate life with the patient
What is excessive self disclosure?
100
Nurses should follow employer policies for taking photographs or videos of patients for treatment or other legitimate purposes using employer-provided devices. Nurses should not take picture of patients using what...
What is personal devices including cell phones?
200
Brief excursions across professional lines of behavior that may be inadvertent, thoughtless, or even purposeful, while attempting to meet a special therapeutic need of the patient
What is boundary crossings?
200
Located in the center of the continuum, this is where patient interactions should occur for effectiveness and patient safety.
What is patient centered care?
200
Zone where nurses should work.
What is the zone of helpfulness?
200
The nurse keeps secrets with the patient and/or becomes guarded or defensive when someone questions their interaction.
What is secretive behavior?
200
Use caution when having online social contact with patients and former patients. It is the nurse's responsibility to maintain what....
What is professional boundaries?
300
Result when there is confusion between the needs of the nurse and those of the patient.
What is boundary violation?
300
Located on the right side of the continuum; this includes boundary crossings, boundary violations, and professional sexual misconduct
What is over-involvement?
300
The reason nurses are strictly prohibited from transmitting, by way of any electronic media, any patient-related image.
What is avoiding disclosing confidential patient information?
300
The nurse believes that he or she is immune from fostering a non-therapeutic relationship and that only he or she understands and can meet the patient's needs.
What is "super nurse" behavior?
300
Even if a post or picture is deleted from the internet, it still lives on the ...
What is the server? (It is also still discoverable in a court of law.)
400
An extreme form of boundary violation and includes any behavior that is seductive, sexually demeaning, harrassing or reasonably interpreted as sexual by the patient.
What is professional sexual misconduct?
400
Located on the left side of the continuum; this includes distancing, disinterest, and neglect, and can be detrimental to the patient and the nurse.
What is under-involvement?
400
This patient right is violated when nurses mention patients by name or provide any information or details that could possibly identify them even when using social media with strict privacy settings.
What is patient's right to privacy?
400
The nurse spends inappropriate amounts of time with a particular patient, visits the patient when off-duty or trades assignments to be with the patient.
What is singled-out patient treatment?
400
It is NOT acceptable to discuss or refer to patients even if they are not identified by name, but referred to by nickname, room number, diagnosis, or condition because it violates what concept...
What is patient confidentiality?
500
Establishing professional boundaries allows the nurse to control this...
What is power differential?
500
This is the area of patient-centered care. There are no definite lines separating this area from the ends of the continuum; instead, it is a gradual transition or melding.
What is the zone of helpfulness?
500
Be aware.
Be cognizant of feelings and behavior.
Be observant of the behavior of other professionals.
Always act in the best interest of the patient.
What is the "Nurse's Challenge"?
500
When the nurse fails to explain actions and aspects of care, reports only some aspects of the patient's behavior or gives double messages, and in the reverse, when the patient returns repeatedly to the nurse because other staff members are too busy.
What is selective communication?
500
Online comments by a nurse regarding co-workers, even if posted from home during on work hours, may constitute this.