Professional Boundaries. Mental Health Psychiatric Care. Continuum of Professional Behavior. What are Personal Boundaries?. A dynamic line separating an individual’s internal and external environment, which varies in permeability and flexibility (Scott, 1988) Includes: Physical Emotional
Mental Health Psychiatric Care
A dynamic line separating an individual’s internal and external environment, which varies in permeability and flexibility (Scott, 1988)
The limits that allow a patient and nurse to connect safely in a therapeutic relationship based on the patient’s needs (Smith et al, 1997).
Two things going on at once:
1. care-giver role
2. something other than care-giver role
Unless the care plan specifically prescribes it staff should not engage in seemingly harmless activities.
Seeking help from patients
Sharing books or music
Poetry and prose editing
Art criticism or art work commision
Do not happen overnight.
They are the endpoint on an escalating continuum of boundary problems.
Behaviors that suggest a staff member is oblivious to the setting:
Behaviors that are on the verge of, or may lead to, rule breaking.
Behaviors that break hospital policy, breach professional ethics and/or break the law.
Interactions that are outside of the therapeutic boundaries that are for the personal gratification of the staff, and are either unethical, exploitive, and/or illegal.