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PROFESSIONAL BOUNDARIES AND ETHICAL CONDUCT Debra Scott, MSN, RN FRE Executive Director Nevada State...
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Transcript of PROFESSIONAL BOUNDARIES AND ETHICAL CONDUCT Debra Scott, MSN, RN FRE Executive Director Nevada State...
PROFESSIONAL BOUNDARIES
AND ETHICAL CONDUCT
Debra Scott, MSN, RN FRE
Executive Director
Nevada State Board of Nursing
Understanding Ethics
Principle-based EthicsRules, codes,
standards
Professional
Ethics Virtue (Ideal)Based Ethics
Character
Consequences-
Based Ethics
Outcomes
How do Ethics Relate to Professional Boundaries?
Therapeutic relationships involve:
Fiduciary relationship Client vulnerability Professional influence Power differential
Professional Boundaries
Provides limits Produces consistency Defines power Responsibility rests with
the professional Provides credibility and
predictability
Continuum of Therapeutic Relationships
OVER-INVOLVE
D
OVER-INVOLVE
D
UNDER- INVOLVED
UNDER- INVOLVED
Warning Signs
Personal problems Secretive behavior “Super Nurse” behavior Special treatment Other warning signs
The Professional at Risk
Naïve Prince or Princess Wounded Warrior Self-serving Martyr False Lover/Mind Controller Dark King or Queen Wild Card
The Best Prevention
Be Aware Be Reflective Respect Feelings of
“Dis-ease” Keep Client’s Need
Paramount
Decision
Making Framew
ork
Is the behavior consistent with
your duty to always act in the best interest of
your clientDoes the behavior promote client autonomy and
self-determinationIs this a behavior you would want other people to know you have
engaged in with a client
PROCEED WITH THE BEHAVIOR
DO NOT PROCEED WITH THE BEHAVIOR
Identify the behavior
In questionIs the behavior
consistent within the ANA Code of Ethics
Is the behavior within nursing practice
standards from your board of nursing &
agency
No
No
No
No
No
No
Abstain From Behavior
Abstain From Behavior
Abstain From Behavior
Abstain From Behavior
Abstain From Behavior
Abstain From Behavior
Yes
Yes
Yes
Yes
Yes
Yes
DEBRA SCOTT, MSN, RN, FRE5011 MEADOWOOD MALL WAY
#300RENO, NV 89502
888-590-6726NEVADANURSINGBOARD.ORG
REFERENCESNCSBN. (2007) Professional Boundaries; A nurse’s guide to the importance of appropriate professional boundaries. Chicago, IL: Web. 2 Mar. 2012NCSBN. (2009) Respecting Professional Boundaries. Chicago, IL: Web. 2 Mar. 2012NCSBN. (2009) Ethics of Nursing Practice. Chicago, IL: Web. 2 Mar, 2012NCSBN. (2012) Righting a Wrong: Ethics and Professionalism in Nursing. Chicago, IL: Web. 2 Mar. 2012