Discussion of Important Articles for Professional Boundaries

Question: Discuss about theDiscussion of Important Articles for Professional Boundaries. Answer: Introduction: A number of frameworks, guidelines, policies and codes guide the nursing occupation in the nation of Australia. They guide nurses in ways that make them expert in the care they provide to service users. The assignment will mainly provide brief overview of the documents and two important factors o each of the documents/ A nurses guide to professional boundaries: Researchers are of the opinion that therapeutic relationship is indeed an important aspect that every healthcare professionals need to provide significance to provide high quality care of the patients. For achieving this target, every healthcare professionals need to know the professional boundaries that are delicate limit that should be adhered to by every nurse (Nursingmidwiferyboard.gov.au, 2018). This would help the individuals to protect the community by helping to prevent distress, harm, confusion and abuses. One of the most important factors that the author of the document has put forward is the correct use of power. The document has clearly stated that the nursing professionals in the healthcare centers are always at a higher level of power distribution than that of the patients who are seeking service. Expert healthcare professionals would always use their power effectively in ways that help in providing best quality care for the patient without resulting in abuse and breach es in human rights (Hapel et al., 2015). The paper had correctly focused on three important domains where the middle domain shows the zone of helpfulness called the therapeutic relationship. Another important domain that lies to the right side of the domain is called the boundary violations domain or the over involvement domain where nurses get involved in sexual assaults or inappropriate relationships that are against the professional rules and expectations of the philosophies of nursing professions. Under involvement domain comprises of the nursing professionals distancing or showing disinterest, coldness and neglect by which effective care can never be given. Therefore, the nursing professionals should utilize their power in the correct manner so that they neither exploit the patients nor fail to provide the best care but maintain a power balance to engage effectively in therapeutic relationship. Another important factor that is mentioned here and that the nursing professionals s hould consider is maintenance of confidentiality. Nurses should maintain the information of the patient in way by which they are safe with the professionals and do not is leaked easily. Moreover, the professionals should develop the value of not using the information or dissolving the information that would help them in gaining profit (Wolf et al., 2015). They should maintain confidentiality and only reveal information when any aspect of therapeutic relation development needs to be achieved. Registered nurse standards for practice: Registered nurses in the nation is expected to provide a person centered care as well as evidence based interventions that would help the patient to overcome his disorders and develop high quality care. Such nurses are expected to develop a care that should incorporate preventative, curative, supportive, restorative as well as formative and palliative elements ("Nursing and Midwifery Board of Australia - Registered nurse standards for practice", 2017). However, in order to provide this care, nurses need to follow certain guidelines so that they can provide a comprehensive care in ways by which high quality care is provided covering all the important aspects of care. Out of the seven important guidelines that are put forward by the authors to help the nursing professionals to provide quality care one of the most important factors is successful analysis and critical thinking of the nursing practice of the patients to provide the best practice. Researchers are of the opinion when health care professionals take the help of most recent evidences to develop their knowledge and skills, the interventions developed by them being the best outcomes. Such interventions are not only new but they ensure higher levels of success in providing best quality care (Zuriguel et al., 2015). When nurses think critically, they become aware of the cultural differences that are present between them and their patients and hence the care provided by them is culturally sensitive. Another important factor that would help the registered nurses to provide satisfactory services to the patients is their development of therapeutic as well as professional relationships. Effective communication is indeed one of the most important attribute of development of therapeutic relationship that helps developing bond and trust among the patients and the nurse. Patients trust the nurses and adhere with the interventions proposed by them (Wyder et al., 2015). The authors have also identified the importance of development of a culture of safety and learning where nurses engaged with other team members to participate in shared decision making, sharing knowledge and information and thereby providing person centered care by making the patient the center of the decision making procedures (Carter et al., 2016). Therefore, registered nurses should also provide equal importance in development of therapeutic and professional relationships with the patients and other team members to ensure best care. Code of conduct for nurses: Seven important domains have been discussed in details by the author of the document. Each of the domains are in turn subdivided into a number of aspect that guide nurses with the ways that would help them to learn the best care tactics. Legal compliance, person centered practice, cultural practice as well as respectful relationships, professional behaviors, teaching attributes, research in health as well as health and well-being are the main domains that are discussed in details (Nursingmidwiferyboard.gov.au, 2018). One of the factor that id discussed in the document is informed consent. By this term, it actually means that the nursing professionals need to take permission from the patients before initiating their treatment and while undertaking different interventions. This action can be classified under the ethical guidelines of autonomy and dignity. Maintaining autonomy and dignity of the patient is one of the ethical guidelines every nursing professional has to follow and infirm ed consent helps professionals to adhere to the mentioned ethical value. When nursing professionals ask for informed consents, service users feel respected and cared for (Kourkouta et al., 2014). They feel that their permissions are important which prevent them from feeling low on self-esteem. Moreover, patients feel helpless and powerless when they go through periods of illness and this approach makes them feel empowered for taking decisions. Moreover, it is also seen that when healthcare professionals discuss the interventions that they would be taken and the ask for informed consent, patients feel relaxed as they understand what is going to happen with them. If patients are not discussed about the intervention before taking consent, they may feel anxious and fearful about the fate of the intervention. This might have negative consequences on their health outcomes. Therefore, informed consent is considered an important code of conduct for the healthcare professionals. Another impo rtant code of conduct that nursing professionals should also practice is providing culturally competent care. Australia is a nation with beautiful amalgamation of diverse cultural entities (Beattie et al., 2018). Therefore, being a health care professional here requires individuals to provide a care that is not only culturally competent but also culturally sensitive. Therefore, it becomes important for every professional to develop their knowledge on the traditions, preferences and inhibitions of every culture of people who come for treatment. Culturally insensitive practices not only affect the dignity and autonomy of the person but also make the patient to go through different emotional and mental turmoil. This affects the health outcome of the individuals making them depressed and disrespected (Nasrabaddi et al., 2017). Therefore, it is expected of the healthcare professionals to overcome their cultural biasness through effective reflection and realization and thereby go through important resources to develop their cultural awareness and provide culturally competent care enhancing patient satisfaction. ICN Codes of ethics; International council of nurses has published this document that mainly put importance of the four important responsibilities that every nursing professionals should incorporate in their practice. These are the promotion of health, prevention of illness, restoration of health and alleviation of suffering of people (Icn.ch, 2012). This document has made four important categories that are nurses with profession, nurses with patients, nurses with practice and nurses with coworkers. One of the factors discussed here that hold importance in the healthcare services provided by the nursing professionals is continuing to develop education and knowledge on ethical considerations. Researchers have defined the word ethics as moral principles that mainly help the individual to govern his own behavior as well as conducting of an activity. Ethics or moral philosophy which can be described as the branch of philosophy that involves systematizing, defending as well as recommending concepts regarding wring or right conduct. There are many important ethical theories that guide nurses in taking proper decisions about the care plan that they adopt or the interventions that they would take when any conflicts with patients arise. These involve autonomy, dignity, privacy, justice, beneficence and autonomy. However, in different spheres of nursing professions arise where nurses suffer from ethical dilemma and cannot understand which ethical guideline they need to follow to provide best care to patients. These are very critical situations where nurses suffer from moral dilemmas where they need to make a choice between two options neither of which helps in resolving the situation in an ethically acceptable fashion (Kangasniemi et al., 2015). Therefore, this might have a negative impact on the patient who may not only suffer from negative health outcomes but may also develop emotional and mental turmoil affecting their quality life. Therefore, these documents instruct the nurses to engage continuously in professional development by educating themselves on different ethical situation from training, evidence based practices, narration of experiences of other colleagues and many others. Management of safety in workplace is also important. This would help in maintaining safety not only for patients but also for other professionals working in the ward (Nasrabaddi et al., 2017). Social media policy: This policy usually helps the healthcare professionals by guiding them through the different legal rights that they need to be follow to provide the best care to patients. This policy mainly focuses on social media that has become the best medium for reaching out to service users and to different people in every corners of the nation this policy states the different boundaries that providers need to follow in order to maintain dignity and autonomy of the patient. One of the most important factors that is necessary to be discussed is the inappropriate use of social media in advertising different aspects of healthcare. Section 133 of the National law has imposes limits on the different ways by which health services provided by the healthcare providers can be advertised (Nursingmidwiferyboard.gov.au, 2012). Therefore, this document is indeed very important for the professionals so that they do not put forward any advertisement that results them in legal obligations. It has been found th at different healthcare organizations put forward advertisements that are not real or are unnecessarily exaggerated like those who use testimonials and many others. These are against laws and care should be taken so that professionals do not face any legal issues. Confidentiality is another important aspect that should be also cared by professionals (Dehghani et al. 2015). There are many professionals who are seen to provide information of patients, the cases they handle, the information shared by patients on any important issues and others on the social media. This is against the legal principles of maintaining confidentiality of patients under any circumstances (Aliyu et al., 2015). This exposes the professionals to legal obligations that may harm their behavior. Hence, this social policy is helpful for them. Conclusion: From the above discussion, it becomes quite clear, that the documents are indeed some of the best resources for healthcare professionals. 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