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Professional Boundaries and Ethical Conduct

Professional Boundaries and Ethical Conduct. Debra Scott, MSN, RN FRE Executive Director Nevada State Board of Nursing. Understanding Ethics. Principle-based Ethics Rules, codes, standards. Professional Ethics. Virtue (Ideal) Based Ethics Character. Consequences- Based Ethics

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Professional Boundaries and Ethical Conduct

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  1. Professional Boundaries and Ethical Conduct Debra Scott, MSN, RN FRE Executive Director Nevada State Board of Nursing

  2. Understanding Ethics Principle-based Ethics Rules, codes, standards Professional Ethics Virtue (Ideal) Based Ethics Character Consequences- Based Ethics Outcomes

  3. Therapeutic relationships involve: Fiduciary relationship Client vulnerability Professional influence Power differential How do Ethics Relate to Professional Boundaries?

  4. Provides limits Produces consistency Defines power Responsibility rests with the professional Provides credibility and predictability Professional Boundaries

  5. Continuum of Therapeutic Relationships Zone of Helpfulness UNDER- INVOLVED OVER- INVOLVED

  6. Boundary Crossing Boundary Violation Sexual Misconduct Types of Over-Involvement

  7. Personal problems Secretive behavior “Super Nurse” behavior Special treatment Other warning signs Warning Signs

  8. Naïve Prince or Princess Wounded Warrior Self-serving Martyr False Lover/Mind Controller Dark King or Queen Wild Card The Professional at Risk

  9. Be Aware Be Reflective Respect Feelings of “Dis-ease” Keep Client’s Need Paramount The Best Prevention

  10. Decision Making Framework No Identify the behavior In question Abstain From Behavior Yes Is the behavior consistent within the ANA Code of Ethics No Abstain From Behavior Yes Is the behavior within nursing practice standards from your board of nursing & agency No Abstain From Behavior Yes Is the behavior consistent with your duty to always act in the best interest of your client No Abstain From Behavior Yes Does the behavior promote client autonomy and self-determination No Abstain From Behavior Yes Is this a behavior you would want other people to know you have engaged in with a client No Abstain From Behavior Yes PROCEED WITH THE BEHAVIOR DO NOT PROCEED WITH THE BEHAVIOR

  11. Questions?

  12. Debra Scott, MSN, RN, FRE5011 Meadowood Mall Way #300Reno, NV 89502888-590-6726nevadanursingboard.org REFERENCES NCSBN. (2007) Professional Boundaries; A nurse’s guide to the importance of appropriate professional boundaries. Chicago, IL: Web. 2 Mar. 2012 NCSBN. (2009) Respecting Professional Boundaries. Chicago, IL: Web. 2 Mar. 2012 NCSBN. (2009) Ethics of Nursing Practice. Chicago, IL: Web. 2 Mar, 2012 NCSBN. (2012) Righting a Wrong: Ethics and Professionalism in Nursing. Chicago, IL: Web. 2 Mar. 2012

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