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Professional boundary violations: a literature review
Linda Manfrin-Ledet1, Demetrius J Porche, Amanda S Eymard
1Linda Manfrin-Ledet, DNS, APRN, PMHCNS-BC, is a Professor of Nursing, Nicholls State University, Thibodaux, Louisiana. Demetrius J. Porche, DNS, PhD, APRN, FAANP, FAAN, is a Dean and Professor of Nursing, Louisiana State University Health Science Center, School of Nursing, New Orleans, Louisiana. Amanda S. Eymard, DNS, RN, CNE, is an Associate Professor of Nursing, College of Nursing and Allied Health, Nicholls State University, Thibodaux, Louisiana.
This review highlights common professional boundary violations in nursing, such as dual relationships and excessive self-disclosure. Further research is needed to strengthen the nurse-patient relationship and ensure patient benefit.
Area of Science:
- Nursing
- Healthcare Ethics
Background:
- Professional boundaries are crucial in maintaining the integrity of the nurse-patient relationship.
- Violations can compromise patient care and trust.
Purpose of the Study:
- To review nursing literature on professional boundary violations.
- To identify common characteristics of boundary issues in nursing practice.
Main Methods:
- Literature search using CINAHL, MEDLINE, Ebscohost, and NCSBN.
- Keywords included professional boundaries, boundary violation, nurse, and home health nurses.
- Analysis of over 40 publications, including research studies and dissertations.
Main Results:
- Seven common characteristics of boundary violations were identified: dual relations, gifts/money, excessive self-disclosure, secretive behavior, overinvolvement, sexual behavior, and social media issues.
- Limited empirical research exists on this topic.
- Non-research articles provided insights into common boundary challenges.
Conclusions:
- Significant gaps exist in nursing research regarding professional boundaries.
- Ongoing education and adherence to practice acts are essential for nurses.
- Maintaining professional boundaries ensures the nurse-patient relationship benefits the patient, not the nurse.
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