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Do professional boundaries limit trust?

Elizabeth Smythe1, Julia Hennessy2, Max Abbott1

  • 1School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.

International Journal of Mental Health Nursing
|February 17, 2017
PubMed
Summary
This summary is machine-generated.

Professional boundaries in mental health care may limit therapeutic trust. Rethinking these boundaries could enhance client relationships and improve care outcomes for support workers.

Keywords:
mental healthnursingphenomenologyprofessional boundariessupport workertrust

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Area of Science:

  • Nursing
  • Mental Health Care
  • Qualitative Research

Background:

  • Appreciative inquiry identified effective practices for mental health support workers.
  • Worker-client relationships demonstrated significant trust.
  • Professional boundaries in nursing were questioned regarding their impact on trust.

Purpose of the Study:

  • To explore the nature of trust in mental health support work.
  • To investigate how professional boundaries influence trust between support workers and clients.
  • To examine the therapeutic potential of trust in mental health care.

Main Methods:

  • Phenomenological interpretive approach.
  • Analysis of four stories from a larger appreciative inquiry study.
  • In-depth examination of interview transcripts from mental health support workers and stakeholders.

Main Results:

  • Mental health support workers who deviated from strict professional boundaries fostered deeper, therapeutic trust with clients.
  • The absence of rigid professional boundaries appeared to facilitate stronger worker-client relationships.
  • Trust was enacted and deepened when workers were less constrained by conventional professional norms.

Conclusions:

  • Professional boundaries may inadvertently limit the depth of trust achievable in mental health care.
  • Rethinking professional boundaries could lead to more impactful and therapeutic client care.
  • There is a need to consider the role of professional boundaries in relation to trust and care effectiveness.