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Maintaining Integrity: How Nurses Navigate Boundaries in Pediatric Palliative Care
Alyssa Erikson1, Betty Davies1
1School of Nursing, Department of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA, USA.
Journal of Pediatric Nursing
|July 22, 2017
Summary
Nurses maintain integrity by balancing professional conduct and personal connection when caring for critically ill children. This balance is crucial for high-quality, family-centered care and provider well-being.
Area of Science:
- Pediatric Nursing
- Healthcare Provider Well-being
- Professional Boundaries
Background:
- Caring for seriously ill children presents unique challenges for nurses.
- Managing personal and professional boundaries is critical in pediatric oncology and palliative care settings.
- Understanding nurses' experiences is vital for supporting their emotional and professional health.
Purpose of the Study:
- To explore how registered nurses manage personal and professional boundaries.
- To understand the process of maintaining integrity in pediatric critical care nursing.
- To identify factors influencing nurses' boundary management with seriously ill children and families.
Main Methods:
- Constructivist grounded theory approach.
- Semi-structured interviews with 18 registered nurses.
- Data collected from four diverse practice sites.
Main Results:
- Nurses integrate professional behavior and personal connection to maintain integrity.
- Successful boundary management leads to high-quality, family-centered care.
- Tension between professional and personal aspects can compromise integrity if not managed effectively, impacting nurses' well-being.
Conclusions:
- Findings offer a theoretical framework for understanding nurses' boundary navigation in specialized care.
- Work environments should provide resources supporting nurses' emotional responses to critical care.
- Further research can refine the concept of maintaining integrity in nursing practice.
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