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Therapeutic management of helping boundaries
P C Pilette1, C B Berck, L C Achber
1St. Elizabeth's Medical Center, Boston, MA, USA.
Abstract:
A therapeutic nurse-patient relationship is based upon the effective management of professional practice boundaries. Boundary violations may be difficult to detect and manage because they often are subtle and driven by one's own needs. Early detection and response is critical to preventing boundary relaxation and violation. Self-assessment is an important aspect of boundary management. Identification of vulnerability to boundary violation may assist the nurse in determining the need for supervision or consultation.
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