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Exploring mutuality within the nurse-patient relationship

S Briant1, D Freshwater

  • 1Homerton College, School of Health Studies, Cambridge.

British Journal of Nursing (Mark Allen Publishing)
|July 14, 1998
PubMed
Summary

Maintaining professional boundaries in nursing is crucial for therapeutic alliances. While mutuality is ideal, nurses ultimately hold responsibility for managing nurse-patient relationship boundaries.

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Area of Science:

  • Nursing
  • Psychology
  • Mental Health

Background:

  • Boundary maintenance is vital for adult functioning and mental health.
  • Projection and transference are common in relationships, including nurse-patient interactions.
  • Boundary confusion can occur in the nurse-patient dynamic.

Purpose of the Study:

  • To explore the concept of boundaries in the nurse-patient relationship.
  • To link boundary maintenance to child development theories and therapeutic alliances.
  • To examine the nurse's role in managing relationship boundaries.

Main Methods:

  • Conceptual analysis drawing on child development theories.
  • Exploration of psychological theories on transference and projection.
  • Discussion of professional nursing standards and therapeutic relationships.

Main Results:

  • Clear boundaries are essential for healthy adult functioning and mental well-being.
  • Boundary confusion is likely in nurse-patient relationships due to psychological dynamics.
  • The principle of equality in nursing relationships implies shared boundary responsibility.

Conclusions:

  • A 'mutuality' model may be more appropriate than strict equality for nurse-patient relationships.
  • Therapeutic reciprocity is compatible with the nurse holding ultimate responsibility for boundary management.
  • Nurses are responsible for 'holding' the boundaries within which therapeutic interactions occur.

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