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Demonstrate Knowledge and Understanding of Legal, Ethical and Professional Frameworks for Safe Effective Patient-Centred Care
Pages 3 (753 words)
The patient-nurse relationship is highly professional and therapeutic (RCN, 2010). Within the broader precinct of interpersonal interaction and delivery of care, the need to maintain professional boundary in the nurse-client relationship becomes hugely pertinent issue.
The moral, ethical and legal issues tend to blur the differences between personal and professional boundary, especially when the nurses have to work within small community or rural areas with sparse resources. Julie’s is a case in point. Her professional boundaries would be discussed vis-a-vis confidentiality and conflict of interest. Julie is a practice nurse at a healthcare centre in small Scottish village which serves the people of the village and surrounding areas. Within the small community, local pubs remain the only outlet of socialization where they tend to meet the locals. Hence, there are opportunities for breaching professional boundary when casual acquaintances might require their professional expertise. Julie meets Sam when he comes for appointment with GP. He also shares his medical history. But when, she is asked by Sam to join his pub quiz team, she is confronted with the dilemma of nursing ethics. She knows he has a history of depression and she is also aware that there is high possibility of meeting Sam socially as there are only two pubs in the village. Sam has told her that he has felt suicidal in the past but manages his depression by socializing. Julie knows that Sam has not divulged his suicidal tendency to GP. Confidentiality and trust are intrinsic part of nursing paradigms. ...
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