Reply to my peers

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the 

goal of of positive progress.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below

Include references with peer responses

Based on the development of therapeutic nurse-patient relationships:

• Explain the continuum of boundaries of the nurse-patient relationship.
• Describe the negative results of boundary crossing in the nurse-patient relationship.

Peer #1

The nursing professional boundaries are defined as “the space between the nurses’ power and the client’s vulnerability” (Black, 2017). These levels can be seen in a level of continuum in where behaviors range from under involvement, helpfulness to over-involvement. Samples of these behaviors include distancing, neglect, secrecy, role reversal, to money, and gifts (Black, 2017). In the nurse-patient relationship, it is not the responsibility of the patient to maintain boundaries by is the nurse’s responsibility.  It is a must that these boundaries lines never be blurred because it may result in harm to the patient (Black, 2017).  When these boundaries are crossed, it is considered a volitation of the nurse code of ethics, and is a reportable offense and may result in termination, and be reported to the board of nursing (Black, 2017). Also, as a practicing nurse, it is crucial to understand their professional boundaries. Seven principles that  should be maintained in the nurse-patient relationship are:

1. The nurse is responsible for maintaining the boundary
2. Work in the zone of helpfulness
3. Examine any boundaries crossings
4. Certain variables can affect these boundaries such as the care setting
5. Any action that oversteps established boundaries to meet nurses needs
6. Avoid dual relationships
7. Post-termination relationships (Black, 2017)

Nurses must develop trust, establish clear communication, and well-defined boundaries to prevent any confusion in the nurse-patient relationship.

Black, B. (2017). Professional Nursing Concepts &Challenges 8th edition. St. Louis, Missouri: Elsevier.

Peer #2

From the very first encounter with our patients, we are communicating and setting professional boundaries. The focus of a nurse-patient relationship includes clear definitions of the professional role, confidentiality of information, and goals for patient care and treatment (Valente, 2017).  In order for a nurse to set healthy boundaries with their patients, they need to be self-aware. Self-awareness is defined as being able to recognize one’s own emotions, prejudices, beliefs, values, and how they are seen by others (Black, 2017). By being self-aware, you can begin to see when the line starts to get crossed from a professional relationship, to that of a social relationship, and this recognition is key. If one was to find that the lines are starting to get blurred, it is wise for the nurse to step back and self-reflect and to ask themselves, “Where is this emotion coming from?” or “Why am I feeling this way?” This allows the nurse to adjust her practice and re-focus on the patient and reach their goals for their treatment. It is the nurse’s responsibility to ensure that a healthy rapport is made with their patients, setting healthy boundaries, and evaluating the therapeutic relationship so that the patients’ needs are met and not the nurses (Christensen, 2018). When keeping professional communication with patients, such as body language, feedback, and listening, it is less likely that the professional boundaries will be crossed.  

Negative results of crossing the professional nurse-patient boundaries can have a negative impact, not only on the care of your patient, but the nurse as well. Having worked in the correctional setting as a nurse, I have seen this happen on several occasions. An example is of a nurse getting “love letters” from an inmate. This nurse was flattered and would brag about it to her co-workers. When I confronted this nurse on why she accepted the note from the inmate and did not give it directly to the corrections officer, she had thought that she had done nothing wrong. I immediately walked her to the corrections officer on the unit and informed him of the incident. After an investigation, it appeared this activity had been going on for a period of time. The nurse’s actions of crossing her professional boundaries placed her at risk, as well as her co-workers. She was not following policies and protocols set in place to keep staff safe in that environment, and was ultimately fired. The patient can also suffer negative effects if the professional boundaries are not kept. For example, the nurse may be feeding into the patient’s co-dependency issues and therefore not creating a therapeutic environment for the patient, causing more harm than good.   

References 

Black, B. (2017) Professional Nursing Concepts & Challenges 8th edition. St. Louis, Missouri. elsevier 

Christensen, D. (2018). The Case of the Blurred Boundaries. ONS Voice, 33(5), 30. 

Valente, S. M. (2017). Managing professional and nurse-patient relationship boundaries in mental health. Journal of Psychosocial Nursing & Mental Health Services, 55(1), 45-51. 

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

1-Your concept is motivation and you were looking at the Expectancy Theory of Motivation by Victor Vroom.

2-Are you using his definition of motivation for your definition in this concept analysis paper?

3-His theory is about decision-making.  Whose decision-making are you interested in exploring in your future research? 

4-His theory is also targeting goals.  Whose goals are you interested in studying?

5-I want to make sure that the theory you may apply aligns with your POI.

I completed a thesis assignment that needs editing/revision/arranged effectively.

The instructor has provided me with feedback/corrections. 

Are you interested in assisting me with ongoing corrections/format?

Please use as much information I have written. 

But, please feel free to add/make up other information. 

Please note, I have included: 

1. Rubric 

2. Thesis assignment w/Pink feedback 

3. Technology and Access to Health Care Thesis Assignment

Currently I need help with implementing something motivating in the introduction (Per instructor feedback) “Motivated the reader to engage and continue reading with use of creativity in writing (2) – I suggested starting with a story but I am assuming you couldn’t find one? Keep looking. -” 

My suggestion is using the information of President Bush administration from the following paragraphs from Intro.

 Since the instructor states that information is not required “syllabus.” 

Can you please help me reorganize/edit my paper according to this outline: 

Organization of Content Main ideas arranged effectively (5) Level 1 Heading – Support Thesis using current academic articles and books and points of view/ or Describe subject & bioethical relevance using current academic articles (15) Argument well supported with references, ethical theory and principals Supporting argument 1 theory, 3 principles/ (15) Level 1 Heading – Opposing position supported by references, ethical theory and principals opposing argument 1 theory and 2 principles (15) The Arguments cannot use the same theory or principles Level 1 Heading – Flaws with either of the supporting/opposing arguments (5) (does not need to be both) Level 1 Heading – Faith Integration (10) Level 1 Heading – Value to Nursing using Standards of Practice/Code of Ethics/Social Policy Statement Integration & Clinical practice application (15) Stuff you need to integrate throughout: Supporting Material Quantity of resources (2) Variety of resources (2) Multidisciplinary resources (1) You must include the Annotated Bibliography & Reference page to obtain points (1) PLEASE let me know if you have any questions or concerns. please