PROFESSIONAL BOUNDARIES AND MORAL OBLIGATION
Definition
The spaces between the nurse’s power
and the client’s vulnerability
Sign of Over-Involvement
Boundaries Crossings: generally defined as deliberate decisions to
cross on otherwise established boundary for a therapeutic reason
Boundaries Violations: Danger signals and are usually more clear-cut because they are not being done for any reason that could be justified as "therapeutic" for the patient.
Professional sexual misconduct
Under-Involvement
Distancing
Disinterest
Neglect
Damaging to both the patient and the nurse
Self-Disclosure
Is a sensitive issue
Moral Obligations: based on moral and ethical principles but are not enforceable under the law
Concept of culture : Specific individual or group`s beliefs, value or norms, and life ways that can be share, learned and transmitted.
Cultural sensitive health care: the ability to be appropriately responsive to attitudes feelings or circumstances of groups of people that groups of people that share a common and distinctive racial, national, religious, linguistic, or cultural heritage
Provision of cultural sensitive care
Knowledge of Cultures
Education and Training in Culturally
Competent Care
Critical Reflection
Cross-Cultural Communication
Culturally Competent
Culturally Competent in Health Care
Systems and Organizations
Patient Advocacy and Empowerment
Multicultural Workforce
Cross-Cultural Leadership
Evidence-Based Practice and
Research
Implication: An awareness of one`s own cultural beliefs, values, attitudes, and practices was identified as an essential first step before learning about other cultures.
Mechanism for enhancing clinical practices and professional developement
Active participation orthopedic healthcare professional in learning activities
Involves building on the educational and experimental bases of healthcare across their professional careers
For personal purposes, self-improvement, to increase knowledge in their specific fields or to remain current in their practice
Intended to develop, maintain and improve competence in practice, teaching, research, and policy
Being sensitive and adaptive to individual cultural differences and relies on clinician self-understanding and reflection.
Strategies to collaborate with the patient and family for patient care
Understanding the concept of culturally sensitive
communication
Experience a more positive and beneficial relationship
with healthcare workers , and better health outcomes