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professional boundaries

The limits that keep the nurse-client relationship focused on the client's needs and not on the nurse's own.

pruh-FESH-uh-nul BOWN-duh-reez noun

What it means

The nurse holds more power in the relationship than the client, who is often sick, worried and dependent. Professional boundaries protect the client from being used for the nurse's personal, money, social or sexual needs. NCSBN describes a "zone of helpfulness" between being too distant (under-involved) and too close (over-involved). Small, one-time crossings may be fine if they help the client; violations harm the client.

For the nurse

Warning signs include keeping secrets with a client, giving or taking gifts or money, sharing personal problems, seeing a client outside of work, and contact on social media. The nurse, not the client, is always responsible for keeping the boundary. Report a coworker's boundary violation.

At a glance

Also writtenprofessional boundary

Related terms

advocate

To speak up and act for a client's rights, safety and wishes; also, a person who does this.

autonomy

A person's right to make their own choices about their body and their care.

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