All healthcare staff should maintain trust in practice with
professional standards and should be knowledgeable regarding
professional boundaries. They must know each and everyones
responsibility towards the patient to provide ultimate care for the
patient. They should follow the professional ethics and pledge
while we receive our degree, as per this we must maintain a
knowledge about what should and should not do in patient care.There
may be several sutuatons where staffs may do some malpractice or
misconduct towards the patient. To avoid such situation we should
always maintain a professional boundary between the patient and the
staff.
Usual signs of potential boundary violations are
- Accepting gift and money from the patient is a crossing of
professional boundary.
- Spending more time than nesessary with a patient may lead to
the boundary violation by discussing un necessary personal details
and other paient details.
- Showing favourism to a particular patient also an early sign of
professional boundary violation because other patient may feel bad
and this behaviour is not acceptable because healthcare
professional must consider every patient as same and plan care
according with priority of the patient care.
- Sharing secret, revealing confidential report of other patient
also consider as a violation and this may affect directly or
indirectly with other patient or organization etc.
- Maintaining a dual or multiple relationships with patient also
a sign of professional boundary violation.
- Discussing personnal issue with a patient or maintaining an
intimate relationship than other patient also a sign of boundary
violation.
- Caring the paient in bed side under normal situation if you are
not in duty hours also show a stong personal favouring situation
and this also not good for professional ethics.
- Showing behaviour that should be interpreted as flirting and
revealing body parts in a provocative manner also a potential
boundary violation.
- Showing sexual misconduct towards the patient with
intentionally or by compulsion by the patient consider as a
professional boundary.
- Sharing patient image or informations in social media lso comes
under this category.