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Professional BOUndaries: Professional BOUndaries:

Professional BOUndaries: - PowerPoint Presentation

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Professional BOUndaries: - PPT Presentation

The Many Shades of Gray Rev Krista Gregory MDiv BCC The Center for Resiliency at Dell Childrens Course objectives Discuss use of social media as it relates to the healthcare provider and patientfamily ID: 732152

healthcare patient boundaries professional patient healthcare professional boundaries relationship social amp media state nursing national council boards personal member family provider nurse

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Slide1

Professional BOUndaries:The Many Shadesof Gray

Rev. Krista Gregory, M.Div., BCC The Center for Resiliency at Dell Children’sSlide2

Course objectivesDiscuss use of social media as it relates to the healthcare provider and patient/family relationshipIdentify

situations when provider/patient professional boundaries could potentially be violatedUtilize decision -making questions to determine if professional boundary is crossedDiscuss ways to prevent

potential

professional

boundary

crossings and prevent burnout.Slide3

No Conflicts of Interest or DisclosuresTo ReportSlide4
Slide5

Social Media & internet SafetySlide6

3 Illusions of The InternetIllusion of SecurityIllusion of PrivacyIllusion of SafetySlide7

-Every keystroke is recorded-Every photo uploaded is archived1. Illusion of Security

-You can never fully ‘delete’ your facebook profile, only deactivate it!Slide8

Everything you do or say on the internet stays there Forever!!Slide9

2. Illusion of Privacy-No ‘private’ group is actually private-Social media is being consistently monitored by your healthcare organization.

-Don’t do, post, or upload anything you wouldn’t say to your mom, manager, orthe president of your hospital.Slide10

Somebody's Watching Me Slide11
Slide12

3. Illusion of SafetyYour patient’s and families can easily search you on Google! Slide13

Social media & internet usage in The Workplace

Seton owns every computer and all data entered into them

Do all personal web surfing on your home computer Slide14

Social Media:Rules to Live by Slide15

Promote the missionBe transparent

Protect information

B

e awareSlide16

Bottom LineIf it involves any aspect of work, DON’T POST, LIKE, FRIEND, COMMENTSlide17

A

calia’s storySlide18

Boundaries protect the patient and family from themselves and from us.Boundaries help us maintain therapeutic relationships, which respect the dignity and value of all patients and families.Boundaries help prevent burnout.

Three things to remember about boundariesSlide19

ANA Code of Ethics 2015Provision 2: The nurse’s primary commitment is to the patient, whether an individual, family, groups or community.“Nurse -Patient and Nurse-Colleague Relationships have as their foundation the promotion, protection, and restoration of health.” The Nurse-Patient relationship needs to remain therapeutic and professional.Slide20

CODES of E

t

hics in Healthcare professions

Institutional policies & procedures

HIPPASlide21

But what about….?????Slide22

Professional boundaries are the spaces between the healthcare provider’s power and the patient’s vulnerability. *

*

National Council of the State Boards of NursingSlide23

The power of the Healthcare Provider comes from our professional position and access to sensitive personal information. *National Council of the State Boards of NursingSlide24

The difference in personal information the

healthcare provider knows

about the patient versus personal information the patient knows about the

provider creates

an imbalance in the nurse–patient relationship.

*

National Council of the State Boards of NursingSlide25

‘Healthcare Providers’ should make every effort to respect the power imbalance and ensure a patient-centered relationship.

*

National Council of the State Boards of NursingSlide26

TherapeuticRelationshipsSlide27

A Continuum Professional Behavior with Patients, Clients, Families & CommunitiesUnder-Involvement Zone of Helpfulness

Over-Involvementcold therapeutic

boundary violations

distant

relationship

emotionally entangledneglectful  

National Council of State Boards of Nursing (NCSBN), 1995 Slide28

Countertransference-the healthcare practitioner’s feelings toward the patient and depending on the healthcare practitioner’s self awareness and experience, may or may not be conscious.

Transference & counter transference

Transference

– the redirection

of the patient’s feelings from a significant person in their life to the healthcare practitioner and is mostly unconscious.Slide29

Case study: Part 1 Rehab nurse Catherine Grant considers her teenage patient Matt to be like a little brother. Matt’s hands were severely burned in an accident and Catherine is rooting for his recovery. She goes out of her way to help him, visiting him when she’s off duty, counseling him about his personal life and sharing details about her life when he asks

.Her supervisors and colleagues have noticed her relationship with Matt and her nurse manager questions her about it. Grant gets defensive and insists she is hastening Matt’s recovery. * * NurseweekSlide30

Case study: Part 2 Soon after, Matt’s parents file a formal complaint with the state board of nursing, claiming the nature of Grant’s relationship with their son has caused psychological damage and impeded his progress. Matt-who had misinterpreted Catherine’s attention and assumed she was romantically interested in him. He is despondent.

Grant has unintentionally “crossed the line”, hurting a patient and jeopardizing her career.* * NurseweekSlide31

Role ConfusionSlide32

Are you a member of their family?Slide33

Hugs and kisses???

Yes or No??Slide34

Are you the right person to meet their need?Slide35

Case study: Part 1Mother in the ICU tells a staff member about her inability to pay for the deposit to get an apartment. Patient can’t discharge until parents have adequate housing for medically fragile child. Staff member mentions need as prayer request at church that Sunday. Church members volunteer on their own to meet the need even though the staff member didn’t ask for it. Staff member comes up to hospital with pastor of church with “anonymous” donation to cover the apartment deposit.Slide36

Case study: Part 2Patient gets readmitted to inpatient unit 6 months later. Parents report that they have been evicted from their apartment for not paying their rent. Parent asks if hospital can help like they did before.Slide37

Why did she do it?Slide38

Failure to set limits undermines the functioning of the entire medical team and ultimately compromises patient care.Slide39

Burnout &boundariesSlide40

A Continuum Professional Behavior with Patients, Clients, Families & CommunitiesUnder-Involvement Zone of Helpfulness

Over-Involvementcold therapeutic

boundary violations

distant

relationship

emotionally entangledneglectful  

National Council of State Boards of Nursing (NCSBN), 1995 Slide41

Know the warning signs before it’s too late…Favoring one patient at the expense of anotherWhen you are buying the patient giftsSpending time with the patient off shift

Jealousy when you don’t get assigned to the patient.When the patient calls you “mama” Keeping secrets with the patientSlide42

Know the warning signs before it’s too late…Acting possessive about the patientSharing personal information or work concerns with patientSelective reporting of patient’s behavior (positive or negative) at shift change

Swapping patient assignments

When your involvement distracts from them forming relationships with others in the communitySlide43
Slide44
Slide45

Decision-making guideSlide46
Slide47

What have we done right ? Patient PromBBQ for Children’s CAMPSCF Walk for DCMCPICU Courageous Kids ReunionNICU Reunion

St. BaldricksTrach Family Fun DayRehab Reunion

Food Banks on UnitsSlide48
Slide49

THANKS!Any questions? You can find

me at klgregory@ascension.org Slide50

CreditsSpecial thanks to all the people who made and released these awesome resources for free:Presentation template by SlidesCarnivalPhotographs by

Startupstockphotos The Dangers of Social Media. https://turbofuture.com/internet/The-Dangers-of-Social-Networking-Why-you-need-to-be-carefulAscension/Seton Social Media PolicyTitle credit (The Many Shades of Gray) to Vickie Squires, M.M.Ed., CLLS, (San Antonio)