Professional Boundaries

The article, ‘Professional Boundaries and Sexual Misconduct’ by Swearingen (2013) is about helping nurses to understand the manner in which they can remain within the zone of patient-centered care It teaches that it is the role of the administrators, managers, along with the nursing colleagues to assist the nurses with such a difficult issue and this should be through not only being sensitive, but also being alert to the signs of boundary crossing. The most striking thing that I learned from article is that it takes collaborative efforts to ensure that nurses conduct their practice with the patient at the center of it all. While this is the case, I learned that the administrators and the managers only play a facilitating or a supporting role. Therefore, nurses have to be committed and show willingness to stay within the zone of patient centered care. In other words, nurse’ input should be the greatest, with those of the administrators and managers serving the purpose of reinforcing.

One thing that came as a surprise is that the failure to recognize feelings of sexual attraction to the patient amounts to an inability of the nurse to protect the patient. Previously, I thought that in order not to compromise his or her practice, a nurse should avoid any form of attraction to the patient other than a medical oriented one. Now I am aware that a patient should be sensitive to their feelings. The information that I learned from this article will be beneficial as it will help me to practice a better and evidence-based nursing practice. For instance, with the framework that has been set forth, I will be able to remain within the scope of patient-centered care and this will in turn help in improving the care delivery outcomes.

Quality Improvement

Within the context of nursing, quality improvement defines any evaluation of the nursing services provided, as well as the outcomes achieved in relation to the accepted nursing standards (Tabrizi, 2013). It is also defined as a system of review of selected nursing records by the nursing or medical staff members, a practice often performed with the aim of evaluating the quality, along with the effectiveness of the nursing care as compared to the accepted standards (Tabrizi, 2013).

At the Lakes of Monclova, I found one quality concern in the shape of insufficient staff. Lack of enough staff is a quality concern in that it tends to delay processes. Take an instance of drug prescription department. Supposing that there is only one medical practitioner serving about thirty patients, the time that the medical practitioner would take in serving each of them is significantly more as compared to a situation in which there are three or four practitioners in this department. Indeed, only one practitioner would become overwhelmed with the level of workload involved and this might even result into a situation where he or she makes wrong prescriptions (Tabrizi, 2013).

The Lakes of Monclova, in order to solve this quality issue, would have to recruit more qualified staff in all the departments that seemingly have fewer nurses. The clinical setting has to ensure that its nursing staff can sufficiently handle the workload (Tabrizi, 2013). However, the clinic should also seek to look into the nursing practices and streamline them to suit the need for more nursing staff. The clinic’s system might be designed such that it only accommodates a few nursing staff. If this is the case, the system has to be expanded to accommodate more nurses (Tabrizi, 2013).






Swearingen, S. (2013). Professional Boundaries and Sexual Misconduct. CE4Nurses. Retrieved on 6/4/2015 from:

Tabrizi, J. S. (2013). Quality Improvement in Health Care. Journal of Clinical Research & Governance, 2(1), 1-2.




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