Conflict Resolution
The profession of nurses is perhaps the most dynamic and the most complex as it is very difficult to draw the lines of duty. Almost all the patients challenge the nurses to look after them and yet so many see them as either enemies or friends (Martin Teising, 1997). This is particularly true for certified psychiatric nurse assistants and this is mainly because drawing lines of duty for the psychiatric nurses have become extremely difficult as many theorists and practitioners, as well as physicians have not only proposed numerous work boundaries for the nurses, but also have instructed them to carry out these multi-disciplinary tasks. Some suggest that the psychiatric nurse should offer recognition and sympathy and assist the patient explain feelings; some suggest that they should assist the patient in communicating; others suggest that they should assist the patients in contributing socially in the healthcare settings; some think that nurses should make the patient conscious of his/her actions and how it influences other patients; some suggest that they should assist the patient in understanding his/her mind-set on the total state of affairs in which he/she finds himself/herself; and still some say that they should talk about alternating behaviors to assist the patient in working through his troubles (Suzanne Lego, 1999).
In light of the above mentioned facts, it is important to draw clear lines of duty for the psychiatric nurses so that this discrepancy can end and the nurses can focus on their every day chores instead of being preoccupied into matters that do not concern them. This paper provides an in depth review of the problem of nurses' treatment boundaries and used conflict resolution techniques to resolve the conflict.
An in-depth review of the Problem
Many theorists and practitioners, as well as physicians have undermined the importance of defining the work boundaries for the psychiatric nurses. This is because, they feel that the nurses, in general, are somewhat inferior in status and that they can be moved around. While, numerous scholars have pointed out the discrimination against the nursing profession, very few scholars have actually assessed the implications of manipulating the work boundaries of the psychiatric nurses. This subject is important not only for the nurses but also for the healthcare industry as psychiatric nurses form the backbone of the hospital services. By allowing them to drift away from their assigned tasks, the hospitals are at risk of not providing quality services.
As noted above that very few scholars have studied the impact of not defining work boundaries for the nurses. However, Cindy A. Peternelj-Taylor, Olive Yonge (2003) provide an in depth review on this subject. They reveal, "The ability to create and maintain treatment boundaries within the nurse-client relationship is one of the most important competencies required by psychiatricmental health nurses. However simple this declaration, in practice, boundary work is anything but straightforward. The familiarity and trust that develop between a nurse and a client, coupled with the seductive pull of helping, the complexity of the client's treatment needs, and a general lack of understanding of boundary theory, can threaten the integrity of the relationship and ultimately lead to boundary violations. Ironically, through engaging a client in a professional caring relationship -- the essence of psychiatricmental health nursing -- nurses are at risk of overstepping their professional boundaries (Cindy A. Peternelj-Taylor, Olive Yonge, 2003)."
In the 21ST century, the psychiatric nurses may find themselves in a variety of workplace settings. Cindy A. Peternelj-Taylor, Olive Yonge (2003) write, "These settings demand various chores, sometimes familiar chores and other time not so familiar. Contemporary psychiatric-mental health nurses practice in a multitude of settings and embrace a variety of therapeutic roles. They may find themselves working autonomously in independent practice or collaboratively as members of interdisciplinary teams. They may be employees of the healthcare system and practice in traditional community- and hospital-based settings, or they may find themselves working within the criminal justice system, in a variety of secure environments such as prisons and forensic psychiatric units. Although the issues dealt with in practice may on the surface appear to be quite significant, in reality a clearly defined distinction is nonexistent. It is the therapeutic nurse-client relationship that is the foundation of psychiatric-mental health nursing, one that unites psychiatric-mental health nurses regardless of the settings in which they practice (Cindy A. Peternelj-Taylor, Olive Yonge, 2003)."
It is clear that defining treatment boundaries within the nurse-client relationship has become extremely important not only for the nurses but also for the healthcare system, in general. Many nurses have turned to disciplines of psychology, medicine, and social work to seek guidance by understanding their working boundaries. While this approach has been successful in defining a vague treatment boundary for...
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