Family Centered Care

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Recommended: When should professional boundaries be asserted in nursing

Nurses interact with families in a variety of community-based and clinical settings. The family nursing process is the same, regardless of the setting or whether the focus is on the family as a whole or on an individual in that family (Crisp & Taylor 2005). In the case of a 3 year old girl just diagnosed with leukaemia, it is important for a nurse to critically analyse the situation and address any immediate concerns. The nurse must address any professional issues that may arise and any potential impacts of hospitalisation that may affect the child and the family. Also provide support and education to reassure and comfort them. The primary concern for paediatric nurses is the welfare of the child and the family (Crisp & Taylor 2005).

‘It is the nursing profession’s commitment to respect, promote, protect and uphold the fundamental rights of the people who are both the recipients and providers of nursing and health care’ (Nursing & Midwifery Board 2010). Nurses must also have an understanding of the legal and professional boundaries of their daily nursing practice (Crisp & Taylor 2005). In this case there are professional boundaries that need to be considered when caring for the child and the family. Nurses have the responsibility to maintain their professional and personal boundaries, as well as assisting people in their care and colleagues, in maintaining theirs. ‘Professional boundaries in nursing are defined as limits which protect the space between the professional’s power and the client’s vulnerability’ (Australian Nursing and Midwifery Council 2010). Confidentiality, privacy and consent play a very large role in this situation as the mother has disclosed her wishes that her husband not be told of her daughter’s diagnosis...

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Leukaemia Foundation 2008, Providing Support, viewed 6 March 2011,

Nursing and Midwifery Board 2010a, Code of Ethics for Nursing in Australia, viewed 6 March 2011,

Parenting and Child Health 2009, Child Development 3-4 years, viewed 2 March 2011<,http://www.cyh.com/HealthTopics/HealthTopicDetails.aspx?p=114&np=122&id=1888#1>

Raising Children Network 2010, Language Development 2-3 years, viewed 2 March 2011,

Sanjari, M, Shirazi, F, Heidari, S, Salemi, S, Rahmani, M, & Shoghi, M 2009, “Nursing support for parents of hospitalized children”, Issues in Comprehensive Paediatric Nursing, pp.122

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