Setting Boundaries in Counseling Essay - 854 Words

Introduction Boundaries are extremely important in a counseling session. Setting boundaries and limits in therapy sessions represents an ethical decision that is set by each counselor, when entering a therapeutic relationship. In this presentation, I will discuss pertinent boundary issues that the staff has encountered, since working at this agency. Finally, I will describe how these boundaries are addressed and resolved at this site. Significant Boundary Issues at this Practicum Site According to G. Corey, M. Corey, Callanan, (2007) boundary crossings are a departure from regular accepted practices that could benefit the client. A boundary violation is a serious ethical breach that could potentially harm the client (Corey, et el.,†¦show more content†¦This was a dilemma for the soldier, counselor as well as the command. Some counselors allow the soldier to be late for no more than 10 minutes, if the soldier or command called about being late for their appointment. In some cases, this is a boundary crossing that benefited the soldier/client, as long as every soldier is treated the same way. Fortunately, certain boundary issues were addressed during the enrollment process of the soldier to the program. Boundary Issues Addressed and Resolved These boundary issues were addressed in the enrollment process of the soldier in a Rehabilitation Treatment Meeting (RTM) in which family would be included with the soldier, along with his command and/or the soldier’s supervisor. The counselor would first staff the case with their supervisor. Walker Clark (1999) report that the counselor should obtain close supervision to anticipate or head off any possible ethical violation by intervening, when they see signs of boundary problems that may appear. The purpose of the RTM is for the counselor to present recommendations from the result of the assessment, and discuss the rules of ASAP. This includes expectations about showing up for scheduled appointments, cancelling appointments or being late for appointments. The counselor will talk about the ASAP in terms of Recovery from alcohol or drug addiction. The counselor must be aware that street drugs or abuse of prescription drugs are notShow MoreRelatedThe Ethical Issues Raised When Services Are Delivered For Non Office, Off Site Settings Essay1160 Words   |  5 PagesNon-Office, Off-Site Settings Anthony M Luciano Tanya M Giglio Mercy College In this paper, we will illustrate the issues that present when providing counseling in a non-office, off-site setting. We will explore two different kinds of counseling that occur in a space that is not a traditional office including in-home counseling and the rise of wilderness programs. 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Critical Analysis Public Corruption Free Essays

Corruption is a problem dealing with economic and social structure of a nation across the globe. Corruption in politics is a public sector phenomenon and is nonetheless one of the central issues facing many nations in modern times. Dealing with both legal and ethical considerations, there are instances that the office or duties are being betrayed in exchange of selfish benefits. We will write a custom essay sample on Critical Analysis: Public Corruption or any similar topic only for you Order Now Throughout history, failure of the remedies applied to it largely impacted the socio-economic development of the nation. It is good to analyze what motivates corruption, how its different varieties are perceived, what does it serve and what can be done to minimize or even eradicate this. Attitudes towards position and obligations remained to be the prime factors that motivate public personnel to be do corrupt actions. In high level and low level of corruption, the use of public office whether it is a high official or a clerk were initiated with the use of authority giving favors due to self interests that need to be met. For example, alliance in politics servicing an electoral candidate’s campaign if perceived as a power of assuring victory in the electoral process will result not just to gratitude but to a subtle obligation for paying back in terms of influential favors since being a candidate in election required allotment of non profitable amount of money. This can also be applied with clerks who have the ability to give favor in exchange of bribes. This is possible when we consider the low compensation of government employees that in order to survive, or earn more money, they will choose to accept the bribe (U Myint. 2000. p. 40-41) We can have in mind that hard times and great stress will make corrupt people. As we can notice with the way situations are determining the attitude of an individual, we can say that corruption is a form merely not of political choice but of economic choice and if we are talking about economic variables, we should not forget that market will always play its role and price is which will matter most in dealing with it. It remained one of the highly considered points of view in analyzing corrupt acts, but this economic perception applied in high level of corruption revealed that it is incomplete and has discrepancies for there are actual motives beyond such as the immeasurable power of discipline. With the extent of corruption’s effects in the society and with its length of stay in the history of policy making, there can be notions that corruption is becoming part of the culture or that corruption is a culture itself. But any act and practices suggesting lame authority has no space in an ideal society thus making them nuisance and should be acted to totally remove them in the social system. The attitude towards the use of authority apparently needs to be addressed in post conventional manner to keep it on track of servicing solely the public interests. All collective actions done by people in the social group defined and established the culture and if a portion of culture is no longer servicing its functions there should be a way that it can be destroyed and make changes to adopt in better situations. Political planning must address the issue with high authoritative will paired with the sensitivity with the root causes of it. How to cite Critical Analysis: Public Corruption, Papers

Engagement in Professional Nursing

Question: Discuss about theEngagement in Professional Nursing. Answer: Clinical Governance Consumers in the health care system have a role in ensuring they get the best quality service from the healthcare institutions. However, they should participate in shaping this service delivery in various ways. Firstly, they can take part in both scientific and empiric research related to health and the provision of services within the institutions they attend to (Sollecito Johnson, 2013). The aim of most researches conducted is to identify problems, the causes and establish the most appropriate interventions for them. This can only be possible if the data obtained is from the consumers who are impacted by the kind of services provided. Thus the quality of life, patient satisfaction, better decision making process and general empowerment will be realized. Secondly, consumers can participate in policy and decision process in the healthcare system as one category of stakeholders. Since any policy and decision adoption in healthcare ultimately affects the consumers, then it is imperative that they are involved in the process of coming up with these policies. This will not only increase the level of quality and satisfaction but also ensure that their rights have been considered as well as the legal implications of the adopted policies. In the same way, equity and accountability will be realized as there provision of services will be based on the opinions and needs of the consumers (Numerof Abrams, 2013). As a registered nurse, I can increase consumer participation in planning, implementation, and evaluation of care delivered in a number of ways. Firstly, I will strengthen by observing health laws and client rights mechanisms that include informed consent and complaint mechanisms. According to Yoder-Wise (2013), appreciating the diversity of consumers will ensure an in-depth understanding of their needs and with informed consent, there will be collaboration and participate in decision-making process aimed at meeting their needs. This calls for the provision of education to other health care providers on cultural awareness and sensitivity. This is a form of patient-centered care that protects the patients rights, one of the roles of nurses as patient advocates. Secondly, I will promote democratic processes which include complaint process in the healthcare system to maintain transparency justice and promote open disclosure. Thus information should be shared freely with consumers in orde r to develop a mutually-beneficial relationship in which there are trust and respect. Upholding patient dignity and respects will encourage the patients to participate in the planning, implementation, and evaluation of care delivery for the common good of both parties (Daly, Speedy Jackson, 2015). Quality and Safety Medication safety is one of the standards of National Safety and Quality Health Service Standard (2012). The purpose of this standard is to provide guidance and ensure health care providers competently prescribe, dispense and administer medications to their informed clients. Proper identification, documentation, and communication, as well as management, are required in all these processes to maintain quality and safety of the services offered to the consumers. The significant risks associated with medication safety include not observing the five rights of patient administration namely right patient, drug, time, route, dose, and frequency, lack of informed consent during the administration of medication. In addition, during prescription, errors may occur due to misdiagnosis or lack of comprehensive history taking, physical examination, assessment, and investigations that lead to wrong prescription (Vaismoradi, Jordan, Turunen Bondas, 2014). Notably, prescription errors may also occur due to manual and electronic prescription and dispensation of drugs associated with standardized dosages that dont put into consideration exceptional circumstances and patient condition. All these instances lead to a poor patient outcome, patient harm due to injury caused, diverse effects, prolonged and unnecessary hospitalization, high cost of treatment, reduced quality of life and even death. As stipulated in NSQHS standards (2012), there is an estimate of more than 1.5 million people in Australia encounter instances of adverse effects from medication annually which lead to them seeking medical attention and hospitalization in more than 400000 and 190000 of these cases respectively. These admissions account for 2-3% of the total hospital admissions per year in Australia. Most of these cases involve the elderly in which there are about 30% admissions of people above the age of 65 years due to the adverse medicine. More than 50% of these cases are avoidable with adherence to best practice guidelines. As a registered nurse I can employ several of strategies to improve patient outcome with regard to medication errors. Two of these strategies are manipulation of environmental factors that contribute to medication mistakes and continuous professional and patient education (Adams Urban, 2013). Some environmental factors such as poor lighting clustered working environment, overcrowding, distractions and burnouts contribute to medication errors among healthcare providers. Thus addressing these causative factors can reduce the instances of errors and therefore ensure patient safety and improve their outcome. On the other hand, continuous staff education on the internal and external medication errors is paramount as a form of acquainting them on the existing medication related policies, procedures, and protocols. Patient education on medication is equally essential as it empowers them with knowledge on purpose, dosage, route of administration and anticipated adverse effects as well as dr ug interactions (Donchin Gopher, 2013). Leadership and Management Time management skill is crucial in the role of a professional nurse. Time management requires that a nurse has to organize their working environment in order not to waste time to look for needed equipment and supplies in untidy places. Not only will this save time for both the patient and the nurse but also ensure workplace safety as it prevents any incidence that can result in injury. Another aspect that can guarantee a saving of time in the clinical area is proper planning by listing all the tasks that should be accomplished in a particular period of time. Planning ensures that the most important tasks are prioritized and performed first. Thus scheduling and creating time blocks for tasks can promote organization and time management within an institution (Yoder-Wise, 2013). Secondly, self and social awareness are a skill that is crucial in leadership. Self-awareness involves having an in-depth understanding of oneself by doing self-reflection to understand emotional response to situations and how the responses impact the quality of leadership and the professional relationship with others. Improved interaction and general moderation improve relationship with other; both consumers and colleagues and therefore the quality of service delivered and outcome improves (Kelly Quesnelle, 2016). On the other hand, social awareness involves caring about others by understanding their needs and providing strategies on how to meet them. Compassion, one of the qualities of professional nurses, helps one to develop this skill as they practice active listening and emotion identification. This skill is important because it ensures that all the physical, emotional, spiritual and mental aspects of all individuals in the health care system are addressed to promote dignity a nd satisfaction in all stakeholders. One of the skills I would like to develop further over the course of my transition year is interpersonal communication. This can help me interact professionally with co-workers and clients. Some of the strategies I will use to achieve this are self-disclosure that will involve talking openly about personal values and beliefs but in a respectful manner while remaining calm in all situations where there is disagreement with others. In such circumstances am also expected to disagree politely. Secondly, I should suspend or suspend uncalled for emotions, reactions, and prejudgments in the effort to develop problem-solving skills that are important in the interpersonal communication (Arnold, Boggs, 2011). Therefore learning collaboration skills will enable me to appreciate personal strengths and weaknesses as well as those of others. This is necessary to ensure that everyone is assigned duties with reference to their strengths and interests to avoid conflict within the working environment . Organizational Culture Learning culture has a number of primary defining characteristics. Firstly, proactivity which is a personal initiative undertaken in preparation of anticipated challenges. Learning culture demands that all parties involved dont only take actions to solve the existing problems but also in anticipation of the future. Secondly, commitment to learning by striving to acquire skills among those involved is always evident in any learning culture. To gain the skills required, most individuals most often experiment, get feedback, analyze, reflect and assimilate. Thirdly, learning culture is characterized by the belief that environmental management is possible by adapting to the ever-changing environment and having control over it. Fourthly, there is a strong belief that it is human nature for individuals to learn and apply the knowledge acquired in solving problems if they are provided with necessary and adequate learning resources. Additionally, it is characterized by a positive orientation to not only the past and present but also the future by acknowledging the need for expertise and aiming at achieving it by continuous learning and assimilation of learned knowledge and skills. Furthermore, there is a commitment to investment of proper multichannel communication system through which all stakeholders can connect with others pass and receive information in the process of learning (Bach Grant, 2011). Lastly, it shows commitment to the respect of cultural diversity that is a source of different perspectives that are important in solving problems in various environments (Wentz, 2011). As a registered nurse I can contribute to the culture of learning by making continuous medical education and learning a routine in the institution by integrating it with talent, abilities, and interests to promote capability development. Active participation should be exhibited by all that are committed to the learning process to acquire the desired skills and expertise (Avillion, 2015). In most instances, job promotion and responsibility are based on these achievements. Thus as a nurse, it is imperative to realize the professional interests and objectives and aim to achieve them through attainment of expertise. Furthermore, I can I can devote my time and resources towards quality service delivery by all health care providers through sharing of knowledge and information regularly. The demand for quality and standard services from all care providers can compel participation and commitment to learning which consequently impacts personal growth (Zhan Finch, 2012). Transition to Practice Role conflict is a situation in which one is expected to perform two roles of contradicting positions that are incompatible with each other. Role conflict reduces the general performance of a nurse and therefore the quality of service is affected negatively (Rundio Wilson, 2015). Role conflict typically leads to role stress whereby a nurse is overwhelmed from performing duties that are not clearly defined for their profession. This leads to exhaustion and reduced job satisfaction. It is also detrimental in the interpersonal relationship between co-workers. Performing some duties that are beyond the scope of practice can lead to disciplinary action against the affected individuals. Consequently, there is demotivation in the practice which has eventual negative impacts to the consumers. Furthermore, the emotional and psychological wellbeing of a person involved in the role is affected. If severely affected, some may resort to malpractice and unethical behavior that leads to legal impl ications. Maintaining emotional and physical wellness is advocated for in the nursing profession. Some strategies can be employed to facilitate this wellness. Firstly, in order to promote emotional wellness, I will find and establish a supportive relationship with other professional nurses, family, and friends in whom one can confide experiences, feelings and challenges. They can then share and build new perspectives about work and how to handle the challenges. There are instances where problems become overwhelming despite all the self-efforts. Under these circumstances, professional help can be sought from friends, relatives, and other professionals. This helps in the maintenance of emotional health and wellbeing (Edlin, Golanty Brown, 2012). Secondly, I can promote physical well-being by performing regular exercises, taking enough rest and adhering to proper nutrition. Physical exercises improve the bodys fitness, reduce stress and keep one alert. Physical exercises and good nutrition contr ibute to avoidance of lifestyle-related conditions such as obesity, hypertension, and diabetes among others. They also provide opportunities to interact with others and explore ones talents and interests outside the professional practice (White, 2015) References Arnold, E., Boggs, K. U. (2011).Interpersonal relationships: Professional communicationskills for nurses. St. Louis, Mo: Elsevier/Saunders. Avillion, A. E. (2015).Nursing professional development: A practical guide for evidence-based education. Brentwood, TN : HCPro Adams, M., Urban, C. Q. (2013).Pharmacology: Connections to nursing practice. Boston:Pearson. Bach, S., Grant, A. (2011).Communication interpersonal skills in nursing. Exeter [England: Learning Matters. Donchin, Y., Gopher, D. (2013).Around the patient bed: Human factors and safety in healthcare. Boca Raton : Taylor Francis Daly, J., Speedy, S., Jackson, D. (2015).Leadership nursing: Contemporary perspectives. Chatswood, New South Wales : Churchill LivingstoneEdlin, G., Golanty, E., Brown, K. M. C. (2012).Health and wellness. Sudbury, MA: Jones andBartlett Publishers. Korniewicz, D. M. (2015).Nursing leadership and management: The advanced practice role.Lancaster, Pennsylvania : DEStech Publications, Inc Kelly, P., Quesnelle, H. (2016).Nursing leadership and management. Toronto, Ontario :Nelson Education Ltd NSQHS standards Sept 2012 (2012). . Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf Numerof, R. E., Abrams, M. N. (2013).Healthcare at a turning point: A roadmap for change.Boca Raton: CRC Press. Rundio, A., Wilson, V. (2015).The doctor of nursing practice and the nurse executive role.Philadelphia : Wolters Kluwer Sollecito, W. A., Johnson, J. K. (2013).Mclaughlin and Kaluzny's continuous qualityimprovement in health care. Burlington, MA: Jones Bartlett Learning. Vaismoradi, M., Jordan, S., Turunen, H., Bondas, T. (January 01, 2014). Nursing students'perspectives of the cause of medication errors.Nurse Education Today,34,3, 434-40. Wentz, D. K. (2011).Continuing medical education: Looking back, planning ahead. Hanover,N.H: Dartmouth College Press. White, L. (2015).Foundations of nursing. Australia: Delmar Learning.Yoder-Wise, P. S. (2013).Leading and Managing in Nursing - Revised Reprint. London: Elsevier Health Sciences. Zhan, L., Finch, L. P. (2012).Accelerated education in nursing: Challenges, strategies, and future directions. New York: Springer Pub. Co.