ORCID Profile
0000-0002-0691-751X
Current Organisations
University of Adelaide
,
University of South Australia
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Publisher: Elsevier BV
Date: 02-2017
DOI: 10.1016/J.COLEGN.2015.10.001
Abstract: Using a Constructivist Grounded Theory approach (Charmaz, 2006), this research examined the social construct of the “professional boundary” necessary in mental health therapeutic work and the problem of professional boundary violations in the therapeutic relationship. Thirteen mental health clinicians from various professional disciplines commonly found in mental health clinical practice responded to three specific questions designed to gain an understanding about how clinicians gauge the differences between minor and serious boundary violations. The three questions facilitated further exploration of boundary violations specifically to explore the difficulties of determining what is and what is not considered a boundary violation often resulting in polarised views or “black and white” descriptions and opinions. However many shades of grey were also revealed during the interviews. Almost all participants rated intimacy or sexual contact with a client or an ex-client as being a serious boundary violation, on the other hand there was a great deal of variety in the ex les offered as minor boundary violations. Whilst the “Black” is clearly defined by clinicians in this research, the “White” only seemed to create more “Grey” areas, with descriptions of behaviours that fell into the Grey area being more difficult to define.
Publisher: Informa UK Limited
Date: 02-2010
DOI: 10.5172/CONU.2010.34.2.258
Abstract: Mental heath nurses recognise the importance of professional boundaries and therapeutic relationships and understand that clinical supervision is an important component to good clinical practice and their ongoing professional development. This qualitative constructivist grounded theory research has uncovered a potential risk in contemporary mental health clinical practice, where the desire for expedient answers may compromise the outcome of formal structured supervision. The notion of a new concept 'superficial supervision' and its implications for formal structured supervision are explored.
Publisher: Informa UK Limited
Date: 07-2006
DOI: 10.5172/CONU.2006.22.1.84
Abstract: The literature demonstrates a clear relationship between the rate of adverse effects and the number of prescribers that a service consumer may consult. This brings into question the benefits, for the service consumer, of nurses prescribing. Given the complexities of care for certain population groups, for ex le older people, it is suggested that there is greater benefit in professionals working collaboratively toward the best outcome for the person in care, with nurses offering more informed advice to their partners in service delivery. Nurses who advance their practice through the development of an expert knowledge base relevant to their area of expertise can contribute to the diagnosis and management of particular client groups by providing specialist advice to primary and direct care professionals. It is proposed that this could be achieved using an 'academic detailing' approach rather than becoming another prescriber of pharmacotherapy.
Publisher: Informa UK Limited
Date: 02-2010
DOI: 10.5172/CONU.2010.34.2.140
Abstract: In a world dominated by technology and driven by fiscal policy emphasis, the therapeutic relationship as a healing modality is still a central theme to mental health nurses (MHN) in their everyday work. This research, as part of a PhD program, used a constructivist grounded theory approach to explore the process of therapeutic relationships and professional boundaries. The current paper outlines how therapeutic friendliness provides a connection for the therapeutic relationship to develop but in doing so requires a balancing of the therapeutic relationship and constant maintenance of the professional boundary. The authors also discuss how community mental health nurses (CMHN) invest in the therapeutic relationship in order to develop a therapeutic alliance and how the alliance between the CMHN and the client facilitates the use of therapeutic leverage applied by the CMHN as part of the therapeutic process.
No related grants have been discovered for Andrew Gardner.