Abstract
The author considers the therapeutic relationships between the nurse/midwife/patient/client and the dynamic and everchanging context in which the nurse or midwife provides care. The author also asks the reader to further consider what factors influence the nurse or midwife to 'boundary cross' and how they can identify and prevent this event from occurring within their practice. The nursing and midwifery professions require that members provide a caring service to those patients or clients with whom they work. The nature of the interaction that occurs between a nurse or midwife and a patient/client is a helping and caring one with the professional onus on the nurse or midwife to maintain a relationship that is therapeutic. This means that it is the responsibility of the nurse or midwife, to maintain his/her professional and personal boundaries as well as to assist colleagues and patients/clients in maintaining their boundaries. There are some context specific challenges for nurses who work in child and family health, aged care and mental health. Violence is now a major occupational health and safety concern, particularly in the management of aggression arising from partners of childbearing women, people with dementia or mental health symptoms and substance users and abusers. (non-author abstract)
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