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​Professional boundaries are the borders or limits that a nurse sets to protect themselves and their clients from developing unprofessional, unethical, confusing, or conflicting relationships. Boundaries are required when developing therapeutic relationships with clients due to the personal nature of nursing care.  

Boundaries sit on a continuum that ranges from under-involvement to over-involvement. The zone of the therapeutic relationship is in the middle. Client harm can occur at either end of the continuum. Appropriate professional boundaries create a zone that allows for a safe, effective relationship between the nurse and the client. 


As the nurse, you are always responsible for establishing and maintaining appropriate boundaries, regardless of how a client behaves. Some boundaries are clear-cut; others are less clear and require your professional judgment. It’s important that you recognize when a professional relationship is moving out of the zone of helpfulness and into the nonprofessional zone, and that you take immediate action.​

Boundary crossing​s and violations

Inappropriate professional behaviours can be separated into three categories: 
  1. Boundary crossing
  2. Boundary violation
  3. Sexual misconduct

Some minor behaviours may appear harmless but can lead to behaviour patterns that indicate the nurse-client relationship is no longer in the therapeutic zone. 

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Warning signs of boundary issues

Signs of inappropriate behaviour can be subtle; however, these signs indicate a need to reflect on the nurse-client relationship and clarify boundaries. The following behaviours can signal potential boundary issues.​

​Over-involvement with a client
Under-involvement with a client

What to do if you see warning sign​s

Some boundaries are absolute and must never be violated. Others require judgment and careful consideration of the context. Some behaviors, while unacceptable in most contexts, may be acceptable and appropriate in special circumstances. 
​Reflect on your situation

Caring for friend​​s and family

In situations w​​here you have both a personal and professional relationship with a client, you are acting in a dual role. When you have a personal relationship with someone, you may find it difficult to be objective enough to have an effective professional relationship. You may have difficulty separating personal feelings, values, and beliefs from your professional and ethical obligations.

BCCNM recommends that, when possible, nurses avoid dual roles and transfer overall responsibility for care to another health-care provider.

If you are unable to transfer care or choose to provide some care, you will need to use caution. Ensure: 
How to maintain a therapeutic nurse-client relationship​

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​