Boundary Violations among Outgoing Undergraduate Nursing Students: Mixed Method Approach
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The aim of the study was to determine prevalence of boundary violation and narrate lived experiences of undergraduate outgoing nursing students of various nursing educational institutions in Mohali and Ropar district
Material and method
A mixed method approach was used where cross sectional descriptive survey supplemented by in-depth interview was employed. The conceptual framework used to guide this study was based on Theory of Planned Behavior and Theory of Reasoned Action. Nursing Boundary Index Self-Checklist was developed, used to determine prevalence of boundary violation where as in-depth interview was conducted to narrate the lived experiences of study subjects. A total of 286 nursing students were selected using convenience sampling for survey and 11 subjects selected for in-depth interview using critical case sampling technique. Quantitative data was analyzed using SPSS.V22 whereas qualitative data was analyzed using colaizzi's approach
The overall prevalence of boundary violation among outgoing nursing students was 9.62%. Prevalence rate of boundary violation were explored for role boundaries (28.45%), Time boundaries (17.10%), Intimacy boundaries (15.0%), Language boundaries (8.30%), Social boundaries (8.0%), Self-disclosure boundaries (5.70%), Cloth boundaries (5.60%), Physical boundaries (4.80%), Place boundaries (3.50%), Gift boundaries (2.70%) and Social-sites boundaries (2.20%). Age of the subjects and course enrolled with was observed significantly associated with boundary violation (p<0.05). The themes related to boundary violation that emerged from qualitative data analysis were Social relationship, Negligence/Malpractice, Over involvement, Role related issue, Verbal aggression, Accepting gifts, and Unprofessional Attitude and Time related violations
The study concluded that overall prevalence of boundary violation among outgoing nursing students was low and observed associated with age and with course enrolled with subjects.
Professional boundary violation, Professional boundaries, Nurse Students, Nurses, Nursing boundary.