Ethics and Boundaries in Healthcare (1313AD)


Boundaries are a focus in many healthcare professions in which ethical dilemmas and challenges are encountered. At this time, several states mandate ethics and boundaries continuing education for specific disciplines. Throughout the course, the term “healthcare professional” will be used. Please feel free to mentally insert your specialty as the term of choice. Disclosures: Laura Grey-More has no relevant financial or nonfinancial relationships to disclose.


Hours: 3.00


Certificates provided by accrediting body (1 Match)

Florida Board of Massage Therapy


Relias Learning is accredited provider of continuing education in Massage Therapy by the Florida Department of Health, Board of Massage Therapy, provider #50-290. This course is approved for 3.00 contact hours.

Course Details

Course Code: REL-C2L-1313AD
Hours: 3
Type: Online Course
Content Expiration Date: 3/31/2019
Learning Objectives:
Describe the purpose and types of boundaries in healthcare
Explain touch and sex boundary violations
List parameters for appropriate gift giving
Describe dual relationships and their challenges in small, rural communities
Illustrate ways that patients violate boundaries
Describe ways to set and maintain boundaries

I. Introduction II. Defining Boundaries A. Purpose of Boundaries III. Boundaries in Healthcare A. Boundary Issues B. Boundaries and Power C. Boundaries and Ethics D. Select your Code of Ethics: E. Boundary Violations IV. Boundary Crossings A. Boundaries with Colleagues V. Online Violations A. Social Networking B. Boundary Issues C. HIPAA D. Do’s and Don’t’s VI. Touch and Sex Violations A. Touch VII. Sex with Patients or Families A. Sexual Activity and Its Consequences B. Discussing Boundaries C. Time Boundary on Initiating Sexual Relationships D. Professionals who Cross the Boundary E. Risk Factors F. Avoid Crossing Boundaries VIII. Gift Violations A. Appropriate Gifts B. Inappropriate Gifts C. Gifts from the Wealthy D. Gifts for Referrals E. Culture and Gifts F. Gifts to Patients IX. Dual Relationships A. Dual Relationship Defined X. Boundaries in a Small, Rural Community A. Multiple Relationships B. Boundary Crossings C. Overcoming the Challenges XI. Patients Who Violate Boundaries A. Setting Limits B. Violence C. Sexual Advances D. Reverse Boundaries XII. Barriers to Patient Communication A. English as a Second Language B. Regional Accents, Terms and Subgroup Slang C. Socioeconomic Status and Culture XIII. Setting and Maintaining Boundaries A. Pay Attention B. Checklist of Boundary Behaviors XIV. Thin Places A. Recognize Thin Places B. Getting Help C. Sexual Activity D. Judgment, Values, and Social Aspects E. Patient Choice and Risk Boundary F. Patient/Family Education XV. Availability A. Real Time Availability B. Social Networking Availability C. Boundary Education for Patients XVI. Summary

Expert Reviewer: Laura Grey-More, MSW, LCSW
Laura More is a Licensed Clinical Social Worker and Assisted Living Administrator. She earned her Masters of Social Work from Florida State University. Laura has over twenty years of healthcare experience, with a focus on rehabilitation. Laura has directed case management, social service, and rehabilitation in outpatient, skilled nursing, and inpatient hospital settings. Laura is a talented public speaker and corporate trainer. She has developed extensive managerial training presentations for healthcare facilities. She has presented at the American College of Health Care Administrators, Florida Health Care Association, Florida Association of Rehab Providers in the Private Sector, and the West Coast Case Management Association, among others. Laura was one of the founding partners of Care2Learn, a provider of online continuing education courses for the post-acute healthcare industry. She now provides healthcare authoring services, primarily in geriatrics. She has authored or edited over 120 online continuing education titles, co-authored evidence-based care assessment resources, and has published home health nursing assistant inservices. She is the recipient of the 2010 Education Award from the American College of Health Care Administrators. Disclosure: Laura Grey-More, MSW, LCSW has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Jennifer Moore, RN-BC, DNS-CT, CDP
Jennifer Moore, RN-BC, DNS-CT, CDP started working in the senior care industry in 2000. She is a certified Gerontological Nurse, a Director of Nursing Services – Certified, and a Certified Dementia Practitioner. She has held positions including MDS Coordinator, Director of Nursing, Medicare Nurse Coordinator, Nurse Consultant, Area Manager, and Director of Quality Assurance. Her overall responsibility within each of these positions was to ensure residents received the highest quality of care. This included active participation in quality improvement initiatives, review of clinical records to identify areas of weakness, corroboration with the medical director to institute policies and procedures for resident care, and staff education/training. Additionally, she was responsible for maintaining an effective compliance program under a Quality of Care Corporate Integrity Agreement with the Office of Inspector General for a period of five years. She currently serves as the manager of curriculum design for post-acute care for Relias. Within this position, her responsibility is to oversee the development of online training modules for the post-acute care industry. She has served as the subject matter expert for courses on re-hospitalization, clinical skill reviews, and various OSHA and regulatory compliance topics. In addition, she has presented at various state conferences on mandatory compliance, quality assessment and assurance (QA&A), and quality assurance and performance improvement (QAPI). Disclosure: Jennifer Moore, RN-BC, DNS-CT, CDP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: intermediate level Administrators; intermediate level Nurses; intermediate level Physical Therapists; intermediate level Respiratory Therapists; intermediate level Social Workers; intermediate level Speech and Language Pathologists; in the following settings: Acute Care Facility, Home Health, Post-Acute Care, Residential Care.
F Tags:
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.