What gestures should be avoided in psychiatric nursing?

In psychiatric nursing, it is important to maintain professional boundaries and ensure that therapeutic relationships are established in a way that feels safe and comfortable for the patient. Certain gestures, such as handshakes, verbal compliments, and hugs, can blur the lines of professionalism and lead to potential misinterpretations of the nurse’s intentions.

Handshakes may create a sense of closeness that can be inappropriate for some patients, particularly those who may have a history of trauma or interpersonal difficulties. Verbal compliments, while often well-intentioned, could inadvertently lead to feelings of dependency or confusion about the therapeutic relationship. Hugs are particularly sensitive, as they can be highly personal and may trigger discomfort or emotional reactions in patients, especially those dealing with mental health issues.

By avoiding these gestures, nurses can maintain a therapeutic environment that prioritizes patient safety, respects personal boundaries, and supports a clear understanding of the nurse-patient dynamic. The overarching principle is to ensure that interactions remain professional and supportive without crossing established boundaries that might affect the patient's treatment and wellbeing.