SodialmediaNJ · Social media has great promise as a resource for nurses.!! Social media poses...
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9/19/11 1 Social Media: Promises and Pitfalls Cynthia Saver, RN, MS CLS Development, Inc. www.cynthiasaver.com One nurse’s story… “I would never have thought that what I posted in the privacy of my own home would have ended up being the big mess that it is.” (26 years old) The promise… Today Social media has great promise as a resource for nurses. Social media poses great peril for nurse. Effective use of social media provides maximum benefit with protection from peril. What is social media? “Social media is the use of web-based and mobile technologies to turn communication into interactive dialogue.” http://en.wikipedia.org/wiki/Social_media What is social media? Questions Do you have a Facebook page? Do you have a LinkedIn account? Do you have a Twitter account? Who is using social media? Facebook = 640 million members (8/11) Twitter = 105 million users 49% of users rarely or never check Twitter LinkedIn = 101 million users (6/11) 65% of adults on the internet use a social networking site (50% of all adults use social networking sites) Pew Internet 8/11 Who is using social media? If Facebook were a county, it would be the world’s third largest .
Transcript of SodialmediaNJ · Social media has great promise as a resource for nurses.!! Social media poses...
9/19/11
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!Social Media: !
Promises and Pitfalls"
Cynthia Saver, RN, MS!CLS Development, Inc.!www.cynthiasaver.com!
!
One nurse’s story…"
“I would never have thought that what I posted in the privacy of my own home would have ended up being the big mess that it is.” (26 years old)!
The promise…"
Today"
n Social media has great promise as a resource for nurses.!
n Social media poses great peril for nurse.!
n Effective use of social media provides maximum benefit with protection from peril.!
What is social media?"“Social media is the use of web-based and mobile technologies to turn communication into interactive dialogue.” http://en.wikipedia.org/wiki/Social_media!
!
What is social media?"
Questions"
Do you have a Facebook page?"!Do you have a LinkedIn account?!!Do you have a Twitter account? !!
Who is using social media?"
n Facebook = 640 million members (8/11)!
n Twitter = 105 million users!n 49% of users rarely or never check Twitter!
n LinkedIn = 101 million users (6/11)!
n 65% of adults on the internet use a social networking site (50% of all adults use social networking sites) Pew Internet 8/11!
!
Who is using social media?"
If Facebook were a county, it would be the world’s third largest .!
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Who is using social media?"Nurses!n Ontario nurse survey: 60% used social media
sites; 12% used for personal and work purposes!n 77% of nurses have visited Facebook (2/10)!n Twitter: 11% of nurses (2/10)!n Only 21% of hospitals use social media
compared to 83% of adults online searching for medical information!
How U.S. Hospitals Use Social Media, Annals of Internal Medicine 2011!!
Today: The 3 P’s"
n Promise!n Peril!n Protection!
Everything is evolving…!
Promise of social media"
Social media is being used for:!n Communicating and collaborating!n Education and research!n News and information!
!…and more!
Educating" Connecting" Connecting"
Sharing" Connecting" Marketing/Providing Customer Service"
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Community/Surveillance"
tudiabetes.org, Skin Scan, and more…
Peril"
n Five nurses at a California hospital fired for allegedly discussing patients on Facebook (2010)!
n Student nurse expelled after posting a photo of her with a placenta on Facebook!
Protection"
n Associations!n ANA’s Principles for Social Networking !n NCSBN!n Professionalism in the Use of Social Media
(AMA)!!
Questions"
How concerned are you about patient privacy violations on social media?!!How concerned are you about what your staff is posting on social media?!
Protection: Privacy"
n Existing rules!n Health Insurance Portability and
Accountability Act (HIPAA)!n ANA Standards/Code of Ethics!n Association guidelines!n Hospital policies!
!
Privacy Paradox"
Protection: Privacy"n Pseudonym is not enough!
n Speak in general terms and omit time frames and locations!
n Case study: obtain consent from patient, but still omit names and key identifying information!
n Your lecture may end up on YouTube!n Don’t rely on email encryption!!
Protection: Privacy"n “Nurses must not transmit or place online
individually identifiable patient information.”!
! !ANA Principles for Social Networking!!
Protection: Privacy"
n Set Facebook settings!n Consider two pages: professional and
personal!n Set Twitter settings!n Nothing ensures complete privacy!
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Protection: Privacy"
n “Nurses should take advantage of privacy settings and seek to separate personal and professional information online.”!
! !ANA Principles for Social Networking!
Peril"
n Nurses in Wisconsin took cell phone photos of a patient’s x-ray, and one allegedly posted it on Facebook; both were fired and case referred to FBI!
!
Peril: Boundary Crossing"Boundary issues !n Nurse-patient relationship!n Boundary crossing is often not intentional!
n Bob’s story…!
Protection: Boundary Crossing"Boundary issues:!n The nurse maintains a therapeutic and professional health consumer-nurse relationship within appropriate professional role boundaries. (ANA standard)!
n “Nurses must observe ethically prescribed professional patient-nurse boundaries.” (ANA Principles of Social Networking)!
Protection: Boundary Crossing"Boundary issues (NCSBN):!n The nurse should avoid situations where the nurse has a personal or business relationship, as well as a professional one.!n Post-termination relationships are complex because the client may need additional services, and it maybe difficult to determine when the nurse-patient relationship is truly terminated.!NCSBN. Professional Boundaries: A nurse’s guide to the importance of professional boundaries.!
Protection"n “Nurses should understand that patients,
colleagues, institutions, and employers may view postings.” ANA Principles for Social Media!n Your employer can access messages sent OR
received if you used the employer’s computer OR internet connection.!
Protection"n Use disclaimers on your blogs, etc.!
n “The views expressed [here] are my own and do not reflect those of my employer.”!
n “The content provided is for information purposes only…”!
n Profession!n Our “digital footprints” reflect on our
profession!
Question"
Have you ever had a patient or patient’s family member ask to be “friends” on Facebook?!
Protection"n What if patients want to “friend” you?!
n ANA Code of Ethics/Standards!n ANA social networking policy!!“Thanks for thinking of me, but I use my Facebook site just for family members and close friends.” (Sherman & Blum, 2010)!!
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Protection"n Is it OK to Google a client?!
n Have a reason to do so!n Obtain permission/inform!
n Search for yourself online!n Check for ratings on sites such as Yelp.com!
n Don’t take content from other sites!
Peril"
n Using social media during work hours for non-work purposes!
!
Question"
Does your organization have a social media policy?!
Policy"
n Outlawing social media at work isn’t a good idea!n “Limit their personal use of social media…
during work hours” (Children’s Hospital Boston)!
n Helping people understand the boundaries is a good idea!
n Examples of hospitals’ social media policies: http://ebennett.org and http://socialmediagovernance.com/policies.php?f=4!
Policy"
Definition!
Monitoring!
Links!Participation!
Disciplinary action!
Policy"
n “Nurses should participate in developing institutional policies governing online conduct.” ANA Principles for Social Networking!
Policy"
Independent counselor!n Give clients copies of what to expect!n Can apply boundaries (for example, no
texting during the session)!n Have a policy. Download an example at
http://drkkolmes.com/for-clinicians/social-media-policy !
Recruitment"
n Hospitals are checking social media!n Recruiters should maintain records!n Should be part of complete package!n Problem of “disparate impact” !
Protection: Think before you post…"
n Does the discussion reflect positively on your coworkers/colleagues? Your work unit? Your employer?!
n Does the discussion conflict with your employer’s mission, culture, or other values?!
n Does the discussion reveal confidential patient or proprietary business information?!
!Adapted from: http://candidcio.com/2009/08/12/social-media-policy-and-employee-guidance !
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Digital Ethics"
n Maintain your privacy settings!n Protect patient privacy!n Adhere to professional standards and
guidelines!n Know your organization’s policy!n Keep your professional and personal
social media separate!n Use common sense and be civil!!
Question"
Have you seen a coworker or manager inappropriately use social media at work within the past 2 weeks?!!
Digital Ethics"
n “Nurses should bring content that could harm a patient’s privacy, rights, or welfare to the attention of appropriate authorities.” ANA’s Principles for Social Networking!
n Sally’s story…!!!
!
Peril"
n MI nurse fired after posting comment about shooting suspect (2010)!
!
Unanswered Questions"
n When does organizational policy interfere with freedom of speech?!n National Labor Relations Board!
n What are the precise boundaries for posting online?!
n What should and !should not be private?!
Protection"
n Your reputation!n Your patient’s reputation!n Your profession’s reputation!!
Jump in, the water’s fine…"
n Follow someone…make a comment!n Start small !
n RSS feed!n LinkedIn account!n TweetDeck!
n Create content!!
Today"
n Social media has great promise as a resource for nurses.!
n Social media poses great peril for nurse.!
n Effective use of social media provides maximum benefit with protection from peril.!
Contact"
Cynthia (Cindy) [email protected]!
[email protected]!www.cynthiasaver.com!LinkedIn and Facebook!
!This presentation contains general information. You should
seek legal counsel for specific questions.!
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Resources"n American Nurses Association. (2011, September). Principles for
social networking and the nurse. Silver Spring, MD: Author.!n National Council of State Boards of Nursing. (2011, August). White
Paper: A nurse’s guide to the use of social media. Chicago, IL: Author. !
n The Nurse’s Social Media Advantage, by Robert Fraser. Discount at http://www.nursingknowledge.org !
n Pagana K. Facebook: Know the policy before posting. Nurse.com. (CE module)!
n Anderson J, Puckrin K. Social Network Use: A Test of Self-Regulation. Journal of Nursing Regulation. April 2011.!
n Health on the Net Foundation http://www.hon.ch/Global/copyright.html!
n Copyright http://fairuse.stanford.edu!n Social Media Governance http://socialmediagovernance.com !
Policy"
n Educate!“Don’t betray our patients’ trust (and don’t
get arrested).” http://candidcio.com/2009/08/12/social-media-policy-and-employee-guidance !
ANA’s Principles for Social Networking "
n Nurses must not transmit or place online individually identifiable patient information.!
n Nurses must observe ethically prescribed professional patient – nurse boundaries.!
n Nurses should understand that patients, colleagues, institutions and employers may view postings.!
ANA’s Principles for Social Networking "
n Nurses should take advantage of privacy settings and seek to separate personal and professional information online.!
n Nurses should bring content that could harm a patient’s privacy, rights, or welfare to the attention of appropriate authorities.!
n Nurses should participate in developing institutional policies governing online conduct.!
Protection"
n Professional policies and guidelines!n Employer’s policy!n Independent counselor policy!
