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Transcript of Social Media:
Social Media: Guidelines for Professionals in Health Care
Cons of Social Media
Guidelines to Social Media
National Council of State Board of Nursing (NCSBN): Published guidelines for social media in the nursing community (ANA and NCSBN Unite to Provide Guidelines on Social Media and Networking for Nurses, 2012)
Confidentiality MUST be a priority at all times
Patient must be able to trust the nurse with information
Inappropriate Use of Social Media
Breach of confidentiality
Consequences of inappropriate use of social media
Loss of license
Confidential information should be shared only when:
A patient's informed consent is given
Disclosure is legally required
Failure to disclose information results in significant harm
Health Insurance Portability and Accountability Act (HIPAA): Protects patient privacy by defining individuals information and how that information can be used
Nurses can breach patient confidentiality intentionally or inadvertently by posting information of social media
(Crongquist & Spector, 2011)
83% of patients with chronic diseases look up information online
Disreputable health information sites continue to grow
70% of sites containing health information provide inaccurate information
Increased amount of self-medicated patients
Inaccurate information is passed to others
Reduced patient compliance with provider recommendations
(Gabarron, Fernandez-Luque & Armayones, 2012)
Lots of cost up front
A Nurse's Guide to the Use of Social Media
Misunderstandings of Social Media
Misunderstanding that a post is private to only the recipient
Misunderstanding that deleted content is no longer retrievable
Misunderstanding that it is acceptable to refer to a patient if they are not identified by name
How to Avoid Misconduct
Recognize legal obligation to maintain confidentiality at ALL times
Do NOT post or share any patient related image
Do NOT post any leading information to a patient's name or information
Do NOT take pictures of patients on personal devices
Keep professional boundaries with patients on social media
Report any breach in confidentiality
Do NOT speak on behalf of employer, unless told otherwise
According to Merriam Webster
social media: forms of electronic communication through which users create online communities to share information, ideas, personal messages, and other content
What is Social Media?
According to the research
is a tool that maximizes relationships between physicians and patients (Prasad, 2013)
is innovative and participative internet communications (Lohse, 2013)
can be used to infuse health teaching to a group of people (Lohse, 2013)
"Facebook's mission is to give people the power to share and make the world more open and connected"
share photos, statuses, and videos
"a real-time information network that connects you to the latest stories, ideas, opinions and news about what you find interesting"
"Instagram is a fast, beautiful and fun way to share your life with friends and family"
"Online journals where the author can write about any topic of interest, receive comments, and share posts across multiple platforms"
(Korda & Itani, 2011)
text based communication between two or more people
Email and Texting
Benefits of Social Media
The number of people searching for jobs using social media has increased by over 10% in just the last year and a half. In 2011, it was found that 1 in 3 healthcare professionals used social media for their job search. Facebook was considered the first choice for social media used
Advocating for Patients
Using social media, healthcare providers can create care plans, provide education, schedule appointments and help manage care.
Easier Access to Research
Using social media, healthcare providers can quickly locate and share current research articles. Using current evidence-based practice will help provide patients with the best care possible and promote better outcomes (Chou et al., 2013).
Easier Access to Healthcare Provider and Records
Electronic health records are becoming more common, so healthcare providers can access this information from almost anywhere and relay it to their patients sooner. Patients can also reach their providers easier using social media
Engagement with Others
The use of social media has created many different online communities. Patients can communicate with others who may share similar medial conditions or concerns. Using social media could potentially allow individuals to be more open and honest and communicate their problems openly and freely.
Impact of Social Media
November 4th, 2013
Abigail Smith firstname.lastname@example.org
( Cronquist & Spector, 2011)
(ANA and NCSBN Unite to Provide Guidelines on Social Media and Networking for Nurses, 2012).
(ANA and NCSBN Unite to Provide Guidelines on Social Media and Networking for Nurses, 2012).
(Cronquist & Spector, 2011)
ANA and NCSBN Unite to Provide Guidelines on Social Media and Networking for Nurses. (2012). Virginia Nurses Today, 20(1), 7.
Baker, D. (2013). Social Networking and Professional Boundaries. AORN Journal, 97(5), 501-506. doi:10.1016/j.aorn.2013.03.001
Cronquist, R., & Spector, N. (2011). Nurses and Social Media: Regulatory Concerns and Guidelines. Journal Of Nursing Regulation, 2(3), 37-40.
Facebook. (2013). About facebook. Retrieved from https://www.facebook.com/facebook
Fisher, J. & Clayton, M. (2012). Who gives a tweet: assessing patients’ interest in the use of social media for health care. Worldviews on Evidence-Based Nursing, 9(2), 100–108.
Gabarron, E., Fernandez-Luque, L., & Armayones, M. (2012). Social media in health -- what are the safety concerns for health consumers?. Health Information Management
Held, S. (2012). Employing Social Media. Healthcare Traveler, 20(3), 22-43.
Instagram. (2013). Instagram. http://instagram.com/#
Korda, H., & Itani, Z. (2013). Harnessing Social Media for Health Promotion and Behavior Change. Health Promotion Practice, 14(1), 15-23.
Lohse, B. (2013). Facebook Is an Effective Strategy to Recruit Low-income Women to Online Nutrition Education. Journal Of Nutrition Education & Behavior, 45(1), 69-76.
Prasad, B. (2013). Social media, health care, and social networking. Gastrointestinal Endoscopy, 77(3), 492-495.
Squazzo, J. (2010). Best practices for applying social media in healthcare. Healthcare Executive, 25(3), 35-39.
Twitter. (2013). About twitter. Retrieved from https://twitter.com/about
Wen-ying Sylvia, C., Prestin, A., Lyons, C., & Wen, K. (2013). Web 2.0 for Health Promotion: Reviewing the Current Evidence. American Journal Of Public Health, 103(1), e9-e18. doi:10.2105/AJPH.2012.301071
As an example: Jewish Hospital in Kentucky started using a hospital blog and twitter account. Twitter account has “helped drive leadership.” CEO of Jewish hospital liked using social media to help “break down the walls and that administrative ‘us versus them’ mentality.”
Online communities are formed such as PatientsLikeMe where individuals who have the same illness/disease can interact and share symptoms, treatment options, etc. (Chou et al., 2013).
One of the most common themes found in the use of social media was health promotion and disease prevention.
As of 2010 only about 600 hospitals in the United States were identified as using some form of social media. Although this is still a relatively small number, it continues to grow (Squazzo, 2010).
Patients are not only going online to search for health information, but they are now using social media to interact with others about their healthcare concerns.
According to a study by Fisher and Clayton (2012), the majority of participants (83%) already used some form of social media so it would be quite easy to implement into healthcare. This study also found that of the people who did not use any application related to healthcare, 34% indicated they would like suggestions from their healthcare provider.
It seems as though many different businesses and
corporations have been using social media for quite some
time. Hospitals and healthcare organizations are starting
to use social media more and more, but there were only
a small portion of hospitals identified. Of the hospitals
that use social media, most seem to support the idea and
are benefiting from the use (Squazzo, 2010).
Hospitals started tweeting about flu season and flu shots before flu season arrived and created a lot of good publicity and prepared clients (Squazzo, 2010).
Our goal is to educate and guide leadership nursing students to professional use of social media in healthcare.
Change Theory and Social Media
Almost everyone has access to some form of social media. Those who do not have access, such as the Amish community, healthcare providers must be aware and ensure culturally competent care.
Created a three-stage model of change in 1951
Stages included: unfreezing, change and refreezing
This model described the process necessary for change to occur
Whitehead, Weiss & Tappen, 2010)
Because the use of social media in health care is a fairly new concept, it's proper use requires openness to new ideas and change.
if patients see you on a social media site during work, they may think you are not doing what you are supposed to, which in turn would lower patient satisfaction scores.
Patient posts negative feedback +
Staff posting negative feedback =
May not be available or ideal for every culture/religion
Older adults may not be able to access
Health professionals unwilling to make changes to routine