Social Media & Patient Privacy
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1 Social Media & Patient Privacy Laurie Bickhoff New Graduate Registered Nurse Member of the Australian College of Nursing Where s the line? This PowerPoint is copyright. No part of this publication may be reproduced by any means (including electronic, mechanical, photocopying, recording, or otherwise) without prior written permission from Laurie Bickhoff
2 Warning: This presentation contains graphic pictures that some may find disturbing Identifying features in the photos have been covered
3 Social Media Statistics FACEBOOK Used by 10% of the world s population More than 900 million active users Accessed by more than 200 million people on their mobile devices TWITTER:- 140 million users 340 million tweets per day Instagram:- 100 million Monthly Active Users 45 million Photos Per Day LINKED IN:- 50 million monthly users (American Nurses Association, 2012; Lukes, 2010; Spector & Kappel, 2012; Springer, 2012)
4 What Is Patient Privacy Not just about closing the curtains Differs to confidentiality Fundamental to the nurse-patient relationship (Cronquist & Spector, 2011; Spector & Kappel, 2012)
5 Do Nurses Breach Patient Privacy 2012 Survey:- On Social Media 27% of nurses say they use social media to share stories about working life 41% of nurses say colleagues from their ward / team have used social media inappropriately 32% of these posts contained information about patients 12% contained photographs of patients (Ford, 2012)
6 Why Are These Statistics So High? How we communicate has changed Instant access No names = no problem right? Privacy setting on social media give false sense of security (Hillman & Watson, 2012; Spector & Kappel, 2012)
7 Personal Consequences Employment current and future Complaints to registering body (Spector & Kappel, 2012; Springer, 2012)
8 Legal Consequences Deleting the post isn t enough Can constitute publishing State / Federal / Common laws could be violated (Hader & Brown, 2010; Spector & Kappel, 2012)
9 Loss Of Patient Trust Currently, nurses are one of the most trusted and ethical professions Patients may fear sharing what may be crucial information Poorer patient outcomes (Englund et al., 2012Spector & Kappel, 2012)
10 Consequences To Nursing Posts on social media directly reflect on nurses professionalism It has happened enough to give responsible, caring hospital workers a bad name Loss of public support (eg disputes) (Allen, 2013; Englund et al., 2012; Popkin, 2010; Spector & Kappel, 2012; Springer, 2012)
11 Self-Regulation We need clear definition of what is acceptable and what is not We need education on how to respond to inappropriate posts without fear of retribution Non-reporting of these posts can also lead to investigations by registering boards. (Anderson, 2012; NCSBN, 2011; Spector & Kappel, 2012; Springer, 2012)
12 Self-Regulation It s Not Easy Set the tone It is curious that physical courage should be so common in the world, and moral courage so rare Mark Twain It takes a great deal of bravery to stand up to your enemies, but a great deal more to stand up to your friends." - JK Rowlings (Anderson, 2012; NCSBN, 2011; Spector & Kappel, 2012; Springer, 2012)
13 Where Do You Draw The Line?
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16 Worse examples
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20 Guess is she asleep or dead? Hint I m the soul thief Yeah your time is over. Send them to hell, where some of them belong. The rest goes into the hole for compost fertilizer, hehehe (Global Post, 2013)
21 Stop And THINK Who do you want seeing your post:- A patient A family member Your colleagues Your boss Your registration board The police
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23 References Akoorie, N. (2012). "Online slip-ups spur DHB action.". Retrieved May 5th, 2013, from Allen, C. (2013). "Careless tweets cost profession public trust and credibility." Nursing Standard 27(26): 31. American Nurses Association (2011). "Navigating the world of social media.". Retrieved April 20th, 2013, from American Society of Registered Nurses (2010). "When Facebook Goes To The Hospital, Patients May Suffer.". Retrieved May 5th, 2013, from Anderson, T. (2012). "ANA's new principles for social networking." Nebraska Nurse 6(2): 5. Beckford, M. (2011). "Facebook warning for nurses.". Retrieved May 5th, 2013, from Boroff, D. (2012). "Portland nursing assistant sent to jail after posting dying patient s buttocks on Facebook.". Retrieved May 5th, 2013, from Dolan, A. (2010). "Captured on Facebook, the food-fighting nurses at hospital where 1,200 died.". Retrieved May 5th, 2013, from Englund, H., S. Chappy, et al. (2012). "Ethical reasoning and online social media." Nurse Educator 37(6): Fink, J. (2010). "Five nurses fired for Facebook postings.". Retrieved May 5th, 2013, from Ford, S. (2012). "Nurses breaching online rules.". Retrieved May 5th, 2013, from
24 References Global Post (2013). "Swiss nurse under fire over Facebook corpse pictures.". Retrieved May 5th, 2013, from Greysen, S. R., T. Kind, et al. (2010). "Online professionalism and the mirror of social media." Journal of General Internal Medicine 11: Hader, A. and E. Brown (2010). "Legal briefs: patient privacy and social media." AANA Journal 78(4): Helwick, C. (2012). "Refrain From Social Networking On The Job.". Retrieved May 5th, 2013, from HIll, K. (2011). "PPP: Poor Placental Precedent?". Retrieved May 5th, 2013, from Hillman, H. and E. Watson (2012). "State boards of nursing diciplinary actions: use of social media." Journal of Legal Nurse Consulting 23(1): Instagram (2013). "Instagram in statistics.". Retrieved May 5th, 2013, from Lukes, C. L. (2010). "Social media." AAOHN Journal 58(10): Lyons, R. and C. Reinisch (2013). "The legal and ethical implications of social media in the emergency department." Advanced Emergency Nursing Journal 35(1): National Council of State Boards of Nursing (2011). "White paper: a nurse's guide to the use of social media.". Retrieved April 20th, 2013, from Popkin, H. A. S. (2010). "Caregivers (still) post patient pics on Facebook.". Retrieved May 5th, 2013, from
25 References Rosen, L. (2010). Rewired: Understanding the igeneration and the way they learn. New York, NY: Palgrave Macmillan RTV6 (2011). "CNA Put Nasty Photo Of Patient On Facebook, Officials Say Woman Fired, Could Lose CNA License.". Retrieved May 5th, 2013, from Saver, C. (2012). "Avoid the perils of social media." OR Nurse 5. Spector, N. and D. Kappel (2012). "Guidelines for using electronci and social media: the regulatory perspective." Online Journal of Issues in Nursing 17(3). Springer, R. (2012). "Social media - risk management." Plastic Surgical Nursing 32(1): Stickney, R. (2010). "Hospital Will Fire Workers in Facebook Scandal.". Retrieved May 5th, 2013, from Tsikitas, I. (2011). "Nurse Fired After Complaining of Patient Photos Posted on Facebook.". Retrieved May 5th, 2013, from WISN (2009). "Nurses Fired Over Cell Phone Photos Of Patient - Case Referred To FBI For Possible HIPAA Violations.". Retrieved May 5th, 2013, from Yin, S. (2010). "Hospital worker fired over Facebook comments about patient.". Retrieved May 5th, 2013, from
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