06 Nov This assignment will be in the form of a PowerPoint presentation. PowerPoints should be concise and briefly highlight information. Slides should be presented in APA 7th ed. format, be clearl
This assignment will be in the form of a PowerPoint presentation. PowerPoints
should be concise and briefly highlight information. Slides should be presented in APA 7th ed.
format, be clearly presented, free of spelling and formatting errors, information should be
paraphrased and include citations. Images need to be correctly credited and should include a
minimum of 2 images. Turnitin report should be less than 10%
N402 Social Media Power Point Rubric
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Element |
Fully Addressed |
Partially Addressed |
Insuff. or Not Addressed |
Points Possible |
Points Earned |
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Title Slide in APA format Includes instructor name, course title, student name and date. 1pt. |
1 |
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Social Media Policy: · Type of facility · How is social Media used in facility? Refers to facility policy and dates reviewed discuss briefly in 2 slides. 4 points. |
4 |
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Social Medial Risks and Benefits: · List and describe 2 benefits of social media. 2pt · List and describes 2 risks of social media.2pt · Includes 1 reference each for risk/benefits min. 2pt |
6 |
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Moral/Practice Issues: · Describe at least 2 moral or practice issues related to social media 3 pts · Includes Min 1 reference 1 pt |
4 |
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Workplace Social Media: · Presents scenario for workplace social media issue or concern. 2 pts · Identifies 4 corrective action recommendations for issue/concern. 7 pts · Includes Citation for white paper article1pt |
10 |
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Summary: · Slide that summarizes main points. 2 pts. |
1 |
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Spelling, Grammar, APA format · Free of Spelling, typographical, and grammatical errors. Slides are clear, concise, and visually interesting. Pictures used are cited/credited to source. · References all sources: include assignment white paper and min. 3 additional resources |
4 |
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Total Points Earned |
30 |
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N402 Social Media Assignment Instruction
30 Possible Points
Overview: This assignment will be in the form of a PowerPoint presentation. PowerPoints should be concise and briefly highlight information. Slides should be presented in APA 7th ed. format, be clearly presented, free of spelling and formatting errors, information should be paraphrased and include citations. Images need to be correctly credited and should include a minimum of 2 images. Turn it in report should be less than 10%
1. This assignment is based on the following article by the National Council State Boards of Nursing. The article is located in the content area of the course on D2L.
NCSBN. (2011). White paper: A nurse’s guide to the use of social media.
2. Please review the ANA Factsheet on social media and website found in D2L
Instructions:
Prepare a power point presentation and include the following:
Title Slide: Name of presentation, Student Name, Instructor Name, College and Course, Date.
Social Media Policy: Discuss the types of policies that are used in your place of work. NO AGENCY names, use initials only and describe the facility. For example, small rural hospital, a hospice agency or a nursing home.
Include the date you viewed the policy and when the policy was written/and or reviewed. How is social media being used in your place of work? For your citation and reference use Agency policy and the date on the policy. Policies should be reviewed yearly so it would be a recommendation if they are outdated. Discuss findings in brief. No more than 2 slides.
Social Media Risk and Benefits: List and describe 2 of the benefits of social media for nursing ? Below is a list of possible benefits. List and describe 2 risks of social media? Minimum 1 reference/citation for benefits and 1 reference /citation for risks. No more than 4 slides total.
1. Keep up with current health issues, trends, and up to date EBM
2. Opportunities to dialogue with colleagues
3. Education and training
4. Instant alerts in cases of disaster management
5. Dedicated phone for emergency calls to MD
6. Professional groups such as LinkedIn or Research Gate.
7. Facebook to recruit and inform public
Moral /Practice Issues: Describe at least 2 moral or practice issues have you seen arise from the use of social media. No more than 2 slides total with at least one journal reference
Workplace Social Media: In this section identify specific social media use concern or issue for where you currently or formerly work. Illustrate the social media issue concern or issue in the form of a scenario. How will you correct the issue or concern? Examples could include:
· training for staff and what would this training include or the
· development of a departmental/hospital policy and what would need to be included.
Include :
· Recommendations on the use of social media in your place of work. Use at least 4 recommendations based on the literature reviewed. Be specific and these should be clearly stated and reasonable to the identified setting.
No more than 6 slides total for this section with Reference /citation to the reading for this assignment ANA Factsheet on Social Media and NCSBN. (2011). White paper: A nurse’s guide to the use of social media.
Summary: End the presentation with a short statement of the main points.
References: Make sure to include 3 different references or more from additional scholarly journals or credible websites.
APA: You may lose additional points for not using APA format and citing references appropriately both within the slides and on a reference page.
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– FACT SHEET –
The number of individuals using social networking sites such as Facebook, Twitter, LinkedIn, and YouTube is growing at an astounding rate. Facebook reports that over 10% of the world’s population has a Facebook presence while Twitter manages more than 140 million Tweets daily. Nurses are making connections using
social media. Recently, the College of Nurses of Ontario reported that 60% of Ontario’s nurses engage in social networking (Anderson & Puckrin, 2011).
Social networks are defined as “web-based services that allow individuals to 1) construct a public or semi-public profile within a bounded system, 2) articulate a list of other users with whom they share a connection, and 3) view and traverse their lists of connections and those made by others within the system” (Boyd and Ellison, 2007).
These online networks offer opportunities for rapid knowledge exchange and dissemination among many people, although this exchange does not come without risk. Nurses and nursing students have an obligation to under- stand the nature, benefits, and consequences of participating in social networking of all types. Online content and behavior has the potential to either enhance or undermine not only the individual nurse’s career, but also the nursing profession.
Benefits • Networking and nurturing relationships • Exchange of knowledge and forum for collegial interchange • Dissemination and discussion of nursing and health related
education, research, best practices • Educating the public on nursing and health related matters
Risks • Information can take on a life of its own where inaccuracies
become “fact” • Patient privacy can be breached • The public’s trust of nurses can be compromised • Individual nursing careers can be undermined
ANA’s Principles for Social Networking 1. Nurses must not transmit or place online individually
identifiable patient information. 2. Nurses must observe ethically prescribed professional patient — nurse boundaries. 3. Nurses should understand that patients, colleagues, institutions, and employers may view postings. 4. Nurses should take advantage of privacy settings and seek to separate personal
and professional information online. 5. Nurses should bring content that could harm a patient’s privacy, rights, or welfare
to the attention of appropriate authorities. 6. Nurses should participate in developing institutional policies governing online
conduct.
References Anderson, J., & Puckrin, K. (2011). Social network use: A test of self-regulation. Journal of Nursing Regulation, 2(1), 36-41.
Boyd, S., & Ellison, N.B. (2007). Social network sites: Definition, history, and scholarship. Journal of Computer Mediated Communication, 13(1), 210-230.
Navigating the World of Social Media
8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910
1-800-274-4ANA www.NursingWorld.org
September 2011
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Journal of Practical Nursing | Fall 2011 | 3 www.ncsbn.org 1
White Paper: A Nurse’s Guide to the Use of Social Media
August 2011
Introduction The use of social media and other electronic communication is increasing exponentially with growing numbers of social media outlets, platforms and applications, including blogs, social networking sites, video sites, and online chat rooms and forums. Nurses often use electronic media both personally and professionally. Instances of inappropriate use of electronic media by nurses have been reported to boards of nursing (BONs) and, in some cases, reported in nursing literature and the media. This document is intended to provide guidance to nurses using electronic media in a manner that maintains patient privacy and confidentiality.
Social media can benefit health care in a variety of ways, including fostering professional connections, promoting timely communication with patients and family members, and educating and informing consumers and health care professionals.
Nurses are increasingly using blogs, forums and social networking sites to share workplace experiences particularly events that have been challenging or emotionally charged. These outlets provide a venue for the nurse to express his or her feelings, and reflect or seek support from friends, colleagues, peers or virtually anyone on the Internet. Journaling and reflective practice have been identified as effective tools in nursing practice. The Internet provides an alternative media for nurses to engage in these helpful activities. Without a sense of caution, however, these understandable needs and potential benefits may result in the nurse disclosing too much information and violating patient privacy and confidentiality.
Health care organizations that utilize electronic and social media typically have policies governing employee use of such media in the workplace. Components of such policies often address personal use of employer computers and equipment, and personal computing during work hours. The policies may address types of websites that may or may not be accessed from employer computers. Health care organizations also maintain careful control of websites maintained by or associated with the organization, limiting what may be posted to the site and by whom.
The employer’s policies, however, typically do not address the nurse’s use of social media outside of the workplace. It is in this context that the nurse may face potentially serious consequences for inappropriate use of social media.
Confidentiality and Privacy To understand the limits of appropriate use of social media, it is important to have an understanding of confidentiality and privacy in the health care context. Confidentiality and privacy are related, but distinct concepts. Any patient information learned by the nurse during the course of treatment must be safeguarded by that nurse. Such information may only be disclosed to other members of the health care team for health care purposes. Confidential information should be shared only with the patient’s informed consent, when legally required or where failure to disclose the information could result in significant harm. Beyond these very limited exceptions the nurse’s obligation to safeguard such confidential information is universal.
Privacy relates to the patient’s expectation and right to be treated with dignity and respect. Effective nurse-patient relationships are built on trust. The patient needs to be confident that their most personal information and their basic dignity will be protected by the nurse. Patients will be hesitant to disclose personal information if they fear it will be disseminated beyond those who have a legitimate “need to know.” Any breach of this trust, even inadvertent, damages the particular nurse-patient relationship and the general trustworthiness of the profession of nursing.
Federal law reinforces and further defines privacy through the Health Insurance Portability and Accountability Act (HIPAA). HIPAA regulations are intended to protect patient privacy by defining individually identifiable information and establishing how this information may be used, by whom and under what circumstances. The definition of individually identifiable information includes any information that relates to the past, present or future physical or mental health of an individual, or provides enough information that leads someone to believe the information could be used to identify an individual.
Breaches of patient confidentiality or privacy can be intentional or inadvertent and can occur in a variety of ways. Nurses may breach confidentiality or privacy with information he or she posts via social media. Examples may include comments on social
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networking sites in which a patient is described with sufficient detail to be identified, referring to patients in a degrading or demeaning manner, or posting video or photos of patients. Additional examples are included at the end of this document.
Possible Consequences Potential consequences for inappropriate use of social and electronic media by a nurse are varied. The potential consequences will depend, in part, on the particular nature of the nurse’s conduct.
BON Implications
Instances of inappropriate use of social and electronic media may be reported to the BON. The laws outlining the basis for disciplinary action by a BON vary between jurisdictions. Depending on the laws of a jurisdiction, a BON may investigate reports of inappropriate disclosures on social media by a nurse on the grounds of:
�� Unprofessional conduct;
�� Unethical conduct;
�� Moral turpitude;
�� Mismanagement of patient records;
�� Revealing a privileged communication; and
�� Breach of confidentiality.
If the allegations are found to be true, the nurse may face disciplinary action by the BON, including a reprimand or sanction, assessment of a monetary fine, or temporary or permanent loss of licensure.
A 2010 survey of BONs conducted by NCSBN indicated an overwhelming majority of responding BONs (33 of the 46 respondents) reported receiving complaints of nurses who have violated patient privacy by posting photos or information about patients on social networking sites. The majority (26 of the 33) of BONs reported taking disciplinary actions based on these complaints. Actions taken by the BONs included censure of the nurse, issuing a letter of concern, placing conditions on the nurse’s license or suspension of the nurse’s license.
Other Consequences
Improper use of social media by nurses may violate state and federal laws established to protect patient privacy and confidentiality. Such violations may result in both civil and criminal penalties, including fines and possible jail time. A nurse may face personal liability. The nurse may be individually sued for defamation, invasion of privacy or harassment. Particularly flagrant misconduct on social media websites may also raise liability under state or federal regulations focused on preventing patient abuse or exploitation.
If the nurse’s conduct violates the policies of the employer, the nurse may face employment consequences, including termination. Additionally, the actions of the nurse may damage the reputation of the health care organization, or subject the organization to a law suit or regulatory consequences.
Another concern with the misuse of social media is its effect on team-based patient care. Online comments by a nurse regarding co-workers, even if posted from home during nonwork hours, may constitute as lateral violence. Lateral violence is receiving greater attention as more is learned about its impact on patient safety and quality clinical outcomes. Lateral violence includes disruptive behaviors of intimidation and bullying, which may be perpetuated in person or via the Internet, sometimes referred to as “cyber bullying.” Such activity is cause for concern for current and future employers and regulators because of the patient- safety ramifications. The line between speech protected by labor laws, the First Amendment and the ability of an employer to impose expectations on employees outside of work is still being determined. Nonetheless, such comments can be detrimental to a cohesive health care delivery team and may result in sanctions against the nurse.
Common Myths and Misunderstandings of Social Media While instances of intentional or malicious misuse of social media have occurred, in most cases, the inappropriate disclosure or posting is unintentional. A number of factors may contribute to a nurse inadvertently violating patient privacy and confidentiality while using social media. These may include:
�� A mistaken belief that the communication or post is private and accessible only to the intended recipient. The nurse may fail to recognize that content once posted or sent can be disseminated to others. In fact, the terms of using a social media site may include an extremely broad waiver of rights to limit use of content.1 The solitary use of the Internet, even while posting to a social media site, can create an illusion of privacy.
1 One such waiver states, “By posting user content to any part of the site, you automatically grant the company an irrevocable, perpetual, nonexclusive transferable, fully paid, worldwide license to use,
copy, publicly perform, publicly display, reformat, translate, excerpt (in whole or in part), distribute such user content for any purpose.” Privacy Commission of Canada. (2007, November 7). Privacy and
social networks [Video file]. Retrieved from http://www.youtube.com/watch?v=X7gWEgHeXcA
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�� A mistaken belief that content that has been deleted from a site is no longer accessible.
�� A mistaken belief that it is harmless if private information about patients is disclosed if the communication is accessed only by the intended recipient. This is still a breach of confidentiality.
�� A mistaken belief that it is acceptable to discuss or refer to patients if they are not identified by name, but referred to by a nickname, room number, diagnosis or condition. This too is a breach of confidentiality and demonstrates disrespect for patient privacy.
�� Confusion between a patient’s right to disclose personal information about himself/herself (or a health care organization’s right to disclose otherwise protected information with a patient’s consent) and the need for health care providers to refrain from disclosing patient information without a care-related need for the disclosure.
�� The ease of posting and commonplace nature of sharing information via social media may appear to blur the line between one’s personal and professional lives. The quick, easy and efficient technology enabling use of social media reduces the amount of time it takes to post content and simultaneously, the time to consider whether the post is appropriate and the ramifications of inappropriate content.
How to Avoid Problems It is important to recognize that instances of inappropriate use of social media can and do occur, but with awareness and caution, nurses can avoid inadvertently disclosing confidential or private information about patients.
The following guidelines are intended to minimize the risks of using social media:
�� First and foremost, nurses must recognize that they have an ethical and legal obligation to maintain patient privacy and confidentiality at all times.
�� Nurses are strictly prohibited from transmitting by way of any electronic media any patient-related image. In addition, nurses are restricted from transmitting any information that may be reasonably anticipated to violate patient rights to confidentiality or privacy, or otherwise degrade or embarrass the patient.
�� Do not share, post or otherwise disseminate any information, including images, about a patient or information gained in the nurse-patient relationship with anyone unless there is a patient care related need to disclose the information or other legal obligation to do so.
�� Do not identify patients by name or post or publish information that may lead to the identification of a patient. Limiting access to postings through privacy settings is not sufficient to ensure privacy.
�� Do not refer to patients in a disparaging manner, even if the patient is not identified.
�� Do not take photos or videos of patients on personal devices, including cell phones. Follow employer policies for taking photographs or video of patients for treatment or other legitimate purposes using employer-provided devices.
�� Maintain professional boundaries in the use of electronic media. Like in-person relationships, the nurse has the obligation to establish, communicate and enforce professional boundaries with patients in the online environment. Use caution when having online social contac
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