Social Media AK · 2020. 5. 13. · Z v Ç } µ Z } µ o } ] v } v v ( } u Z ] v v l Z Z } } Á ] Z...

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Your responsibilities - Social Media Developed by Joanne Purdue & Ally Kerr – Professional Officers, NSWNMA

Transcript of Social Media AK · 2020. 5. 13. · Z v Ç } µ Z } µ o } ] v } v v ( } u Z ] v v l Z Z } } Á ] Z...

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Your responsibilities - Social Media

Developed by Joanne Purdue & Ally Kerr –

Professional Officers, NSWNMA

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Social Media and Smart Phones

Social media and technology and how it relates to boundaries, privacy and confidentiality, professional integrity, and public trust.

The issue is not social media or communication technology itself, but how it’s used—personally and professionally.

Social media considerations BCCNPhttps://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart PhonesSo what are the areas when using social media, professionally or personally should be considered?

• Benefits and risks• Professional image• Boundaries• Integrity• Expectations

Social media considerations BCCNP: https://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart PhonesBenefits and risks

Know the benefits and risks of social media. Build your competence. Know the technology and have the skills and judgment to use it appropriately and ethically. Be aware of social media's evolving culture and changing technology. Reflect on the intent and possible consequences of your online behaviour — before you blog, post, like, comment or tweet.

Professional image

Use the same level of professionalism in your online interactions as you do face-to-face. Keep your personal and professional lives separate. Use different accounts for personal and professional activities.

Social media considerations BCCNP: https://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart PhonesBoundaries

Set and maintain appropriate professional boundaries. Just as with face-to-face relationships, this applies online too. Communicate these boundaries to clients and end your professional relationships appropriately.

Don't accept "friend" requests from clients or former clients on your personal social media accounts.

If you use social media with clients for work purposes, such as client teaching and resource-sharing, use a professional account separate from your personal one. Be clear about how your use of social media supports professional practice and make sure organisational policies addressing privacy and confidentiality are in place.

Social media considerations BCCNPhttps://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart PhonesIntegrity

Protect yours and the profession's integrity. Use proper communication channels to discuss, report and resolve workplace issues — not social media. Refer to colleagues or clients online with the same level of respect as you would in the workplace.

Before you blog, tweet or share information about your practice, reflect on your intentions and the possible consequences. Even if you don’t post yourself, consider the impact of "liking" someone else’s disrespectful comments.

Social media considerations BCCNPhttps://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart Phones

Expectations

Use caution if you identify yourself as a nurse online, outside of your employment. If you do so, others may ask for advice, which could lead to a nurse-client relationship. Using a name that hides your real identity does not release you from this expectation. Know this and practise accordingly.

Social media considerations BCCNPhttps://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart Phones

If you are uncomfortable discussing your online behaviour with others, consider this a red flag.

Use professional judgment to keep your obligations to clients, colleagues and employers front and centre.

Social media considerations BCCNPhttps://www.bccnp.ca/Standards/all_nurses/resources/socialmedia/Pages/social_media_considerations.aspx

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Social Media and Smart PhonesBecome familiar with Ahpra / NMBA Social Media Guide – November 2019

• If in doubt, don’t post anything.

• Ask yourself – is it necessary for the care and treatment of the patient?

• Never record any patient information, whether identifiable or not, on social media.

• Do not take photos of patients with your personal phone or camera. If there is a clinical reason that you need to take a photo (e.g. wound care) then you should obtain consent from the patient and take the photo with the camera on the ward.

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Social Media and Smart PhonesAhpra + NMBA – Social media: How to meet your obligations under the National Law (November 2019)

When using social media, you can meet your obligations by:• complying with confidentiality and privacy obligations• complying with your professional obligations as defined in your Board’s Code of

conduct• maintaining professional boundaries• communicating professionally and respectfully with or about patients,

colleagues and employers• not presenting information that is false, misleading or deceptive, including

advertising only claims that are supported by acceptable evidence.

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Examples

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Social Media and Smart PhonesPatient confidentiality

Take care when sharing information, including comments or photos, that you do not inadvertently disclose patient information.

Check what is in the background of a photo before sharing it and make sure that information you share does not unintentionally disclose personal information about individuals (because

someone might use available information to work out who you are talking about).

Although individual pieces of information may not breach confidentiality, the sum of published information online could be enough to identify a patient

or someone close to them.

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Social Media and Smart PhonesExample

A mother posts an update about her daughter’s admission to hospital, following a car accident. The mother tags her friend, a health practitioner, who happened to be on the ward the night the daughter was admitted. The tag is complimentary about the care received at the hospital. The nurse responds publicly to the comment, thinking it was a private message and inadvertently provides information about the daughter’s recovery and the status of the other passengers in the car.

Parents of the other passengers make a formal complaint about the privacy breach.

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Social Media and Smart Phones

Cultural awareness, safety and practitioner and patient beliefs – social and clinical

As a registered health practitioner, your views on clinical issues are influential.

Comments in social media that reflect or promote personal views about social and clinical issues might impact on someone’s sense of cultural safety or could lead to a

patient/client feeling judged, intimidated or embarrassed.

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Social Media and Smart PhonesExample

A midwife makes a number of comments on her personal Twitter account saying that Aboriginal patients ‘never show up’, ‘don’t follow medical advice or take care of themselves’ and ‘is it any wonder there’s a health gap.’

A colleague sees the posts and looks at the Code of conduct for midwives for guidance. The code says that midwives must ‘provide care that is holistic, free of bias and racism, challenges belief based upon assumption and is culturally safe and respectful for Aboriginal and/or Torres Strait Islander Peoples.’

The code also states that ‘understanding and acknowledging historic factors such as colonisation and its impact on Aboriginal and/or Torres Strait Islander Peoples’ health helps inform care’ and that midwives must ‘acknowledge the social, economic, cultural, historic and behavioural factors influencing health, both at the individual, community and population levels.’

The colleague decides to make a notification about the midwife’s conduct to AHPRA.

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Social Media and Smart Phones

Professionalism

The Codes of conduct emphasises that practitioners must always treat patients with respect and communicate effectively, courteously, professionally and respectfully with and

about other health care professionals.

This applies to any comments made in a social media context.

Grievances with work colleagues or patients are best resolved privately.

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Social Media and Smart PhonesExample

A physiotherapist resigns from her job, after feeling she was unfairly treated by her manager and generally dissatisfied with the workplace and level of support provided to staff.

That evening, celebrating the resignation with a friend, also a past employee, they post comments about the workplace and the ill feelings they both harbour towards certain work colleagues and the manager.

The posts are seen by other staff and a notification is made, claiming that the practitioner’s conduct in posting the comments on social media were contrary to the Code of conduct, in that while exercising her right to free speech the statements were not in the ethical interests of the profession and the community.

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Social Media and Smart Phones

Maintain professional boundaries

Language and tone used on social media that does not reflect a professional relationship, i.e. is overly personal and familiar or includes suggestive comments, could

breach professional boundaries and the Code of conduct.

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Social Media and Smart PhonesExample

A practitioner starts a conversation on a dating website and soon identifies the other person as his patient. The practitioner mentions to his patient that it’s a ‘bit weird’ having a conversation on the website but continues the discussion.

Because the patient has a bad head cold, the practitioner offers treatment suggestions. The practitioner comments on his patient’s physical attractiveness and offers a house-call late at night.

The patient makes a formal complaint about the conversation.

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Social Media and Smart PhonesPublic health messages

While you may hold personal beliefs about the efficacy or safety of some public health initiatives, you must make sure that any comments you make on social media are consistent

with the codes, standards and guidelines of your profession and do not contradict or counter public health campaigns or messaging.

A registered health practitioner who makes comments, endorses or shares information which contradicts the best available scientific evidence may give legitimacy to

false health-related information and breach their professional responsibilities.

Practitioners need to take care when commenting, sharing or ‘liking’ such content if not supported by best available scientific evidence.

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Social Media and Smart PhonesPublic health messages example

A nurse regularly posts anti-vaccination views on her personal Facebook profile, including that vaccinations cause autism and other information which contradicts the evidence base and public health programs.

Her professional standards, codes and guidelines make it clear that using evidence in the practice of her profession, as well as supporting public health initiatives, are part of her professional responsibilities. A colleague regularly sees her posts and decides to look at the Code of conduct for nurses for guidance.

The code says that ‘To promote health for nursing practice, nurses must understand and promote the principles of public health, such as health promotion activities and vaccination.’ The code also says that nurses must ‘understand and apply the principles of primary and public health, including health education, health promotion, disease prevention, control and health screening using the best available evidence in making practice decisions.’ The colleague decides to make a notification about the nurse’s conduct to AHPRA.

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Social Media and Smart PhonesAdvertising

The Advertising guidelines explain the advertising requirements in the National Law. The National Law and Advertising guidelines also apply to advertising in social media.

For example, making false claims about the effectiveness of a treatment (i.e not substantiated by acceptable evidence) on a Facebook site that advertises a practitioner or

their clinic is misleading and considered a breach of section 133 of the National Law.

Advertising in social media that uses a testimonial is also a breach of the National Law.

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Social Media and Smart PhonesExample

A Chinese medicine practitioner advertises on their website:‘Acupuncture and herbs are both an integral part of Traditional Chinese Medicine (TCM), which has been proven to be a very safe and effective healthcare modality in Australia.’

A complaint is received, claiming that parts of this advertising are unqualified and/or are not supported by acceptable evidence and therefore may mislead consumers.

The practitioner corrects the statement to: ‘Acupuncture and herbs are both an integral part of Chinese medicine practice, which may help patients to manage a range of symptoms including pain, stress and fatigue. Chinese medicine is generally considered to be safe but occasionally (as with all health treatments) may be associated with possible adverse reactions in individual cases.’

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NSWNMA Professional Assistance NSWNMA offers members assistance and advice with

professional and practice issues.

Medications query or dilemma and need clarification on professional obligations

Practice issue or medication issue and need to know your legal and professional obligations

Legal advice and representation (for matters relating to your practice of nursing or midwifery)

Professional representation and advice on professional standards, codes and guidelines

www.nswnma.asn.au


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