Nursing Professionalism

While advancements in technology have positively impacted the nursing field, it has also created huge concerns with patient privacy and sharing of protected health information leading to detrimental effects to patients and their families. Indeed, technology is changing the face of healthcare with positive innovations to reduce medication errors and documentation errors. However, technology at our fingertips has created immense concerns with sharing of protected health information of patients via social media, email and other means of communication via technology. This paper addresses why I feel the advancement of technology has numerous deficits that need more research and implementation of new laws and policies to safeguard the

Communication has been permanently changed by social media. A wide conceptual definition of social media, as cited in Ressler & Glazer (2010), is “The online and mobile accessible services that enable individuals to connect, collaborate, and share with others in real time.” Social media has an obvious influence on informal communication style and represents both possibility and liability for healthcare institutions. As cited in Bernhardt, Alber, & Gold (2014), “Social media provide healthcare professionals with tools to share information, to debate health care policy and practice issues, to promote health behaviors, to engage with the public, and to educate and interact with patients, caregivers, students, and colleagues.” It also presents challenges, including risks to information accuracy, organizational reputation, and individual privacy. Social media can be a very helpful in communicating among nurses and other healthcare providers while creating professional connections, and sharing experiences, but guidelines for appropriate use by healthcare providers are essential. Whether or not certain healthcare organization decides to use social media as a communications tool - social media policy still need to be implemented. Policies help establish an organization 's rules and expectations around social media.

In the world today, smartphones are becoming the “norm”, with basic phones becoming nearly obsolete in recent years. Pairing the overwhelming presence of social media with the rise in usage of smartphones brings to light an entirely new set of problems and challenges regarding patient privacy. According to a 2010 study conducted regarding various boards of nursing, 67% of executive officers surveyed reported receiving complaints about nurses misusing social media (Spector & Kappel,

(2004) stated that, “motivation is a fire from within. If someone else tries to light that fire under

Nursing is an occupation in which professionalism (or lack thereof) can have a significant effect on not only patients and their health, but the nurse’s relationships with colleagues, patients’ families and even their community. A nurse must exemplify professionalism, especially in an environment that creates increased risk for loss of life or further injury. There are many aspects that are involved with professionalism in nursing, and many expectations set up on the nurse.

Another way nurses use freedom when it comes to social media and technology “Trust—the hallmark of the nurse-patient relationship” Brous explains about this saying that “nurses should avoid talking about any patients or their situations online…that includes adding their name or other protected information.” By doing this nurses won’t be breaking any rules and they can avoid any mishaps.

In the present culture of the United States, social media has had a major impact in American society. It has a profound influence and intertwined itself in almost every aspect of the average American’s life. It ranges from providing updates of location of a person(s), events, and sharing personal moments. Even different industries are utilizing social media as a platform for communication, information, and sales mediums. One industry, the health care field has seen a rise in the utilization of social media. For instance, an emerging population of physicians are using social media apps such as Snap Chat, Facebook, and YouTube to educate, display surgical, and medical procedures while being performed. In contrast, as there are positive aspects of utilizing social media, a negative trait of social media is invading and exposing individual’s privacy. As of recent, a New York licensed nurse had to surrender her nursing license and sentenced to 3 years of probation for “moral unfitness in the practice (Bowerman, 2016).” She took photos with her phone of two unconscious male patient’s genitalia and shared them with coworkers. This has become an increasing issue and as the utilization of social media in healthcare is increasing, many ethical issues are developing. For instance, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was passed for the adoption of a national standard for electronic health care transactions and code sets, unique health identifiers,

The rapid development of technology throughout modern society has initiated the widespread use of social networking. Social networking plays a positive role in healthcare when educating, communicating, or advertising. However, poor judgments have the power to turn this positive into negative and damage professional reputations. Griffith (2014) stresses the importance of understanding that protected health information is not a matter of open secrets. Whether a lawyer, doctor, nurse, or a secretary, it is important to avoid conditions that may influence the health and security of patients or clients, as well as their own professional reputation (Aylott, 2011). The Purpose of this paper is to explore the appropriate use of cell phones and social networking in healthcare and the importance of understanding the ethical boundaries between professional uses opposed to personal use.

Employees within healthcare and anyone who has been a mature patient in recent years have been duly informed of the Health Insurance Privacy and Portability Act (HIPPA), but even more people are more intimately familiar with the social networking site Facebook. Prior to researching the legal and ethical boundaries at it pertains to patient confidentiality in nursing school, many of us thought little of the HIPPA concept and how it applies to each of us as individuals. We can announce to the world on Facebook that I have a lump, please go get a mammogram! We can whine on for ages about our children’s medical problems. We make announcements and call for prayers for our spouses and parents who are ill. We share with our friends and family,

While using social media can be valuable to doctors and nurses, inappropriate use of these tools can be devastating to a health professional career. Here are some examples

Another drawback of smartphone and social media use in healthcare is the negative repercussions of breach of patient confidentiality. To follow with HIPAA Privacy Rule, clinical vignettes posted via web-based media concerning patients must have all individual perceiving information and any uncovering references removed. This “de-identification” should be possible by changing or disposing of key patient components (e.g., names, insurance or Social Security numbers, date of birth, and photos), by keeping up a vital separation from the portrayal of uncommon therapeutic issues, and by excluding specific time ranges or territories without the patient's consent. In any case, there have been numerous coincidental breaches of HIPAA Privacy Rule involving online networking. A study of medical blogs composed by HCPs found that individual patients were portrayed in 42% of the 271 samples studied. These samples, 17% were found to sufficiently incorporate data for patients to distinguish themselves or their providers, and three included conspicuous photos of the patients (Ventola,

I agree with you that social media plays a big role in our lives. People use Instagram, twitter, snapchat, and Facebook to post pictures or tweets. In the hospital this prohibited. When you take a picture of the patient as Sabina gives the example of the patient with cancer you are being unethical because you aren’t respecting the patient’s privacy thus hurting the patient and nurse relationship. The patient has faith that the nurse is there to help the patient and not cause harm, but by putting them on social media their privacy is being shared with everyone in social media. According to the nursing, “6 tips to avoid problems: remember that standards of professionalism are the same online as in any other circumstance, do not share or post information or photos gained through the nurse-patient relationship, maintain professional boundaries in the use of electronic media. Online contact with patients blurs this boundary, do not make disparaging remarks about patients, employers, or co-workers, even if they are not identified, do not take photos or videos of patients on personal devices, including cell phones, and promptly report a breach of confidentiality or privacy” (www.nursingworld.org).

The public expects nurses to have high standards of professional behaviour. For nurses, this involves a high degree of knowledge, suitable behaviour, well developed skills and a desire to improve their skills. A high degree of knowledge for nurses means to have gained a recognised degree and the right to practice. For example, New Zealand nurses must be registered with the Nursing Council of New Zealand. We need to be cautious about what behaviour we reveal in our professional and personal life. An example would be social networking, posting anything that may offend someone’s privacy and dignity (Social media and Electronic communication, 2002). Professional behaviour requires nurses to act in accordance with the Code of Conduct and ensure our actions are ethical, as we are responsible for the quality of health care offered to the public (Nursing Council of New Zealand, 2012). Accurate knowledge, good skills and positive attitudes are key to well-developed professional behaviour. Being open to peoples’ professional advice and learning from it, is an important part of professional behaviour (Milton, 2008).

A professional nurse is one who puts the needs and importance of patient care above all others. While striving for professionalism, nurses need compassion, patience, empathy, strong moral and ethics, accountability and the commitment to always act in the best interest of their patients. Nurses are held accountable for providing quality, safe, and effective nursing care (Hood, 2014). A professional nurse has the responsibility to continually improve and implement nursing standards while maintaining integrity by involving themselves in various tasks. Regular involvement in reading professional literature and sharing of evidence- based research with other healthcare personal helps increase knowledge and skills. This nursing ability can be used to encourage the actions of others in the healthcare team resulting in improved patient care. Nurses should encourage each other to become involved in hospital committees, provide an environment to encourage the discussions of ethical dilemmas, promote professional growth of nurses to voice their concerns and share viewpoints to address issues. “A professional nurse should expect to commit to a life of continuous learning growth and development”. (Hood, 2014, pp. 29). Nurses choose this profession to help others. As professional nurses we must maintain our ethics, values, characteristics, and commitment to drive our profession forward (CCN, 2015). Nurses must be autonomous, accountable, and be able to delegate to unlicensed assistive personnel. Being autonomous as a nurse means having control over their practice (Hood, 2014). It allows a nurse to take risks while being held accountable for ones’ actions (Hood, 2014).

Nightingale said, “The very first requirement in a hospital is that it should do the sick no harm”. The history of nursing initially begins with Florence Nightingale. Before her era nurses had a tarnished reputation (Glasper, 2017). They were poorly educated and incompetent people. Nurses such as Mrs. Bedford Fenwick wanted to change the image of nursing. They did this by leading a campaign for professionalism. Which led to the culminated Nurse Bill receiving is royal assent in December 1919 (Glasper, 2017). July 27, 1921 was the official opening of the nursing register, there are currently 688,927 nurses registered with the Nursing Midwifery Council (NMC) (Glasper, 2017). The NMC code has four themes of professionalism, “Prioritizing