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Unprofessional Content Posted Online Among Nursing Students
Abstract
This study investigated the posting of unprofessional content online among nursing students. Surveys of 293 schools of nursing revealed that 77% had encountered at least 1 incident of students posting such content. Respondents reported greatest concerns about content pertaining to educational and professional affiliations and to patient confidentiality. Most schools are developing responses to online unprofessionalism. Nursing education must stay current with social networking technologies and students' educational needs.
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In the citing paper
“Breaches of patient privacy was a concern for many different types of HCPs [34,43,47,57,91,94,97,107,111,119].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [111]
In the citing paper
“Unprofessional behavior on SM of HCPs can have legal consequences, potentially affecting credibility and licensure.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [111]
In the citing paper
“Compromising confidentiality concerns were described in numerous studies in this review [34, 43, 47, 57, 91, 94, 97, 107, 111, 119], especially about breaches of patient privacy or possible risks of violating HIPAA online.”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [111]
Citations
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Sorted by citations
Vukušić Rukavina, T., Viskić, J., Machala Poplašen, L., Relić, D., Marelić, M., Jokic, D., & Sedak, K. (2021) · Journal of Medical Internet Research · doi:10.2196/25770 · Cited by 199
“Breaches of patient privacy was a concern for many different types of HCPs [34,43,47,57,91,94,97,107,111,119].”
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Dennen, V. P., Choi, H., & Word, K. (2020) · Educational Technology Research and Development · doi:10.1007/s11423-020-09796-z · Cited by 79
Medical student use of Facebook to support preparation for anatomy assessments
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Gagne, J. C. D., Choi, M. Z., Ledbetter, L., Kang, H. S., & Clark, C. M. (2016) · Nurse Educator · doi:10.1097/nne.0000000000000264 · Cited by 42
“24 26,28 Reported consequences ranged from informal warnings to dismissals.”
BackgroundUtilization and professionalism toward social media among undergraduate nursing students
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BackgroundRise of the e-Nurse: the power of social media in nursing
Ross, P., & Cross, R. (2019) · Contemporary Nurse · doi:10.1080/10376178.2019.1641419 · Cited by 39
“Social media should be incorporated into nurse education to evolve and develop the creation of professional identities matched with professional standards (Barnable, Cunning, & Parcon, 2018; Marnocha 2015).”
BackgroundDigital professionalism on social media: The opinions of undergraduate nursing students
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Oducado, R. M., Sales, M. R., Magarzo, A. J. P., Panes, P. M. A., & Lapastora, J. T. P. (2019) · Belitung Nursing Journal · doi:10.33546/bnj.789 · Cited by 29
Digital and Social Media in Anatomy Education
Hennessy, C., & Smith, C. F. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-47483-6_6 · Cited by 24
“…can be argued that as long as anatomy educators acknowledge and respect the potential challenges (Peluchette and Karl, 2008; Chretien et al., 2009; Marnocha et al., 2015), introducing social media platforms may provide crucial early professional development for medical students who face a society…”
BackgroundGum, L. F., Brown, A. E., Royals, R., Matricciani, L., & Kelly, M. (2024) · Nurse Education in Practice · doi:10.1016/j.nepr.2024.104128 · Cited by 28
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Amon, K. L., Brunner, M., & Campbell, A. (2024) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2023.0311 · Cited by 20
“A common concern is the ethical and legal implications of inappropriate use 9–12 due to limited ethical guidelines and social media training for health care professionals.”
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Ramage, C., & Moorley, C. (2019) · Nurse Education Today · doi:10.1016/j.nedt.2019.03.010 · Cited by 15
Social media behaviour and patterns of use among nursing students: A systematized review.
Kohanová, D., Sollárová, A., Čakloš, M., Zrubcová, D., & Kolarczyk, E. (2025) · Nurse Education in Practice · doi:10.1016/j.nepr.2025.104277 · Cited by 19
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“Deans of nursing and medical schools nationally have expressed concerns about such occurrences.(7,8) Sources of nursing stress in practice and educational settings now include cyberbullying via social media and occurrences of incivility among colleagues.”
BackgroundSelf-citationSocial Media in Nursing Education: A Systematic Review
Sarginson, D. R., & Wendler, M. C. (2024) · Journal of Nursing Education · doi:10.3928/01484834-20231112-01 · Cited by 14
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“Portrayed as unethical and unprofessional, cyberincivility can manifest itself in a number of ways: making verbal insults or rude comments, posting ambiguous or vague responses that do not add meaning to the online discussion, breaching confidentiality,(1) using profanity and discriminatory language, and posting depic…”
BackgroundZhu, X., Yang, C., Ding, L., Zhang, X., Qiao, G., Gao, X., & Yang, F. (2022) · PLoS ONE · doi:10.1371/journal.pone.0277674 · Cited by 21
“6% respondents had viewed inappropriate content online from schoolmates or teachers, which was lower than other report [50].”
BackgroundNursing Professionalism: Impact of Social Media Use among Nursing Students
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BackgroundSocial media use and ethics violations: Nurses’ responses to hypothetical cases
Demiray, A., ÇAKAR, M., Açıl, A., İLASLAN, N., & Yucel, T. S. (2019) · International Nursing Review · doi:10.1111/inr.12563 · Cited by 13
Giroux, C. M., & Moreau, K. A. (2021) · Canadian Journal of Nursing Research · doi:10.1177/08445621211053113 · Cited by 12
“Marnocha and Pilliow (2015) indicated that risks to professionalism can include verbal or visual violations of patient confidentiality, unprofessional online content related to substance use and sexuality, and demeaning content about patients, peers, clinical sites, organizations, or instructors.”
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Barta, K., Ferreira, G., & Doménech, M. A. (2023) · Internet Journal of Allied Health Sciences and Practice · doi:10.46743/1540-580x/2023.2342 · Cited by 1
Dinero, E. M., Fuentes, I. K., Oducado, R. M., et al. (2023) · Jurnal NERS · doi:10.20473/jn.v18i3.44919 · Cited by 1
“Some scholars noted that uncivil behaviors are increasing in higher and nursing education, with many nursing schools reporting to have encountered at least one incidence of students posting unprofessional content online (Anderson et al., 2021; Marnocha et al., 2015).”
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Perceptions and Experiences of Baccalaureate Nursing Program Leaders Related to Nursing Informatics.
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Metadata
- Authors
- Marnocha, S., Marnocha, M. R., & Pilliow, T.
- Affiliations
- Milwaukee VA Medical Center (US)
- Corresponding author
- Marnocha, Suzanne
- Marnocha, Mark R.
- ORCID
- Marnocha, Suzanne
- Venue
- Nurse Educator
- Published
- 2015-05
- Volume
- 40
- Issue
- 3
- Pages
- 119-123
- ISSN
- 0363-3624 (ISSN-L)
- OpenAlex
- W2316327410
- Cited by
- 45
- References
- 0
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 5 · 2019: 7 · 2018: 1 · 2017: 8 · 2016: 4
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nurse Educator (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- nursing students, online posts, social networking, professional conduct, patient confidentiality, professional affiliation, nursing schools, institutional responses, nursing education
- MeSH terms
- Confidentiality, Data Collection, Ethics, Nursing, Faculty, Nursing, Female, Humans, Interprofessional Relations, Male, Middle Aged, Schools, Nursing, Students, Nursing, United States, Internet, Social Networking
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