Professional conduct among Registered Nurses in the use of online social networking sites
Abstract
Aim: To explore the use of Facebook by Registered Nurses (RNs) in Italy and the United Kingdom (UK), focusing on the disclosure of personal and professional information. Background: The use of online social network sites among medical students and doctors is posing new ethical challenges to the profession. To date, little research has explored the use of online social networking sites among nurses. Design: A cross‐national survey. Methods: Data were assessed on 124 nurses’ profile pages, readily available without viewing restrictions. Content analysis and inferential statistics were undertaken to describe usage and identify similarities and differences between the two country‐groups of nurses. Data were collected between December 2011–January 2012. Results: Overall, UK and Italian RNs showed a similar use of the online platform, tending to disclose personal pictures, home town and current home location, as well as updates and comments related to personal and work‐related activities. A statistically significant higher proportion of nurses in Italy disclosed their sexual orientation. In both groups, a few cases were observed of potentially unprofessional content in relation to the use of alcohol, nudity and material of a salacious nature. Conclusion: Although most of the UK and Italy RNs appear to be aware of the risks posed by their online exposure, their online activity indicates the blurring of their personal and professional lives; this is posing new ethical, legal and professional challenges to members of the nursing profession. Further research and debate is encouraged at national and international level.
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A total of 8 studies were conducted in several countries simultaneously.
“A total of 8 studies were conducted in several countries simultaneously [32-39].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [35]
Lower rates of social media use were seen in practicing health care professionals, physicians of different specialties, and program directors or faculty, mostly ranging from 50% to 80%.
“Lower rates of use were seen in practicing HCPs, physicians of different specialties, and program directors (PDs) or faculty, mostly ranging from 50% to 80% [35,39,74,80,83,85,86,88,89,91,96,105,106,108,110,113,114].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [35]
Cites
Social network sites: definition, history, and scholarship
boyd, D. M., & Ellison, N. B. (2007) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2007.00393.x · Cited by 16,251 · see citing works
Ellison, N. B., Steinfield, C., & Lampe, C. (2007) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2007.00367.x · Cited by 9,939 · see citing works
Visual methodologies : an introduction to researching with visual materials
Rose, G. (2012) · Cited by 2,314 · see citing works
Information revelation and privacy in online social networks
Gross, R., & Acquisti, A. (2005) · Proceedings of the 2005 ACM workshop on Privacy in the electronic society · doi:10.1145/1102199.1102214 · Cited by 2,028 · see citing works
The Third-Person Effect in Communication
Davison, W. P. (1983) · Public Opinion Quarterly · doi:10.1086/268763 · Cited by 1,967 · see citing works
Facebook and Online Privacy: Attitudes, Behaviors, and Unintended Consequences
Debatin, B., Lovejoy, J. P., Horn, A.-K., & Hughes, B. N. (2009) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2009.01494.x · Cited by 1,271 · see citing works
Internet social network communities: Risk taking, trust, and privacy concerns
Fogel, J., & Nehmad, E. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.08.006 · Cited by 987 · see citing works
Publicly Private and Privately Public: Social Networking on YouTube
Lange, P. G. (2007) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2007.00400.x · Cited by 888 · see citing works
Zywica, J., & Danowski, J. (2008) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2008.01429.x · Cited by 625 · see citing works
Online Posting of Unprofessional Content by Medical Students
Chretien, K. C. (2009) · JAMA · doi:10.1001/jama.2009.1387 · Cited by 448 · see citing works
The Intersection of Online Social Networking with Medical Professionalism
Thompson, L. A., Dawson, K., Ferdig, R., Black, E. W., Boyer, J., Coutts, J., & Black, N. P. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0538-8 · Cited by 425 · see citing works
Blogging Practices: An Analytical Framework
Schmidt, J. (2007) · Journal of Computer-Mediated Communication · doi:10.1111/j.1083-6101.2007.00379.x · Cited by 349 · see citing works
The Patient–Doctor Relationship and Online Social Networks: Results of a National Survey
Bosslet, G. T., Torke, A. M., Hickman, S. E., Terry, C. L., & Helft, P. R. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1761-2 · Cited by 306 · see citing works
(2009) · Issue Lab (Candid) · Cited by 269 · see citing works
Online Social Networking Issues Within Academia and Pharmacy Education
Cain, J. (2008) · American Journal of Pharmaceutical Education · doi:10.5688/aj720110 · Cited by 262 · cited 1× · see citing works
“…ethical and professional dilemmas associated with medical doctors and students’ use of online social networks and the disclosure of personal information (Cain 2008 Farnan et al. 2008, 2009, Lagu et al. 2008, Chretien et al. 2009, MacDonald et al. 2010, Moubarak et al. 2010, Bosslet et al. 2011).”
BackgroundContent of Weblogs Written by Health Professionals
Lagu, T., Kaufman, E. J., Asch, D. A., & Armstrong, K. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0726-6 · Cited by 255 · see citing works
Privacy, professionalism and Facebook: a dilemma for young doctors
MacDonald, J., Sohn, S., & Ellis, P. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03720.x · Cited by 245 · see citing works
Medical professionalism in the age of online social networking
Guseh, J. S., Brendel, R. W., & Brendel, D. H. (2009) · Journal of Medical Ethics · doi:10.1136/jme.2009.029231 · Cited by 165 · see citing works
Facebook activity of residents and fellows and its impact on the doctor–patient relationship
Moubarak, G., Guiot, A., Benhamou, Y., Benhamou, A., & Hariri, S. (2011) · Journal of Medical Ethics · doi:10.1136/jme.2010.036293 · Cited by 138 · see citing works
The YouTube Generation: Implications for Medical Professionalism
Farnan, J. M., Paro, J. A. M., Higa, J., Edelson, J., & Arora, V. M. (2008) · Perspectives in Biology and Medicine · doi:10.1353/pbm.0.0048 · Cited by 113 · see citing works
Facebook and the professional behaviours of undergraduate medical students
Garner, J., & O’Sullivan, H. (2010) · The Clinical Teacher · doi:10.1111/j.1743-498x.2010.00356.x · Cited by 103 · see citing works
Commentary: The Relationship Status of Digital Media and Professionalism: Itʼs Complicated
Farnan, J. M., Paro, J. A. M., Higa, J. T., Reddy, S. T., Humphrey, H. J., & Arora, V. M. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181bb17af · Cited by 68 · see citing works
Blurring the boundaries: technology and the nurse-patient relationship
Aylott, M. (2011) · British Journal of Nursing · doi:10.12968/bjon.2011.20.13.810 · Cited by 26 · see citing works
Social networking: confidentiality and professional issues
Lee, K. P. W., & Bacon, L. (2010) · British Journal of Midwifery · doi:10.12968/bjom.2010.18.8.49324 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
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 · see citing works
“Most studies used surveys (n=64) [32, 33, 35, 38-43, 47, 48, 51-55, 57, 59-62, 64-72, 74, 75, 77-82, 85, 88, 89, 91, 94-98, 100, 102, 103, 106-119].”
Social media in nurse education: Utilization and E-professionalism
Duke, V. J. A., Anstey, A., Carter, S., Gosse, N., Hutchens, K. M., & Marsh, J. A. (2017) · Nurse Education Today · doi:10.1016/j.nedt.2017.06.009 · Cited by 113 · see citing works
Social media usage and online professionalism among registered nurses: A cross-sectional survey
Wang, Z., Wang, S., Zhang, Y., & Jiang, X. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.06.001 · Cited by 80 · see citing works
Marelić, M., Viskić, J., Poplašen, L. M., Relić, D., Jokić, D., & Rukavina, T. V. (2021) · BMC Medical Education · doi:10.1186/s12909-021-02879-2 · Cited by 31 · see citing works
Pharmacists' perceptions of professionalism on social networking sites
Benetoli, A., Chen, T. F., Schaefer, M., Chaar, B., & Aslani, P. (2017) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2016.05.044 · Cited by 25 · see citing works
Karveleas, I., Kyriakouli, A., Koukou, M., Koufatzidou, M., Kalogirou, E., & Tosios, K. I. (2021) · European Journal of Dental Education · doi:10.1111/eje.12585 · Cited by 24 · see citing works
Student Nurse Attitudes and Behaviours when Using Social Network Sites
Roseanne, S. (2019) · Studies in Health Technology and Informatics · doi:10.3233/shti190445 · Cited by 7 · see citing works
- Authors
- Levati, S.
- Affiliations
- Glasgow Caledonian University (GB)
- Corresponding author
- Levati, Sara
- ORCID
- Levati, Sara
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2014-03-12
- Volume
- 70
- Issue
- 10
- Pages
- 2284-2292
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2105363586
- Semantic Scholar
- f5495fb4289652fcf5034128c048ef637d8f796c
- Cited by
- 32
- References
- 24
- Citations by year
- 2024: 1 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 6 · 2017: 6 · 2016: 2 · 2015: 1 · 2014: 2
- FWCI
- 4.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Social Sciences › Demography › Cyberloafing and Workplace Behavior
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Keywords
- registered nurses, online social networking, Facebook, professional conduct, personal information disclosure, professional ethics, coming out, personal and professional boundaries, cross-national comparison, Italy, United Kingdom
- MeSH terms
- United Kingdom, Humans, Nursing Staff, Professional Competence, Social Support
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