International perspectives on social media guidance for nurses: a content analysis
Open accessAbstract
Aim This article reports the results of an analysis of the content of national and international professional guidance on social media for the nursing profession. The aim was to consolidate good practice examples of social media guidelines, and inform the development of comprehensive guidance. Method A scoping search of professional nursing bodies' and organisations' social media guidance documents was undertaken using google search. Results 34 guidance documents were located, and a content analysis of these was conducted. Conclusion The results, combined with a review of competency hearings and literature, indicate that guidance should cover the context of social media, and support nurses to navigate and negotiate the differences between the real and online domains to help them translate awareness into actions.
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Social media create space for self-presentation and self-promotion that has already been embraced by some health care professionals, enabling them to become microcelebrities.
“SM also creates space for self-presentation and self-promotion that has already been embraced by some HCPs, enabling them to become microcelebrities [131].”
From Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review (2021) · cites this paper as [131]
The Conclusion & Recommendations section mentions benefits and opportunities of social media, but does not describe self-presentation, self-promotion, or health care professionals becoming microcelebrities. Searches for those terms and for professional online presence found no passage addressing that claim in our copy. (LLM, conf=0.76)
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Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., & Hoving, C. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.1933 · Cited by 2,517 · 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
Krippendorff, K., & Bock, M. A. (2008) · Cited by 585 · see citing works
Qualitative Analysis of Content
(2016) · doi:10.5040/9798400613739.0421 · Cited by 574 · see citing works
Trust and privacy concern within social networking sites: A comparison of Facebook and MySpace
Alioui, A. (2007) · Cited by 346 · see citing works
Ollier‐Malaterre, A., Rothbard, N. P., & Berg, J. M. (2013) · Academy of Management Review · doi:10.5465/amr.2011.0235 · Cited by 295 · see citing works
Gartrell, J. W., Li, P., & Rose, G. (1984) · The Canadian Journal of Sociology · doi:10.2307/3340223 · Cited by 263 · 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
You're judged all the time: students' views on professionalism: a multicentre study
Finn, G., Garner, J., & Sawdon, M. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03743.x · Cited by 131 · cited 1× · see citing works
“…blurs those physical boundaries of work, personal and public life which can leave the professional vulnerable to sharing information that they would not normally share in the physical or ‘real’ world (Langenfeld et al, 2014; Guan & Tate, 2013; Farooqi et al, 2013; Finn et al, 2010; Dwyer, 2007).”
BackgroundFacebook 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
Guidelines for Using Electronic and Social Media: The Regulatory Perspective
Spector, N., & Kappel, D. (2012) · OJIN: The Online Journal of Issues in Nursing · doi:10.3912/ojin.vol17no03man01 · Cited by 56 · see citing works
Online social networks for patient involvement and recruitment in clinical research
Ryan, G. S. (2013) · Nurse Researcher · doi:10.7748/nr2013.09.21.1.35.e302 · Cited by 53 · cited 1× · see citing works
“…not focus on nursing as a profession but found that OSNs offered a unique opportunity for engaging with a broad range of service users (including those from minority or hard to reach backgrounds) for the purposes of public health or research (Moorhead et al, 2013; Ryan, 2013; NewsMedical, 2014).”
BackgroundSelf-citationWhite paper: a nurse's guide to the use of social media.
(2011) · PubMed · Cited by 30 · see citing works
Social media: managing the ethical issues.
Lachman, V. D. (2014) · PubMed · Cited by 19 · see citing works
(2013) · Routledge eBooks · doi:10.4324/9780240823850-18 · Cited by 12 · see citing works
Guidance on the use of social media
(2023) · British Psychological Society eBooks · doi:10.53841/bpsrep.2023.inf350 · Cited by 4 · see citing works
Social media is blurring professional boundaries
(2013) · Nursing Standard · doi:10.7748/ns2013.08.27.52.1.s1 · Cited by 3 · cited 1× · see citing works
“The use of Facebook has been associated with professional accountability concerns as a result of registered and student nurses sharing inappropriate information through their OSN profile and the individuals who have been able to view this information (The Sentinel, 2009; Scott, 2013).”
BackgroundSocial Networking with a Purpose: Creating a Positive Online Profile
Wall, A., & Hardin, C. J. (2009) · Society for Information Technology & Teacher Education International Conference · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Mabuuvre.NT, Rodrigues.J, Kilmach.S & Nduka.C (2014) A cross sectional study of the presence of UK plastic surgeons on social media, Journal of plastic, reconstructive & aesthetic surgery, 67, 362-367 New Zealand Nurses Organisation , NZNO National Student Unit, and Nurse Educators in the Tertiary Sector (2012) Social media and the nursing profession: a guide to online professionalism for nurses and nursing students, NZNA, NETS, NSU, New Zealand NMC (2012) Social networking sites, NMC, UK RCN (2009) Positioning nursing in a digital world RCN eHealth survey 2012 report, RCN, UK
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
“SM also creates space for self-presentation and self-promotion that has already been embraced by some HCPs, enabling them to become microcelebrities [131].”
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
Kerr, H., Booth, R., & Jackson, K. (2020) · Journal of Medical Internet Research · doi:10.2196/16540 · Cited by 31 · see citing works
“For the nursing profession, it is imperative for nursing education, professional regulatory bodies, and employers to develop more robust and dynamic policies and guidelines related to the appropriate use of social media within the profession [16,21], especially with the growing presence of Web-based nurse microcelebri…”
BackgroundUsing social media in contemporary nursing: risks and benefits
Geraghty, S., Hari, R., & Oliver, K. (2021) · British Journal of Nursing · doi:10.12968/bjon.2021.30.18.1078 · Cited by 28 · see citing works
Philosophy and quality? TAPUPASM as an approach to rigour in critical realist research
Ryan, G. S., & Rutty, J. E. (2019) · Nurse Researcher · doi:10.7748/nr.2019.e1590 · Cited by 19 · see citing works
Self-citationSocial 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 · see citing works
Exploring public perspectives of e-professionalism in nursing
Ryan, G. S., Jackson, J. E., & Cornock, M. A. (2019) · Nursing Management · doi:10.7748/nm.2019.e1870 · Cited by 5 · see citing works
Self-citationRyan, G. S., & Astin, F. (2025) · Journal of Nursing Regulation · doi:10.1016/j.jnr.2025.08.007 · Cited by 4 · see citing works
Self-citationCathala, X., & Moorley, C. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16405 · Cited by 2 · see citing works
“Ryan's ( 2016 ) content analysis on international perspectives, though limited to the UK and New Zealand, concludes that these guidelines are essential and continuous updates are crucial for the evolving landscape.”
Going 4D: Embedding the Four Dimensional Framework for Curriculum Design
Ryan, G. S., Cuthbert, K., Dryden, T., Baker, D., & Forman, D. (2016) · Palgrave Macmillan UK eBooks · doi:10.1057/978-1-137-53744-7_6 · Cited by 2 · see citing works
Self-citationNational memory institutions' social media policies and risk management: a content analysis
Liew, C. L. (2021) · Online Information Review · doi:10.1108/oir-09-2020-0421
Sosyal Medya Kullanımının Klinik Yansımaları: Pediatri Hemşirelerinde Bir İnceleme
Erdoğan, Ç., & Çamur, Z. (2022) · Balıkesır Health Sciences Journal · doi:10.53424/balikesirsbd.1119088
Milan, J. M. (2024) · Journal of Education Learning and Management · doi:10.69739/jelm.v1i1.59
Mohammadi, M. (2026) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580261429017
“11,12 There is a profound paucity of research that synthesizes how the relentless pressure of the “attention economy”—where visibility is the primary cur-rency—reshapes the ethical core and the humanistic essence of nursing across different cultures.”
- Authors
- Ryan, G.
- Affiliations
- University of Derby (GB)
- Corresponding author
- Ryan, Gemma
- ORCID
- Ryan, Gemma
- Venue
- Nursing Management
- Publisher
- RCN Publishing Ltd.
- Published
- 2016-12
- Volume
- 23
- Issue
- 8
- Pages
- 28-35
- ISSN
- 1354-5760 (ISSN-L)
- 2047-8976
- OpenAlex
- W2557640562
- Cited by
- 14
- References
- 18
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 4 · 2016: 1
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- green
- oro.open.ac.uk
- Locations
- Nursing Management (publishedVersion)
- PubMed (publishedVersion)
- Open Research Online (The Open University) (acceptedVersion)
- Open Research Online (The Open University) (submittedVersion)
- University of Derby Online Research Archive. (University of Derby) (submittedVersion, cc-by)
- Topics
- Social Sciences › Health › Social Media in Health Education
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Keywords
- social media, professional guidance, professional conduct, online professional identity, professional boundaries, nursing organizations, best practices
- MeSH terms
- Nursing, Guidelines as Topic, Internationality, Social Media
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