Points Covered-Freedom

The objective of this study is to examine the importance of not sharing patient information through social media. According to the work of Adler (2011) many physicians are violating HIPAA and do not know it. Dimick (2010) writes that nurses at the Fargo, ND-based healthcare system in 2008 were using Facebook to "provide unauthorized shift change updates to their co-workers. What once would have been a conversation became an update on their personal Facebook pages. It was a convenient tool, because the nurses had "friended" each other through Facebook and thus could quickly read what each other wrote on their pages. They did not use patient names, but they did post enough specifics about patients so that the incoming nurses could prepare for their shift. The problem was that everyone else "friended" to their Facebook pages could also read the information." (p.1) The use of social media to talk about work "sharing sensitive patient or proprietary business information that same easy use and powerful reach broadcasts guarded information to large numbers of people." (Dimick, 2010, p.1) Release of information that is sensitive over social media can result in great harm to the reputation of an organization, violations of HIPAWA and ultimately result in "breach notifications and hefty fines." (Dimick, 2010, p.2) Dimick writes that Kaiser Permanente published "an organization-wide social media policy that explains appropriate staff

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).

Nurses never know what their day is going to consist of, from the number of patients, to the amount of medication being administered. Nursing is a critical thinking career that uses rules and regulation to keep it well organized, safe, and in order. Use of technology in healthcare has taken root, and this has its benefits and disadvantages. Smartphones and other similar gadgets have become so common in the society and healthcare is not an exception. Use of these gadgets by healthcare personnel especially nurses has key legal and ethical issues that need careful evaluation. From the scenario, the use of smartphones has several implications on the performance of the nurse who is also on a night shift. The ending of the scenario entails representing the previous experience to social media and posting of photos that compromise the privacy of the patient. In this discussion, the ending of the scenario is discussed based on moral and ethical issues of the case study.

Nurses in clinical practice are constantly challenged to deal with an abundance of information and multiple technology systems. Use of a computer terminal with various types of information and use of communication technologies are expectations for health care personnel, including nurses. Estimates indicate that since the 1980s, approximately 50% of all new capital investments in health care organizations have been in information technology. Informatics can aid nurses by enhancing personal and private communication among health care staff, accessing or transferring information about patients, retrieving up-to-date health care information, sharing new or common knowledge among colleagues, and assisting in making

HIPAA, otherwise known as the Health Insurance Portability and Accountability Act, was enacted in 1996 which required organizations to devise methods to safeguard transfer and disclosure of personal health information (Shi, 2015). Protected health information (PHI) is any information about a patient’s health status that can be associated to a certain patient. HIPAA being the act that protects the spread of patient confidential information, can be violated on accident more than often. Social media, including Twitter, Facebook, Instagram, Linked In, etc. has millions of users daily and users have the option to post or ‘tweet’ whatever they may want. Easily enough, HIPAA violations can occur through social media and the United States Department

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,

With the advancement of modern technology, social media is increasingly finding use in healthcare delivery and management. Health professionals including doctors, nurses and therapists have adopted social media to communicate with their patients and for health sensitization. Social media can benefit healthcare delivery in a variety of ways including fostering professional connections, patient and community education and promoting communication with patients and families. On the other hand, use of social media in healthcare exposes patients’ data to breaches and leakages creating confidentiality issues. Misuse of patient data results in serious career penalties for negligent medical professionals. Protocols have been established to oversee the use of social medial by health practitioners. The paper seeks to explore the recognized rules that regulate the use of social media, and its risks and benefits. Health professionals should utilize benefits of social media while adhering to confidentiality, privacy, and ethical guidelines for private or professional communications with respect to patient data.

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,

There are numerous management positions in the nursing profession. These positions give nurses the opportunity to manage a group or a specialized field instead of managing only their normal roles. When more nurses fill these positions it has a ripple effect on the entire profession. Management positions enable nurses’ voices to be heard and present the world with an upholding image of nursing. A nurse that is constantly thinking about the image of nursing as a whole has the ability to influence everyone around them. Another contributor to the image of nursing is social media. Social media sites such as “Facebook” and “Twitter” have a very large impact on how people see nurses. Nurses must manage themselves when posting on the Internet to avoid corrupting the image they’ve worked so hard to uphold.

Social media in hospitals can affect the patient as well as the nurse and the nursing student. Westrick states: “Nurses must find a balance between taking advantage of the benefits social media use

At the same time, health care organizations find challenges in adopting social media. Hospital and medical practices are risk adverse and generally cautious about new technology trends without clear value. There are questions about whether social media use by hospital employees is a waste of time, or even worse, presents risks of violating HIPAA or leaking proprietary information. Hospital IT departments are concerned about security risks, such as the use of tinyurl.com, which can mask malicious Web sites. Privacy concerns, particularly the vulnerability of social media accounts, are also cited as a reason to avoid social media. (John Sharp 2010).

Nursing of the future builds on old technology and new innovations to continue to grow towards a common goal. Nurses are just starting to see some of the changes happening in their workplace. Laptop computers on wheels aka (Cows) have been implemented to make the recording of patient data happen at the bedside. Larry Flynn and Dave Barista (2005) reported that “Wireless networks allow nurses to continue the care to the patient and not the chart. This is where nursing informatics plays a key role in hospital based technology and implementation of such technologies.

Walk into a library, you have a computer, you are most likely carrying a phone, at home, you most likely have a computer, laptop, tablet, or even all three. This shows that we have social media access at the tip of our fingers, making it so easy to open up the site or app and just type out a phrase or paragraph, letting hundreds, thousands, maybe even millions, of people know what you think. Back then, it was harder to let the nation know what you were thinking, and it took even take months before everyone knew, versus today, where the nation might know by the end of the day, and it’s because of this that companies regulate what their users are posting, attempting at keeping the online world free from threats, hate, harmful words, and more. Rutenberg quotes Jeffrey Goldberg as he says, “At a certain point I’d rather take myself off the platform where speech has become so become so offensive than advocate for the suppression of that speech” (2). Twitter also said that “everyone on Twitter should feel safe expressing diverse opinions and beliefs, but behavior that harasses, intimidates or uses fear to silence another person’s voice should have no place on our platform” (Rutenberg 2).

As technology has and continues to advance so will the expansion of nursing informatics. Data from (19th annual 2008 himss leadership survey, 2008) hold this statement true showing a steady increase in the implementation of technologies. As computers became smaller, it became easier and efficient for hospitals and physicians office to implement their use. (sutton, 2007)The first computers were large, expensive, and inefficient. Now, computers are compact, inexpensive, and efficient. The smaller technology allows for portability of information. PDA’s are small enough to fit in your pocket. With these small devices, you can look up a patients medication, drug interactions, side effects, and just about anything, you could think of to

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many