Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities

Transcription

1 Partnership WITH Patients by Regina Holliday Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities REMO-TITO A. AGUILAR MD, Co-Founder, #HealthXPh Orthopedic Surgery, Southern Philippines Medical Center/St. Louis Hospital Tacurong City

2 #HealthXPh

3 Objective: Distinguish the ethical and conscientious utilization of social media in promoting access to healthcare. review ethical challenges and opportunities in various practice settings re-iterate the importance of patient confidentiality and privacy to nursing practice; reinforce the notion that use of social media is firmly within the public domain use of social media to promote social justice and access to healthcare, concept of social media as a personal and professional learning network. initiate a conversation to come up with rules, social norms and etiquette for workrelated uses of social media,

4 VIGNETTES IN PRACTICE : CHALLENGES AND OPPORTUNITIES SOCIAL MEDIA AS A LEARNING NETWORK HEALTHCARE SOCIAL MEDIA MANIFESTO/POLICY Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities REMO-TITO A. AGUILAR MD, Co-Founder, #HealthXPh Orthopedic Surgery, Southern Philippines Medical Center/St. Louis Hospital Tacurong City

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6 Challenges

7 Professionalism is the basis of medicine's contract with society Medical Professionalism in the New Millennium: A Physician Charter Ann Intern Med. 2002;136(3):

8 Partnership WITH Patients by Regina Holliday Patient Welfare Patient Autonomy Social Justice Medical Professionalism in the New Millennium: A Physician Charter Ann Intern Med. 2002;136(3):

9 What are our commitments to patients? professional competence honesty patient confidentiality maintaining appropriate relations improving quality of care improving access to care just distribution of finite resources. scientific knowledge. maintaining trust by managing conflicts of interest. Medical Professionalism in the Age of Internet Ann Intern Med. 2002;136(3):

10 a group of Internet-based applications and technologies that allow users to have the same kind of real-time conversations that they might have with friends or neighbors with virtual friends from around the globe.

11 SOCIAL MEDIA IN PRACTICE : CHALLENGES SOCIAL MEDIA AS A LEARNING NETWORK HEALTHCARE SOCIAL MEDIA MANIFESTO/POLICY Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities REMO-TITO A. AGUILAR MD, Co-Founder, #HealthXPh Orthopedic Surgery, Southern Philippines Medical Center/St. Louis Hospital Tacurong City

12 1 PATIENT PRIVACY AND CONFIDENTIALITY V I G N E TT E # 1

13 1 Nurse Jane, a recently graduated and registered nurse started to work in the same hospital you work. Anxious to make new friends she befriended you and added you on Facebook. When you visit her Facebook timeline, you see that she has posted pictures of your facilities with her and some colleagues posing in uniform and inside hospital premises. Nurse Jane also rants about a certain difficult patient and how the hospital system is frustrating her. No names were mentioned and no pictures of the patient were posted though. PATIENT PRIVACY AND CONFIDENTIALITY V I G N E TT E # 1

14 What are her possible problems here? v b P a t i e n t c a n b e i d e n t i f i e d C o n c e p t o f p r i v a t e v s. p u b l i c d o m a i n i m p a c t o n t h e p e r c e p t i o n o f n u r s e s

15 18 unique patient identifiers that should be redacted from electronic health record Commitment to patient confidentiality J Med Internet Res 2013 (Aug 28); 15(8):e184

16 Preventing inadequate stress relief through social media by posting patient sensitive information Challenge J Med Internet Res 2013 (Aug 28); 15(8):e184

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18 Commitment to patient confidentiality J Med Internet Res 2013 (Aug 28); 15(8):e184

19 RA 9173 (Philippine Nursing Act of 2002) S e c t i o n P e r s o n a l i n f o r m a t i o n a c q u i r e d i n t h e p r o c e s s of g i v i n g n u r s i n g c a r e s h a l l be h e l d i n s t r i c t c o n f i d e n c e S e c t i o n E n s u r e t h a t p a t i e n t s r e c o r d s s h a l l be a v a i l a b l e o n l y i f t h e y a r e t o be i s s u e d t o t h o s e w h o a r e p r o f e s s i o n a l l y a n d d i r e c t l y i n v o l v e d i n t h e i r c a r e a n d w h e n t h e y a r e r e q u i r e d b y l a w S e c t i o n H o n o r a n d s a f e g u a r d t h e r e p u t a t i o n a n d d i g n i t y o f t h e m e m b e r s o f n u r s i n g a n d o t h e r p r o f e s s i o n s v b

20 What are the challenges faced by the nurse in this situation? balancing concepts, freedom of speech versus patient privacy non private nature of social media lost of trust to the nurse individually and the organization in general

21 Now what should you do? The same thing you would to someone loudly discussing a patient in a public space, like a restaurant.

22 2 PROFESSIONAL BOUNDARIES V I G N E TT E # 2

23 Anette is a ward nurse, she has been seeing Jonas daily during her shift for complicated dressing changes and has developed a trusting nursepatient relationship. Jonas has recently loss of her mom to vehicular accident. He is feeling isolated and lonely. Anette has professionally cared for Jonas during his admission in the hospital. When Jonas got discharged, he asked Anette to be his Facebook friend. 2 PROFESSIONAL BOUNDARIES V I G N E TT E # 2

24 Challenges n e e d t o m a i n t a i n p r o f e s s i o n a l b o u n d a r i e s m a y b e a l s o i n t e r p r e t e d a s v b m u t u a l c o n s e n t s h a r i n g i n f o i n t e r p r e t t h i s a s a m o v e t o a m o r e r o m a n t i c r e l a t i o n s h i p I d e n t i t y t h e f t t h a t p e r s o n a l p h o t o s m a y b e t a k e n o u t o f c o n t e x t

25 Can patients be facebook friends with their healthcare providers? Commitment to maintaining appropriate relations with patients J Med Internet Res 2013 (Aug 28); 15(8):e184 Reasonable self- disclosure of healthcare providers in social media

26 What should you do? Anette should not friend Jonas (or his family) or engages in personal interactions through any social media tool.

27 3 LEADERSHIP AND MANAGEMENT OF SOCIAL MEDIA V I G N E TT E # 3

28 Leni just got promoted as nursing head of a tertiary hospital 3 months ago. A staff told Leni about one nurse posting rants on her Facebook timeline. Leni read the postings and learned that this nurse was venting frustrations about her workplace on his timeline. Many of the rants involve situations where Leni is unaware. One nurse commented at LOL ed at the seemingly inaction of a nursing head to change a particular situation from happening in the workplace. 3 LEADERSHIP AND MANAGEMENT OF SOCIAL MEDIA V I G N E TT E # 3

29 Challenges m a k e o r g a n i z a t i o n a l e x p e c t a t i o n s c l e a r t h r o u g h a p p r o v e d g u i d e l i n e s a n d v b p o l i c i e s r e g a r d i n g t h e u s e o f s o c i a l m e d i a e x p e c t a t i o n o f a n i m m e d i a t e r e s p o n s e w h e t h e r t h e n u r s e c o n c e r n e d i s u s i n g o f f i c i a l w o r k t i m e t o a c c e s s s o c i a l m e d i a

30 What should you do? find out if her organization has any policies or guidelines regarding the use of social media by employees make him aware both of the ethical and legal aspects of using social media

31 4 STUDENTS AND SOCIAL MEDIA V I G N E TT E # 4

32 Would it be nice students share patient stories and other classroom coursework over social media? Would it encourage nurses to study, learn more? 4 STUDENTS AND SOCIAL MEDIA V I G N E TT E # 4

33 Challenges S o c i a l m e d i a i s p u b l i c a n d c l a s s r o o m s a r e n o t. C o n c e p t s o f c o n s e n t a p p l i e d t o c l a s s r o o m t e a c h i n g m a t e r i a l s i m p l i c a t i o n s o f p o s t i n g c o u r s e c o n t e n t t h a t i n v o l v e s a c t u a l p a t i e n t i n f o r m a t i o n

34 What should you do? Nursing schools should have social media policies and guidelines Students should not be only aware of it but also be aware of implications violating it

35 SOCIAL MEDIA IN PRACTICE : CHALLENGES SOCIAL MEDIA AS A LEARNING NETWORK HEALTHCARE SOCIAL MEDIA POLICY Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities REMO-TITO A. AGUILAR MD, Co-Founder, #HealthXPh Orthopedic Surgery, Southern Philippines Medical Center/St. Louis Hospital Tacurong City

36 Social media as a tool for improved information sharing

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38 Accessing news and information from professional organizations Commitment to professional competence J Med Internet Res 2013 (Aug 28); 15(8):e184

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40 Improving access to and benefits from conferences Commitment to professional competence J Med Internet Res 2013 (Aug 28); 15(8):e184

41 Social media as a tool for improved information sharing Commitment to professional competence J Med Internet Res 2013 (Aug 28); 15(8):e184

42 Facilitating continuing education for post graduates/clinicians Commitment to lifelong learning supported by social media J Med Internet Res 2013 (Aug 28); 15(8):e184

43 Improvement in learning patterns Commitment to lifelong learning supported by social media J Med Internet Res 2013 (Aug 28); 15(8):e184

44 Ensuring evidenced-based CME in the environment of social media Challenge J Med Internet Res 2013 (Aug 28); 15(8):e184

45 Facilitating online medical assistance via social media Commitment to improving access to care J Med Internet Res 2013 (Aug 28); 15(8):e184

46 Twitter as a personal learning network Commitment to Scientific knowledge Gholami-Kordkheili F, Wild V, Strech D: The Impact of Social Media on Medical Professionalism: A Systematic Qualitative Review of Challenges and Opportunities J Med Internet Res 2013;15(8):e184

47 A 12-Word Social Media Policy Farris Timimi, M.D., Mayo Clinic Center for Social Media Don t Lie, Don t Pry Don t Cheat, Can t Delete Don t Steal, Don t Reveal Commitment to professional responsibilities Gholami-Kordkheili F, Wild V, Strech D: The Impact of Social Media on Medical Professionalism: A Systematic Qualitative Review of Challenges and Opportunities J Med Internet Res 2013;15(8):e184 Ensuring trust while engaging on social media

48 VIGNETTES IN PRACTICE : CHALLENGES AND OPPORTUNITIES SOCIAL MEDIA AS A LEARNING NETWORK HEALTHCARE SOCIAL MEDIA MANIFESTO /POLICY Social Media: A Powerful Tool for Health Care and Its Ethical Implications and Responsibilities REMO-TITO A. AGUILAR MD, Co-Founder, #HealthXPh Orthopedic Surgery, Southern Philippines Medical Center/St. Louis Hospital Tacurong City

49 Suggested Elements of a Social Media Policy Jeff Cain; Social media in health care: The case for organizational policy and employee education Am J Health-Syst Pharm. 2011; 68:

50 #HealthXPh

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53 #HealthXPh Manifesto in #hcsmph

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55 THANK YOU