Inside Scoop | Legal / Ethical

Pros and Cons of Social Media for Nurses

  • Explore the pros and cons of social media use within the nursing industry.
  • Learn how to balance bringing attention to systemic issues with sharing the positives of the industry.
  • Understand the legal implications if a social media user breaches patient confidentiality. 

Tracey Long

PhD, MS, MSN, APRN-BC, CCRN, CDCES, CNE

July 11, 2024
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As a nurse, you just completed a very emotional day at the bedside in your hospital. You were floated to another nursing unit where you had limited training and poor orientation. You were willing to help, as you wanted to be a team player. You cared for one patient who suffered great pain during your shift, and another died after an arduous journey with cancer. After your shift, you wanted to vent and share your emotions on your favorite social media sites. You have a community of support online and look forward to the empathetic comments you’ve come to rely on during your life’s trials

But before posting, ask yourself this: What information can you share without it being a HIPAA violation or tying your patients to your known place of employment? You weren’t taught social media guidelines in nursing school (except for HIPAA), so if you want to learn more, you’ve come to the right place. 

Pros and cons of social media

The Importance of Social Media Guidelines

It’s estimated that 45% of the world population uses social media, representing approximately 3.5 billion people. Social media applications fall into five main groups: 

  1. Collaborative projects (Wikipedia) 
  2. Blogs or microblogs (Blogger or X, formerly Twitter) 
  3. Content communities (YouTube) 
  4. Virtual gaming or social worlds (Second Life) 
  5. Social networking sites (Facebook, Instagram)

Within this vibrant digital landscape are opportunities for networking, learning, and advancing our nursing profession, as well as dangers to be aware of. Among all these likes, shares, and comments, HIPAA remains a guardian of patient privacy that you must adhere to.

Social media has quickly become essential for nurses to connect with peers, family, patients, and healthcare providers across a spectrum of care delivery models. Understanding how best to utilize it professionally is imperative in today’s digital era. Social media provides nurses with a forum to network, collaborate, and positively promote the nursing profession. Harnessing its power, social media allows nurses to amplify their voices while sharing invaluable insights and contributing to healthcare reform efforts and public health education.

Mastering social media responsibly is imperative to maintaining patient trust and upholding ethical and legal standards. Nurses should familiarize themselves with HIPAA regulations to safeguard patient confidentiality online, in addition to the emphasis on healthcare facility standards. Any mistakes in judgment could compromise patient privacy, damage professional reputations, and lead to legal ramifications. 

A Platform for Growth and Connection 

Social media is a modern platform for professional growth, providing access to educational resources, online discussions, and advancement updates in medical and nursing specialties. It also has become a modern tool for patient and support nurse groups

Actively participating in online communities and discussions can help nurses broaden their professional networks and access educational opportunities. Posting about professional conferences or events you’ve attended showcase your expertise, promote positive narratives about nursing practices, and advocate for essential healthcare causes.  One study found the use of social media support for patients with chronic back pain was helpful for patients and nurses. A nurse passionate about diabetes care or sexual abuse, for example, and who uses social media to promote the causes, can catalyze sound public education.

Cautions for Nurses about Using Social Media

When nurses fail to adhere to professional standards on social media, it can negatively impact the credibility and reputation of individual nurses and their profession. Negative or unprofessional online behaviors, such as gossiping or venting frustration, could damage public trust in nurses, leading to decreased nursing school admissions, thus exacerbating an already chronic nursing shortage while further undermining patient care.

Social media missteps can also have disastrous repercussions for patient privacy and confidentiality, requiring that nurses be ever vigilant about protecting patient information while adhering to HIPAA regulations. Accidental disclosure or breaches of confidentiality could have severe legal and ethical repercussions, including disciplinary actions, lawsuits, and possible irreparable damage to your professional reputation. 

Pros and cons of social media

Upholding the Profession vs. Venting Frustrations  

During the COVID-19 pandemic, nurses used social media to vent about limited personal protective equipment, inadequate supplies, an unexpected number of increasing patient deaths, their mental health distress, and emotional turmoil experienced by nurses, patients, and families. Although the public image of nurses seemed to soar with these posts, nursing school enrollment decreased significantly. The attitude appeared, “Nurses work so hard in difficult circumstances, which is awesome, but I wouldn’t want to be one!”

There must be a balance between the freedom to share the negative side of nursing and the responsibility to portray nursing positively. It’s unreasonable only to shine a positive light on the profession when real issues require attention and improvement. Those who have become angry toward nursing and want to leave the profession must know that an equal number of nurses love the industry. Refraining from posting their toxic feelings about nursing would be appreciated.

While acknowledging and addressing hardships and systemic issues that nurses encounter is necessary for good nursing practice, equally vital are highlighting the industry’s contributions, resilience, and impactful nature on patient care outcomes. When nurses strike a balance, they can authentically represent a complex industry while advocating for changes that benefit all.

Realities of Social Media

Sharing the problematic realities of nursing on social media is an effective way for nurses to bring attention to pressing issues like staffing shortages, workplace burnout, and limited resources. By shining light on these difficulties, nurses can advocate for policy changes, organizational improvements, and more significant support for frontline caregivers. However, communicating these challenges must focus on solutions rather than hopelessness or despair.

Sharing these realities and personal experiences with the general public and other healthcare workers helps humanize the issues and foster empathy, understanding, and solidarity between healthcare providers, nurses, and society at large. Through this transparency, nurses can connect more deeply with others while strengthening relationships based on mutual respect, helping break down barriers, removing stigmata, and initiating conversations around supporting healthcare workers.

Despite its difficulties, nurses must demonstrate social media’s value, importance, and rewards. Reminding audiences about moments of compassion, resilience, and positive patient outcomes can instill hope, gratitude, and appreciation for nurses’ integral part in healthcare delivery. By discussing both the difficulties and benefits associated with nursing, nurses can advocate for positive change, promote greater awareness of their profession, and mobilize others behind its vital work worldwide.

Promoting nursing through positive representation on social media platforms is not simply an option but an obligation. And one that helps the public image of our profession. Nurses are invaluable as frontline healthcare workers in advocating for and educating the public about nursing. Our actions and attitudes powerfully shape public perception. Nurses can inspire trust and respect by showcasing our professionalism, compassion, and expertise. Positive representation on social media improves nursing’s image and encourages individuals to enter nursing as a career, thus helping address nursing staff shortages while guaranteeing high-quality patient care services.

Negative conversations on social media may have severe repercussions for practitioners and harm nursing’s image as an industry. Misconceptions, stereotypes, and derogatory remarks spread online can erode public trust in nurses while diminishing their contributions to healthcare. Nurses must work actively against misinformation and stereotypes by creating positive images of nursing’s varied roles and contributions that accurately illustrate its depth. 

Negative discourse against nursing extends well beyond public opinion to impact the morale and well-being of nurses themselves. Constant exposure to disparaging comments online or criticism can take its toll on nurses’ mental health, self-esteem, and job satisfaction, as seen during the COVID-19 pandemic.

Nurses can effectively use social media to counter negative discourse about their profession and promote it more positively by commemorating achievements and emphasizing nursing’s positive effect on patient outcomes and healthcare systems. Demonstrating their expertise, innovation, and compassion is one way to break stereotypes, disprove myths, and promote greater understanding among people about all professional roles and responsibilities.

Collaborating with healthcare professionals, advocacy groups, and influential stakeholders can expand the reach and effect of nurses’ messages, leading to a broader appreciation of their role in supporting health and well-being across society. By uniting and using their combined power on social media to shape narratives and influence perceptions about healthcare professions, nurses have a chance to elevate the profession while inspiring future generations of healthcare providers.  

Pros and cons of social media

The Bottom Line

Social media as a form of communication is here to stay. Variations in features may change, but our responsibility as nurses to uphold HIPAA guidelines remains constant. We must continue using social media ethically, responsibly, and legally. 

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