Physicians in Cyberspace: Finding Boundaries

Jafarey, Aamir; Shekhani, Sualeha Siddiq; Azam, Mohsin-E; Gill, Roger; Shirazi, Bushra; Hassan, Mohammed; Iqbal, Saima Pervaiz; Naqvi, Rubina

doi:10.1353/asb.2016.0023

Cited by 5 publications

(17 citation statements)

References 20 publications

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“…In the mixed methods studies, dominantly, content or thematic analyses were used. A total of 11 studies conducted in-depth or semistructured interviews [ 34 , 36 , 44 , 49 , 58 , 65 , 73 , 76 , 97 , 104 , 117 ], and 6 studies used focus groups [ 45 , 49 , 58 , 70 , 112 , 117 ]. Most studies included (n=77) had clear ethical statements within the paper either stating ethical board approval or exemption, and 11 studies did not explicitly report an ethical statement [ 37 - 39 , 53 , 54 , 72 , 74 , 90 , 105 , 108 , 117 ].…”

Section: Resultsmentioning

confidence: 99%

“…Several studies demonstrated a “generation gap” in SM use, where students are more likely than faculty to use SM [ 114 , 115 , 117 , 118 ]. A linear relationship between increasing age and decreasing SM use was also found among physicians of the same specialty or other HCPs [ 85 , 91 , 94 , 95 , 100 , 106 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies showed privacy settings deployment from 71% to 97% among HCPs [ 40 , 42 , 65 , 66 , 68 , 96 , 100 , 115 , 117 , 118 ]. Only 4 studies explicitly stated the percentage of students who had set their Facebook account on private: 37% of pharmacy students [ 40 ], 83.6% and 91% of dental students [ 64 , 65 ], and 71% of medical students [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…From 30% to 55% of the respondents had an incorrect understanding of their SM account settings despite 95.5% claiming that they were aware that the institution had a SM policy [ 100 ]. Use of real names was investigated in 2 studies; in both, the vast majority of HCPs used their own names on Facebook [ 51 , 117 ], but on Twitter (45%) and Instagram (54%), far fewer dental students presented themselves with real names [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

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Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review

et al. 2021

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Background As we are witnessing the evolution of social media (SM) use worldwide among the general population, the popularity of SM has also been embraced by health care professionals (HCPs). In the context of SM evolution and exponential growth of users, this scoping review summarizes recent findings of the e-professionalism of HCPs. Objective The purpose of this scoping review is to characterize the recent original peer-reviewed research studies published between November 1, 2014, to December 31, 2020, on e-professionalism of HCPs; to assess the quality of the methodologies and approaches used; to explore the impact of SM on e-professionalism of HCPs; to recognize the benefits and dangers of SM; and to provide insights to guide future research in this area. Methods A search of the literature published from November 1, 2014, to December 31, 2020, was performed in January 2021 using 3 databases (PubMed, CINAHL, and Scopus). The searches were conducted using the following defined search terms: “professionalism” AND “social media” OR “social networks” OR “Internet” OR “Facebook” OR “Twitter” OR “Instagram” OR “TikTok.” The search strategy was limited to studies published in English. This scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Results Of the 1632 retrieved papers, a total of 88 studies were finally included in this review. Overall, the quality of the studies was satisfactory. Participants in the reviewed studies were from diverse health care professions. Medical health professionals were involved in about three-quarters of the studies. Three key benefits of SM on e-professionalism of HCPs were identified: (1) professional networking and collaboration, (2) professional education and training, and (3) patient education and health promotion. For the selected studies, there were five recognized dangers of SM on e-professionalism of HCPs: (1) loosening accountability, (2) compromising confidentiality, (3) blurred professional boundaries, (4) depiction of unprofessional behavior, and (5) legal issues and disciplinary consequences. This scoping review also recognizes recommendations for changes in educational curricula regarding e-professionalism as opportunities for improvement and barriers that influence HCPs use of SM in the context of e-professionalism. Conclusions Findings in the reviewed studies indicate the existence of both benefits and dangers of SM on e-professionalism of HCPs. Even though there are some barriers recognized, this review has highlighted existing recommendations for including e-professionalism in the educational curricula of HCPs. Based on all evidence provided, this review provided new insights and guides for future research on this area. There is a clear need for robust research to investigate new emerging SM platforms, the efficiency of guidelines and educational interventions, and the specifics of each profession regarding their SM potential and use.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review

et al. 2021

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“…This was due to their opinion that it was 'tedious' to change/monitor privacy settings, because they self-reported that they didn't have anything unprofessional on their Facebook page, or that they didn't know how to change the privacy settings. 39 These findings suggest that the next wave of graduates may struggle with complying with all the social media guidelines set out by the GDC. The baseline data provided by this study will help us to track any future trends in social media complaints.…”

Section: Discussionmentioning

confidence: 99%

Social media and professionalism: a retrospective content analysis of Fitness to Practise cases heard by the GDC concerning social media complaints

Neville

2017

Br Dent J

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Neville, P. (2017). Social media and professionalism: a retrospective content analysis of Fitness to Practice cases heard by the GDC concerning social media complaints. British Dental Journal, 223 (5) University of Bristol -Explore Bristol Research General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Method: Documentary analysis of social media related FtP cases published on the GDC's website was undertaken. All cases that met the study's inclusion criteria were analysed using a quantitative content analysis framework.Findings: 2.4% of FtP cases published on the GDC website during that period were related to breaches of the social media guidelines. All of the cases investigated were proven and upheld. Most of those named in the complaints were dental nurses and the most common type of complaint was inappropriate Facebook comments.Conclusions: The low incidence rate should be interpreted with caution, being illustrative of the types of issues that might arise rather than the volume. The GDC will need to remain vigilant in this area and ensure that social media awareness training is an active part of CPD for all the dental team.In brief:1. This is the first study to investigate the incidence of social media Fitness to practice (FtP) cases investigated by the GDC since it established social media guidelines in 2013. 2. Documentary analysis of FtP cases from September 2013 to June 2016 revealed that 6 complaints in relation to social media were investigated. This represents 2.4% of FtP cases whose outcome were published by the GDC over that time period. Most of the complaints were made against dental nurses and the most common type of complaint was in relation to inappropriate Facebook comments. 3. While the current number of social media related FtP cases is very low, the nature of the complaints confirms that social media behaviour is a useful measure of (un)professionalism. Social media awareness training should be an integral part of undergraduate and CPD training.

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Perceptions of professional social media interaction with patients and faculty members – a comparative survey among dental students from Malaysia and Finland

2023

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Background Professional and personal boundaries are blurred with the wide application of social media (SM) in the health professions line of work. Little is known about practice of extending friend requests to patients and faculty members among dental students, which encompass a part of E-professionalism. The aim of this study is to assess the factors associated with the perceptions and practices of interactions with patients and faculty on SM among dental students from Malaysia and Finland. Methods Dental students from 4 institutions in Malaysia and Finland completed self-administered questionnaires on the practices and perceptions of SM use. The main variables assessed were the perceptions and practices of student-patient and student-faculty communication on SM, between the two countries. Students’ country, age, gender, time spent on SM and perceived importance of communicating dental related aspects over SM were analysed as potential explanatory variables. Crosstabulation was used to estimate the distributions of the response variables by the background characteristics. Multivariate analyses were performed using a dichotomous logistic regression model to investigate relevant associations between the responses and the explanatory variables independent from other factors. Results A total of 643 students completed the survey in March-April 2021. More Malaysian students agreed with “guiding patients online is a new responsibility for dentists in the digital age” compared to Finnish students (86.4% vs. 73.4%). Similarly, significantly more Malaysian students befriended patients (14.1% vs. 1%) and invited faculty to be friends on SM (73.6% vs. 11.8%). Expectedly, clinical year students befriended patients more than pre-clinical (13.8% vs. 6.8%). Significantly more students who felt ‘communication of dental related issues over SM’ were likely to extend friend requests to faculty rather than accept patient friend requests. Conclusions Social media regulations and socio-cultural practices contribute to dental students’ attitudes and behaviour when befriending patients and faculty members on social media. Future dental curriculum should incorporate guidelines for professional communication on social media based on local and cultural needs. Students’ should be encouraged to interact with their patients using professional identities on social media.

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Physicians in Cyberspace: Finding Boundaries

Cited by 5 publications

References 20 publications

Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review

Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review

Social media and professionalism: a retrospective content analysis of Fitness to Practise cases heard by the GDC concerning social media complaints

Perceptions of professional social media interaction with patients and faculty members – a comparative survey among dental students from Malaysia and Finland

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