Practice Guidelines - Social Media

PRACTICEGUIDELINE
Ethical and
Responsible Use of
Social Media
Technologies
PracticeGuideline:Ethicaland Responsible
UseofSocialMediaTechnologies
October2012(1/16)
MISSION
TheNursesAssociationofNewBrunswickisaprofessionalregulatoryorganizationthatexiststo
protectthepublicandtosupportnursesbypromotingandmaintainingstandardsfornursing
educationandpractice,andbypromotinghealthypublicpolicy.
NURSESASSOCIATIONOFNEWBRUNSWICK2012
Allrightsreserved.Nopartofthispublicationmaybereproducedortransmittedinanyformor
byanymeans,electronicormechanical,includingphotocopying,recording,orbyany
informationstorageandretrievalsystem,withoutpriorwrittenpermissionfromthepublisher.
ISBN1895613604
October2012(2/16)

Table of Contents
MISSION..........................................................................................................................................2
ACKNOWLEDGEMENT.....................................................................................................................3
PURPOSE.........................................................................................................................................4
INTRODUCTION...............................................................................................................................4
ETHICAL,PROFESSIONALANDLIABILITYCONCERNS......................................................................6
APPROPRIATEUSEOFSOCIALMEDIA:ASHAREDRESPONSIBILITY...............................................9
RoleoftheIndividualRN.............................................................................................................9
RoleoftheEmployer.................................................................................................................10
RoleoftheNurseEducator.......................................................................................................11
CONCLUSION.................................................................................................................................12
APPENDIXA:HOWTOUSESOCIALMEDIASITESSAFELY.............................................................13
REFERENCES..................................................................................................................................14
ACKNOWLEDGEMENT
TheNursesAssociationofNewBrunswickgratefullyacknowledgespermissiongrantedbythe
CanadianNursesAssociation,theCollegeofRegisteredNursesofBritishColumbia,theCollege
ofRegisteredNursesofNovaScotiaandtheSaskatchewanRegisteredNursesAssociationto
quoteandadapt,inwholeorinpart,fromthepublicationsreferenced.
October2012(3/16)
PURPOSE
ThroughtheNursesAct,thenursingprofessionisgrantedtheauthoritytosetstandardsfor
educationandpracticeofitsmembers,withanobligationtoprotectthepublicandservethe
publicinterest.
Guidelinessupportprofessionaljudgementandpromoteappropriatedecisionmakingin
practice.Thepurposeofthispracticeguidelineistohelpregisterednurses1(RNs)protectthe
privacyandconfidentialityofpersonalandhealthinformationoftheclientandtoreiteratethe
importanceofmaintainingtheboundariesestablishedwithinthetherapeuticnurseclient
relationshipwhenusingsocialmediatechnologyintheirpractice.Thepracticeguidelinefurther
interpretsNANBsstandardsandtheCodeofEthics(CNA)andprovidesrecommendationsto
registerednurses,employersandnursingeducationprograms.
INTRODUCTION
Socialmediarepresentsmuchmorethanatoolforcommunication.Itchangeshowpeoplework
andinteract,howrelationshipsareformedandhowpeoplecomplain,
celebrate,discoverandcreate.(ScotishGovernment,2012)2.
Whenwecombine
theuseoftechnology
withsocial
connections,theline
betweenwhatwe
thinkofasprivate
andpublicis
blurred.(CNA,2012)
TheNursesAssociationofNewBrunswick(NANB)doesnotregulatetheuseof
socialmedia;itdoeshowever,regulatethepracticeofRNswithinan
environmentwheresocialmediaiseverpresent.Communicationtechnologies
suchasFacebook,YouTube,MySpace,blogsandmobilephonecamerashave
madeitincreasinglycommonfornursestosharedetailsoftheirworkinglives
online(Livsey,2010).InJuly2012,Twitterreportedpassing500million
accounts3withCanadain8thplacefromthetop20countriesintermsof
Twitteraccounts.WorldStatsreported17,987,900FacebookusersinCanada4,
makingitCanadasmostpopularsocialnetworksite.
TheCanadianNursesAssociation(CNA)definesthetermsocialmediaasagroupofInternet
based applications and technologies that allow users to have the same kind of realtime
conversationthattheymighthavewithfriendsorneighbourswithvirtualfriendsfromaround
Forthisdocument,thetermregisterednurseincludesnursepractitioner.
http://www.scotland.gov.uk/Resource/0039/00396525.pdf
3
http://techcrunch.com/2012/07/30/analysttwitterpassed500musersinjune2012140moftheminus
jakartabiggesttweetingcity/
4
http://www.socialbakers.com/facebookstatistics/canada
2
October2012(4/16)
the globe. Social media technologies allow users to interact and collaborate with each other
onlineinthecreationandsharingofinformation,ideas,andopinions(CNA,2012).
Social media can benefit health care in a variety of ways such as strengthening professional
relationships, providing valuable information to health care recipients, providing timely
communication with clients and family members and educating and informing health care
professionals.However,whenwecombinetheuseoftechnologywithsocialconnections,the
linebetweenwhatwethinkofasprivateandpublicisblurred(CNA,2012).Table1offersalist
ofbenefitsandrisksassociatedwiththeuseofsocialmediainthenursingprofession.
Table1:BenefitsandRisksAssociatedwiththeUseofSocialMediaTechnologies
Benefits
Risks
Fosterssocialandprofessional
connections5
Enhancesclientcommunicationsto
addressconcernsinatimelymanner6i.e.
Crowdsourcing
Teachingtoolfornursingstudentsand
educators
Broadcastingpublicmessage
e.g.handwashingcampaign
Collaborationonprojectshowever,
shoulduseinternalsecuresystemfor
workrelatedprojects
Disseminationanddiscussionofnursing
andhealthrelatededucation,research,
bestpractices7
Repositoryofreliablereferenceson
specifichealthissues/conditions
Humanintereststories,withexpressed
writtenconsent
Moreeffectiveorganizationasacollective
politicalforce
Advocacy&nursinginterests
Breachesofpatientprivacyand
confidentiality
Inappropriatesharingofinformation
Violationofprofessionalboundaries
Publicstrustofregisterednursescanbe
compromised
Increasedconnectivityallowsforincreased
surveillanceofonesactivities
Employmentconsequences,whichcould
leadtotermination
Regulatoryimplications,whichcouldlead
todisciplinaryaction
ViolationofPersonalHealthInformation
PrivacyandAccessAct,whichcouldresult
inbothcivilandcriminalpenalties
Desautels,2008;Fultz,2008;Grimmeralmann,2009;KlichHeartt&Prion,2010
Tariman,2010
7
ANA,2011
6
October2012(5/16)
ETHICAL, PROFESSIONAL AND LIABILITY CONCERNS
Registerednursesareheldtoahighstandardofconfidentialitywithrespecttoclient
information.EthicalconsiderationsshouldbealwayskeptfirstandforemostinRNsmindsinall
communicationmodalities.Tounderstandthelimitsofappropriateuseofsocialmedia
technologiesoranyinformationtechnology,itisimportantforRNstounderstandtheconcepts
ofconfidentialityandprivacyinthehealthcarecontextandtouseNANBsstandardsandthe
CodeofEthicsasaguidingframeworkwhenmakingdecisionsabouttheiruseofsocialmedia.
ETHICALCONCERNS:CONFIDENTIALITYANDPRIVACY
TheCodeofEthicsforRegisteredNurses(2008)setsRNsethicalresponsibilitiesregarding
maintainingprivacyandconfidentiality.Confidentialityandprivacyarerelated,butdistinct
concepts.TheCodeofEthicsdefinesconfidentialityastheethicalobligationtokeep
someonespersonalandprivateinformationsecretorprivate(p.23).TheRNmustsafeguard
informationobtainedduringthecourseoftreatment/careandmayonlybedisclosedtoother
membersofthehealthcareteamforhealthcarepurposes.Confidentialinformationshouldbe
sharedonlywiththeclientsinformedconsent,whenlegallyrequired,orwherefailureto
disclosetheinformationcouldresultinsignificantharm.Beyondtheseverylimitedexceptions
theRNsobligationtosafeguardsuchconfidentialinformationisuniversal.RNsmustbeaware
thatsharingclienthealthinformationthatwascollectedthroughtheprovisionofcareisa
breachofconfidentialityintentionalorinadvertentwhenpostedonapublicWebsite,asitis
outsidethescopeoftheintendeduseandpurposesforwhichtheinformationwascollected.
Privacyrelatestotherightofclientstokeepinformationaboutthemfrombeingdisclosedto
anyone.8TheCodeofEthicsdefinesinformationalprivacyastherightofindividualsto
determinehow,when,withwhom,andforwhatpurposesanyoftheirpersonalinformation
willbeshared(p.27).
PROFESSIONALCONCERNS:
Inappropriatesharingofclientpersonalhealthinformationviasocialmediaisabreachofthe
StandardsforthePracticeofRegisteredNurses9(2012).Whenusingsocialmediawhetherfor
personalorprofessionalpurposes,RNsareresponsiblefortheiractionsandaccountabletothe
client,employer,theprofession,andthepublic.Somestandardindicatorswhichareapplicable
totheuseofsocialmediaare:
8
9
Crawford,H.,&Kelley,P.(2012).
StandardsofPracticeforRegisteredNurses(2012)
http://www.nanb.nb.ca/downloads/NANB%20Standards%20of%20Practice%202012_E.pdf
October2012(6/16)
Practisesinaccordancewithrelevantlegislationandstandards,CodeofEthicsand
employerpolicies(Standard1:ResponsibilityandAccountabilityindicator1.2)
Answersforownnursingactions,decisions,andprofessionalconduct(Standard1:
ResponsibilityandAccountabilityindicator1.4)
Initiates,maintains,andconcludesthetherapeuticnurseclientrelationship(Standard2:
KnowledgeBasedPracticeindicator2.5)
Communicateseffectivelywithclients,colleagues,andothers(Standard3:Client
CenteredPracticeindicator3.2)
Advocatesforandcontributestoqualityprofessionalpracticeenvironments(Standard
3:ClientCenteredPracticeindicator3.7)
Demonstratesaprofessionalpresenceandmodelsprofessionalbehaviour(Standard4:
PublicTrustindicator4.1)
NANBsPracticeStandards:DocumentationandtheTherapeuticNurseClientRelationship:
documentsfurtherdefinetheRNsresponsibilitytomaintainingconfidentialityandprivacy
withinthetherapeuticnurseclientrelationshipandwhendocumentingclientinformationas
follows:
Theregisterednurse:
1.10 refrainsfrommaintaininganymodeofcommunicationwithclientsandclients
significantothers,outsidethetherapeuticnurseclientrelationshipunlessitisrequired
aspartofthehealthcareplan.(TheTherapeuticNurseClientRelationship:Practice
Standard,NANB,201110)
Theregisterednurse:
3.2
maintainsconfidentialityofclienthealthinformation,includingpasswordsor
informationrequiredtoaccesstheclientshealthrecord;
3.3
understandsandadherestopolicies,standards,andlegislationrelatedto
confidentiality,privacyandsecurity;
10
NANB(2011)TheTherapeuticNurseClientRelationship:PracticeStandard
http://www.nanb.nb.ca/downloads/Practice%20StandardNurseClient%20Relationship_E.pdf
October2012(7/16)
3.8
usesasecuremethodtotransmitclienthealthinformation(e.g.,usingasecurelinefor
faxoremail)(Documentation:PracticeStandard,NANB,201011)
PERSONALANDLIABILITYCONCERNS
Understandingtherisksinvolvedinusingsocialmediamaypreventpotentialadversepersonal
andprofessionalconsequences.AccordingtotheCanadianNursesProtectiveSociety(CNPS)
InfoLAW(2012),failuretoabidebythese(professionalstandards)canleadtoseriouslegal
consequences.TheCNPScautionsRNstorespectandenforceprofessionalboundariesandnot
toelectronicallyfriendorcommunicatewithclientsthroughsocialmediasites,asitmay
extendthescopeofprofessionalresponsibility.Thefactthatinformationinelectronicformis
easilydistributed,archived,anddownloadedleaveslittlecontroloverwhoseestheinformation
postedonsocialmediasites.Also,onemustaddthefactthatpostingstosocialmediasitesare
generallypermanentrecordsthatcannoteasilybedeleted.Postingsmaycomebacktohaunt
thepersonwhopostedtheinformationonapersonalorprofessionallevel(CNPS,2012).There
existsanecdotalevidencethatanincreasingnumberofemployerschecksocialnetworking
profilesofcurrentandprospectiveemployeeslookingforinformationthatcouldbeinterpreted
asreflectingnegativelyontheorganizationorasmisconductorinappropriatebehaviouronthe
partofemployees.
Postingsmaycome
backtohauntyouona
personalorprofessional
level.(CNPS,2012)
Legislationisinplacetosafeguardthesharingofpersonalhealthinformation.
TheNBPersonalHealthInformationPrivacyandAccessAct(2009)protects
theconfidentialityofpersonalhealthinformationandtheprivacyofthe
persontowhomitbelongsbysettingrulesaboutthecollection,use,
disclosure,retentionandsecuredestructionofpersonalhealthinformation.
11
NANB(2010)Documentation:PracticeStandardhttp://www.nanb.nb.ca/PDF/Practice_Standard
DocumentationE.pdf
October2012(8/16)
APPROPRIATE USE OF SOCIAL MEDIA: A SHARED RESPONSIBILITY

RoleoftheIndividualRN
Registerednurseshaveaprofessional,ethical,andlegalresponsibilitytounderstandtheimpact
ofsocialmediaonhealthcareandmorespecifically,onnursingpractice.
Theregisterednurseshould:
Buildownsocialmediacompetence;knowthetechnology;andhavetheskillsand
judgmenttouseitappropriatelyandethically(CRNBC,2012);
Recognizeethicalandlegalobligationstomaintainclientprivacyandconfidentialityat
alltimes;
Notshareorpostinformation,includingimages,aboutaclientorinformationgainedin
thenurseclientrelationshipwithanyoneunlessthereisaclientcarerelatedneedto
disclosetheinformationorotherlegalobligationtodoso;
Notidentifyclientsbynameorpostorpublishinformationthatmayleadtothe
identificationofaclient;
Nottakephotosorvideosofclientsonpersonaldevices,includingcellphones.TheRN
shouldfollowemployerpoliciesfortakingphotographsorvideoofclientfortreatment
orotherlegitimatepurposesusingemployerprovideddevices;
Abstainfrommakingdisparagingremarksaboutemployerorcoworkers(e.g.,
threatening,harassing,profane,obscene,sexuallyexplicit,raciallyderogatory,
homophobic,orotheroffensivecomments);
Maintainprofessionalboundariesintheuseofelectronicmediabyrefrainingtoaccept
afriendrequestfromaclientonFacebookormakingacommentonaclientsblog;
Beawareofandfolloworganizationalpoliciesconcerningpersonalandprofessional
socialmediatoolswhenatwork,includinghowtomanageaprivacybreach;
Notpostcontentorotherwisespeakonbehalfoftheemployerunlessauthorizedtodo
so,andmustfollowallapplicablepoliciesoftheemployer;
Protectandvaluehis/herprofessionalimage.
October2012(9/16)
NOTE:IfanRNbecomesawareofabreachofprivacyonasocialnetworkingsite,the
CodeofEthicsstates,Nursesinterveneifothersinappropriatelyaccessordisclose
personalorhealthinformationofpersonsreceivingcare(CNA,2008,p.16).Thiscan
involvediscussingyourconcernwithacoworker,manager/supervisor,PrivacyOfficer,
andanNANBPracticeConsultant.
AppendixAoffersaquickreferencelistofDosandDontstoguidetheappropriateuseofsocial
mediasites.
RoleoftheEmployer
Eachorganizationneedstocreateprivacypoliciesandproceduresthatclearlyoutlinethe
expectationsofemployersinregardtotheuseofsocialmediatechnologiesintheworksetting.
Theemployershould:
Ensurethatelectronic/socialmediapolicyisconsistentwiththeorganizationsvalues,in
additiontobeingrelevanttotheevolvingchallengesandcomplexityoftodaysglobal
village(Harned,2009);
Addresshowcertainbehavioursassociatedwiththeuseofsocialmediacanaffectthe
organization,employees,clients,andotherstakeholders;
Definethecircumstancesunderwhichtheuseofemployerownedcomputers,cameras,
otherelectronicdevices,andpersonaldevicesintheworkplaceisallowed;
Ensureclientpersonalhealthinformationsentbyemailissecureandencryptedtoavoid
interception;
CommunicateexpectationstoemployeesbyincorporatingintoorientationfornewRNs;
Identifywhoisauthorizedtopostinformationontheorganizationswebsitesandhowto
obtainpermissionfortheuseofsocialmediasitesforspecificprojectsorprograms
(CRNNS,2012);
Determinewhoisauthorizedtomakepublicstatementsonbehalfofthe
employer/organization;
Communicatethestepsthatwillbetakentomonitorandenforcecompliancewiththe
policyandestablishsupportfornursemanagershavingtodealwithinappropriateuseof
socialmediabyRNstaff;
October2012(10/16)
Considerhavingeveryemployeesignaconfidentialityoathregardingthepersonalhealth
informationintheircustody(PrivacyCommissioner,2012)
Setlimitationsaroundtheuseofpersonalcellphonesandsocialmediatoolsinclinical
settingswithemphasisonthecentralimportanceofmaintainingprivacyandconfidentiality
ofclientinformation.
RoleoftheNurseEducator
Nursingprogramsshouldhavesocialmediapoliciesandguidelinesinplaceandshouldensure
thatstudentsarenotonlyawareofthembutalsounderstandtheimplications,iftheyignore
them.
Thenurseeducatorshould:
Teachstudentsaboutappropriatepersonalandprofessionaluseofsocialmediaearlyinthe
programandshouldincorporatethisinformationthroughoutthecurriculum,especially
duringdiscussionsrelatedtoprofessionalism,privacy,andconfidentiality(CRNNS,2012);
Engagestudentsinethicaldiscussionsaroundeducational/learninguseofsocialmediatools.
Studentsmustunderstandthattheyareresponsibleforwhattheypostinanysocialmedia
platform;
Engage students in ethics discussions around the need to protect the trust established as
partofthetherapeuticnurseclientrelationshipandthepropermaintenanceofprofessional
boundaries;
Actasrolemodel.
October2012(11/16)
CONCLUSION
Registerednursesareexpectedtopractiseandbehaveinamannerthatprotectsclientsby
exercisingreasonablejudgmentwhenusingsocialmediatechnologieswhetherintheir
personallifeorintheirprofessionallife.Socialmediacanmakeapersonspoorjudgment
publicandpermanentandcanraiseconcernsaboutclientspersonalandhealthinformation
privacyandconfidentiality,boundarycrossingswithinthetherapeuticnurseclientrelationship,
andprofessionalism.
Foradditionalinformationpleasecontact:
NursesAssociationofNewBrunswick
165RegentStreet
FrederictonNB
E3B7B4
Tel.:(506)4588731or18004424417
Fax:(506)4592838
Website:www.nanb.nb.ca
October2012(12/16)
APPENDIX A: HOW TO USE SOCIAL MEDIA SITES SAFELY
DO:
Knowyourlegalandethical
responsibilitiestomaintainprivacyand
confidentialityasanRN(i.e.:
provincial/federallegislationandthe
CodeofEthics).
Knowthestandardsandexpectations
relativetocompetenciesforprivacyand
confidentialityfromNANB.
Remembertoseparatepersonaland
professionalliveswhenusingsocial
networkingsites.
Respectandenforceprofessional
boundaries:notingthatbecominga
patientselectronicfriendorhaving
communicationwiththemthroughsocial
mediasitesmayextendthescopeof
professionalresponsibility.
Knowyourorganizationspoliciesand
proceduresonsocialnetworking,privacy,
andconfidentiality.
Educateyourselfabouttheprivacy
setting/statementsofsocialnetworking
sitesyouareinterestedinjoining.
Rememberthatwordswrittenonsocial
networkingsiteshavethepotentialtolive
onforever.
Respectclientprivacyandprotectyour
own.
Createstrongpasswordsandchange
themfrequently.Donotsharepasswords
withothers.
Logofforturnoffyourcomputeror
laptopwhennotinuse.
Manageyourvirtualimage.Present
yourselfinaprofessionalmannerin
photos,videosandpostings.Use
differentaccountsforpersonaland
professionalactivities.
Pausebeforeyoublog,post,ortweet.
DONT:
Post/shareconfidentialinformation:
anunnamedpatientorpersonmaybe
identifiablefrompostedinformation.
Usesocialmediatoventordiscuss
workrelatedeventsortocomment
onsimilarpostingsbyothers.
Uploadpicturesorvideoofyourselfin
aclinicalsetting.
Makedisparagingorembarrassing
remarksaboutyourorganization,its
patients/clients/residents,orfellow
employees;disclosinginformation
obtainedatworkisconsidered
unprofessionaland,iferroneous,
couldevenleadtoadefamation
claim.
Offerhealthrelatedadvicein
responsetocommentsorquestions
postedonsocialmediasites;ifrelied
upon,suchadvicecouldtrigger
professionalliability(CNPS,2010)ora
complainttoNANB.
Usesocialnetworkingsiteswhenyou
aresupposedtobeworking.
Breachprivacyandconfidentiality,
legislation,oryouremployment
contract.
Speakonbehalfofahealthcare
organizationunlessauthorizedtodo
so.
Allowyouruseofsocialmediato
interferewithyourwork
commitments.
October2012(13/16)
REFERENCES
AmericanNursesAssociation.(2011).NavigatingtheworldofsocialmediaFactsheet.Retrievedfrom
https://www.facebook.com/note.php?note_id=248333435208652
Anderson,J.,&Puckrin,K.(2011).Socialnetworkuse:Atestofselfregulation.JournalofNursing
Regulation,2(1),3641.
CanadianNursesAssociation.(2008).Codeofethicsforregisterednurses.Ottawa,ON:Author.Retrieved
fromhttp://www.nanb.nb.ca/PDF/practice/CNA%20Code%20of%20Ethics.pdf
CanadianNursesAssociation.(2012).WhenPrivateBecomesPublic:Theethicalchallengesand
opportunitiesofsocialmedia.Ottawa,ON:Author.Retrievedfromhttp://www2.cna
aiic.ca/CNA/documents/pdf/publications/Ethics_in_Practice_Feb_2012_e.pdf
CanadianNursesProtectiveSociety.(July2012).SocialMedia.infoLAW,19(3),12.
CollegeofRegisteredNursesofBritishColumbia.(2012).SocialMedia:Professionalism,nursesand
socialmedia.Retrievedfrom
https://www.crnbc.ca/Standards/Confidentiality/Pages/SocialMedia.aspx
CollegeofRegisteredNursesofNovaScotia.(2012).PositionStatement:SocialMedia.Halifax,NS:
Author.
Cox,C.(2009).LegaladviceforRCNmembersusingtheInternet.London,UK:RoyalCollegeofNursing.
Crawford,H.,&Kelley,P.(2012).Nursingleadershipandmanagement,2ndCanadianEdition:Toronto,
ON:NelsonEducation.
Desautels,B.(2008).Socialnetworking:LinkedIn.com.JournalofLeadershipStudies,2(2),103104.
Fultz,J.(2008).IsblockingFacebooktheanswer?ConferenceBoardofCanada.InsideEdge,12(1),22.
Grimmelmann,J.(2009).SavingFacebook.NewYorkLawSchoolLegalStudiesResearchPaperNo.
08/097.IowaLawReview,94(4),11371206.
KlichHeartt,E.,&Prion,S.(2010).SocialnetworkingandHIPAA:Ethicalconcernsfornurses.Nurse
Leader,8(2),5658.
Livsey,Trish.(2010).Postitpitfalls:newtechnologymakesiteasytobreachpatientprivacyunwittingly.
NursingStandard,23(14),26+.
NationalCouncilofStateBoardsofNursing.(2011).Whitepaper:Anursesguidetotheuseofsocial
media.Retrievedfromhttps://www.facebook.com/note.php?note_id=248333435208652
October2012(14/16)
Nurses Association of New Brunswick. (2012). Standards for the practice of registered nurses.
Fredericton,NB:Author.http://www.nanb.nb.ca/downloads/NANB%20Standards%20of%20Practice%
202012_E.pdf
NursesAssociationofNewBrunswick.(2010).Practicestandard:Documentation.Fredericton,NB:
Author.Retrievedfromhttp://www.nanb.nb.ca/PDF/Practice_StandardDocumentationE.pdf
NursesAssociationofNewBrunswick.(2011).Practicestandard:Thetherapeuticnurseclient
relationship.Fredericton,NB:Author.Retrievedfrom
http://www.nanb.nb.ca/downloads/Practice%20StandardNurseClient%20Relationship_E.pdf
ProvinceofNewBrunswick.(2009).PersonalHealthInformationPrivacyandAccessAct.Fredericton,
NB:Author.Retrievedfromhttp://www.gnb.ca/0051/acts/indexe.asp
SaskatchewanRegisteredNursesAssociation.(2010).Askapracticeadvisor:Commonsenseguidelines
forsocialnetworking.NewsBulletin.Regina,SK:Author.
Saver,C.(2011).SocialMedia:Thepromisesandthepitfalls.Retrievedfrom
http://www.cynthiasaverrn.com/images/SocialMediahandout.pdf
ScottishGovernment.(July,2012).Professionalisminnursing,midwiferyandthealliedhealth
professionsinScotland:AreporttotheCoordinatingCouncilfortheNMAHPContributiontothe
HealthcareQualityStrategyforNHSScotland.Edinburgh,UK:Author.
Socialbakers.(2012).CanadaFacebookStatistics.Retrievedfrom
http://www.socialbakers.com/facebookstatistics/canada
Spector,N.(2011).LegalaspectsofNursing:Internetsocialnetworkingandnurseethics.Retrievedfrom
http://studymaterials.healthmanagementventures.com/pdf/SocialNetworking
Tariman,J.(2010)Wheretodrawtheline:Professionalboundariesinsocialnetworking.ONSConnect,
25(2),1013.
TechCrunch.(2012).TwitterUseStatistics.Retrievedfromhttp://techcrunch.com/2012/07/30/analyst
twitterpassed500musersinjune2012140moftheminusjakartabiggesttweetingcity/
October2012(15/16)
165RegentStreet
Fredericton,NB,E3B7B4
Canada
Tel.:5064588731
Tollfree:18004424417
www.nanb.nb.ca
October2012(16/16)

Practice Guidelines - Social Media

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PRACTICEGUIDELINE

ETHICAL, PROFESSIONAL AND LIABILITY CONCERNS

APPROPRIATE USE OF SOCIAL MEDIA: A SHARED RESPONSIBILITY

APPENDIX A: HOW TO USE SOCIAL MEDIA SITES SAFELY

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