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Addressing therapeutic boundaries in social networking.
Almari Ginory1, Laura Mayol Sabatier, Spencer Eth
1University of Florida Department of Psychiatry, Gainesville, FL 32606, USA. almariginory@yahoo.com
Psychiatry
|March 9, 2012
Summary
Psychiatry residents frequently use Facebook, with many encountering ethical challenges like patient friend requests and profile viewing. Training is needed to navigate social media boundaries in the doctor-patient relationship.
Area of Science:
- Medical Ethics
- Digital Health
- Psychiatry
Background:
- Social networking sites (SNS) like Facebook are increasingly popular among healthcare professionals.
- Prior research indicated a rise in housestaff accessing social media.
- Potential exists for SNS use to impact the doctor-patient relationship, particularly concerning professional boundaries.
Purpose of the Study:
- To investigate the prevalence of Facebook use among psychiatry residents.
- To explore the extent of boundary crossings between residents and patients on Facebook.
- To provide recommendations for training on social media use in psychiatric practice.
Main Methods:
- An anonymous, voluntary online survey was distributed to psychiatry residents via the American Psychiatric Association (APA) listserv.
- The survey assessed Facebook usage patterns and interactions with patients online.
- Data were collected from a sample of residents to quantify the phenomenon.
Main Results:
- A high percentage of respondents (95.7%) reported having active Facebook profiles.
- A notable proportion of residents (9.7%) received friend requests from patients.
- Nearly one-fifth of residents (18.7%) admitted to viewing patient profiles on Facebook.
Conclusions:
- Facebook utilization is substantial among psychiatry residents, exceeding previous study findings.
- Ethical challenges related to social media use, including boundary issues, are prevalent.
- There is a clear need for specific training and guidance for trainees on navigating social media and its ethical implications in patient care.
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