Exploring public perspectives of e-professionalism in nursing

Area of Science:

• Nursing
• Digital Health
• Healthcare Ethics

Background:

• E-professionalism defines healthcare professionals' online conduct, particularly nurses.
• Limited research exists on public perspectives regarding nurses' e-professionalism and online behavior.
• Existing professional guidance often overlooks patient and public viewpoints on nurses' digital interactions.

Purpose of the Study:

• To elucidate public decision-making processes regarding the acceptability of nurses' online behaviors.
• To explore the underlying reasons (what, how, why) for public judgments on nurses' e-professionalism.
• To formulate recommendations for nurses on managing their online information sharing.

Main Methods:

• A mixed-method critical realist study design was employed.
• Data collection involved a survey (n=53) and two focus groups (n=8).
• Participants evaluated the acceptability of five realistic vignettes depicting nurses' online behaviors.

Main Results:

• The public generally supports nurses' rights to a personal life, freedom of speech, and advocacy for personal causes.
• A unanimous consensus identified the use of profane language against any individual or group as unacceptable.
• Public acceptance of nurses' online conduct is influenced by a complex interplay of social values, individual beliefs, intent, and consequences.

Conclusions:

• Public acceptance of nurses' online behavior is nuanced, balancing professional expectations with personal freedoms.
• Nurses should strategically manage their online presence by separating platforms, utilizing privacy settings, and ensuring health-related content is evidence-based.
• Clear guidelines informed by public perception are crucial for maintaining trust and professionalism in the digital age.