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Guraya SS, Guraya SY, Rashid-Doubell F, Fredericks S, Harkin DW, Bin Mat Nor MZ, Bahri Yusoff MS. Reclaiming the concept of professionalism in the digital context: a principle-based concept analysis. Ann Med 2024; 56:2398202. [PMID: 39263743 PMCID: PMC11395874 DOI: 10.1080/07853890.2024.2398202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 05/16/2024] [Accepted: 05/17/2024] [Indexed: 09/13/2024] Open
Abstract
BACKGROUND There has been an alarming surge in the usage of social networking sites (SNSs) by healthcare professionals (HCPs) without adherence to the principles of professionalism. The widespread use of SNSs in medical practices has been coupled with reports of breaches of professional behaviors. Despite the benefits of SNSs, skepticism prevails about a clearly defined role for SNSs within medicine based upon the core principles of professionalism. Thus, there is a need to understand the manifestations of professionalism in the digital context, classically known as e-professionalism. This study systematically examines HCPs' perceptions of e-professionalism to advance a thorough understanding of e-professionalism. METHODS This concept analysis was performed using the principle-based approach of Penrod and Hupcey. In January 2023, we searched the databases of PubMed and ISI Web of Science for English-language articles specific to 'e-professionalism' in the medical field. The final selected research corpus of 63 articles was analyzed in this study. RESULTS A comprehensive analysis of the selected articles highlighted that e-professionalism is an epistemologically mature and distinct concept by a standard definition. However, inconsistencies in conceptual meanings were reported due to varied interpretations despite digital literacy. The pragmatic utility showed a lack of sound methodological and philosophical paradigms. Perhaps the rapid technological advancements and manifestations have hampered linguistic maturity. However, logically, e-professionalism is perceived as an extension of conventional professionalism but with a focus on a distinct framework with a set of attributes to be digitally relevant. CONCLUSION This study identifies a scarcity of research about the collective perspective of essential stakeholders, underpinning the need to further explore e-professionalism due to its emerging complex nature within the digital context. There is also a recognition that a framework is essential to guide future HCPs to yield a profound understanding and to provide remediation strategies in the rapidly advancing medical field in digital realm.
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Affiliation(s)
- Shaista Salman Guraya
- Institute of Learning Mohammad Bin Rashid, University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, Unted Arab Emirates
| | | | | | - Salim Fredericks
- Royal College of Surgeons Ireland, Bahrain RCSI-MUB, Adliya, Bahrain
| | - Denis W Harkin
- Faculty of Medicine Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Mohd Zarawi Bin Mat Nor
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Muhamad Saiful Bahri Yusoff
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
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Guraya SS, Rashid-Doubell F, Harkin DW, Guraya SY. Mission-driven e-professionalism in the medical field: shaping digital identity and virtual engagement. Front Med (Lausanne) 2024; 11:1276839. [PMID: 38585143 PMCID: PMC10996440 DOI: 10.3389/fmed.2024.1276839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 03/05/2024] [Indexed: 04/09/2024] Open
Affiliation(s)
- Shaista Salman Guraya
- Health Professions Education, Institute of Learning, Mohammad Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | | | - Denis W. Harkin
- Faculty of Medicine Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Salman Yousuf Guraya
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
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Imran S, Yasmeen R, Mansoor M. Development and validation of self-assessment instrument to measure the digital professionalism of healthcare professionals using social media. BMC MEDICAL EDUCATION 2024; 24:243. [PMID: 38448892 PMCID: PMC10919038 DOI: 10.1186/s12909-024-05142-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 02/06/2024] [Indexed: 03/08/2024]
Abstract
BACKGROUND The use of social media across the globe has risen incrementally. During the COVID-19 pandemic, these sites undeniably provided new avenues for professional networking but also led to a surge in cases of online misconduct. Professionalism instruments and scales do not assess the digital attitude and behaviour of healthcare professionals (HCPs). The purpose of this study was to identify the domains and items of digital professionalism related to social media use and to validate a self-assessment instrument to assess the digital professionalism of HCPs using social media. METHODS An instrument development multiphase mixed method study (exploratory sequential) was conducted in two phases: item development and qualitative content validation followed by validation of the instrument. Feedback was taken from 15 experts for qualitative content validation in phase 1. In phase 2, content validity was established through three rounds of modified Delphi. Validity evidence was collected for the content (content validity index), response process (cognitive interviews), internal structure (confirmatory factor analysis), and internal consistency (Cronbach's alpha). RESULTS The 48-item preliminary instrument was reduced to a 28-item instrument with eight domains: self-anonymity, privacy settings, maintenance of boundaries and confidentiality, conflict of interest, accountability, respect for colleagues, and ethics. The content validity index of the scale was 0.91. The reliability and construct validity of the instrument was established by responses from 500 healthcare professionals from multiple hospitals. Confirmatory factor analysis showed a model with a goodness-of-fit index of 0.86, root mean square error of approximation of 0.06, and observed normed χ2 of 2.7. The internal consistency through Cronbach's alpha α was 0.96. CONCLUSION The digital professionalism self-assessment instrument (DP-SAI) has an appropriate level of content and measures the construct reliably. It can be used by medical doctors, dental clinicians, nurses, physiotherapists, and clinical pharmacists to self-assess and reflect on their social media practices. This will help to address these issues to enhance the quality of online communication through various social media platforms.
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Affiliation(s)
- Shazia Imran
- Department of Anatomy, NUST School of Health Sciences (NSHS), National University of Science and Technology, Islamabad, Pakistan.
| | - Rahila Yasmeen
- Dean Riphah Academy of Research & Education, Riphah International University, Islamabad, Pakistan
| | - Memoona Mansoor
- Department of Medical Education, Islamabad Medical & Dental College, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
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Pedersen MRV, Precht H, Jensen J, Mussmann B, Abdi AJ, Hansen PL, Holm S, Mørup SD, Brage K. Radiographers use of social media - SoMe in a Nordic perspective. Radiography (Lond) 2024; 30:651-658. [PMID: 38341986 DOI: 10.1016/j.radi.2024.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/16/2024] [Accepted: 01/22/2024] [Indexed: 02/13/2024]
Abstract
INTRODUCTION Social media (SoMe) is widely used as a communication platform in everyday life. Also, healthcare professionals have embraced SoMe as a communication tool for both peers and patients. It is becoming an interactive tool for discussing professionals' issues and a place where learning and education occur. This study explores the specific patterns of SoMe use for radiographers' in the Nordic countries. The aim of this survey was to investigate radiographers use of social platforms in a professional setting. METHODS A 29-item survey was prepared, and pilot-tested. The survey was produced in Danish a language that all Nordic countries master. In general, most Nordic languages are very similar. The survey was distributed by online platforms such as Facebook, LinkedIn, Twitter/X, and also distributed by newsletters by the Norwegian and Danish national radiographers societies. All data was collected anonymously. An Ethical Research approval was obtained from the University of Southern Denmark. RESULTS A total of 242 respondents completed the survey (Denmark n = 183, Norway n = 48, Sweden n = 8, and n = 3 from other Scandinavian countries). The respondents included 186 females, 52 males and four were undisclosed. On average, the respondents spent approximately 2 h and 23 min daily on SoMe, with 27 min specifically dedicated to content relevant to radiographers. Facebook was the preferred platform with 93 % (n = 226). A total of 5.4 % (n = 13) respondents had experienced contact from patients and/or next of kin, while 92 % (n = 222) reported no such interactions and 2.9 % (n = 7) were undisclosed. A total of 52.8 % (n = 128) used SoMe in relation to courses, conferences, or online meetings. This shows that time spent on content relevant to radiographers imply that SoMe can be a relevant tool for reaching radiographers. CONCLUSION The survey demonstrates radiographers' use of SoMe for personal and professional interest, with Facebook as the preferred social media platform. SoMe were mostly used during courses, conferences, or online meetings with half of the respondent reported using SoMe platforms during working hours. These results underscore the untapped potential of SoMe in professional healthcare settings. Additionally, the study offers insight into current practices, facilitating comparisons to identify trends in SoMe usage within the radiographer community. IMPLICATIONS FOR PRACTICE The findings advocate for the strategic use of SoMe by radiographers', emphasizing professional networking and knowledge sharing. However, clear guidelines are necessary to ensure patient confidentiality and data security in these digital interactions.
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Affiliation(s)
- M R V Pedersen
- Department of Radiology, University Hospital of Southern Denmark, Vejle, Denmark; Department of Radiology, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Sciences, University of Southern Denmark, Denmark.
| | - H Precht
- Department of Radiology, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Sciences, University of Southern Denmark, Denmark; Health Sciences Research Centre, UCL University College, Odense, Denmark; Education of Radiography, UCL University College, Odense, Denmark
| | - J Jensen
- Research and Innovation Unit of Radiology, University Hospital, Odense, Denmark; Department of Radiology, Odense University Hospital, Odense, Denmark
| | - B Mussmann
- Research and Innovation Unit of Radiology, University Hospital, Odense, Denmark; Department of Radiology, Odense University Hospital, Odense, Denmark
| | - A J Abdi
- Research and Innovation Unit of Radiology, University Hospital, Odense, Denmark; Department of Radiology, Odense University Hospital, Odense, Denmark; Department of Clinical Engineering, Region of Southern Denmark, Denmark
| | - P L Hansen
- Health Sciences Research Centre, UCL University College, Odense, Denmark
| | - S Holm
- Health Sciences Research Centre, UCL University College, Odense, Denmark; Education of Radiography, UCL University College, Odense, Denmark
| | - S D Mørup
- Department of Radiology, University Hospital of Southern Denmark, Vejle, Denmark
| | - K Brage
- Health Sciences Research Centre, UCL University College, Odense, Denmark; Education of Radiography, UCL University College, Odense, Denmark
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Bark MJ, Gasparello GG, Hartmann GC, Mota-Júnior SL, Acciaris F, Pithon MM, Tanaka OM. Evaluation of the impact of orthodontists' smile with malocclusions on social media and professional credibility. Clin Oral Investig 2024; 28:74. [PMID: 38175267 DOI: 10.1007/s00784-023-05416-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Accepted: 11/27/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVES This study assessed laypeople's perceptions of orthodontist credibility based on malocclusions and whether these views affect their choice to seek treatment. Eye-tracking technology and questionnaires were utilized. MATERIALS AND METHODS Ninety-five lay raters, through eye tracking and a questionnaire, assessed 12 images of orthodontists with malocclusions. Malocclusions were categorized by the Index Of Treatment Need (IOTN) as grade 1 (near ideal), 3 (anterior crowding), and 5 (with diastemas). Fixation points were recorded, and credibility was gauged via questionnaires. A Mentimeter word cloud was generated. RESULTS IOTN 1 orthodontists were viewed as more credible than IOTN 3 (p < 0.001) and 5 (p < 0.001). Raters were more willing to receive treatment from IOTN 1 orthodontists. The focus for IOTN 1 was between eyes and mouth, while IOTN 3 and 5 were on the mouth. "Crooked teeth" and "spacing" were predominant in word clouds for IOTN 3 and 5. CONCLUSION Orthodontists with an IOTN grade 1 rating were perceived as more competent, reliable, and professional, thus making it more likely for laypeople to choose them as their preferred providers. CLINICAL RELEVANCE The smiles of professionals play a significant role in laypeople's decision to choose them as their orthodontist, and strategic utilization of social media can effectively deliver health information to a larger audience in a faster and more direct manner.
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Affiliation(s)
- Mohamad Jamal Bark
- Medicine and Life Science School, Pontifícia Universidade Católica Do Paraná, Curitiba, Brazil
| | | | - Giovani Ceron Hartmann
- Medicine and Life Science School, Pontifícia Universidade Católica Do Paraná, Curitiba, Brazil
| | | | | | | | - Orlando Motohiro Tanaka
- Medicine and Life Science School, Pontifícia Universidade Católica Do Paraná, Curitiba, Brazil.
- Center for Advanced Dental Education, Saint Louis University, St. Louis, USA.
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Alnehlaoui F, Elhadidi NML, Fwakhrji S, Shikare SV, Alhammadi MH, Guraya SY. Primary cutaneous mucinous carcinoma of the scalp masquerading as a benign dermatological mass - A case report. Int J Surg Case Rep 2024; 114:109175. [PMID: 38176277 PMCID: PMC10800677 DOI: 10.1016/j.ijscr.2023.109175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 12/08/2023] [Accepted: 12/11/2023] [Indexed: 01/06/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE Primary cutaneous mucinous carcinoma (PCMC) is a rare low-grade malignant neoplasm derived from the sweat glands. Local recurrence of PCMC occurs frequently, but these lesions rarely metastasize. Due to the absence of classical demographic and clinical characteristics, PCMCs masquerade as sebaceous cyst, lipoma, pilomatrixoma, chalazion, or squamous cell carcinoma. This misdiagnosis frequently leads to incomplete surgical excision which necessitates further surgical therapy for a curative intent. CASE PRESENTATION We present a case of PCMC in a 45-year-old woman which presented as a slow- growing and symptomless nodule in the scalp. After clinical evaluation, the patient had a typical surgical excision for a benign-looking lesion. Histological evaluation of the specimen confirmed a localized PCMC in the scalp with involved surgical margins. CLINICAL DISCUSSION A thorough oncological assessment by PET-CT scan and radionuclide scintigraphy was performed. Later, a wide local excision using a gamma probe for intra-operative radionuclide localization of the tumor area and sentinel lymph nodes was done. CONCLUSION The patient did not have any regional or distant metastases and remained stable at the time of reporting this case.
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Affiliation(s)
- Fadi Alnehlaoui
- Department of Surgery and Surgical Oncology, Oriana Hospital Sharjah, United Arab Emirates
| | | | | | | | | | - Salman Yousuf Guraya
- College of Medicine University of Sharjah, Visiting Surgeon NMC Royal Hospital Sharjah, United Arab Emirates.
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Guraya SS, Guraya SY, Doubell FR, Mathew B, Clarke E, Ryan Á, Fredericks S, Smyth M, Hand S, Al-Qallaf A, Kelly H, Harkin DW. Understanding medical professionalism using express team-based learning; a qualitative case-based study. MEDICAL EDUCATION ONLINE 2023; 28:2235793. [PMID: 37463323 PMCID: PMC10355686 DOI: 10.1080/10872981.2023.2235793] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 07/02/2023] [Accepted: 07/07/2023] [Indexed: 07/20/2023]
Abstract
Medical Professionalism (MP) defined as values, behaviours and attitudes that promote professional relationships, public trust and patient safety is a vital competency in health profession education. MP has a distinctive uniqueness due to cultural, contextual, conceptual, and generational variations. There is no standard instructional strategy to probe the understanding of MP in a cohesive, structured, interactive manner. This study aimed to investigate undergraduate medical students' understanding of MP using express team-based learning (e-TBL) at both campuses of Royal College of Surgeons Ireland (RCSI). Using the key principles of a sociocultural theoretical lens in adult learning theory, we designed e-TBL as a context-learning-based educational strategy. We conducted three e-TBL sessions on cross-cultural communication and health disparities, a reflective report on clinical encounters, and professionalism in practice. We collected, collated, and analyzed the student experiences qualitatively using data gathered from team-based case discussions during e-TBL sessions. A dedicated working group developed very short-answer questions for the individual readiness assurance test (IRAT) and MP-based case scenarios for team discussions. In this adapted 4-step e-TBL session, pre-class material was administered, IRAT was undertaken, and team-based discussions were facilitated, followed by facilitator feedback. A qualitative inductive thematic analysis was performed, which generated subthemes and themes illustrated in excerpts. Our thematic analysis of data from 172 students (101 from Bahrain and 71 from Dublin) yielded four unique themes: incoming professional attitudes, transformative experiences, sociological understanding of professionalism, and new professional identity formation. This qualitative study provides a deeper understanding of medical students' perceptions of medical professionalism. The generated themes resonated with divergent and evolving elements of MP in an era of socioeconomic and cultural diversity, transformative experiences, and professional identity formation. The core elements of these themes can be integrated into the teaching of MP to prepare fit-to-practice future doctors.
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Affiliation(s)
- Shaista Salman Guraya
- School of Medicine, Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain
| | - Salman Yousuf Guraya
- College of Medicine, Clinical Sciences Department, University of Sharjah, Sharjah, UAE
| | - Fiza-Rashid Doubell
- School of Medicine, Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain
| | - Bincy Mathew
- School of Medicine, Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain
| | - Eric Clarke
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
| | - Áine Ryan
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
| | - Salim Fredericks
- School of Medicine, Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain
| | - Mary Smyth
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
| | - Sinead Hand
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
| | - Amal Al-Qallaf
- School of Medicine, Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain
| | - Helen Kelly
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
| | - Denis W. Harkin
- Faculty of Medicine and Health Sciences, RCSI University of Medicine and Health Sciences Dublin, Dublin, Ireland
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Guraya SS, Harkin DW, Yusoff MSB, Guraya SY. Paradigms unfolded - developing, validating, and evaluating the Medical Education e-Professionalism framework from a philosophical perspective. Front Med (Lausanne) 2023; 10:1230620. [PMID: 37928467 PMCID: PMC10620701 DOI: 10.3389/fmed.2023.1230620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 09/07/2023] [Indexed: 11/07/2023] Open
Abstract
In order to ensure a strong research design, literature stresses the adoption of a research paradigm that is consistent with the researcher's beliefs about the nature of reality. In this article we provide an overview of research paradigm choices in relation to the creation of a Medical Education e-Professionalism (MEeP) framework discussing the research design, research methods, data collection and analysis to enhance the transparency of our previously published research. The MEeP framework was conceived to help Health Care Professionals (HCPs) safeguard the construct of professionalism in the digital context. This entire process was heavily informed by wider readings and deliberations of published literature on e-professionalism. Although the MEeP framework research journey has been published, the paradigms approach was not discussed in any detail. Considering that one of the duties of medical educator is to balance the service and science by bringing the theoretical underpinnings of one's research to public attention and scrutiny so as to nullify the notion of 'weak' research. We were compelled to unfold this paradigm story of the MEeP framework in a detailed manner. In an effort to make our research both robust and effective, this study portrays a philosophical approach to guide future research designs and methodological choices by detailing our rationale for pragmatism as a choice of paradigm.
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Affiliation(s)
- Shaista Salman Guraya
- Royal College of Surgeons Ireland, Medical University of Bahrain, Bahrain, Bahrain
- Department of Medical Education, School of Medicine, University Sains Malaysia, Kelantan, Malaysia
| | - Denis W Harkin
- Faculty of Medicine and Health Sciences, Royal College of Surgeons Ireland, Dublin, Ireland
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Barqawi HJ, Samara KA, Al Chame HQ, Al Shyyab IM, Almaazmi MA. Emirati Adolescents' and Young Adults' Usage of Social Media for Health Information. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1636. [PMID: 37892299 PMCID: PMC10605898 DOI: 10.3390/children10101636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 09/27/2023] [Accepted: 09/27/2023] [Indexed: 10/29/2023]
Abstract
During the COVID-19 pandemic and in the years after, adolescents' and young adults' (AYAs) usage of social media increased. Social media has been shown to influence both the physical and mental behaviour of AYAs. The Emirates' AYAs are among the world's heaviest consumers of social media. This study aims to explore the usage of social media networks by AYAs for sharing and looking up health information, as well as interacting with local health systems, with a special focus on doctors and social media. This cross-sectional, descriptive study was used to collect comprehensive data from Arabic- and English-speaking Emirati students in grades 7 through 12 and university students between the months of December 2022 and April 2023. A total of 876 out of 930 responses were included. Of the responses, 27.71% were university students, with another 46.46% in grades 11 and 12. Three-fourths had a hospital or clinic visit in the last 6 months and 79.11% had good health perception. Smartphones were the most commonly used devices, at 92.12%. A total of 74.7% reported being able to obtain useful health information, with 40% having had a health decision influenced by it. Posting information on social media was not common, with only 32% posting such content (most commonly mood-related). Health information on social media by health authorities was considered the most trustworthy, with celebrities being the least trustworthy. More than half of AYAs searched for a physician before a visit, and the majority would not mind having a rash picture being posted on a public website if consent (verbal or written) was taken. Social media can influence the various health decisions an AYA might take and which doctors they might choose to see. Physicians should consider their presence and the content they present on social media carefully.
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Affiliation(s)
- Hiba Jawdat Barqawi
- Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates; (K.A.S.); (H.Q.A.C.); (I.M.A.S.); (M.A.A.)
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Howard C, McIntire R, Anderson JM, Stewart C, McIntosh H, Cornwell J, Barron K. The top sports medicine influencers on X (formerly Twitter). J Sports Sci 2023:1-6. [PMID: 37722817 DOI: 10.1080/02640414.2023.2259723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 09/08/2023] [Indexed: 09/20/2023]
Abstract
BACKGROUND With increasing sports medicine content on social media, we sought to identify the top sports medicine influencers on X (formerly Twitter) and analyse their common characteristics. METHODS X influence scores for "Sports Medicine" were collected in November 2021 from Right Relevance. Accounts were then screened in a blind, duplicate manner for personal and X profile characteristics. RESULTS Physical therapists/physiotherapists made up 48% of the top sports science and medicine influencers. Locations in the U.S. and U.K. were listed for half of the influencers. The mean h-index was 30.2 (95% CI = [24.8-35.6]) with a median of 22.0 (range = 1-101). Most individuals reported multiple practice settings (63%), with 60% associated with an academic setting. Professional (62%) and Olympic (49%) level athletics were most frequently mentioned, with soccer (48%) and rugby (30%) as the most common sports. Among 76 profiles with URLs, most were linked to personal websites (57.9%). CONCLUSION The top influencers on X consisted of accredited sports science and medicine professionals across various locations and occupations, providing ample networking and collaboration opportunities. The relatively high h-index in this study suggests sports science and medicine influencers on X are notable contributors to academic literature.
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Affiliation(s)
- Conner Howard
- College of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - Ryan McIntire
- College of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - J Michael Anderson
- Department of Orthopaedic Surgery, Oklahoma State University Medical Center, Tulsa, OK, USA
| | - Carter Stewart
- College of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - Haddon McIntosh
- College of Osteopathic Medicine, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - James Cornwell
- Department of Sports Medicine, Oklahoma State University Medical Center, Tulsa, OK, USA
| | - Kim Barron
- Department of Sports Medicine, Oklahoma State University Medical Center, Tulsa, OK, USA
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Jarmund AH, Tollefsen SE, Ryssdal M, Jensen AB, Sakshaug BC, Unneland E, Solberg B, Mjølstad BP. Characteristics and patients' portrayals of Norwegian social media memes. A mixed methods analysis. Front Med (Lausanne) 2023; 10:1069945. [PMID: 37007794 PMCID: PMC10060973 DOI: 10.3389/fmed.2023.1069945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 02/28/2023] [Indexed: 03/17/2023] Open
Abstract
Background Despite reports on troublesome contents created and shared online by healthcare professionals, a systematic inquiry of this potential problem has been missing. Our objective was to characterize the content of healthcare-associated social media memes in terms of common themes and how patients were portrayed. Materials and methods This study applied a mixed methods approach to characterize the contents of Instagram memes from popular medicine- or nursing-associated accounts in Norway. In total, 2,269 posts from 18 Instagram accounts were included and coded for thematic contents. In addition, we conducted a comprehensive thematic analysis of 30 selected posts directly related to patients. Results A fifth of all posts (21%) were related to patients, including 139 posts (6%) related to vulnerable patients. Work was, however, the most common theme overall (59%). Nursing-associated accounts posted more patient-related contents than medicine-associated accounts (p < 0.01), but the difference may be partly explained by the former focusing on work life rather than student life. Patient-related posts often thematized (1) trust and breach of trust, (2) difficulties and discomfort at work, and (3) comical aspects of everyday life as a healthcare professional. Discussion We found that a considerable number of Instagram posts from healthcare-associated accounts included patients and that these posts were diverse in terms of contents and offensiveness. Awareness that professional values also apply online is important for both healthcare students and healthcare providers. Social media memes can act as an educational resource to facilitate discussions about (e-)professionalism, the challenges and coping of everyday life, and ethical conflicts arising in healthcare settings.
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Affiliation(s)
- Anders Hagen Jarmund
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Sofie Eline Tollefsen
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Mariell Ryssdal
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Audun Bakke Jensen
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Baard Cristoffer Sakshaug
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Eirik Unneland
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Berge Solberg
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Bente Prytz Mjølstad
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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Viskić J, Marelić M, Machala Poplašen L, Vukušić Rukavina T. Differences between doctors of medicine and dental medicine in the perception of professionalism on social networking sites: the development of the e-professionalism assessment compatibility index (ePACI). BMC Med Ethics 2022; 23:129. [PMID: 36474221 PMCID: PMC9727956 DOI: 10.1186/s12910-022-00870-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 11/30/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Social networking sites (SNSs) have penetrated all aspects of health care professionals' (HCPs') professional and private lives. A new term, e-professionalism, has emerged, which describes the linking of traditional values with this new dynamic online environment for HCPs. The four aims of this study were: (1) to examine their SNS prevalence and usage habits, (2) to examine their perception of e-professionalism, (3) to develop an e-professionalism assessment compatibility index and (4) to investigate their tendencies and differences in values of the e-professionalism assessment compatibility index (ePACI). METHODS A cross-sectional study was conducted among MDs and DMDs in Croatia via email using a questionnaire. The questionnaire was distributed to all MDs and DMDs who were members of their respective chambers. In addition to descriptive statistics, Chi-square or Fisher's exact test when appropriate, t-test, ANOVA and Mann-Whitney U tests were used to determine differences between groups. A principal component analysis (PCA) with varimax rotation was used to investigate dimensionality. Results of the PCA were compared to the coding based on the Social Media e-Professionalism rubric in order to create the ePACI. RESULTS Of the 1013 gathered responses, 753 were from valid SNS users and suitable for further analysis. Facebook (91.6%) and Instagram (63.1%) were the predominant SNSs used. Both groups have a good understanding of e-professionalism. The newly developed ePACI deviates slightly in the "conservative" direction in the cases of both, MDs (t506 = 19.033, p < 0.001) and DMDs (t245 = 12.991, p < 0.001). HCPs who are older (r = 0.308, p < 0.001), who have fewer SNS profiles (rs = -0.142, p < 0.001), and who access their profiles less frequently (r = -0.166, p < 0.001) have statistically significantly more conservative ePACI values. CONCLUSIONS MDs and DMDs in Croatia are frequent SNS users, with Facebook and Instagram being the main SNSs used. Both groups have a good understanding of e-professionalism. The newly developed ePACI deviates slightly towards the conservative side regarding perception of the e-professionalism content for both groups. The development of the ePACI, and its subsequent usage in further research, will have a direct influence in its validation, gathering comparable data, and be able to direct efforts in oversight, regulation and education.
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Affiliation(s)
- J. Viskić
- grid.4808.40000 0001 0657 4636Department of Fixed Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - M. Marelić
- grid.4808.40000 0001 0657 4636Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - L. Machala Poplašen
- grid.4808.40000 0001 0657 4636Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - T. Vukušić Rukavina
- grid.4808.40000 0001 0657 4636Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
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Cachón-Pérez JM, González-Sanz P, Carretero-Ríos MÁ, Soriano-Martin P, Rodríguez-García M, García-García E, Palacios-Ceña D. Experiences of first year undergraduate nursing students using Instagram in their clinical practicum during COVID-19 pandemic: A qualitative study. NURSE EDUCATION TODAY 2022; 119:105590. [PMID: 36244253 PMCID: PMC9547388 DOI: 10.1016/j.nedt.2022.105590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 09/21/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Social media provides us with easy access to information. For students, it is an additional learning resource used in different types of theoretical and practical teaching methodologies. OBJECTIVES The aim of this paper was to describe the perspective of undergraduate nursing students on the use of Instagram during their clinical practicums in the midst of the COVID-19 pandemic. DESIGN A qualitative descriptive and exploratory study based on an interpretative framework. SETTINGS AND PARTICIPANTS First-year undergraduate nursing students at the Universidad Europea de Madrid were included. METHODS In-depth interviews and researchers' field notes were used to collect the data. Purposive sampling and inductive thematic analysis were applied. During the interviews, themes such as accompaniment during practicums or training opportunities were identified. RESULTS The use of Instagram helped students to feel closer to professors, identifying it as an opportunity to remedy the possible lack of connection between theory and practice. Moreover, Instagram helped them build an image of nursing in clinical practicum environments. By using Instagram, undergraduate nursing students were able to better integrate and apply the knowledge acquired at university during their clinical practicums in hospitals. CONCLUSIONS Our results can be applied to future studies on the use of social media platforms as teaching tools in clinical practicum settings and to observe the evolution of the image and role of nursing and its relationship with social media.
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Affiliation(s)
- José Miguel Cachón-Pérez
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain
| | - Pilar González-Sanz
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain
| | - María Ángeles Carretero-Ríos
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain
| | - Pedro Soriano-Martin
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain
| | - Marta Rodríguez-García
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain
| | - Esther García-García
- Departamento de Enfermería y Nutrición, Facultad de Ciencias Biomedicas y de la Salud, Universidad Europea de Madrid, Spain.
| | - Domingo Palacios-Ceña
- Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
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Nisar S, Alshanberi AM, Mousa AH, El Said M, Hassan F, Rehman A, Ansari SA. Trend of social media use by undergraduate medical students; a comparison between medical students and educators. Ann Med Surg (Lond) 2022; 81:104420. [PMID: 36147096 PMCID: PMC9486650 DOI: 10.1016/j.amsu.2022.104420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 08/09/2022] [Accepted: 08/12/2022] [Indexed: 11/16/2022] Open
Abstract
Purpose Social media (SM) is one of the most powerful tools of communication and learning in the recent era. Different types of information can be shared through these social networking sites in the form of texts, videos, pictures, audios, and references (contacts). Due to the constant increase in the use of these social networking sites in our daily routine life especially during the COVID 19 pandemic, their use in teaching and learning has become inevitable. Social media has immense potential to enhance its role in educational settings. Both the students and educators use it for communication, education, sharing and expressing knowledge, and recreation. Therefore, the present study aims to find out the most frequently used social network sites for learning and easy communication between medical students and educators. Objective This study sought to explore the most frequently used social networking sites by the medical students and educators at Batterjee Medical College. Methods A cross-sectional study was carried out to assess the trends of usage of SM as an extracurricular way of enhancing learning and teaching experience among medical students and educators in Batterjee Medical College; Saudi Arabia from November 2020 to March 2021.A pre-validated self-administrated questionnaire was built using Google Drive forms and distributed to medical students and educators via emails and WhatsApp. Convenient sampling was used to collect the data. Conclusion Social media has immense potential to enhance its role in educational settings. Students in our study preferred YouTube and WhatsApp for their learning and communication especially, during COVID 19 pandemic. However, to further enhance their utility choosing the right platform, the amount and quality of the information shared to ensure optimal benefit, providing ethical guides, and professional standards for SM use at institutional levels are the few challenges that need to address.
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Affiliation(s)
- Sumera Nisar
- Department of Ophthalmology, School of Medicine, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Asim Muhammad Alshanberi
- Department of Community Medicine and Pilgrims Health Care, Umm Alqura University, Makkah, Saudi Arabia
- College of Medicine and Surgery, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Ahmed Hafez Mousa
- College of Medicine and Surgery, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Manal El Said
- Department of Microbiology, Theodor Bilharz Research Institute, Giza, Egypt
- Department of Microbiology, Medicine Program, Batterjee Medical College, Jeddah, 21422, Saudi Arabia
| | - Fatma Hassan
- Medical Physiology Department, Batterjee Medical College, Jeddah, Saudi Arabia
- Medical Physiology Department, Kasr Al Ainy, Faculty of Medicine, Cairo University, Cairo, Giza, Egypt
| | - Areeb Rehman
- University College of Medicine and Dentistry, Lahore, Pakistan
| | - Shakeel Ahmed Ansari
- Department of Biochemistry, School of Medicine, Batterjee Medical College, Jeddah, Saudi Arabia
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Vukušić Rukavina T, Machala Poplašen L, Majer M, Relić D, Viskić J, Marelić M. Defining Potentially Unprofessional Behavior on Social Media for Health Care Professionals: Mixed Methods Study. JMIR MEDICAL EDUCATION 2022; 8:e35585. [PMID: 35758605 PMCID: PMC9399843 DOI: 10.2196/35585] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 01/18/2022] [Accepted: 05/29/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Social media presence among health care professionals is ubiquitous and largely beneficial for their personal and professional lives. New standards are forming in the context of e-professionalism, which are loosening the predefined older and offline terms. With these benefits also come dangers, with exposure to evaluation on all levels from peers, superiors, and the public, as witnessed in the #medbikini movement. OBJECTIVE The objectives of this study were to develop an improved coding scheme (SMePROF coding scheme) for the assessment of unprofessional behavior on Facebook of medical or dental students and faculty, compare reliability between coding schemes used in previous research and SMePROF coding scheme, compare gender-based differences for the assessment of the professional content on Facebook, validate the SMePROF coding scheme, and assess the level of and to characterize web-based professionalism on publicly available Facebook profiles of medical or dental students and faculty. METHODS A search was performed via a new Facebook account using a systematic probabilistic sample of students and faculty in the University of Zagreb School of Medicine and School of Dental Medicine. Each profile was subsequently assessed with regard to professionalism based on previously published criteria and compared using the SMePROF coding scheme developed for this study. RESULTS Intercoder reliability increased when the SMePROF coding scheme was used for the comparison of gender-based coding results. Results showed an increase in the gender-based agreement of the final codes for the category professionalism, from 85% in the first phase to 96.2% in the second phase. Final results of the second phase showed that there was almost no difference between female and male coders for coding potentially unprofessional content for students (7/240, 2.9% vs 5/203, 2.5%) or for coding unprofessional content for students (11/240, 4.6% vs 11/203, 5.4%). Comparison of definitive results between the first and second phases indicated an understanding of web-based professionalism, with unprofessional content being very low, both for students (9/222, 4.1% vs 12/206, 5.8%) and faculty (1/25, 4% vs 0/23, 0%). For assessment of the potentially unprofessional content, we observed a 4-fold decrease, using the SMePROF rubric, for students (26/222, 11.7% to 6/206, 2.9%) and a 5-fold decrease for faculty (6/25, 24% to 1/23, 4%). CONCLUSIONS SMePROF coding scheme for assessing professionalism of health-care professionals on Facebook is a validated and more objective instrument. This research emphasizes the role that context plays in the perception of unprofessional and potentially unprofessional content and provides insight into the existence of different sets of rules for web-based and offline interaction that marks behavior as unprofessional. The level of e-professionalism on Facebook profiles of medical or dental students and faculty available for public viewing has shown a high level of understanding of e-professionalism.
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Affiliation(s)
- Tea Vukušić Rukavina
- Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Lovela Machala Poplašen
- Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Marjeta Majer
- Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Danko Relić
- Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Joško Viskić
- Department of Fixed Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Marko Marelić
- Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
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Guerrot D, de Nattes T, Lanot A, Hazzan M. La néphrologie 2.0 : communication avec les patients connectés et les professionnels de santé. Nephrol Ther 2022; 18:222-227. [DOI: 10.1016/j.nephro.2022.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 02/11/2022] [Indexed: 11/26/2022]
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Guraya SS, Yusoff MSB, Rashid-Doubell F, Harkin DW, Al-Amad SH, Fredericks S, Halabi MOO, Abdullah N, Moussa H, Mallah SIY, Sefen JAN, AlKoheji HKARMI, Althawadi MEA, Alabbasi LA, Nor MZM, Reguig F, Guraya SY. Changing Professional Behaviors in the Digital World Using the Medical Education e-Professionalism (MEeP) Framework-A Mixed Methods Multicentre Study. Front Med (Lausanne) 2022; 9:846971. [PMID: 35425778 PMCID: PMC9004460 DOI: 10.3389/fmed.2022.846971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 03/04/2022] [Indexed: 11/13/2022] Open
Abstract
Background: There is increasing evidence on the exponential use of technology-based social media in medical field that has led to a proliferation of unprofessional behaviors in digital realm. Educating, training, and changing the behaviors of healthcare professionals are essential elements to restrain the rising unprofessional incidents. Therefore, this research was designed to determine the impact of an interventional workshop on the medical and dental students in improving their professional behaviors in the digital world using the newly developed medical Education e-Professionalism (MEeP) framework. Methods We adopted the Theory of Planned Behavior (TPB) as a benchmark reference which explores constructs intertwined with the mission-based MEeP framework; values (whistleblowing-raising concerns), behaviors (being responsible in the digital world) and identity (reflective practice in the digital world). A multicentre 3-phased mixed-method study was conducted using a pre-workshop survey, an online interventional workshop, and a post-workshop survey. SPSS and NVivo were the tools used for the data analysis. Results A total of 130 students registered for workshop out of which 120 completed the pre-workshop survey, 62 joined the workshop and 59 completed the workshop and post-workshop survey. From the whistleblowing – raising concern perspective, we found that attitudes and perceived behavioral control had a significant relationship. While for responsible in digital world category, attitude and perceived behavioral control had a significant bearing on the intentions. Third, for reflective practice, attitude and subjective norms significantly enhanced the intention of participants. A multi layered thematic analysis yielded four overarching themes of attitudes, subjective norms, perceived behavioral control and intentions. Most students showed positive attitudes of being reflective, self-directed, and humane. Students realized the subjective norms had made them conscientious, self-aware and conformative. While perceived behavioural control manifested as identity and Intentions were heavily reliant on self-actualization. Conclusion Our mixed method study found that the interventional workshop using MEeP framework significantly improved attitudes, subjective norms, perceived behavioral control, and intentions. This study provides valuable evidence of MEeP framework evaluation using the theoretical underpinning of TPB by reporting positive changes in professional values, behaviors, and identities of undergraduate medical and dental students.
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Affiliation(s)
- Shaista Salman Guraya
- Royal College of Surgeons Ireland, Medical University of Bahrain, Busaiteen, Bahrain.,Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | | | - Fiza Rashid-Doubell
- Royal College of Surgeons Ireland, Medical University of Bahrain, Busaiteen, Bahrain
| | - Denis W Harkin
- Faculty of Medicine and Health Sciences, Royal College of Surgeons Ireland, University of Medicine and Health Sciences, Dublin, Ireland
| | - Suhail H Al-Amad
- College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Salim Fredericks
- Royal College of Surgeons Ireland, Medical University of Bahrain, Busaiteen, Bahrain
| | | | - Natasya Abdullah
- Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Malaysia
| | - Hatem Moussa
- Department of Surgery, American Hospital Dubai, Dubai, United Arab Emirates
| | | | | | | | | | | | - Mohd Zarawi Mat Nor
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Farida Reguig
- Department of Surgery, American Hospital Dubai, Dubai, United Arab Emirates
| | - Salman Yousuf Guraya
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
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Kamarudin Y, Mohd Nor NA, Libamin AC, Suriani ANH, Marhazlinda J, Bramantoro T, Ramadhani A, Neville P. Social media use, professional behaviors online, and perceptions toward e-professionalism among dental students. J Dent Educ 2022; 86:958-967. [PMID: 35247218 DOI: 10.1002/jdd.12912] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 12/23/2021] [Accepted: 02/12/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVES This study aimed to assess self-reported social media use, professional behaviors online, and perceptions on e-professionalism while using social media among dental students in two Southeast Asian universities. METHODS This cross-sectional study involved clinical dental students at University of Malaya (UM), Malaysia (n = 150) and Airlangga University (AU), Indonesia (n = 150). A questionnaire was distributed using Google Form via WhatsApp network. Data were analyzed using descriptive, Chi-square, and Wilcoxon rank-sum tests. RESULTS All students responded (n = 300) and reported as active social media users. Majority spent ≥ 1 h a day on social media and checked their social media > 6 times a day. Most commonly used social media accounts were Instagram (UM: 92.7%, AU: 95.3%) and Facebook (UM: 94.7%, AU: 59.3%). A small proportion of UM and AU students admitted to posting clinical photographs, patient records, and comments about patients on social media. UM students had significantly better scores in terms of their professionalism behaviors on maintaining the integrity of the profession compared to AU students (p < 0.001). Meanwhile AU students had better scores than UM students on behaviors related to upholding colleagues' professional image on social media (p = 0.421). Most students in UM and AU shared similar positive perceptions toward online professionalism behavior statements. Majority reported concerns over unprofessional posts online. CONCLUSION Self-reported behaviors online sometimes contradict with students' perceptions and concerns about being unprofessional online. There is a need for clearer educational guidelines on how to instill e-professionalism values and behaviors among dental students.
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Affiliation(s)
- Yasmin Kamarudin
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Nor Azlida Mohd Nor
- Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | | | | | - Jamaludin Marhazlinda
- Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Taufan Bramantoro
- Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Aulia Ramadhani
- Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Patricia Neville
- Bristol Dental School, University of Bristol, Bristol, United Kingdom
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Guraya SS, Guraya SY, Harkin DW, Ryan Á, Mat Nor MZB, Yusoff MSB. Medical Education e-Professionalism (MEeP) framework; from conception to development. MEDICAL EDUCATION ONLINE 2021; 26:1983926. [PMID: 34775927 PMCID: PMC8592609 DOI: 10.1080/10872981.2021.1983926] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 09/17/2021] [Accepted: 09/17/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Medical professionalism education intends to produce virtuous and humanistic healthcare professionals who demonstrate perseverance and professional integrity. However, today's medicine has embodied a mammoth transformation of medical practice towards sns and the digital realm. Such paradigm shift has challenged the medical professional's values, behaviors, and identities, and the distinct boundaries between personal and professional lives are blurred. This study aims to develop a framework for healthcare professionals coping with the challenges of medical professionalism in the digital realm. METHODS We followed a systematic approach for the development of a framework about e-professionalism. Qualitative data was collected from a systematic review and a delphi study, while quantitative data was collected by administering a validated questionnaire social networking sites for medical education (snsme). Subsequently, categorization of the selected data and identifying concepts, deconstruction and further categorizing concepts (philosophical triangulation), integration of concepts (theoretical triangulation), and synthesis and resynthesis of concepts were performed. RESULTS The initial process yielded six overlapping concepts from personal, professional, character (implicit) and characteristic (explicit) domains: environment, behavior, competence, virtues, identity, and mission. Further integration of data was done for the development of the medical education e-professionalism (meep) framework with a central concept of a commitment to mission. The mission showed deep connections with values (conformity, beneficence, universalism, and integrity), behaviours (communication, self-awareness, tolerance, power), and identity (reflection, conscientiousness, self-directed, self-actualization). The data demonstrated that all medical professionals require updated expertise in sns participation. CONCLUSION The meep framework recognises a mission-based social contract by the medical community. This mission is largely driven by professional values, behaviors and identity. Adherence to digital standards, accountability, empathy, sensitivity, and commitment to society are essential elements of the meep framework.
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Affiliation(s)
- Shaista Salman Guraya
- Royal College of Surgeons Ireland, Adliya, Kingdom of Bahrain
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Salman Y. Guraya
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, UAE
| | - Denis W. Harkin
- Faculty of Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Áine Ryan
- Faculty of Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Mohd Zarawi bin Mat Nor
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Muhamad Saiful Bahri Yusoff
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
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