A.D.Pharis

So many people are spreading misinformation, It's imperative that those of us who value evidenced-based information to speak up and against false information we see and hear. There is always going to be those people out for money or to try to con people but, yes, we should work with our colleagues, use our knowledge of evidenced based care, and speak-up and against the false information we hear and even if we have to speak against our own colleagues. I agree, there are some people in healthcare that spread false information. They need to be challenged with our evidenced based information. If all people hear is false information, that is what they will believe.

Social media is an internet-based form of communication that allows users to share information and make connections. Examples of social media include facebook, Instagram, TikTok, YouTube, Twitter, Pinterest, and Reddit. Social media has become so popular that almost 70% of Americans use it daily, and its popularity emanates from its ability to establish connections, build communities, and create relationships. As nurses, we must know how social media influences health and be prepared to support patients by discerning credible information on social media sites. Positive Health Outcomes One benefit social media affords is greater access to health information. Recent Centers for Disease Control and Prevention (CDC) Twitter posts educate patients on various topics, such as Respiratory Syncytial Virus, Influenza vaccines, and provide eligibility forms for the Monkey Pox vaccines. Nurses and physicians post videos on TikTok about vaccinations, washing hands, breast cancer awareness, skin cancer awareness, and promoting mental health. Local healthcare facilities create facebook groups and remind patients about annual health requirements, what to do in an emergency, and how to prepare before a storm. Another benefit is that patients can join communities and immerse themselves with like-minded people battling similar health experiences. Organizations such as the American Red Cross monitor social media sites during crises to determine geographical areas with the greatest need. The positive health outcomes of greater access to health information stem from the adage that knowledge is power. The more health knowledge people have, the better health decisions they can make, the better they can understand their healthcare environment, and the better they can solve their healthcare problems. Health Risks Conversely, anyone can post to a social media site with relative ease. Usually, it takes a fraction of a minute to sign up for a social media account. People can post whatever they want, and, depending on their popularity, they can reach hundreds, if not millions, of people with their message. Credentials are not required, only the ability to appear authoritative. For example, in 2017, the Federal Trade Commission filed false advertising claims against an osteopathic physician, Dr. Mercola, for misleading claims that tanning beds prevented cancer. This doctor used YouTube, a social media video platform, to disseminate his messages. During the COVID-19 pandemic, there was a barrage of criticism towards the COVID-19 vaccine on social media. This criticism led many people to decline vaccination despite CDC evidence unvaccinated people had five times greater risk of becoming sick than vaccinated people. Misleading information on social media is a health risk that causes patient harm and could be detrimental to entire communities. To combat these risks, we must work toward teaching patients how to evaluate social media information for authenticity and speaking up as experts to thwart misleading information on social media sites. Nursing Influence Nurses are instrumental as educators in helping decrease the health risks associated with social media. We are the most trusted health professional and have the education, skills, and experience to assist patients with deciphering between factual and misleading information. Like our local communities, a social media group is an online community. To combat misleading information, nurses should partner with online social media groups as experts to help monitor for misleading health claims. Nurses can learn how to combat social media misinformation professionally and effectively by learning from organizations like The Association for Healthcare and Social Media, a non-profit organization whose mission is to combat social media misinformation. Another recommendation is for nurses to establish a social media presence so that their corrections to social media misinformation are shared by many. Nurses can also educate patients on distinguishing health information as reliable by teaching patients to look at crucial details, such as authorship, credentials, motivation, political tone, and supporting evidence. While our duty of care may begin and end at the bedside, as a profession, our commitment continues to the communities we are part of, including our online communities. With just a flip of a thumb or the click of a mouse, we have endless amounts of information at our disposal. Nurses critique information and distinguish credible resources from non-credible ones, a skill learned in nursing school that nurses should teach to patients. With social media's tremendous impact on our daily lives, nurses should support and educate patients in online communities, just as we do in our local, geographical communities. By doing this, we can assist with greater access to health information while ensuring that only the most credible resources influence our patients and our communities. References Pew Research Center: Social Media Fact Sheet Pew Research: Why Americans Use Social Media How Red Cross Teams Around the Globe Use Social Media for Good FTC Providing Full Refunds to Mercola Brand Tanning Purchasers COVID-19 Vaccine Hesitancy on Social Media: Building a Public Twitter Data Set of Antivaccine Content, Vaccine Misinformation, and Conspiracies Gallup: Military Brass, Judges Among Professions at New Image Lows JMIR Publications: US Physicians' and Nurses" Motivations, Barriers, and Recommendation for Correcting Health Misinformation of Social Media: Qualitative Interview Study Association for Healthcare Social Media University of Washington: How to Find Trustworthy Health Information from the Internet

I spent the Summer in FNP clinical at a non-profit LGBTQ clinic in Orlando, FL. Another great resource I would like to share is the UCSF Gender Affirming Care Guidelines. There is so much useful information here I would be remiss not to share. As a side note, people fear what they don't know. I encourage everyone to learn about the patients you are caring for. Your job is not to judge, only to care. What better way to care for someone than to learn more about them? Thank you for bringing light to a topic that certainly needs more discussion. https://transcare.UCSF.edu/guidelines