Carolyn Strom, a Registered Nurse who posted negative
comments on Facebook, about the care of her grandfather has been found guilty
of professional misconduct by the Saskatchewan Registered Nurses Association (SRNA). The Facebook post described "sub par" care in the St Joseph's Health Facility in Macklin, Saskatchewan. The staff of the facility filed a complaint with the SRNA.
Article Link:
Today we live in an era where health care administrators are
openly seeking patient involvement and feedback regarding the patient
experience . It seems that the Saskatchewan Registered Nurses Association
(SRNA) is taking a position that counters the principles of meaningful patient
engagement, and patient and family centred care.
As someone who has raised many concerns about my family's
health care, I have had to face a harsh reality. It is exceedingly
difficult to be heard and more importantly nearly impossible to effect
meaningful change. As a hospital board member who has listened to
numerous complaints and concerns, I sympathize with those who choose to go
through the formal process of initiating a concern through patient relations.
The process is bureaucratic and exceedingly slow. As a caregiver I have
felt the frustration of not feeling you are being listened too (wanting to
raise concerns) but without an effective avenue to do so. I am
embarrassed to admit it, but I have on numerous occasions used unconventional
means to make my concerns known. This is just harsh reality of a broken
patient complaints system.
The story of Ms. Strom highlights an even bigger
issue. An issue I hear about from many health care professionals.
In this case, Ms. Strom, a Registered Nurse would have specialized knowledge of
health care and is in a position to speak with some authority on her
grandfather's care from the perspective of a family member and as a
nurse. This is a perspective we should be seeking out, and not trying to
discourage. I hear this complaint often. Nurses, and in some cases
Doctors, encourage me to "speak up" because I can say things (as a
parent or husband) that they cannot, as they fear disciplinary action.
There is a great deal of fear among staff in health care that raising
legitimate concerns can result in disciplinary action similar to what Ms. Strom
is facing.
Relating to the specifics of the charges levied against Ms.
Strom, I find it ironic that SRNA is accusing Ms. Strom of violating her
grandfather's confidentiality. As a family member, I believe she has a
right to do that. I routinely blog about the health care experiences of
my family members, and I have the right to do so. I believe there is a
distinct separation from my role as a "caregiver" and the role I play
as health care leader (as a hospital board member or a board member of the
Winnipeg Regional Health Authority). Do the rules change if you are an
"RN?" The basis of that question likely lies in the
determination of whether "legally" she was posting comments as a
family member or in a role as an RN. The SRNA contends that because MS
Strom identified herself has an RN that she is subject to the rules of conduct
stipulated by the SRNA. Labour law would tend to support that argument,
as social media can be viewed as an extension of the workplace. Having
written social media policy, and referring to the policy in my own workplace it
is common for employers to ask employees, when they post on social media, that
they NOT use a pseudonym and clearly identify who they work
for. This is important so that comments made by the author can be put into
context and there is no deception. If Ms. Strom wanted to malign or
attack the character of a person or an institution she could have easily
created an anonymous account to do so. I think this is an important point
when you consider the intent of her post. I think intent is a very
important consideration in this instance. This the question I often ask
myself when I post something on social media; "am I being part of the
solution or part of the problem?"
Health Care in this country has many challenges. We
need much improved methods of identifying failures within the system. I
hope Ms. Strom's intent in posting her concerns on social media were a genuine
attempt to try to raise valid issues. We need many more people who are
interested in solving problems and not trying to limit appropriate
communication. I hope this incident prompts SRNA to more clearly define
its Social Media Policy and educate its members on how they can effectively
engage in meaningful improvements. My fear is that disciplinary action
taken by SRNA against Ms. Strom will further discourage these nurses from
raising valid concerns and that would be a huge step backward for engagement in
our health care.
No comments:
Post a Comment