Document Type : Original Article
Authors
1 Department of Medical Ethic, Jahrom University of Medical Sciences, Jahrom, Iran
2 Department of E-Learning, Virtual School, Center of Excellence for E-Learning in Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
BACKGROUND: Professionalism is one of the most important and vital concepts in the medical
sciences. With the rapid growth of e‑learning in the medical sciences in the past few years, the concept
of virtual professionalism has emerged. This study was conducted as a hybrid concept analysis on
describing e‑professionalism in medical sciences.
MATERIALS AND METHODS: This is a qualitative study with a hybrid concept analysis approach,
consisting of theoretical stage, field research, and analysis. In the theoretical stage, the concepts of
e‑professionalism in medical sciences were identified through a review of the literature. During the
fieldwork stage, in‑depth interviews were conducted with five medical students who were intentionally
selected. Finally, after analyzing the literature and the qualitative interviews, a theoretical description
of e‑professionalism concept in the field of medical sciences was extracted.
RESULTS: the themes (3 numbers) and the subthemes (4 numbers) were extracted from 62
codes. These themes include information and communion technology and educational strategies
professionalism in medical education.
CONCLUSIONS: For describing professionalism, it is necessary to consider education and culture,
role models, by emphasizing on the acceptance of professional responsibility, developing and
improving social media policies, determining the scope of communication and interaction between
individuals, and identifying the boundary between local laws and customs.
Keywords
- Lefebvre C, Mesner J, Stopyra J, O’Neill J, Husain I, Geer C,
Gerancher K, Atkinson H, Harper E, Huang W, Cline DM.
Social media in professional medicine: new resident
perceptions and practices. Journal of medical Internet research.
2016;18 (6):e119 [DOI: 10.2196/jmir. 5612].
2. Gale-Grant O, Gatter M, Abel P. Developing ideas of
professionalism. The clinical teacher. 2013 Jun; 10 (3):165‑9. [Doi:
10.1111/j. 1743‑498X.2012.00643.x].
3. Dehghani A, Mosalanejad L, Dehghan‑Nayeri N. Factors affecting
professional ethics in nursing practice in Iran: a qualitative
study. BMC medical ethics. 2015 Dec 1;16 (1):61.[Doi: 10.1186/
s12910‑015‑0048‑2].
4. Kashefian‑Naeeini S. Confidentiality in E‑Professionalism: The
Case of Electronic Health Records (EHRs). Interdisciplinary
Journal of Virtual Learning in Medical Sciences. 2019 Sep
1;10 (3):63‑4.[10.30476/IJVLMS.2019.45845]. - 5. Kirk LM. Professionalism in medicine: definitions and
considerations for teaching. InBaylor University Medical Center
Proceedings 2007 Jan 1 (Vol. 20, No. 1, pp. 13‑16). Taylor & Francis.
6. bari E, Simons RJ. Efficacy of Using Social Networks in
Learning and Teaching Based on Self‑Determination Theory:
An Interventional Study. Interdisciplinary Journal of Virtual
Learning in Medical Sciences. 2018 Dec 1;9 (4). [Doi: 10.5812/
IJVLMS.84540].
7. Lu LY, Lin BJ, Liu JS, Yu CY. Ethics in nanotechnology: What’s
being done? What’s missing?. Journal of business ethics. 2012 Sep
1;109 (4):583‑98.[DOI: 10.1007/s10551‑012‑1432‑1].
8. Sivalingam N, Mal M. Teaching and learning of professionalism
in medical schools. Ann acad med singapore. 2004 Nov
1;33 (6):706‑10.
9. Landman MP, Shelton J, Kauffmann RM, Dattilo JB. Guidelines
for maintaining a professional compass in the era of social
networking. Journal of Surgical Education. 2010 Nov 1;67 (6):381‑6.
[DOI: 10.1016/j.jsurg. 2010.07.006].
10. Chretien KC, Goldman EF, Beckman L, Kind T. It’s your own
risk: medical students’ perspectives on online professionalism.
Academic Medicine. 2010 Oct 1;85 (10):S68‑71.[doi: 10.1097/
ACM.0b013e3181ed4778].
11. Wissinger CL, Stiegler Z. Using the extended parallel process
model to frame e‑professionalism instruction in healthcare
education. Teaching and learning in medicine. 2019 May
27;31 (3):335‑41. [DOI: 10.1080/10401334.2018.1528155].
12. Chretien KC, Goldman EF, Beckman L, Kind T. It’s your own
risk: medical students’ perspectives on online professionalism.
Academic Medicine. 2010;85 (10):S68‑S71. [DOI: 10.1097/
ACM.0b013e3181ed4778].
13. Chretien KC, Farnan JM, Greysen SR, Kind T. To friend or not
to friend? Social networking and faculty perceptions of online
professionalism. Academic Medicine. 2011 Dec 1;86 (12):1545‑50.
[DOI: 10.1097/ACM.0b013e3182356128].
14. Ness GL, Sheehan AH, Snyder ME, Jordan J, Cunningham JE,
Gettig JP. Graduating pharmacy students’ perspectives on
e‑professionalism and social media. American journal of
pharmaceutical education. 2013 Sep 12;77 (7). [https://doi.
org/10.5688/ajpe777146].
15. Westrick SJ. Nursing students’ use of electronic and social
media: Law, ethics, and e‑professionalism. Nursing education
perspectives. 2016 1;37 (1):16‑22. [DOI: 10.5480/14‑1358].
16. Kenny P, Johnson IG. Social media use, attitudes, behaviours and
perceptions of online professionalism amongst dental students.
British dental journal. 2016 Nov; 221 (10):651‑5. [DOI: 10.1038/
sj.bdj. 2016.864].
17. Mohammadipour F, Atashzadeh‑Shoorideh F, Parvizy S,
Hosseini M. Concept development of “Nursing presence”:
Application of Schwartz‑Barcott and Kim’s hybrid model. Asian
nursing research. 2017 Mar 1;11 (1):19‑29. [DOI: 10.1016/j.anr.
2017.01.004].
18. Graneheim UH, Lundman B. Qualitative content analysis
in nursing research: concepts, procedures and measures to
achieve trustworthiness. Nurse education today. 2004 Feb
1;24 (2):105‑12. [DOI: 10.1016/j.nedt. 2003.10.001].
19. Chisholm‑Burns MA, Spivey CA, Jaeger MC, Williams J,
George C. Development of an instrument to measure pharmacy
student attitudes toward social media professionalism. American
journal of pharmaceutical education. 2017 May 1;81 (4). [DOI :
10.5688/ajpe81465].
20. Coe JB, Weijs CA, Muise A, Christofides E, Desmarais S. Teaching
veterinary professionalism in the Face (book) of change. Journal of
Veterinary Medical Education. 2011 38 (4):353‑9. [DOI: 10.3138/
jvme. 38.4.353].
21. Green J. Nurses’ online behaviour: lessons for the
nursing profession. Contemporary nurse. 2017 May
4;53 (3):355‑67. [DOI: 10.1080/10376178.2017.1281749].
22. Whiting A, Williams D. Why people use social media: A uses
and gratifications approach. In: Qualitative Market Research: An
International Journal 16:4;2013.[Doi: 10.1108/QMR‑06‑2013‑0041].
23. Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies
at US medical schools. Medical education online. 2010 Jan
1;15 (1):5324.[DOI: 10.3402/meo.v15i0.5324].
24. Cain J, Romanelli F. E‑professionalism: A new paradigm for a
digital age. Curr Pharm Teach Learn 2009;1:66‑70.
25. Rocha PN, de Castro NA. Opinions of students from a Brazilian
medical school regarding online professionalism. Journal of
general internal medicine. 2014 May 1;29 (5):758‑64. [DOI:
10.1007/s11606‑013‑2748‑y].
26. Coe JB, Weijs CA, Muise A, Christofides E, Desmarais S.
Understanding veterinary students’ use of and attitudes toward
the social networking site, Facebook, to assist in developing
curricula to address online professionalism. Journal of Veterinary
Medical Education. 2012 Sep; 39 (3):297‑303. [DOI: 10.3138/jvme.
0212‑016R].
27. Thompson LA, Dawson K, Ferdig R, Black EW, Boyer J, Coutts J,
Black NP. The intersection of online social networking with
medical professionalism. Journal of general internal medicine.
2008 Jul 1;23 (7):954‑7 [Doi: 10.1007/s11606‑008‑0538‑8].
28. 27. Barlow CJ, Morrison S, Stephens HO, Jenkins E, Bailey MJ,
Pilcher D. Unprofessional behaviour on social media by medical
students. Medical Journal of Australia. 2015 Dec; 203 (11):439‑.
2015. [DOI: 10.5694/mja15.00272].
29. GarnerJ, O’Sullivan H. Facebook and the professional behaviours
of undergraduate medical students. The clinical teacher. 2010 Jun;
7 (2):112‑5. [DOI: 10.1111/j. 1743‑498X.2010.00356.x].
30. Gettig JP, Lee N, Fjortoft N. Student and faculty observations
and perceptions of professionalism in online domain scenarios.
American Journal of Pharmaceutical Education. 2013 Nov
12;77 (9).[DOI: 10.5688/ajpe779192].
31. Williams J, Feild C, James K. The effects of a social media policy
on pharmacy students’ Facebook security settings. American
journal of pharmaceutical education. 2011 Nov 10;75 (9).[DOI:
10.5688/ajpe759177].
32. Walton JM, White J, Ross S. What’s on YOUR Facebook profile?
Evaluation of an educational intervention to promote appropriate
use of privacy settings by medical students on social networking
sites. Medical education online. 2015 Jan 1;20 (1):28708.[DOI:
10.3402/MEO.V20.28708].
33. Farajollahi M, Hosein ZA, Hormozi M, Sarmadi MR, Zarifsanaee
N. A conceptual model for effective distance learning in higher
education. Turkish Online Journal of Distance Education.
2010;11:63-77. Retrieved from https://dergipark.org.tr/en/pub/
tojde/issue/16909/176357.
34. Metzger AH, Finley KN, Ulbrich TR, McAuley JW. Pharmacy
faculty members’ perspectives on the student/faculty relationship
in online social networks. American Journal of Pharmaceutical
Education. 2010 Sep 1;74 (10). [DOI: 10.5688/aj7410188].
35. Spector ND, Matz PS, Levine LJ, Gargiulo KA, McDonald MB,
McGregor RS. e‑Professionalism: Challenges in the age of
information. The Journal of pediatrics. 2010 Mar 1;156 (3):345‑6.
[DOI: https://doi.org/10.1016/j.jpeds. 2009.12.047.