ASSESS
Who are the key stakeholders affected by Nurse Shankari’s actions in this situation?
The pediatric patients, their families, the hospital, Nurse Shankari, other healthcare staff, and the public.
What legal and ethical standards apply in this situation?
Privacy laws such as PHIPA (Personal Health Information Protection Act) and CNO guidelines on maintaining confidentiality and professionalism.
What ethical action should Nurse Shankari take now?
Remove the video, report the mistake to manager, reflect on ethical responsibilities, and seek guidance on appropriate social media use in nursing.
What steps should Nurse Shankari take to align her actions with professional nursing standards?
Follow hospital policy, comply with confidentiality laws, seek mentorship, and reflect on ethical principles before posting online.
What should Nurse Shankari reflect on after this incident?
The impact of her actions, how to uphold professionalism, and ways to prevent similar mistakes in the future.
What ethical values from the CNA Code of Ethics are at risk in this scenario?
Respect for privacy and confidentiality, maintaining trust, and upholding professionalism.
What potential consequences could arise for Nurse Shankari?
Disciplinary action from the hospital, complaints to the CNO, loss of nursing license, legal repercussions, and loss of trust from patients/families.
What barriers might prevent ethical action in this case?
Fear of disciplinary action, social pressure from followers, lack of awareness of ethical guidelines, and uncertainty about how to rectify the situation.
How does acting ethically in this situation uphold public trust in nurses?
It reassures patients and families that their privacy is protected, strengthens professional integrity, and maintains nursing credibility.
What institutional changes might prevent this from happening again?
Stronger policies, mandatory privacy training, and clearer guidelines for nurses on social media use.
How do differing values between Nurse Shankari and the hospital contribute to this ethical issue?
Nurse Shankari may prioritize self-expression and education through social media, while the hospital prioritizes patient privacy, confidentiality, and professional boundaries.
How might economic and political factors influence the hospital’s response to this breach?
The hospital could face legal liabilities, public scrutiny, and financial consequences (lawsuits, policy revisions, reputational damage).
How can the healthcare team support Nurse Shankari in making ethical choices?
Provide education on social media ethics, discuss hospital policies, offer mentorship, and create a safe space for ethical reflection.
How can a hospital promote ethical social media use among staff?
Provide training, set clear social media policies, encourage open discussions on ethics, and establish guidelines for appropriate online engagement.
How can this situation be used as a learning experience for the healthcare team?
Conduct case study discussions, promote ethical reflection, and encourage open dialogue about digital professionalism.