Power and social networking


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Presented to Association of Radical Midwives Study Day 20th April 2013

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  • Accepted that it is used socially – more of a debate how it can be used academically, professionallyA powerful tool which is here to stayHow can we harness it for the better of our profession and the women we care for?Benefits and risks of using social media professionally
  • Mention tweet chats - @wemidwives – Sheena Byrom
  • Need first though to discuss the guidance we get from our regulatory body.The NMC has obviously given a great deal of thought to this issue and has good supportive information available to guide professionals in the use of social media.Must uphold the profession at all times ‘Must not make any comment about work’,’ must not even say you have had a hard day’, ‘must not put up pictures of themselves drinking or drunk or whatever’Not going to discuss these points but are really a reflection on the people making these comments. They do not understand social media, are not involved, and are running scared.But the NMC realistically accepts that social media is a very real part of life and states that conduct on line and in the real world should be judged in the same way. May jeopardise registration if Share confidential information online Post inappropriate comments about colleagues or patients Use social networking sites to bully or intimidate colleaguesetcThey go on to say that if there is any doubt about whether a particular activity online is acceptable, it can be useful to think through a real world analogyHowever they also say Do not discuss work-related issues online, including conversations about patients or complaints about colleagues. Even when anonymised, these are likely to be inappropriateThey also go on to say that there is lots of advice from our professional bodies about the use of social media and advise that universities and employers should have their own reasoned policy to inform the use of social media which as yet is very slow in being developed.
  • National discussions – RCM communities pages
  • AboutService for all Teen Mums to be at the Lourdes Hospital in DroghedaDescriptionHi, I'm Una O Brien, I'm a teenage pregnancy midwife at Our Lady of Lourdes hospital, Maternity Unit, in Drogheda. I specialise in Teenage Pregnancy. If you've booked into the Lourdes to have your baby, I'm usually the first Midwife you'll meet. Teen mums, young dads, you, and your families are all welcome on your journey through pregnancy, labour and childbirth! This page will post updates and give times for classes, and just be a place for you to comment and chat and get all the support you need. Developed by the HSE Communications Directorate.Health professionals utilising social media to contact womenAnother example is NHS South London who advertise 24/7 contact through twitter for their women
  • Saw a lovely twin birth today, I didn't get to catch but it was amazing to see. Both babies were cephalic, mum was amazing she declined an epidural, used entonox and meditation and good support. She had twin 1 standing beside the bed and twin 2 on all fours. She did have ARM for both and a bit of synto as the contractions wore off but she was very happy with her births and was tandem breastfeeding before we got to checking the placentas. Lovely day on Labour Ward that I thought I'd share with you all cause I am still grinning :) Ahhhh my first pph todayScary biscuits! Was she ok? How did you cope?I was actually rather calm and helpful lol! She was tiny, had a 9lb 8oz svd then I went to do her obs, bp was 70/40 pulse 130 & bleeding so got the midwife back asap, put her flat, gave o2 and pressed the emergency buzzer whist whacking the bp cuff & o2 probe back on. 2222 call went out and I became a runner whilst my mentor scribed. I kept talking to her too cos I knew she was scared and I was the only face she knew. She was absolutely fine after more synto, syntometrine, ergometrine & haemabate! Was amazing how much I remembered from uni and felt helpful! I looked after her in hdu all day & she was fine, baby is huge lol!!! XxxSo Reflecting on practice. First of all using Facebook to reflect on real cases is a very narrow focus. It is done in many other ‘real life’ situationsand on linefora.Universities use real case studies as reflective pieces of assessment with or without consent of the womanMost if not all lecturers use real cases to bring reality to the classroomReflective pieces are published in journals based on real casesDone elsewhere on line. TMS – the midwifery sanctuary in the form of unfoldings, members offer a scenario from their practice and everybody makes suggestions how to manage it. I used one of these for a storytelling presentation at the ICM conference in South Africa last year – one incidentally which I happen to know was presented on TMS by a very senior midwife who is an enthusiastic user of social media. SM.net – catch of the week.In all of the situations above the professional fully understands the issues around confidentiality.So when I was invited by students to join a closed group on Facebook, it seemed an ideal opportunity to utilise this if they wished, to discuss practice issues. They were keen as they were to go out on practice across a huge areaI checked with the NMC . After initially being directed to the guidance already on line, I explained what exactly wanted to do, stating the analogy with real life and the classroom equivalent and was advised that this seemed fine as long as I monitored the situation. I am looking for some advice. I am a keen user of Facebook and value the interaction that can happen in this way.  As a lecturer I am fully aware of the pitfalls regarding discussing patients and situations on Facebook but wondered what the official line is beyond that which you have elsewhere on the NMC site. In the classroom it is common practice to discuss cases to illustrate the subject matter and this is done with great care to ensure confidentiality, emphasising to the students that the name must not be used or any other fact that may allow anyone to identify the case e.g. clinical area, date, distinguishing feature e.g. quintuplets (I am a midwife) which may allow someone to work out where the case originates. My students have a closed facebook group which they have kindly invited me to join which I have done. And I have emphasised in all areas (Facebook, Coffee room, family life)  all the above issues. Some of my colleagues who do not use Facebook have told the students they must not even make a comment such as Had a really busy shift or Delivered my first baby today. I personally cannot see any reason why the same rules should not apply as they do in the classroom. I feel it could be a very useful reflective tool to be able to talk about cases very anonymously on this closed facebook group.  What does the NMC think?This is the only information that we have on the subject. It would be up to the professionals themselves to judge what is suitable. I agree with you in that as long as 'scenarios' are kept confidential as far as names, dates, places and specific information then this should not be a problem. I would suggest you monitor the situation and if you see anything that could breach this rule then you may have to re - assess the situation.So off the students went into practice. In reality Used extensively for support on organisation, practical issues…. And for discussion about mentor attitudes.. And this proved very useful and supportive!!But not used much for reflecting on clinical practice.
  • Lets put that on hold for a moment and explore the other focus of this presentationThere are a number of forums aimed at Student Midwives and Qualified Midwives alike.They are public domains, with free membership to anyone from people interested in becoming a midwife, to students and midwives, and are well managed by teams of moderators. By discouraging the use of identifiable screen names and real life pictures in avatars, are largely anonymous.As previously mentioned, they also run threads such as “Catch of the Week” which provides a real life, again unidentifiable scenario and members carry out “unfoldings” as to their management of the situation. Members often post in the sections for “managing emotions” to share difficult experiences and gain peer support. These forums also provide educational resources, study days, quizzes, competitions and run online fundraising events for various associated charities.
  • Nothing new here. I well remember two midwives off a night shift disciplined for talking about a case on the bus, only for it to appear in the local news the next day. As professionals our responsibilities are clear and need to be adhered to whether on line or in real lifeLess experienced – more experienced do not understand how social media works and cannot advise themPrivacy settings – need to educate professionals about the technology as well about the usefulness of social media.
  • In conclusion, the rules governing social media are the same as those for real life.Uphold reputation – needs clarification – professional interpretation might not be legally binding.Need to embrace social media, not run scared of it.Need to make best use of it professionally and explore the optionsNeed to ensure that not only do we teach the students about the NMC, the Code and the Rules and Standards but also about how these are applied to ‘real life’ and to life on line. Needs to be taught by those who understand it however and I have introduced a session on the use of social media into the relevant module as of this academic year.
  • Power and social networking

    1. 1. Linda Wylie Lecturer UWS
    2. 2. What is social media?“use of web-based and mobile technologies to turncommunication into interactive dialogue”Wikipedia:http://en.wikipedia.org/wiki/Social_mediahttp://www.flickr.com/photos/73532212@N00/2945559128
    3. 3. Social media Facebook – ARM has a page Twitter - @radmidassoc On line forums – midwiferymatters.freeforums.org Blogging - midwifethinking.com, midwifery.org.uk Flickr Virtual conferencing LinkedIn Pinterest
    4. 4. Everybody is using itMothers Consult Dr Google Talk about childbirth Support each other Broadcast births Post pics of babies/ children on the web Become activistsSocial media in midwifery practice
    5. 5. Midwives/student midwives Share experiences blogging Share information twitter Connect with others VIDM Collate information Pinterest
    6. 6. NMC guidanceThe Code – ‘must uphold the reputation of theprofession at all times’.Conduct on line and conduct in the real world should bejudged in the same way.
    7. 7. Power and social mediaSupport for campaignsInformation for demonstrationsNational discussionsInternational collaborationsConferencesManagement of careNetworkingSharing research, initiatives etcSpread info virally e.g. twitter
    8. 8. Empowering midwives Facebook campaigns Twitter discussions LinkedIn profile Virtual conferences Virtual International Day of the Midwife
    9. 9. Virginia v OBEM
    10. 10. Agnes Gereb
    11. 11. #VIDM
    12. 12. #VIDM
    13. 13. Empowering women
    14. 14. @e-midwife
    15. 15. Birthrights
    16. 16. Freedom for birth
    17. 17. Empowering studentsEvidence show that by utilising social media we can Harness interaction and educational opportunities Increase support when on placement Reduce attrition Encourage networking with fellow professionals
    18. 18. Clinical practice
    19. 19. Supporting students via socialmedia
    20. 20. Risks Reported breaches of confidentiality Students are the least experienced professionally. Lack of understanding about privacy settings (Jones2012)
    21. 21. Missed opportunity!!What does it mean to uphold the reputation of theprofession at all times?If confidentiality issues are upheld, interaction via socialmedia, or real life, can lead to invaluable educationalopportunities.Increasing use of social media for professionaldiscussion.Need to embrace social media – not hide from it.