THE INSTANTANEOUS HIGHWAY OF THOUGHT The first North American telegraph line was established between Baltimore and Washington, with the inaugural message transmitted on May 24, 1844:"What hath God wrought."
DEMOGRAPHICS: WHO IS ONLINE? 79% of all U.S. adults are online and increasing rapidly 83% of those online search for health/medical information Seniors (over 65) are among the fastest growing new user group on the internet As of July 2010, 762 hospitals in the U.S. were using social media tools (total of 1581 social media accounts) In Sept 2006 there were 10 hospitals nationwide using any form of social media
TWITTER Micro-blogging platform 200 Million Twitter accounts Started in March 2006 Entries or “tweets” 140 characters in length Fast and easy to update Can easily be used on mobile devices Best used for rapid response or time sensitive information Searchable by topic or content
FACEBOOK 500+ Million users and rapidly growing Launched in 2004, but only for college students In 2006, opened to anyone over 13 years old with an email address Personal networking site Growing use by professionals and organizations Can join groups with common interests You can have both a personal and professional presence on Facebook by having a “page” as well as a “profile”
LINKEDIN Largest online professional networking site with over 100 Million users On LinkedIn you can: Share your CV or resume Manage professional relationships Join groups of similar interests Follow companies or organizations Share publications or slides Connect with former colleagues Network Expand your professional online presence
BARRIERS Privacy Always use privacy controls on your personal social media accounts Understand that anything you post on the internet stays on the internet Use professional pages versus personal profiles for social media – it is OK for you to direct patients, students or business associates to your professional sites Patient Confidentiality HIPAA applies to social media Never post pictures of patients or body parts Avoid dates or time frames Never post identifying information Generalize
PAM’S POSTING RULE Before you post, always ask yourself…. “Would I want my mother or my boss to read this?” Remember…what goes on the internet stays on the internet
PROPOSED: ANA SOCIAL MEDIA POLICY 1. Patient privacy is a fundamental ethical and legal obligation of nurses. Nurses must observe standards of patient privacy and confidentiality at all times and in all environments, including online. Nurses must not transmit or place online individually identifiable patient information. The nurse’s primary commitment is to the patient and nurses are ethically required to practice with compassion and respect for the inherent dignity and worth of every individual. 2. Nurses who interact with patients on social media must observe ethically prescribed patient –nurse professional boundaries. The precepts guiding nurses in these matters are no different online than they are in person. 3. Nurses should take advantage of privacy settings available on many social networking sites in their personal online activities, and seek to separate their personal and professional sites and information online.
PROPOSED: ANA SOCIAL MEDIA POLICY 4. Use of privacy setting and separation of personal and professional information online does not guarantee, however, that information will not bleed through or be repeated in less protected forums. Therefore, it is prudent for the nurse to evaluate all his or her postings with the potential for patient, colleague, or employer viewing in mind. Online content and behavior has the potential to either enhance or undermine not only the individual nurse’s career, but also the nursing profession. 5. Nurses who view content posted by a colleague that is unprofessional or that potentially violates ethical or legal obligations should first bring the questionable content to the attention of the individual, so that the individual can take appropriate action. If the posting is egregious enough or if the individual does not remove the posting, the nurse has the obligation to report the matter to supervisors or other authorities.
COMMENT ON ANA PRINCIPLES OF SOCIALNETWORKING AND THE NURSE UNTIL JUNE 9, 2011
BEST PRACTICES: HOW TO EFFECTIVELY USE SOCIAL MEDIA Collaborate Connect Network Contribute Organize Research Educate Listen Engage
WHAT ARE SOME HEALTHCARE USES FOR TWITTER? Disaster alerting and response Drug safety alerts from the Food and Drug Administration Flu vaccine availability Diabetes management (blood glucose tracking) Rare diseases tracking and resource connection Broadcasting infant care tips to new parents Shift-bidding for nurses and other healthcare professionals
WHAT WOULD YOU DO? No cell phone (cell towers are overloaded or down) – some texting capabilities No landlines No electricity Less than ½ tank of gas Gas stations in the immediate area closed due to lack of electricity for pumps Where to get gas to evacuate the area?
TIPS TO GET STARTED USING SOCIAL MEDIA LinkedIn (www.linkedin.com) Set up a LinkedIn basic profile and search for colleagues who may already be using LinkedIn. Search on LinkedIn for organizations or groups of which you are already a member and connect. Connect on ANA NurseSpace (www.ananursespace.org) to discuss current hot topics in nursing or to start your own discussion group.
TIPS TO GET STARTED USING SOCIAL MEDIA Facebook (http://facebook.com) sign up for a personal account and make sure to set privacy controls. Then sign up for a “page” which is a professional persona. You will be the administrator of your “page”. Note that it is necessary to have a personal account to take part in Facebook Groups. Twitter (http://twitter.com) sign up for an account, choose a screen name (@name) and follow some nursing content providers such as: @nursingworld @AmJNurs @RNchat
SOME NURSING RELATED SITES TO FOLLOW Facebook ANA www.facebook.com/AmericanNursesAssociation ANA OJIN (Online Journal of Nursing Issues) www.facebook.com/ANAOJIN Children’s Hospital Boston www.facebook.com/ChildrensHospitalBoston Mayo Clinic www.facebook.com/MayoClinic Robert Wood Johnson Foundation www.facebook.com/RobertWoodJohnsonFoundation UMass Boston’s College of Nursing and Health Sciences www.facebook.com/umassbostoncollegeofnursingandhealthsciences
SOME NURSING RELATED SITES TO FOLLOW Twitter CDC (Centers for Disease Control and Prevention Emergency Preparedness: @CDCemergency Health and Safety: @CDCgov Flu updates: @CDCflu Interdisciplinary Nursing Quality Research Institute @INQRIProgram Mayo Clinic @mayoclinic Future of Nursing @FutureofNursing UMass Boston CNHS @umassbostoncnhs American Nurses Association @nursingworld
RESOURCES TO LEARN MORE ABOUT SOCIAL MEDIA IN HEALTHCARE Ressler, P.K. & Glazer, G. (2010, 22 Oct) Legislative: Nursing’s Engagement in Health Policy and Healthcare through Social Media. Online Journal of Issues in Nursing (OJIN), Vol. 16, No.1. Fraser, R. (2011) The Nurse’s Social Media Advantage: How Making Connections and Sharing Ideas Can Enhance Your Nursing Practice. Sigma Theta Tau International, Indianapolis, IN http://social-media-university-global http://socialmedia.mayoclinic.org/ http://www.pewinternet.org/topics/Health.aspx http://webcomm.tufts.edu/?pid=25&c=38