The document discusses the potential value and implications of Web 2.0 technologies for nursing and healthcare informatics. It notes several claims made about how Web 2.0 applications could foster interaction and engagement within health communities and change how professionals work. However, it questions whether these claims are supported by evidence and how extensively nurses currently utilize these technologies. The document also summarizes views from a discussion on how Web 2.0 could drive healthcare to become more personalized and patient-centered in the next 5-10 years through technologies like mobile health and by empowering patients. Health professionals may need new tools and a shift in culture to effectively engage with these changes.

1. Peter J. Murray Does Web 2.0 have any value for nursing and informatics?

2. Peter J. Murray RN, PhD, MSc, CertEd, FBCS CITP Director and Founding Fellow: CHIRAD (UK) CHIRAD Africa Vice President Strategic Planning; Associate Executive Director IMIA

3. registered nurse >> >> coronary/cardiac specialisation >> qualified nurse teacher >> informatics 'expert'(? - self-taught) >> self-certified geek >> webspinner, Internet researcher >> blogger – Twitterer – etc etc >> ..... ????

4. With thanks to nursing Informatics colleagues: Margaret Maag Karl Øyri Rod Ward Scott Erdley Bill Perry

5. Additional thanks, interaction, ideas: IMIA Web 2.0 Exploratory Taskforce www.imiaweb2taskforce.org Some of the pioneers in Health 2.0 and related topics - Berci, Jen, Cisco, Maarten, Luis, Chris .... (at Medicine 2.0 conference)

6. My aim is to agitate and disturb people. I’m not selling bread, I’m selling yeast. Miguel de Unamuno, writer and philosopher (1864-1936)‏ … or ...

7. I'm not giving any answers - just asking questions and asking you to think

8. Web 2.0 is … a term which refers to a) improved communication and collaboration between people via social-networking technologies, b) improved communication between separate software applications ("mashups") via open Web standards for describing and accessing data, and c) improved Web interfaces that mimic the real-time responsiveness of desktop applications within a browser window. (Eysenbach; March 2008)

10. … or we can view Web 2.0 as ... web-applications that get more useful the more people use them ... - and apply this to health IT (Chris Paton – personal email discussion)

11. Web 2.0 claims: Applications will provide benefit to the international health and nursing informatics communities - will allow users to interact with a dynamic, multimedia, and engaging Web platform - will foster interaction, communities, etc. - will change the way we work - will change healthcare, medicine, nursing

12. Web 2.0 claims: Are any of these true? Do we have any evidence? How much do nurses use them - as opposed to other health (informatics) professionals? Plenty of consumers – not so many producers or much real interaction The 1% rule - if you get a group of 100 people online then one will create content, 10 will "interact" with it (commenting or offering improvements) and the other 89 will just view it.

13. What Web 2.0 tools can do for us Creating content – 'traditional' and new types (blogs, wikis, YouTube) New ways of presenting information Sharing content (RSS feeds, social networking) Connecting with people (Social networking – Facebook etc) Changing the balance of power?

16. Views from an opportunistic email discussion 1. what will be the main changes to, or implications for, healthcare as a result of Web 2.0 in the next 5-10 years? 2. what will be the main implications of these changes for the ways in which health professionals work? (discussion was mainly about medics – but ? same issues apply for nurses)

17. Healthcare will be more person-centred, and more personalised Rise of e-patients will drive change – not the technology etc. E-patients' use of everyday technology (smartphones etc) will demand their use on healthcare mHealth will be the main channel of interaction We'll stop thinking of healthcare delivery over the web as divisible from healthcare delivery overall.

18. Health professionals need to recognise they will need new tools to save time, interact, and keep up-to-date Will see (have to be?) a shift in culture, where sharing and asking for opinions will be more relevant and needed Present challenges for the education of the new generation of health professionals.

19. Patients are the only node connecting all aspects of the system. As a result, human-to-human, participatory healthcare will be the 'name of the game' for Health 2.0 and beyond.

20. Further information and contact (and any updated version of presentation) ‏ www.hi-blogs.info [email_address] @peterjmurray (on Twitter)