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Presentation at 30th Rutgers College of Nursing Interprofessional Conference - April 18, 2012 in New Brunswick, NJ, USA. "From E.T.Net and nrsing-l to Facebook and Twitter: nurses' changing use of global online communications for improving healthcare"
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From E.T.Net and nrsing-l to Facebook and Twitter: nurses' changing use of global online communications for improving healthcare
Peter J. Murray, W. Scott Erdley
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Peter J Murray PhD MSc RN CertEd, FBCS CITP
CEO, International Medical Informatics Association (IMIA)
W Scott Erdley DNS RN
Special Projects Simulation Educational Specialist,Behling Simulation Center,University at Buffalo Academic Health Sciences Center
Disclaimer: views expressed are generally personal; and should not be taken to be any official IMIA view or policy
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Content outline/format
Presentation and discussion on following key areas and others from participant interest/experience:
Looking back – it was 20 years ago today
The 1990s – from text, Telnet and green screens, to the rise of the Web
The 2000s – from Web 1.0 to Web 2.0 and beyond
Looking forward – what do being 'always on' and 'always online' mean for interaction?
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
My aim is to agitateand disturb people.
I’m not selling bread, I’m selling yeast.
Miguel de Unamuno, writer and philosopher (1864-1936)
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The early 1990s
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The early 1990s
Listservs:- launched 1991 - Nrsing-l, the first listserv solely devoted to nursing informatics
- others, eg NURSENET, NURSE-UK
Mainly email-based interactions
The (very) early Web - the limitations of slow, text-based browsing
Example: Virtual Nursing College (Jack Yensen, Canada), 1993
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Nrsing-l
- the first listserv solely devoted to nursing informatics- the first nursing listserv (with global membership)
- launched in 1991- mid to late 1990's had >1500 members
- topics covered wide range of nursing IT issues from training to systems support
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Nrsing-l
- founded by Gordon Larrivee
(Photo from NI94 – in Linda Goodwin's NI history at http://www.duke.edu/~goodw010/SAVE_HxFiles/NI-Hx/NIhistory.html)
- Scott Erdley took over late 1990s- hosted via AMIA NIWG from 1999
- list retired in early 2012 due to low levels of use
- archives available for research via [email protected]
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The early 1990s
Tim Berners-Lee at his desk at CERN in 1994. On Aug. 6, 1991, the physicist and engineer invited participants in a Usenet discussion group to access the first-ever publicly accessible Web server hosted by his employer, the CERN research center in Geneva.
The day marked the beginning of the World Wide Web as we know it today.
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Early browser screenshot - © Board of Trustees of the University of Illinoishttp://www.computerhistory.org/revolution/the-web/20/388/2129
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
What if the technology had not changed?
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The mid to late 1990s
Growth of World Wide Web
Commercial Internet Service Providers
Access increasing outside academic settings
Nursing moves onto the Web, but continuation of listserv discussions and other newer forums
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
My interest in nurses’ use of CMC(computer-mediated communications)
MSc research 1993-95 (discourse analysis of NURSENET list; what was said, how, why, by whom)
PhD research 1995-2001 (reflection on practice in informal list discussions)
Evidence of some interactions, discussions around and reflection on practice issues.
Many lurkers/readers, few frequent and consistent active contributors to discussions.
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
My interest in nurses’ use of CMC(computer-mediated communications)
Moved more to use/development of online communities of practice and virtual interaction around conferences (eg via blogs)
What more/different could be offered?
Collaborative models of blogging (international group) and readership – virtual participation in events.
Latterly, more use of Twitter than blogs (many archived).
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Into the 2000s – the growth of interaction(?)
Blog (weblog) - emergence and growth of blogs in the late 1990s coincided with the advent of web-based publishing tools that facilitated the posting of content by non-technical users- term coined late 1997 – widely used from around 2002/03.
Web 2.0 – coined late 2004Twitter – launched July 2006Facebook – launched 2004LinkedIn – launched 2003
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Where are we today?
Social media growth
Smartphones and tablet devices
The move to mobile
A golden age of communication and interaction – or not?
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Claims for social media and Web 2.0:
Applications will provide benefit to the international health,biomedical 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, informatics, etc.
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The 1% Rule
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.
How much is REALLY interaction via social media, as opposed to continuing to broadcast/consume?
- is this a real problem/dichotomy?
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
http://www.ihealthbeat.org/data-points/2012/what-social-media-websites-are-health-care-providers-using-for-professional-networking.aspx
Which do you use? - and why?
There are multiple/duplicate channels
Often many used for same purposes - eg reposting from Twitter to Facebook or vice versa
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Observations over the years (from Scott)
A few thoughts:
- Initial communication was either receive (aka 'listserv') or go get (BBS) Listserv - user passivityBBS - user active Now: social media Twitter, FB, de.li.ci.ous, etc. User activity req'd to make work Frequent lurkers as well (aka 'passivity')
Not much has changed - just the tools
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
The challenge is not only to anticipate the future, but to create it
Motto of Institute for Alternative Futures
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
http://thecourse.webicina.com
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference
Please feel free to follow up with us
@peterjmurray
@scotterdley
Final version of presentation:
www.slideshare.net/drpeter/rutgers30
Rutgers College of Nursing - 30th Annual International Interprofessional Technology Conference