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Online social networking tools (Web 2.0) and their implications for Health and Social Care. Rod Ward http://www.rodspace.co.uk rod.ward@uwe.ac.uk HSC ICT Training Group – Belfast 5 th Dec 2008. Background. A&E Nurse ,Educationalist, Informatician Doctoral student

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online social networking tools web 2 0 and their implications for health and social care

Online social networking tools (Web 2.0) and their implications for Health and Social Care

Rod Ward

http://www.rodspace.co.uk

rod.ward@uwe.ac.uk

HSC ICT Training Group – Belfast 5th Dec 2008

background
Background
  • A&E Nurse ,Educationalist, Informatician
  • Doctoral student
  • Freedom of Information campaigner
  • Member of awkward squad
  • Internet experience since 1991 (archie, gopher & usenet newsgroups)
  • Experience of Live Blogging & Group Blogging eg Informaticopia
  • 25,000 edits on wikipedia
blog vlogs twitter etc
Blog, vlogs, Twitter etc
  • Numbers of blogs – why do people maintain them?
  • Freedom to criticise - ? Application of national laws re libel etc
  • Language
  • RSS & aggregators
  • NHS related blogs – NHS Exposed, NHS Blog Doctor, Dr Rant
facebook myspace youtube linked in plaxo pulse friends reunited etc
Facebook, Myspace, Youtube, Linked In, Plaxo Pulse, Friends Reunited etc
  • Massive growth (but now slowing)
  • User profile (display & characteristics) & motivation
slide5
Wiki
  • Wikipedia best know – great example of development of “community of practice” – “Darwikinism”
  • Policies, guidelines etc developed by users - All volunteers
  • 2 million + articles, quality issues, mirror sites & google rankings
  • Often discussion pages & wikiprojects most interesting
  • Ability to track changes – recent deletion of (referenced) details of MPs expenses by MP concerned
  • Other wikis eg WikiLeaks – eg BNP membership
usage
Usage
  • Massive growth in use of Web 2.0 applications
  • ? Due to lack of trust in govt/ organisations/professionals
    • Edelman cited a new trend in its 2006 Trust Barometer: the steady decline of trust in traditional figures of authority, and the increase in the credibility of the "average person." The beginning of the trend was a huge spike in trust for a "person like yourself or your peer" from 22% in 2003 to 68% in 2006.
          • Jane Sarasohn-Kahn iHealth Beat
potential
Potential
  • Mashups – eg geodata & google maps
  • Social bookmarking
  • Instant messaging/chat, Mobiles
  • Harnessing collective intelligence/knowledge management – eg Dr Foster & NHS Choices
  • “Realistic evaluation” & other data collection eg Patient Opinion & Rate my Doctor
  • Individualised support –& needs of the use truly personalising to the language & needs of the user(s)
perils
Perils
  • Challenge to command and control/hierarchical structures
  • Instant messaging/chat & “time wasting”
  • Blocking by NHS Firewalls
  • Publication of “restricted docs” eg WikiLeaks
  • Risk of identifiable patient info being released
    • Eg - UK Student Nurse see Resuscitation
  • Media interest
    • Eg Bullying of Academics in Higher Education & http://www.sirpeterscott.com/, NHS Exposed, NHS 23
  • Identity theft
implications for health social care
Implications for Health & Social Care
  • Presenting quality information in appropriate formats eg H&SC in NI on wikipedia & monitor discussion forums (not just Engage)
  • PHR’s & Web 2.0
  • Wikis for shared document creation
  • Social networking tools for staff collaboration & education
  • Guidance for staff on use of web 2.0 tools – risks and benefits including reputational aspects
  • 24/7 society requiring support for H&SC needs
conclusions
Conclusions
  • Social Networking is current “flavour of the month”
  • Massive growth & large audience – Issues around demographic profile & socially excluded
  • Potential in individualised health promotion, sharing & representation of data, realistic evaluation
  • Risks of exposure (individual & organisation), quality issues
  • Undue weight to minority views
  • Change in culture
  • Need to embrace news “ways of working” – while being aware of risks
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