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

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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


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

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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