Online presentation to British Columbia (Canada) nurses on Inspirenet - 22 May, 2012

1. The Impact of Social Media in Healthcare:
Rhetoric versus Reality
Peter J. Murray
Wordle from text of: Paton, C., Bamidis, P.D., Eysenbach, G., Hansen, M., & Cabrer, M. (2011) Experience in the
Use of Social Media in Medical and Health Education - Contribution of the IMIA Social Media Working Group.
Special Section: Towards Health Informatics 3.0. IMIA Yearbook 2011: 21-29

2. Peter J Murray PhD MSc RN CertEd, FBCS CITP
CEO, International Medical Informatics Association (IMIA)
Disclaimer: views expressed are generally personal; and
should not be taken to be any official IMIA view or policy

3. A bit about me
Registered nurse
Coronary/cardiac specialisation
Qualified nurse teacher (plus MSc Nursing)
Informatics 'professional' (mainly self-taught)
Web and social media user, developer, etc.

4. Outline/format
Presentation and discussion on some key areas and others
from participant interest/experience:
About IMIA
Health/care organisations and social media
Some international examples
Codes of practice
Looking forward – what might being 'always on' and
'always online' mean for health, interaction, etc?

5. 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)

6. IMIA
An 'association of associations'
- a 'bridging organisation' to bring together the members of
the global health and biomedical informatics communities
(primarily academic, research, scientific)
- almost 60 Member Societies – contacts in over 85 countries
- Academic and Corporate Members
- represents over 50,000 people in health informatics
Nurses have always been well-represented.
www.imia.org

7. IMIA

8. IMIA
The basic aims of IMIA:
- to advance international cooperation;
- to stimulate research, development and routine application;
- to move informatics from theory into practice in a full range
of settings; and
- to further the dissemination and exchange of knowledge,
information and technology.

9. IMIA and Nursing Informatics
IMIA-NI (Nursing Informatics) SIG - one of the most active
parts of IMIA.
NI Congress every 3 years since first in London (UK) in 1982:
1985 Calgary, Alberta, Canada
2009 Helsinki, Finland
2012 Montreal, Canada (June 23-27 - www.ni2012.org)
2014 Taipei

10. IMIA in Canada
Members include:
University of Victoria, Health Information Science
COACH: Canada's Health Informatics Association
National Institutes of Health Informatics (NiHi Canada)
University of Waterloo

11. My interest in nursing/health 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.

12. My interest in nursing/health use of social
media, Web 2.0
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).

13. Claims made for social media and Web 2.0
(the rhetoric)
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.

14. 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.
http://www.guardian.co.uk/technology/2006/jul/20/guardianweeklytechnolog
ysection2
How much is REALLY interaction via social media, as
opposed to continuing to broadcast/consume?
- is this a real problem/dichotomy?

15. The 1% Rule
http://gigaom.com/europe/bbc-1-percent-rule/

17. Social media – the growth of interaction(?)
Web 2.0 – coined late 2004
Twitter – launched July 2006
Facebook – launched 2004
LinkedIn – launched 2003
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.

19. Health professionals blog

20. Patients blog

21. IMIA use of blogs
www.imia.info

27. http://socialmedia.mayoclinic.org/2012/04/05/a-twelve-word-social-media-policy/

28. http://ebennett.org/hsnl/

29. http://www.smich.ca/?page_id=12

30. Caveat: no update since early 2011
http://hospitalseu.wordpress.com/

31. From Ed Bennett, presentation at 'Connecting
Healthcare + Social Media' Conference
http://ebennett.org/connecting-healthcare-social-media-presentation/
http://www.slideshare.net/edbennett/a-common-sense-approach-to-
social-media
Lessons:
Our patients are ahead of us (they expect more than we
deliver). Hospitals etc need to keep up with patients'
expectations.
Social media is more than the sum of its parts

32. iHealthBeat - Wednesday, April 11, 2012
What Social Media Websites Are Health Care Providers
Using for Professional Networking?
http://www.ihealthbeat.org/data-points/2012/
what-social-media-websites-are-health-care-providers-using-for-professional-networking.aspx

33. Which do you use? - and why?
There are multiple/duplicate channels
Not a case of 'either/or'
Often many used for same purposes - eg reposting
from Twitter to Facebook or vice versa

34. Codes of conduct and guidelines on social
media
Canadian Medical Association – Guidelines on social media for
Canadian physicians
http://www.cma.ca/advocacy/social-media-canadian-physicians
Nursing & Midwifery Council UK – Advice based in NMC Code
of Conduct
http://www.nmc-uk.org/social-networking-advice
Are they all 'thou shalt not' – or do they take account of chaning
practice and expectations?

35. http://thecourse.webicina.com

38. Please feel free to follow up
peterjmurray@gmail.com
@peterjmurray
imia@imia-services.org
Final version of presentation:
www.slideshare.net/drpeter/