Peter J. Murray

Does Web 2.0 have any value for

nursing and informatics?

Peter J. Murray RN, PhD, MSc, CertEd, FBCS CITP

Director and Founding Fellow:CHIRAD (UK)CHIRAD Africa

Vice President Strategic Planning; Associate Executive DirectorIMIA

registered nurse >>

>> coronary/cardiac specialisation

>> qualified nurse teacher

>> informatics 'expert'(? - self-taught)

>> self-certified geek

>> webspinner, Internet researcher

>> blogger – Twitterer – etc etc

>> ..... ????

With thanks to nursingInformatics colleagues:

Margaret MaagKarl ØyriRod Ward

Scott ErdleyBill Perry

Additional thanks, interaction, ideas:

IMIA Web 2.0 Exploratory Taskforcewww.imiaweb2taskforce.org

Some of the pioneers in Health 2.0 and related topics -Berci, Jen, Cisco,Maarten, Luis,Chris ....(at Medicine 2.0conference)

My aim is to agitateand disturb people.

I’m not selling bread,I’m selling yeast.

Miguel de Unamuno, writer and philosopher (1864-1936)

… … or ...or ...

I'm not giving any answers -

just asking questionsand asking you to think

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)

… 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)

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

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.

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?

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)

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.

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.

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.

Further information and contact(and any updated version of presentation)

www.hi-blogs.info

peterjmurray@gmail.com

@peterjmurray (on Twitter)