Peter J. Murray, W. Scott Erdley

What Relevance do Web 2.0 Applications Have for Nursing Informatics and Professional Development?

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

Director and Founding Fellow:CHIRAD (UK), CHIRAD Africa

Vice President Strategic Planning and Acting Executive Director: IMIA

W. Scott Erdley, DNS, RN

Associate Professor, Wegmans School of NursingSt. John Fisher College Member: CHIRAD

What is the panel all about?

An overview/reminder of what Web 2.0 is

Some examples that we have been using

Using Web 2.0 tools in 'education'

Some new tools

Discussion – issues and challenges for use in healthcare, nursing, informatics etc.

With thanks to nursinginformatics colleagues:

Karl ØyriRod Ward

Margaret MaagBill 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 ...

We're not giving any answers -

just asking questionsand asking you to think

Web 1.0 1989 - 2004(?)

http://simplecomplexity.net/natural-language/what-is-web-30/

Web 2.0 is …

a term referring 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)

Web 2.0 2004(ish) - 2015(?)

http://simplecomplexity.net/natural-language/what-is-web-30/

… 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, March 2009)

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 typeso (blogs, wikis, YouTube)

• New ways of presenting information

• Sharing contento (RSS feeds, social networking)

• Connecting with peopleo (Social networking – Facebook etc)

• Changing the balance of power?

Some Web 2.0 tools we are using here

Blog (Wordpress)- to report on event; encourage interaction and 'virtual participation'

Twitter (@ni2009)- to report on event; encourage interaction and 'virtual participation'

Facebook (NI2009 'event')- social networking

YouTube, podcast (future use)- recording of sessions etc.

Blogs

Publish content- text mainly – but also graphics and multiple media- sharing of others' content- frequent updates possible; rapid publication- distribution by RSS feeds (to RSS reader, email, etc)- one or multiple authors- 'editorial' policies vary- can be transient opinion or highly researched- but increasing issues around who is reading them - eg:- FTC (Federal Trade Commission) looking at ethical issues

(FTC plans to monitor blogs for claims and payments, http://www.buffalonews.com/145/story/710835.html accessed 06.22.09)

Social networking(Facebook, LinkedIn, Ning, and many others)

- focus on interaction, collaboration

- social or professional (or mix of both)

- allow multiple media, inclusion of and or links to other

applications to give rich environment

- increasing links between apps (eg Twitter feed on Facebook)

(- and many rely on open source)

Wikis

Collaborative document production and editing environments

- allow 'roll-back' to earlier versions, corrections

- usually multi-author (often 'experts')

- authentication systems; expectation of evidence (eg Wikipedia)

- mainly text, but multiple media possible

Nursing Education and Web 2.0

A plethora of potential and or actual applications currently in place

Concerns:• Privacy of students (in US)• Restrict access to students and or device-specific• Archiving• Proprietary versus open-source• Matching need with application

o Wiki with collaborationo Blogging with clinical journalingo YouTube with creativity

Education examplesBlogging

* Clinical journaling o University at Buffalo Graduate nursing students o Restricted access to site o Openly accessible versus proprietary option (aka 'Blackboard')

Wiki

* Collaboration * Example: last post-conference * Utilitized to develop Team 5 paper * Ultimately not fully engaged due to participant barriers * Current example: Ulrich Schrader o http://info.ulrich-schrader.de/  

SecondLife (Linden Labs)• Avatar in 'virtual world'• Rules apply but not necessarily same 'rules' as 'real world'• Active learning environment coupled with participant

engagement• Knowledge creation?• Nursing education focus

o Examples: John Miller, nursing faculty at Tacoma Community

College, Tacoma, WA, USA  Constance Johnson, nursing faculty at Duke

University School of Nursing

Virtuality – Second Life

RSS (Really Simple Syndication)

- means of pushing information to users from such items as

wikis, blogs, and other 'active' net sites

- different formats are possible

- able to be 'read' by separate 'reader applications' as well as

web browsers

- allow for users to be kept 'up-to-date' without visiting the

actual site

(http://en.wikipedia.org/wiki/RSS, 06.22.09)

RSS examples (as screen shots):

• CNN

• Blogso Health oriented

  Health informatics - 'krew'

  Chris Paton's

Microblogging, short/instant messaging

Twitter

- 140 character limit

- current exponential growth

- followers and following – quasi 'community'

- interaction, retweets, private messages

- many ways to read and post (third party apps)

- 'the jury is still out' on long-term value

Where next?

Web 3.0 2012(ish?) - ????

http://simplecomplexity.net/natural-language/what-is-web-30/

Semantic Web; 'Web of things'

12-15 September, 2010Cape Town, South Africa

www.medinfo2010.org

Submissions deadline:30 September 2009

http://medinfo2010.online-registry.net/

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

www.hi-blogs.info

peterjmurray@gmail.com scott.erdley@gmail.com

@peterjmurray (on Twitter)