Thursday, October 17, 2013

Week 6 eHealth


      In week 6 of health informatics we discussed eHealth. Gulzar, Khoja and Sajwani (2013) state “eHealth is defined as the utilization of information and communication technologies (ICT) to support health and health related fields, such as health surveillance, healthcare services, health literature, health education, knowledge and research” (p.1).

      This weeks class facilitation began their activity by asking the class about their social media accounts and if they had ever used these to research health information. What I did not know that this group made clear to me was that Facebook could be used to search general information. After discovering this I will take into consideration using Facebook as a resource when searching topics online. Another question this group asked the class was if they had ever self diagnosed online. I was able to admit that I have done this before and continue to do so. Unfortunately I rarely tend to make visits with my doctor to follow up on these findings that I come across. Do you ever self diagnose online as well? A more professional term for self diagnosing is cyberchondriac. Anwar and Khan (2013) state “cyberchondriac is a term pertaining to a person who seeks health-related information on the Internet” (p.72). When self diagnosing online, people tend to search their symptoms and focus on the worst possibilities. This may lead people to feeling anxiety over their current health status.

      A hands on activity that this group assigned to the class was having us read a case study about a young boy with certain symptoms he was experiencing. Each group from the class was given a social media account to research these symptoms and see what results we came across. The variety of predictions that the class stumbled upon made me realize how many possibilities of findings there were to this specific case and how this is a non effective method of research. When looking up symptoms online, one should remember that not each answer is the accurate one and a check up to the doctor would be required to confirm these assumptions.

      During class lecture there was an activity where groups were able to choose a health topic and explore it on a social media site of our choice. I chose to look up chickenpox on YouTube. From the comments on various videos I came across, I was able to read on peoples personal experiences with this health issue and the advice they were giving to the public. This is evidence-informed advice as it incorporates peoples personal experiences and understandings.

      A new model was introduced to me during this weeks lecture, the Honeycomb model. Kietzmann, Hermkens, McCarthy and Silvestre (2011) describe the honeycomb as the “constructs that allow us to make sense of how different levels of social media functionality can be configured” (p.243). The honeycomb is separated into 7 sections: Presence, sharing, conversations, groups, reputation, relationships and identity. 



      During an activity in class, my group was assigned the social media site Flickr to examine based on these 7 sections. What I understood from this is that different social medias play specific roles for viewers. This may be support such as emotional, instrumental (financial or practical), informational or appraisal (Khalili, 2013). This has made me explore what my role as a nurse would be related to providing online health information and when working with clients who research online. I believe a nurse should be educated on what makes a source reliable, so that when patients come in, a nurse is able to direct them to credible and accurate websites. As social media is expanding, more sites are being created that provide health information. It would be beneficial for clients to know which online sites they can rely on.


References
Anwar, S., & Khan, S. (2013). Risks of online self-diagnosing: Cyberchondriacs. British   
      Columbia Medical Journal, 55(2), 72-73.

Gulzar, S., Khoja, S., & Sajwani, A. (2013). Experience of nurses with using eHealth in Gilgit-
      Baltistan, Pakistan: a qualitative study in primary and secondary healthcare. BMC Nursing,   
      12(1), 6-11. doi:10.1186/1472-6955-12-6

 Khalili, H. (2013). Health informatics within nursing; Week 6 consumer health informatics and
      eHealth – cont’d [PowerPoint slides]. Retrieved from    

Kietzmann, J. H., Hermkens, K., McCarthy, I. P., & Silvestre, B. S. (2011). Social media? Get
      serious! Understanding the functional building blocks of social media. Business Horizons,
      54(3), 241–251. doi:10.1016/j.bushor.2011.01.005

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