scholarly journals Characterization and Comparison of How the Public, Medical Professionals and Technical Communities Utilize Facebook Groups to Facilitate Idea Sharing and Crowdsourcing During the COVID-19 Pandemic (Preprint)

2020 ◽  
Author(s):  
Helen Xun ◽  
Waverley He ◽  
Jonlin Chen ◽  
Scott Sylvester ◽  
Sheera F Lerman ◽  
...  
Keyword(s):  
Social Media ◽  
Information Sharing ◽  
Resource Sharing ◽  
Collective Intelligence ◽  
Medical Professionals ◽  
Evidence Based ◽  
Significant Difference ◽  
Medical Groups ◽  
Professional Opinion ◽  
Technical Professionals

BACKGROUND Strict social distancing measures resulting from the COVID-19 pandemic have led people to rely more heavily on social media, such as Facebook Groups, as a means of communication and information sharing. Multiple Facebook Groups have been developed by medical professionals, lay people, and engineering or technical groups to discuss current issues and possible solutions to the medical crisis. OBJECTIVE To characterize Facebook groups created by laypersons, medical professionals, and technical professionals, with specific focus on information dissemination and requests for crowdsourcing. METHODS The Facebook social media platform was queried for user-created Groups with the keywords “COVID,” “Coronavirus,” and “SARS-CoV-2” at a single time point on March 31st, 2020. Characteristics for each group were collected, including language, privacy setting, security requirement to join group, and membership type. For each membership type, the group with the greatest number of members was selected, and in each of these groups, the Top 100 posts using Facebook’s algorithm were identified. Each post was categorized and characterized (evidence-based, crowd-sourced, and whether the poster self-identified). STATA Statistical Software and were used to perform statistical analysis. RESULTS Our search yielded 257 COVID-19-related Facebook Groups Majority of the groups (89%, 229) were for laypersons, 10% (26) were for medical professionals, and only 1% (2) groups were for technical professionals. The number of members in medical groups (mean=21,215, SD=35,040) was significantly greater than those in laypersons groups (mean=7,623, SD=19,480), p<0.01. Medical groups were significantly more likely to require security checks to join the group (81% vs 43%, P<.001) and less likely to be public (3 vs 123, P<.001) compared to laypersons groups. Medical groups had the highest user engagement, averaging 502 ± 633 reactions (P<.01) and 224 ± 311 comments (P<.01) per post. Medical professionals were more likely to use the Facebook groups for education and information sharing, including academic posts (P<.001), idea sharing (P=.003), resource sharing (P=.02) and professional opinion (P<.001), and request for crowdsourcing (P=0.003). Laypersons groups were more likely to share news (P<.001), humor and motivation (P<.001), and layperson opinions (P<.001). There was no significant difference in the number of evidence-based posts between the groups CONCLUSIONS Medical professionals utilize Facebook groups as a forum to facilitate collective intelligence (CI) and are more likely to use the Facebook groups for education and information sharing, including academic posts, idea sharing, resource sharing, and professional opinion. This suggests the power of social media to facilitate CI across geographical distances. Laypersons groups were more likely to share news and humor and motivation, suggesting utilization of Facebook Groups to provide comedic relief as a coping mechanism. Further investigations are necessary to study Facebook groups’ roles in facilitating collective intelligence, crowdsourcing, education, and community building.

scholarly journals The International Classification of Functioning, Disabilities, and Health Categories Necessary for Care Planning for Older Patients with Heart Failure: A Survey of Care Managers in Japan

2021 ◽  
Author(s):  
Shigehito Shiota ◽  
Toshiro Kitagawa ◽  
Takayuki Hidaka ◽  
Naoya Goto ◽  
Naoki Mio ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical Care ◽  
Information Sharing ◽  
Older Patients ◽  
Community Dwelling ◽  
Medical Professionals ◽  
Care Planning ◽  
Care Plans ◽  
Care Managers ◽  
Significant Difference

Abstract Background: Establishing an information-sharing system between medical professionals and welfare/care professionals may help prevent heart failure (HF) in community-dwelling older adults. Therefore, we aimed to identify the ICF categories necessary for care managers to develop care plans for older patients with HF. Methods: A questionnaire was administered to 695 care managers in Hiroshima, Japan, on ICF items necessary for care planning. We compared the care managers according to their specialties (medical and welfare). Furthermore, we created a co-occurrence network using text mining, regarding the elements necessary for collaboration between medical and care professionals. Results: There were 520 valid responses (74.8%). Forty-nine ICF items, including 18 for body functions, one for body structure, 21 for activities and participation, and nine for environmental factors, were classified as "necessary" for making care plans for older people with HF. Medical professionals more frequently answered "necessary" than care professionals regarding the 11 items for body functions and structure and three items for activities and participation (p<0.05). Medical–welfare/care collaboration requires (1) information sharing with related organisations; (2) emergency response; (3) a system of cooperation between medical care and non-medical care; (4) consultation and support for individuals and families with life concerns, (5) management of nutrition, exercise, blood pressure and other factors, (6) guidelines for consultation and hospitalisation when physical conditions worsen.Conclusions: Our findings showed that 49 ICF categories were required by care managers for care planning, and there was a significant difference in perception between medical and welfare/care professionals.

scholarly journals The International Classification of Functioning, Disabilities, and Health categories rated as necessary for care planning for older patients with heart failure: a survey of care managers in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shigehito Shiota ◽  
Toshiro Kitagawa ◽  
Takayuki Hidaka ◽  
Naoya Goto ◽  
Naoki Mio ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical Care ◽  
Information Sharing ◽  
Older Patients ◽  
Community Dwelling ◽  
Medical Professionals ◽  
Care Planning ◽  
Care Plans ◽  
Care Managers ◽  
Significant Difference

Abstract Background Establishing an information-sharing system between medical professionals and welfare/care professionals may help prevent heart failure (HF) exacerbations in community-dwelling older adults. Therefore, we aimed to identify the ICF categories necessary for care managers to develop care plans for older patients with HF. Methods A questionnaire was administered to 695 care managers in Hiroshima, Japan, on ICF items necessary for care planning. We compared the care managers according to their specialties (medical qualifications and welfare or care qualifications). Furthermore, we created a co-occurrence network using text mining, regarding the elements necessary for collaboration between medical and care professionals. Results There were 520 valid responses (74.8%). Forty-nine ICF items, including 18 for body functions, one for body structure, 21 for activities and participation, and nine for environmental factors, were classified as “necessary” for making care plans for older people with HF. Medical professionals more frequently answered “necessary” than care professionals regarding the 11 items for body functions and structure and three items for activities and participation (p < 0.05). Medical–welfare/care collaboration requires (1) information sharing with related organisations; (2) emergency response; (3) a system of cooperation between medical care and non-medical care; (4) consultation and support for individuals and families with life concerns, (5) management of nutrition, exercise, blood pressure and other factors, (6) guidelines for consultation and hospitalisation when physical conditions worsen. Conclusions Our findings showed that 49 ICF categories were required by care managers for care planning, and there was a significant difference in perception between medical and welfare or care qualifications qualifications.

The use of social media for implementing diagnoses, consultation, training, and case reporting among medical professionals to improve patient care: A case study of WeChat Groups across healthcare settings in China (Preprint)

2020 ◽  
Author(s):  
Lai Sze Tso
Keyword(s):  
Public Health ◽  
Social Media ◽  
Patient Care ◽  
Health Professionals ◽  
Resource Sharing ◽  
Low Cost ◽  
Hospital Staff ◽  
Medical Professionals ◽  
Bottom Up ◽  
Healthcare Settings

BACKGROUND Health professionals in low and middle resource settings often have limited access to the most up-to-date resources for diagnosing and treating illnesses, training medical students and hospital staff, reviewing newly disseminated guidelines and publications, and preparing data to contribute to international public health reporting. A concomitant difficulty in high resource settings is the need for continuing education and skills up-training in innovative procedures on unfamiliar social media platforms. These challenges often cause delays in both patient care and epidemiological surveillance efforts. To overcome these challenging, health professionals have adapted WeChat Groups to implement timely, low-cost, and high-quality patient care. OBJECTIVE The primary aim of this study was to describe the bottom-up approach adapted across networks of medical professionals to collectively overcome resource shortages. The secondary aim was to delineate the pathways, procedures, and resource sharing implemented by medical professionals using an international publically available popular social media app. METHODS In-depth interviews, observations, and digital ethnography of WeChat Groups communications were collected from medical professionals in interconnected networks of healthcare facilities.. Participants’ WeChat Groups usage and observations of their professional functions in these interconnected networks were collected from November 2018-2019. Qualitative analysis and thematic coding were used to develop constructs and themes in NVIVO. Constructs incorporated descriptions for the implementation and uses of WeChat Groups for professional connections, healthcare procedures, and patient care. Themes supporting the constructs focused on the pathways and venues used by medical professionals to build trust, to establish and solidify online networks, and to identify requests and resource sharing within WeChat Groups. RESULTS There were 58 participants (male 36, female 22) distributed across 24 healthcare settings spanning geographical networks in south China. Analysis yielded 4 constructs and 11 themes delineating the bottom-up usage of WeChat Groups among clinicians, technicians, nurses, pharmacists, and public health administrators. Participants used WeChat Groups in collectively training hospital staff in complex new procedures, processing timely diagnoses of biological specimens, staying abreast of latest trends and clinical procedures and symptoms, and contributing to case-reporting for emergent illnesses and international surveillance reporting. An unexpected strength of implementing clinical, training, and research support on a popular app with international coverage is the added ability to overcome administrative and geographic barriers in resource distribution. This advantage increased a network’s access to WeChat Group members both working within China and abroad, greatly expanding the scope of share resources. CONCLUSIONS The organic, bottoms-up approach of repurposing extant social media app functions is both low-cost and efficient in timely implementation for improving patient care. The international user base of WeChat Groups enables medical staff to access a widespread professional network across geographic, administrative, and economic barriers, with potential to reduce health disparities in low resource setting.

An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications

2021 ◽  
pp. 1-8
Author(s):  
Emily Kell ◽  
John A. Hammond ◽  
Sophie Andrews ◽  
Christina Germeni ◽  
Helen Hingston ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Shoulder Pain ◽  
Management Strategies ◽  
Cost Effective ◽  
Rehabilitation Programme ◽  
Patient Specific ◽  
Satisfaction Survey ◽  
Evidence Based ◽  
Patient Satisfaction Survey ◽  
Significant Difference

OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.

Student nurses’ unethical behavior, social media, and year of birth

2016 ◽  
Vol 23 (8) ◽  
pp. 910-918 ◽  
Author(s):  
Gloria Copeland Smith ◽  
Troy Keith Knudson
Keyword(s):  
Social Media ◽  
Nursing Students ◽  
Unethical Behavior ◽  
Ethics Education ◽  
Student Nurses ◽  
Clinical Cohort ◽  
Follow Up Study ◽  
Significant Difference ◽  
Use Of Social Media

Background: This study is the result of findings from a previous dissertation conducted by this author on Student Nurses’ Unethical Behavior, Boundaries, and Social Media. The use of social media can be detrimental to the nurse–patient relationship if used in an unethical manner. Method: A mixed method, using a quantitative approach based on research questions that explored differences in student nurses’ unethical behavior by age (millennial vs nonmillennial) and clinical cohort, the relationship of unethical behavior to the utilization of social media, and analysis on year of birth and unethical behavior. A qualitative approach was used based on a guided faculty interview and common themes of student nurses’ unethical behavior. Participants and Research Context: In total, 55 Associate Degree nursing students participated in the study; the research was conducted at Central Texas College. There were eight faculty-guided interviews. Ethical considerations: The main research instrument was an anonymous survey. All participants were assured of their right to an informed consent. All participants were informed of the right to withdraw from the study at any time. Findings: Findings indicate a significant correlation between student nurses’ unethical behavior and use of social media (p = 0.036) and a significant difference between student unethical conduct by generation (millennials vs nonmillennials (p = 0.033)) and by clinical cohort (p = 0.045). Further findings from the follow-up study on year of birth and student unethical behavior reveal a correlation coefficient of 0.384 with a significance level of 0.003. Discussion: Surprisingly, the study found that second-semester students had less unethical behavior than first-, third-, and fourth-semester students. The follow-up study found that this is because second-semester students were the oldest cohort. Conclusion: Implications for positive social change for nursing students include improved ethics education that may motivate ethical conduct throughout students’ careers nationally and globally for better understanding and promotion of ethics and behavior.

scholarly journals The hospital telemedicine TELEMED database: Providing information on evidence-based telemedicine services to hospital managers and healthcare professionals

2021 ◽  
pp. 1357633X2110155
Author(s):  
Kristian Kidholm ◽  
Ida W Svendsen ◽  
Knud Yderstræde ◽  
Anne M Ølholm ◽  
Kathrine Rayce ◽  
...  
Keyword(s):  
Literature Search ◽  
Healthcare Professionals ◽  
Economic Effects ◽  
Control Group ◽  
Evidence Based ◽  
Implementation Challenges ◽  
Hospital Managers ◽  
Pubmed Database ◽  
Significant Difference ◽  
Hospital Patients

Background Increased use of telemedicine in the healthcare system is a political goal in Denmark. Although the number of hospital patients using interventions such as the video consultation has increased in recent years only a small proportion of the outpatient and inpatient visits involve telemedicine. The TELEMED database ( https://telemedicine.cimt.dk/ ) has been launched at the Center for Innovative Medical Technologies in Denmark to ensure that hospital managers and healthcare professionals have access to information about telemedicine services and their effectiveness. This article describes the development and the content of the TELEMED database. Methods A structured literature search was made in the PubMed Database for randomised controlled trials or observational studies with a control group that investigated the effect of telemedicine interventions for hospital patients. Data were extracted from each article on the clinical effectiveness, patient perceptions, economic effects and implementation challenges. As the database should only provide inspiration to healthcare professionals regarding possibilities for use of telemedicine, the risk of bias in the studies was not assessed. Results The literature search resulted in 2825 hits. Based on full text assessment, 331 articles were included for data extraction and assessment. These articles present telemedicine services used in 22 different medical specialities. Forty-eight percent of the studies found a positive, statistically significant clinical effect, while 47% showed no statistically significant difference. In 48% of the studies, patients’ experiences were examined and of these 68% found positive patient experiences. Fifty-four percent of the articles included information on the economic effects and, of these, 51% found reduction in healthcare utilization. In the majority of studies between two and four types of implementation challenges were found. Conclusions and recommendations: The TELEMED database provides an easily accessible overview of existing evidence-based telemedicine services for use by hospital managers and health professionals, who whish to to implement telemedicine. The database is freely available and expected to be continuously improved and broadened over time.

scholarly journals Cataract surgery practice patterns worldwide: a survey

2021 ◽  
Vol 6 (1) ◽  
pp. e000464
Author(s):  
Tommaso Rossi ◽  
Mario R Romano ◽  
Danilo Iannetta ◽  
Vito Romano ◽  
Luca Gualdi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Practice Patterns ◽  
Scientific Evidence ◽  
Public Hospitals ◽  
P Value ◽  
Evidence Based ◽  
Surgical Volume ◽  
Significant Difference ◽  
Type Of Institution ◽  
Surgical Setting

ObjectiveTo report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.Methods and analysisAn online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.Results209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).ConclusionCataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.

scholarly journals A comparison of health communication effectiveness and the improvement of management strategies: taking two Chinese traditional medicine hospitals’ WeChat public accounts as examples

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jie Wang ◽  
Lanting Wu
Keyword(s):  
Public Health ◽  
Social Media ◽  
Health Communication ◽  
Traditional Medicine ◽  
Health Knowledge ◽  
Health Care Service ◽  
Mobile Internet ◽  
Chinese Traditional Medicine ◽  
Public Account ◽  
Significant Difference

Abstract Background In the light of “Internet plus”, hospitals are following the trend of using mobile internet and adopting a strategy of spreading public health knowledge through mobile terminals. WeChat is a social media with the largest number of users in China. Its public account has become the most popular service among the public. Methods We examine the health communication of medical institutions on social media platforms. The WeChat public accounts of Zhejiang Provincial Chinese Traditional Medicine Hospital and Jiangxi Provincial Chinese Traditional Medicine Hospital were taken as cases to measure the communication effect from the following dimensions: update interval, content positioning and design, numbers of clicks and likes as well as topic types. Results The update interval of WeChat public account of Jiangxi Provincial Hospital of Traditional Chinese Medicine was regular, compared with that of the other hospital. The accounts of the two hospitals both set up special sections to facilitate patients to obtain medical services online. There is an extremely significant difference between the two hospitals’ mean numbers of clicks (p < 0. 001), compared with no significant difference between their mean numbers of likes. One-way analysis of variance suggests the type of topic on posts is significantly correlated with the number of clicks. Moreover, there is an extremely significant difference between public health knowledge and news propaganda. Conclusion The development of hospitals’ WeChat public accounts can promote people’s health and equity in accessing medical information and service, and also boost “Internet plus health care” service. The topic type of hospital’s news publicity is paid a relatively lower attention by users. Therefore, hospitals’ WeChat public accounts need to adjust their strategy from propaganda-oriented to users-centered, with topic planning and posts designed to fulfill users’ needs.

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