I tried out digital storytelling in one of the classes I taught on Monday

Are you ready??? by ssh, on Flickr
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For me, some of the most powerful tools that I have been introduced to this semester all centered around the use of photographs. At the beginning of the semester in our eci831 class, Alec introduced us to the site  Dear Photograph and I have not stopped talking about it since. I spent hours reading and looking at all of the photographs. I have told many to check it our. I keep going back to the site as well. When I went to link the website here, I spent more time looking at the latest photos. I am trying to figure out how I can use this in clinical…still trying to figure it out. I think it is a great option for those dealing with change, death or dying. It is a great site to help work through those emotions (for some).

So I Monday, I had the opportunity to teach a fourth year nursing class. This class came about right after my introduction to digital story-telling so I had to try one in class. The topic of the class was on nurse fatigue and patient safety. I had the students chose 5 photos that told their story of fatigue (from clinical, school, life etc) which is a bit of a variation. The students loved it and had such a great time. This class came together, shared stories, laughed and I do believe learned much more than the use of another more traditional method. I would definitely use this again as it introduced the students to another teaching tool that they can use in their clinical practice, opened the door to a rich discussion on fatigue, helped them learn more about copyright and they really did come together to support one another.

And I did tell them to check out the dear photograph site….

So today I had a discussion about ethics…

Today in another class we had a guest speaker talk about ethics in relation to our research interests. The guest was from the Behavioral Ethics Research Board and we reviewed changes to TCPS2. It was a very interesting discussion as we began to explore issues related to the Internet and the use of chat rooms. The focus on the discussion was around confidentiality and privacy on public forums. Basically it came down to the following:
  • if the chat room is open to the public and does not require log-in you probably can do the research without seeking a consent
  • if you are required to sign in to the chat room, you are required to obtain ethics approval and will need a consent by the participant.
  • the interesting point (which was new to me) was that in order to receive ethics approval, you must first have the permission from the web host to see if they allow researchers to conduct any type of research on their site.

I would like to further expand on my final project by using this in my PhD program. So I will contact the NING executive and find out if that is a possibility…wish me luck!

This seems to not be that easy of a process as there is no information on the terms of service or in the help section so I will send in a request to the help desk.


Last night, in EC&I 831 we had a guest speaker, George Siemens who introduced us to the acromyn SWIM in open online courses. SWIM stands for sensemaking wayfinding information model. Sensemaking is  a process of making connections, however it is more than connecting the dots, it is also about learning which dots are important to focus on and which dots are not important (considering dots as pieces of information).  As previously discussed, I would like to develop an open community for patients with heart failure and their caregivers so that they may have the opportunity to share their knowledge and experience with each other. Health care professionals would also be part of the group and will be able to share their knowledge and experience with the patients and caregivers as well.  Sensemaking and wayfinding is an important aspect to consider. I am looking at further advancing the Theory of Online Social Support by Sheryl Perreault LaCoursiere when I eventually write my comprehensive exams and develop a proposal for my research (still very much a work in progress).

The Theory of online social support was developed by LaCoursiere to describe the process of online social support through interpersonal relationships with other persons who are mostly unknown to each other. The theory includes the four concepts of nursing’s metaparadigm which consists of nursing, person, environment and health. Nursing comprises the thoughts and behaviors of the nurse who engages in online social support activities. The person is represented by the individual or groups of individuals, who seek online social support and engage in health-seeking behavior. The environment is virtual as it includes cyberspace and online environments. Health is viewed as a dynamic process that fluctuates over time and may include both chronic or acute health conditions that may affect the health status or health perception of the individual.

The two focal concepts of the online social support theory include online social support and linking. Online social support is defined as the “cognitive, perceptual, and transactional process of initiating, participating in, and developing electronic interactions to seek beneficial outcomes in health care status, perceived health, or psychosocial processing ability”(p. 66) and is represented as a trajectory that considers health status in relation to support needs.

Linking is the second focal concept and is defined as the “conscious and/or unconscious process of relating and weaving emerging awareness to previously learned thoughts or information” (p 67). It is described as a process similar to navigating a web page. Information and thoughts are sorted and retrieved as needed when situations occur over time. The individual builds a collection of information which provides support through transactions with other individuals in the online group and by the nature of the information itself.

I believe that by exploring coherence, it will help to further advance this theory

From electronic health records to twitter?

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This work is licensed under a Creative Commons Attribution 3.0 Unported License. posted by juhansonin

This week I had an opportunity to begin a discussion on the use of technology in nursing by looking at current uses of electronic health records and telehealth and to explore the use of social media in health care. These nursing students were encouraged to bring their laptops to class in order to gain experiences in using tools such as YouTube to find a video about a specific medical treatment or reading the twitter feed of RNchat By actively finding information on the internet through the use of a variety of websites and using tools such as YouTube, Facebook, Twitter we were able to begin the discussion of critiquing, analyzing, and evaluating these tools. The students were able to identify their ethical responsibilities when using these tools with patients. Several students joined health care group discussions which will only lead to further collaborative discussions. We have only begun the journey towards the 21st Century Literacies but it is a start…

QR codes

I believe that QR codes should be used more frequently in health care. QR codes should be embedded into patient teaching handouts with links to additional (and credible) websites. I believe that QR codes should also be on packaging for foley catheters, nasogastric tubes, and suction catheters. This would be helpful to new grads as with a click of the button you could link to the nursing procedure manual where you would be able to review a list of the supplies required, along with the procedure.

These codes could be embedded throughout the hospital- think of the fun! It would definitely serve as a means for providing additional information- maybe it could link to a map of the hospital or provide information about courses available within the district.

In fact making this code was quite easy- I did not link this to a website, rather it will just repeat the same message as posted here.