56 AJN ▼ April 2011 ▼ Vol. 111, No. 4 ajnonline.com
do so via Facebook groups or Twitter discussions in near real time.
Facebook, Twitter, and LinkedIn are the most commonly used social media networks, with more than 500 million, 175 million, and 90 million active users, re spec tively, as of January 2011.13 Other networks not discussed here because of their smaller or extremely targeted user bases in clude Bebo, Xanga, MySpace, and Ning.
FACEBOOKFacebook, at www.facebook.com, is the most popular and bestknown social media platform. As mentioned, Facebook has reached more than half a billion active users, and half of those actually use the site daily.1 On Face book, users can post status updates and photos, videos, and links viewable by their friends, friends of friends, or anyone on the Internet.
Brands, products, and even ideas can also have Facebook pages or be “liked.” Most items (both posts and pages) on Facebook contain a “Like” link be low them (see Figure 1). Clicking
it in dicates that you express agree ment with or appreciation for the item, and others viewing the item see who has “liked” it. In
Do you have an account on Facebook, Twitter, or LinkedIn but wonder
what all the fuss is about and hardly ever log in? Have you gotten emails from friends and colleagues inviting you to join them on these networks but aren’t sure what they are or why you’d want to spend time on them? If so, read on, because you may be missing out on a convenient and exciting way to collaborate with friends and colleagues. On a more serious note, institutions are starting to implement social media policies, and it’s important to understand their contents. Therefore, from several angles, nurses will be well served by having a basic understanding of what social me dia is, how it works, and how to get started. This introductory column will be followed by a column addressing nursing specific uses and abuses of social media.
The last iNurse column ad dressed using RSS feeds to consume static content (see “RSS for the Uninitiated,” November 2010). Using social media, in con trast, means that you can not only consume online content, but also contribute to it and in ter act with others, collaborating in constantly evolving ways. The ad vent of in teractive online me dia has profoundly changed the landscape of personal and professional in ter action; for example, nurses used to have to attend con ferences or go to meetings to discuss evidencebased practice or bounce ideas off each other, but now they can
Facebook, Twitter, and LinkedIn, Oh My!Making sense—and good use—of social media.
fact, Face book has introduced the capa bility for Facebook users to “like” pages, articles, photos, and so on all over the Web, thus injecting Facebook into, potentially, every online experience that any user has. Clicking an icon sim ilar to the one shown in Figure 1 on an ex ternal Web page makes note of your “like” on your own Facebook account, turn ing your “like” into a newsfeed item (a “newsfeed” is Facebook’s constantly updated collection of your and your friends’ activity). In this way, you can easily pass along items of interest to your Facebook friends.
Facebook requires account hold ers to use their real names, an important distinction that first separated it from older social me dia and networking sites such as America Online and from Twitter, which is discussed later in this col umn. Once you have an ac count (follow the steps at www.facebook.com), Facebook allows you to search for “friends” in a number of ways, including by name, email address, workplace, or schools attended. “Friends” are people you have granted permission to see your personal in formation, and on Facebook this is a twoway interaction (meaning that you both have to agree that you know each other). Facebook will quickly begin to suggest other users as friends on the basis of mu tual friends, workplaces, and places of education.
You may be tempted to quickly add everyone you’ve ever met and to fill out reams of personal data
Figure 1. Image of a “like” button.
[email protected] AJN ▼ April 2011 ▼ Vol. 111, No. 4 57
By Megen Duffy, BA, BSN, RN
message) to update other users about their thoughts and actions. Like Facebook, Twitter lets users post links to photos, videos, blog posts, and anything else with a URL (uniform resource locator, or Web address). The privacy settings are all or nothing (your tweets are hidden from every one except people you choose or they’re totally public).
Twitter doesn’t force the use of real names, in contradistinction to Facebook, and there is no “friends” concept (users have “followers,” meaning people who read their tweets, and “follow” other users, meaning they read those users’ tweets, but a re cip rocal relationship isn’t forced).
Unlike on Facebook, Twitter posts are not organized formally (tweets appear chronologically and aren’t threaded according to to pic). This lack of organi za tion, com bined with the short and
It offers applications that let you use it from many mobile phones and from a mobile interface for almost any phone that has Internet access. For Facebook on the go, search Google or Bing for your mobile phone model and “Facebook ap plication” to see what’s available.
TWITTERTwitter (http://twitter.com) had 175 million registered users as of September 20103 and reached 20 billion “tweets” (up to 140 character user posts) in July 2010.7 GigaOM reported on the new serv ice Twitter, which started out as Twttr, in 2006, saying “Twttr has married Short Code Messaging, SMS”—text messaging—“with a way to create social groups.”8
The basics are that users post 140character messages (slightly shorter than a cell phone text
(Facebook profiles include fields for everything from contact in formation to favorite quotations), but it’s worthwhile to first read up on the site’s privacy settings.4, 5
Facebook has been criticized for its complicated privacy settings and policies by both mainstream and technology journalists (for an overview, see Boyd and Hargittai6), but the settings are manageable with a bit of at tention. Whether you’re new to Face book or a veteran, spend some time exploring your privacy settings. The options change frequently. The payoff is having the ability to log in to Facebook and see your friend’s new baby, your children’s daytoday lives, and the Web sites and links that your peers find interesting or professionally relevant.
If you aren’t on Facebook, join ing can open a new world to you—one with advantages (keeping up with family and friends) and disadvantages (privacy concerns and spending more time at the computer).
Also, remember that you can see content from profes sional organizations on Facebook; for ex ample, if you type American Journal of Nursing into the search bar at the top of your Facebook home page when you’re logged in, you will see a link to the AJN Facebook page. Click it, and then click the “Like” link when the page loads. AJN’s Facebook page will now show up in your newsfeed on your home page, and you can also read others’ commentary and add your own on the AJN page. In this way, Facebook is becoming one of the most convenient ways to stay current on announcements from professional organizations and collaborate with other nurses almost instantly.
Facebook doesn’t limit you to using it at a desktop computer.
transient nature of tweets, can confuse or bore new users un til they’ve twittered for a while. In fact, a run ning joke in the “Twitterverse” in volves “cheese sandwich” tweets— meaning that some people overshare by tweeting about everything they do, in cluding what they’re eating (“Having a cheese sandwich for lunch,” for example).
Still, Twitter has caught on, and caught on big. A casual glance through media outlets shows that businesses are increasingly including their Twitter user names—which are easily spot ted by looking for the @ in front of the name—on business cards, in TV commercials and magazines, and on Web sites. For ex ample, AJN’s Twitter user name is @AmJNurs (its page is found at http://twitter.com/AmJNurs). Users can follow not only peo ple they know (or would like to know), but also businesses, magazines, and blogs, to get their regu lar updates. Again, Twitter differs from Facebook in that you can follow whomever you want as long as the account isn’t protected (private). Therefore, on Twitter you can follow ce lebrities (perhaps you want to know if Brit ney Spears is eating a cheese sandwich) who don’t follow you back or agree to friend you.
But if you’re a regular person and not a celebrity or a business, why tweet (or twitter—users con tinue to debate the appro priate word)? Mostly because it’s fun and provides an oppor tunity to meet people who share your in terests. Facebook limits you to peo ple you already know, but Twit ter helps you find friends you don’t know yet. Many nurses tweet, as do knitters, photographers, stayathome moms, gardeners, computer geeks—you name it. And because Twitter
users can post lists of other users they recommend following based on common interests (see http://listorious.com—a Twitter listcurating site—for a comprehensive directory), finding people to follow is simple.
Convinced? Get an account at http://twitter.com. The “Sign Up” button is difficult to miss. The options for Twitter are simple compared with those for Face book: You have to choose whether to let everyone or only people you choose see your tweets and whether Twitter should send you emails when you receive new followers. You can also direct Twitter to text your phone when you receive a “direct message” (DM), which is a private tweet seen by only the two people involved (DMs
do re quire reciprocal following). You can also pick a background for your page. Other than that, ac count creation is uncomplicated.
After you’re all signed up and logged in to Twitter, you’ll see a box with the caption “What’s hap pening?” above it on your home page. You can type anything you want. Anyone who is following you will see it, and the up dates of anyone you fol low will appear on this page. Add users to follow by following Twitter’s suggestions or sites such as Listorious, and before you know it you may be hooked.
Twitter began as a simple service, but over the years users have added to it, and now it has so many twists, turns, features,
ca pabilities, and anomalies that they are be yond the scope of this in tro duc tion. The Twitter Help Center page at http://support.twitter.com/groups/31twitterbasics links to explanations of the most useful concepts for un derstanding what’s happening on Twitter and how to perform its basic functions.
Like Facebook, Twitter use isn’t limited to its Web site. Many (prob ably hundreds of) thirdparty applications exist for Twitter on almost any platform you can think of, in cluding smartphones. Twitter apps are so popular that new ones come out daily, so the best way to find a thirdparty application to tweet from is to search for them on Google or Bing and try a few out.
LINKEDIN The last social media network this column will discuss is Linked In (www.linkedin.com), which had 90 million active users as of January 2011.2 On it, users can post their résumés, educational and work histories, accomplishments, and professional activities with the goal of connecting with or remaining connected with colleagues. Twitter and Facebook can be productively used for busi ness and professional development, but these things are LinkedIn’s sole purpose—thus my short treatment of it in this column.
To create a LinkedIn account, go to www.linkedin.com and click “Join LinkedIn Today.” Fill in all the information. LinkedIn requests
Twitter differs from Facebook in that
you can follow whomever you want as long as
the account isn’t protected (private).
58 AJN ▼ April 2011 ▼ Vol. 111, No. 4 ajnonline.com
Social media is inescapable. References to it now appear in print and overtheair media, as well as online. Email inboxes fill with invitations to join people on Facebook, Twitter, and LinkedIn. Each network offers a different approach to social media, and after reading this column readers will, it is hoped, be able to make educated decisions about which (if any) networks to join, whom to connect with, and how to protect their privacy. This column is, however, only an introduction, and readers are strongly urged to read the recommended materials on privacy settings and ba sic features. And stay tuned for the next iNurse column, which will discuss in depth how nurses can use or abuse social me dia. ▼
Megen Duffy is an RN in an ED in the Midwest. Her blog, Not Nurse Ratched, can be found at http://notratched.net.
REFERENCES 1. Facebook.com. Press room. Statistics.
2011. http://www.facebook.com/press/info.php?statistics.
2. LinkedIn.com. Frequently asked ques tions. 2011. http://press.linkedin.com/faq.
3. Twitter.com. About Twitter. 2011. http://twitter.com/about.
4. Calderon SI. How to protect your pri vacy with Facebook’s new privacy set tings in 17 easy steps. Inside Facebook.com. 2010. http://www.insidefacebook.com/2010/01/19/howtoprotectyourprivacywithfacebook%E2%80%99s newprivacysettingsin17easysteps.
5. Richmond R. A guide to Facebook’s new privacy settings. New York Times. 2010. http://gadgetwise.blogs.nytimes.com/2010/05/27/5stepstoresetyourfacebookprivacysettings.
6. Boyd D, Hargittai E. Facebook privacy settings: who cares? Bridgman, MI: First Monday; 2010.
7. Ostrow A. Twitter hits 20 billion tweets. Mashable.com. 2010. http://mashable.com/2010/07/31/twitterhits20billiontweets.
8. Malik O. Silicon Valley’s all Twttr. Gigaom.com. 2006. http://gigaom.com/2006/07/15/valleysalltwttr.
PERSONAL AND PROFESSIONAL USE OF SOCIAL MEDIAA full treatment of the implications of disclosure in social me dia necessitates its own column (to follow), but a preliminary
men tion of some issues is relevant in this introduction to so cial media for nurses. Social media sites have a huge potential for improving our practice by increasing our net working sources and improving access to current information, particularly in areas of nursing we might not encounter daily (for example, I follow an infusion nurse on Twitter who regularly adds to my knowledge of iv skills). They can also add to our quality of life by introducing us to other nurses in our field, some times validating our experiences and feelings (for example, when I was a new nurse I re ceived many tips from Twitter nurses about how to manage my time in the real world).
However, nurses are bound by the Health Insurance Portability and Accountability Act’s Privacy Rule and basic professionalism online just as they are anywhere else. On LinkedIn, you are obviously stating your relationship with your institution, but on Twitter and Facebook consider doing so carefully; once you state where you work, you can be considered a representative of that institution. These is sues are only now beginning to be formally addressed and studied, but using a little common sense will go a long way.
different information than Facebook and Twitter do because its emphasis is totally professional. The more detail you provide, the more benefit you can derive from the service.
LinkedIn generally starts to suggest contacts for you as soon as you’ve given it a workplace or two. If you see someone you know among the suggestions, click the name and select “Add to your net work.” LinkedIn will ask you to select how you know this person (colleague? friend?) and then will send her or him your request. Once the connection is confirmed, the two of you will be reciprocal contacts (this is like Facebook and unlike Twitter).
Like Facebook and Twitter, LinkedIn contains the ubiqui tous status update box (look for the blue “Share” button) on your account’s home page. You can share a link with the “Attach a link” button under the box. On LinkedIn, most people share links that are related to their professions, and commentary about the links (or status updates) appears, Facebooklike, right under the link.
As with Facebook and Twitter, you can take LinkedIn with you on your mobile phone. Applications exist for use with the iPhone, BlackBerry, and Palm, and a mo bile Web interface is offered for other cell phones with Internet access. See www.linkedin.com/static?key=mobile to download an application or learn how to use the mobile Web interface.
Social media sites have a huge potential for
improving our access to current information, particularly
in areas of nursing we might not encounter daily.
[email protected] AJN ▼ April 2011 ▼ Vol. 111, No. 4 59