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Mixed messages: An evaluation of NHS Trust Social Media policies in the North West of England

机译:混合信息:对英格兰西部NHS信任社交媒体政策的评估

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摘要

Introduction: Despite National Health Service (NHS) information strategy promoting the use of Social Media (SoMe) to encourage greater engagement between service users and providers, a team investigating online SoMe interaction between breast screening practitioners and clients found that practitioners alleged discouragement from employers' policies. This study aimed to investigate whether this barrier was genuine, and illuminate whether local policy differed from national strategy. Method: The study used a qualitative grounded theory approach to generate a theory. Nine policies from the North West of England were analysed. A framework was derived from the data, and an analysis of policy tone followed by a detailed coding of policy content was undertaken. Comparative analysis continued by reviewing the literature, and a condensed framework revealed five broad categories that policies addressed. Results: The analysis revealed the policies varied in content, but not in tone, which was mostly discouraging. Coding the content revealed that the most frequently addressed point was that of protecting the employers' reputation, and after further analysis, the resultant condensed framework showed that policies were imbalanced and heavily skewed towards Security, Conduct & Behaviour and Reputation. Conclusion: Practitioners within breast screening services are discouraged by overly prohibitive and prescriptive SoMe policies; with these varying tremendously in comprehensiveness, but with a narrow focus on security and employers reputation; in contrast with national strategy. Recommendations are that policy revision is undertaken with consultation by more than one stakeholder, and SoMe training is offered for all members of NHS staff.
机译:介绍:尽管国家卫生服务(NHS)信息战略推动了社会媒体的使用(有些人)来鼓励服务用户和提供商之间的更多参与,但在线调查乳房筛查从业者和客户之间的一些互动,发现从业者涉嫌雇主讨嫌义力政策。本研究旨在调查这一障碍是否是真实的,并照亮当地政策是否与国家战略不同。方法:研究采用了一种定性接地理论方法来产生理论。分析了英国西北部的九项政策。框架是从数据中获取的,并进行了对策略色调的分析,然后进行了详细编码政策内容。通过审查文献持续的比较分析,综合框架揭示了5种广泛类别的政策。结果:分析揭示了内容中变化的政策,但不是口气,大多是令人沮丧的。编码内容显示,最常见的问题是保护雇主的声誉,并且在进一步分析之后,所得凝结框架显示,政策是不平衡的,倾斜的安全,行为和行为和声誉。结论:通过过度禁止和规范的一些政策,乳房筛选服务中的从业者都会被劝阻;这些不同的全面变化,但缩小了安全和雇主的声誉;与国家战略相比。建议是通过多于一个利益攸关方协商进行政策修订,并为所有NHS员工的所有成员提供了一些培训。

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