Nursing and Twitter: creating an online community using hashtags.

Social media is becoming a facet of our lives and a tool for connecting, uniting and supporting people. Its use is growing in nursing, medical and health settings. This article describes the process, development and growth of an online community to connect nurses via Twitter using hashtags. Data was analysed to identify the benefits, barriers and enablers for the creation of an online nursing community. Methods consisted of key word searches in Twitter relevant to nursing, visits to the WeNurses website and tracking the number of followers on the website. A social media monitoring tool (SM2) was used to monitor visibility to establish baseline data and identify trends. WeNurses was launched in July 2012 and has over 7000 followers. Visits to the website are between 500 and 1500 each day. The use of a systematic nursing approach including the key principles of both nursing and social media (honesty, transparency, listening and reacting) helped to create and develop an online nursing community. It was found that WeNurses provides a platform for nurses to discuss issues in nursing, or complain about reforms. Nurses are free to question on how they can improve skills and contemplate their understanding of changes in the health service. Enablers included a committed group who openly discussed their thoughts, opinions and practices, a shared identity, an understanding each other's perspective and ownership by members. Using a nursing framework in a digital space added a unique dimension that resonated with members and provided a structured approach to the project. Nurses have begun to not only embrace social media but also use it for their own development. Health employers also need to encourage use of social media to help develop expertise, experience and knowledge in nurses and nursing practice. Social media can provide a social and professional space for nurses, and has potential to influence the health and wellness of different population groups involved in both giving and receiving nursing care.