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Mixed messages : an evaluation of NHS trust social media policies in the north west of England

机译：信息不一：英国西北部NHS信任社交媒体政策的评估

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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. \udMethod: 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.\udResults: 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. \udConclusion: 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：简介：尽管国家卫生服务（NHS）信息策略促进了社交媒体（SoMe）的使用，以鼓励服务用户和提供者之间的更多参与，但调查乳房筛查从业者与客户之间的在线SoMe互动的团队发现，从业者对从业者的劝阻感到沮丧政策。这项研究旨在调查这种障碍是否是真实的，并阐明地方政策是否不同于国家战略。 \ ud方法：该研究使用定性的扎根理论方法来生成理论。分析了英格兰西北部的九项政策。从数据中得出了一个框架，并对政策基调进行了分析，然后对政策内容进行了详细编码。比较分析通过回顾文献继续进行，并且一个简洁的框架揭示了政策要解决的五大类。对内容进行编码显示，最常解决的问题是保护雇主的声誉，经过进一步分析，结果得到的浓缩框架表明，政策不平衡且严重偏向于安全性，行为与行为和声誉。结论：乳房筛查服务中的执业医师因过度禁止和规定性的SoMe政策而灰心丧气。这些方面的全面性差异很大，但只关注安全性和雇主声誉；与国家战略相反。建议在不止一个利益相关者的协商下进行政策修订，并且为所有NHS工作人员提供SoMe培训。

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