Article section
Charting The Virtual Landscape: Netnographic Insights into The Structure of Nursing Online Communities
Abstract
This study aimed into the structural dynamics of the selected nursing online communities (SNOCs), with a particular focus on understanding the nature and groups of actors involved. Social media (SM) profoundly impacts nursing by facilitating information exchange, networking, and socio-political engagement. It transforms education, enhances professional growth, and influences healthcare policy discussions. Despite benefits ethical concerns persist, urging standardized guidelines for responsible SM use. SM misuse risks patient confidentiality breaches and professional repercussions. This underscores SM’s potential for nurses while advocating for ethical management, emphasizing the need for standardized guidelines in navigating its complex landscape. This study employed qualitative-interpretive Netnography to investigate online communities and cultures, focusing specifically on conducting structural analysis within SNOCs. The study examined two prominent SNOCs managed by Filipino registered nurses. Data comprised archived posts, comments, and images extracted from January 2011 to April 2020, utilizing both technical and manual methods. Rigorous coding and thematic categorization were applied, employing constant comparative analysis for thorough examination. The findings reveal two primary structural categories within the SNOCs— the Nature of Actors and Group of Actors. The Nature of Actors unfolds through five thematic dimensions represented by the acronym NURSE: Nihilist, Uplifter, Rabble rouser, Supporter, and Enquirer. The Nihilists express disappointment and distrust towards authorities and organizations, highlighting grievances and disillusionment. The Uplifters radiate hope and positivity, offering prayers and well-wishes for a brighter future. The Rabble-Rousers incite arguments with criticism and sarcasm, often resorting to insults and offensive language The Supporters foster healthy discourse, offering solutions and defending against misinformation, while extending commendations for achievements Lastly, the Enquirers seek government and organizational support, requesting updates and verification on various nursing-related matters, and they aim to stay informed and engaged within the community. Simultaneously, the Group of Actors comprises two distinct personas— Goodwill Promoters and Disruptive Agents. The Goodwill Promoters champion collective benefit through constructive engagement, fostering unity for common goals — striving for harmony and progress. In contrast, the Disruptive Agents sow discord by inciting conflict, undermining discourse with negativity, which hinders constructive dialogue and impedes collective advancement. The study’s comprehensive approach provides a deeper understanding of the diverse roles and behaviors exhibited within these virtual spaces, shedding light on the multifaceted nature of interactions and relationships among participants in the digital nursing community.
Keywords:
Netnography Social Media Nature of Actors Group of Actors Nursing Online Communities
Article information
Journal
Journal of Education, Learning, and Management
Volume (Issue)
1(1), (2024)
Pages
6-16
Published
Copyright
Copyright (c) 2024 Jovencio M. Milan (Author)
Open access

This work is licensed under a Creative Commons Attribution 4.0 International License.
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References
Abdu, S. D., Mohamad, B., & Muda, S. (2017). Youth online political participation: the role of Facebook use, interactivity, quality information and political interest. SHS Web of Conferences, 33, 00080. https://doi.org/10.1051/shsconf/20173300080 DOI: https://doi.org/10.1051/shsconf/20173300080
Adams, J., Khan, T. A., Raeside, R. & White, D. (2007). Research methods for graduate business and social science students. SAGE Publications India, p. 328. DOI: https://doi.org/10.4135/9788132108498
Adler, M. G., & Fagley, N. S. (2004b). Appreciation: individual differences in finding value and meaning as a unique predictor of subjective Well‐Being. Journal of Personality, 73(1), 79–114. https://doi.org/10.1111/j.1467-6494.2004.00305.x DOI: https://doi.org/10.1111/j.1467-6494.2004.00305.x
Bakker, T., & De Vreese, C. H. (2011). Good news for the future? young people, internet use, and political participation. Communication Research, 38(4), 451–470. https://doi.org/10.1177/0093650210381738 DOI: https://doi.org/10.1177/0093650210381738
Balestra, M. L. (2018). Social media missteps could put your nursing license at risk. American Nurse Today Journal, 13(3).
Bailey, J. (2006). Offensive Language Afflicts Black Youth’s Psyche. The Western Journal of Black Studies, 30(3).
Bergen, B. K. (2016). What the F: What Swearing Reveals About Our Language, Our Brains, and Ourselves. Basic Books. ISBN 9780465096480
Brzezicka, B. (2020). The Rabbles, the Peoples and the Crowds: A Lexical Study. Praktyka Teoretyczna, 2(36). https://doi.org/10.14746/prt2020.2.2 DOI: https://doi.org/10.14746/prt2020.2.2
Cambridge Dictionary (2021). Human Nature. https://dictionary.cambridge.org/dictionary/english/human-nature
Cammaerts, B. (2015). Social Media and Activism. The International Encyclopedia of Digital Communication and Society, 1–8. https://doi.org/10.1002/9781118767771.wbiedcs DOI: https://doi.org/10.1002/9781118767771.wbiedcs083
Carver, C. S., & Scheier, M. F. (2014). Dispositional optimism. Trends in Cognitive Sciences, 18(6), 293–299. https://doi.org/10.1016/j.tics.2014.02.003 DOI: https://doi.org/10.1016/j.tics.2014.02.003
Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. Clinical Psychology Review, 30(7), 879–889. https://doi.org/10.1016/j.cpr.2010.01.006 DOI: https://doi.org/10.1016/j.cpr.2010.01.006
Chretien, K. C., & Kind, T. (2013). Social Media and Clinical Care: Ethical, Professional, and Social Implications. Circulation, 127(13), 1413–1421. https://doi.org/10.1161/circulationaha.112.128017 DOI: https://doi.org/10.1161/CIRCULATIONAHA.112.128017
Cimdins, R., Skinkis, P., & Kaugurs, K. (2015). Community Structure and Elements Affecting its Activity: Case of Jaunpils County. Proceedings of the 2015 International Conference “Economic Science for Rural Development” No. 40, pp.151-159. https://llufb.llu.lv/conference/economic_science_rural/2015/Latvia_ESRD_40_2015-151-159.pdf
Conroy M, Feezell, J.T, Guerrero M. (2012). Facebook and political engagement: A study of online political group membership and offline political engagement. Journal Computers in Human Behavior, 28, 1535-1546. DOI: https://doi.org/10.1016/j.chb.2012.03.012
Cronquist, R. and Spector, N. (2011). Nurses and social media: Regulatory concerns and guidelines. Journal of Nursing Regulation, 2, 37-40 DOI: https://doi.org/10.1016/S2155-8256(15)30265-9
Encyclopaedia Britannica (2016). Human Nature. Encyclopedia Britannica. https://www.britannica.com/topic/human-nature
Facebook (2019). Terms of Service. https://web.facebook.com/legal/terms/update
Fox, S. (2011). The social life of health information. Pew Research Center. http://www.pewinternet.org/2011/05/12/the-social-life-of-health-information-2011/
Fraser, R. (2011). The nurse’s social media advantage: How making connections and sharing ideas can enhance your nursing practice. Sigma Theta Tau International.
Füller, J., Jawecki, G., & Mühlbacher, H. (2007). Innovation Creation by Online Basketball Communities. Journal of Business Research, 60(1), 60–71. DOI: https://doi.org/10.1016/j.jbusres.2006.09.019
Füller, J., Hutter, K., Hautz, J., & Matzler, K. (2014). User Roles And Contributions In Innovation-Contest Communities. Journal of Management Information Systems, 31(1), 273- 308. DOI: https://doi.org/10.2753/MIS0742-1222310111
Gennaro, S. (2015). Scientists and social media. Journal of Nursing Scholarship, 47(5), 377–378. https://doi.org/10.1111/jnu.12161 DOI: https://doi.org/10.1111/jnu.12161
Gertz, N. (September 2019). Nihilism. ResearchGate. MIT Press Essential Knowledge. ISBN: 9780262537179. https://doi.org/10.7551/mitpress/11773.001.0001 DOI: https://doi.org/10.7551/mitpress/11773.001.0001
Giddens, A., Duneier, M., Appelbaum, R.P., & Carr, D. (2018). Introduction To Psychology. W. W. Norton & Company. ISBN 978-0-393-63944-5
Gray, R., Ellison, N.B., Lampe, C., & Vitak, J. (2013). Who Wants to Know? Question-asking and Answering Practices among Facebook Users. https://doi.org/10.1145/2441776.2441913 DOI: https://doi.org/10.1145/2441776.2441913
Hall, R., & Lewis, S. (2014). Managing workplace bullying and social media policy: Implications for employee engagement. Academy of Business Research Journal, 1, 128-138
Hoyos, M., & Barnes, S. (2012). Analysing interview data. Warwick Institute for Employment Research.
Informer Technologies, Inc. (2022). Facepager 3.6. https://facepager.software.informer.com/3.6/
Huang, L. (March 17, 2020). A Thank-You Letter to Nurses: Our Front-Line Heroes. Cipher Health. https://cipherhealth.com/blog/a-thank-you-letter-to-nurses-our-front-line-heroes/
Hudson, L., & Ozanne, J. (1988). Alternative ways of seeking knowledge in consumer research. Journal of Consumer Research, 14(4), 508–521. DOI: https://doi.org/10.1086/209132
International Council of Nurses [ICN] (2007). Position statement: Nurse retention and migration. Geneva: International Council of Nurses
Jackson, J., Fraser, R.., Ash, P. (2014). Social media and nurses: Insights for promoting health for individual and professional use. The Online Journal of Issues in Nursing, 19(3), 131- 142 DOI: https://doi.org/10.3912/OJIN.Vol19No03Man02
Jay, T., King, K., & Duncan, T. V. (2006). Memories of punishment for cursing. Sex Roles, 55(1–2), 123–133. https://doi.org/10.1007/s11199-006-9064-5 DOI: https://doi.org/10.1007/s11199-006-9064-5
Kidd, D., & McIntosh, K. (2016). Social media and social movements. Sociology Compass DOI: https://doi.org/10.1111/soc4.12399
Kingma, M. (2006). Nurses on the move: Migration and the global health care economy. Cornell University Press.
Kozinets, R. V. (1998). On netnography: Initial reflections on consumer research investigations of cyberculture. Advances in Consumer Research, 25, 366–371.
Kozinets, R.V. (2010). Netnography: Doing ethnographic research online. Sage.
Kozinets, R.V. (2015). Netnography. The International Encyclopedia of Digital Communication and Society, 1st ed., pp. 1-8 DOI: https://doi.org/10.1002/9781118767771.wbiedcs067
Lachman, V. (2013). Social media: Managing the ethical issues. MEDSURG Nursing, 22(5), 326-329. https://search-proquest-com.nelli.laurea.fi/docview/1460981027/fulltextPDF/41EF9D9A775F4E5EPQ/1?accountid=12003
Laclau, E. (2014). The Rhetorical Foundations of Society. Verso. ISBN 9781781681718
Lalu, G. P. (2019). Senators agree: Criticizing government is a basic right. Inquirer.net. https://newsinfo.inquirer.net/1088038/senators-agree-criticizing-government-is-a-basic-right#ixzz6udKSU5yv
Lalu, G. P. (2020). People have right to criticize gov’t as Duterte picked on Diokno – lawyers. Inquirer.net. https://newsinfo.inquirer.net/1255398/people-have-right-to-criticize-govt-as-duterte-picked-on-diokno-lawyers#ixzz6udOUdgzJ
Lexico.com (2021). Nihilism. https://www.lexico.com/definition/nihilism
Lim, M. (2012). Clicks, Cabs, Coffee Houses: Social Media and Oppositional Movements in Egypt (2004–2011). Journal of Communication, 62(2), 231–248. https://doi.org/10.1111/j.1460-2466.2012.01628.x DOI: https://doi.org/10.1111/j.1460-2466.2012.01628.x
Ljung, Magnus. 2006. Svordomsboken. Nordstedts Akademiska Förlag
Lorenzo, F. M., Tan, J., Icamina, K., & Javier, L. (2007). Nurse Migration From A Source Country Perspective: Philippine Country Case Study. Health Services Research, 42(3), 1406–1418 DOI: https://doi.org/10.1111/j.1475-6773.2007.00716.x
Paipais, V. (2019). Thinking antagonism: Political ontology after Laclau, Oliver Marchart, Edinburgh: Edinburgh University Press, 2018. Constellations, 26(3), 504–506. https://doi.org/10.1111/1467-8675.12439 DOI: https://doi.org/10.1111/1467-8675.12439
Mariano, M. C. O., Maniego, J. C. M., Manila, H. L. M. D., Mapanoo, R. C. C., Maquiran, K. M. A., Macindo, J. R. B., Tejero, L. M. S., & Torres, G. C. S. (2018). Social media use profile, social skills, and nurse-patient interaction among Registered Nurses in tertiary hospitals: A structural equation model analysis. International journal of nursing studies, 80, 76–82. https://doi.org/10.1016/j.ijnurstu.2017.12.014 DOI: https://doi.org/10.1016/j.ijnurstu.2017.12.014
Martínez-Correa, A., Reyes del Paso, G. A., García-León, A., & González-Jareño, M. I. (2006). Relationship between dispositional optimism/pessimism and stress coping strategies. Psicothema, 18(1), 66–72.
Masiha, S., Habiba, U., Abbas, Z., Saud, M., & Ariadi, S. (2018). Exploring the Link between the Use of Facebook and Political Participation among Youth in Pakistan. Journal of Political Sciences & Public. DOI: https://doi.org/10.4172/2332-0761.1000315
McCorkindale, T (2010). Can you see the writing on my wall? A content analysis of the Fortune 50’s Facebook social networking sites. Public Relations Journal, 4, 1-14.
McLemore, M., Burton, C. W., & Shattell, M. (2015). Scientists should contribute to, not shun, social media. http://www.huffingtonpost.com/mona-shattell/scientists-should-contrib_b_8164062.html?
Merriam-Webster (2021). Human Nature. https://www.merriam-webster.com/dictionary/human%20nature
Mohamed, S. (2018). The use of social media in the nursing profession. Laurea University of Applied Sciences. https://pdfs.semanticscholar.org/2725/31a453307c1b9ea3409d1b65ddc6d1d6dea4.pdf
Modonesi, M. (2019). The Antagonistic Principle: Marxism and Political Action. Koninklijke Brill NV, Leiden, The Netherlands. ISBN: 978-90-04-38826-0 DOI: https://doi.org/10.1163/9789004388260
Moore, C.W. (2014). The Mediation Process: Practical Strategies for Resolving Conflict (4th ed.). John Wiley and Sons. ISBN 978-1-118-41974-8
National Council of State Boards of Nursing [NCSBN] (2018). A nurse’s guide to the use of social media. NCSBN, Inc. pp 4-15
Nelson, R., Joos, I., & Wolf, D. M. (2013). Social Media for Nurses: Educating Practitioners and Patients in a Networked World. Springer Publishing
Nonnecke, B., Preece, J., & Andrews, D. (2004). What lurkers and posters think of each other [online community]. Proceedings of the 37th Annual Hawaii International Conference on System Sciences, 2004. https://doi.org/10.1109/hicss.2004.1265462 DOI: https://doi.org/10.1109/HICSS.2004.1265462
Nonnecke, B., Andrews, D., & Preece, J. (2006). Non-public and public online community participation: Needs, attitudes and behavior. Electronic Commerce Research, 6(1), 7–20. doi:10.1007/s10660-006-5985-x DOI: https://doi.org/10.1007/s10660-006-5985-x
Ostiguy, P. & Casullo, M.E. (2017). Left versus Right Populism: Antagonism and the Social Other. Paper Presented at the 67th Political Studies Association Annual International Conference, Glasgow, UK, 10-12 April 2017
Pratt, A. (n.d.). Nihilism. Internet Encyclopedia of Philosophy and its Authors. ISSN 2161-0002. https://iep.utm.edu/nihilism/#:~:text=Nihilism%20is%20the%20belief%20that,radical%20skepticism%20that%20condemns%20existence.
Prawitz, A. (2014). Quoted in Bennett, L. (2014). Optimism for Me, Pessimism for We. Greated
Raver, J. L., Jensen, J. M., Lee, J., & O’Reilly, J. (2011). Destructive Criticism Revisited: Appraisals, Task Outcomes, and the Moderating Role of Competitiveness. Applied Psychology, 61(2), 177–203. https://doi.org/10.1111/j.1464-0597.2011.00462.x DOI: https://doi.org/10.1111/j.1464-0597.2011.00462.x
Reis, A. (2019). ‘Hope against hope’: An exploratory study of perceptions of current and future global progress among communications for development experts. Communication for Development
Rheingold, H. (1993). The Virtual Community: Homesteading on the Electronic Frontier. Addison-Wesley.
Rivero, M. (September 2020). Empathy, the art of understanding others. ResearchGate. https://doi.org/10.13140/RG.2.2.22471.11684
Ryan, G. (2016). International Perspectives on social media guidance for nurses: A content analysis. Nursing Management, 23(8), 28-35. http://nelli.laurea.fi/login?url=https://search.proquest.com/docview/1855418369 DOI: https://doi.org/10.7748/nm.2016.e1555
Segerstrom, S. (2006). How does optimism suppress immunity? Evaluation of three affective pathways. Health Psychol., 25, 653–657. DOI: https://doi.org/10.1037/0278-6133.25.5.653
Siegmund, L. A. (2020). Social media in occupational Health Nursing: helpful or harmful? Workplace Health & Safety, 68(9), 408–414. https://doi.org/10.1177/2165079920935779 DOI: https://doi.org/10.1177/2165079920935779
Sood, S., Antin, J., & Churchill, E. (2012). Profanity use in online communities. Proceedings of the 2012 ACM Annual Conference on Human Factors in Computing Systems - CHI ’12. https://doi.org/10.1145/2207676.2208610 DOI: https://doi.org/10.1145/2207676.2208610
Strauss, A., & Corbin, J. (2008). Basics of qualitative research: Grounded theory procedures and techniques. (3rd ed.). Sage.
Taylor, V., & Van Dyke, N. (2004). ‘Get up, stand up’: Tactical repertoires of social movements. In D. A. Snow, S. A. Soule, & H. Kriesi (Eds.), The Blackwell companion to social movements (pp. 262–293). Malden, MA: Blackwell. DOI: https://doi.org/10.1111/b.9780631226697.2003.00013.x
Terry, L., & Bowman, K. (2019). Outrage and the emotional labour associated with environmental activism among nurses. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14282 DOI: https://doi.org/10.1111/jan.14282
The Philippine Constitution (1987). The Constitution of the Republic of the Philippines. https://www.officialgazette.gov.ph/constitutions/1987-constitution/
Ventola C. L. (2014). Social media and health care professionals: benefits, risks, and best practices. P & T: a peer-reviewed journal for formulary management, 39(7), 491–520.
Wahlström, M. (2011). Taking Control or Losing Control? Activist Narratives of Provocation and Collective Violence. Social Movement Studies, 10(4), 367–385. https://doi.org/10.1080/14742837.2011.614107 DOI: https://doi.org/10.1080/14742837.2011.614107
Yamamoto, M., & Kushin, M. (2014). More Harm Than Good? Online Media Use and Political Disaffection Among College Students in the 2008 Election. Journal of Computer-Mediated Communication. https://doi.org/10.1111/jcc4.12046 DOI: https://doi.org/10.1111/jcc4.12046
Yumol, B.B. (2009). A Humanist Approach to Understanding the Migration of Filipino Nurses to the United States. Texas A&M University
Zhuravskaya, E., Petrova, M., Enikolopov, R. (2020). Political Effects of the Internet and Social Media. Forthcoming in the Annual Review of Economics. https://doi.org/10.2139/ssrn.3439957. DOI: https://doi.org/10.1146/annurev-economics-081919-050239