education or making referrals to community resources that will allow all patients to get
connected, digitally speaking.
This surge of patient involvement is also heavily driven by the use of social media (SM) tools
(
Lee and Whitley, 2014; Prybutok and Ryan, 2015; Tse et
al., 2015
). Formal and informal online
patient networks are plentiful and the use of tools, such as hashtags, provides streamlined
opportunities to share experiences, questions, and concerns. Patients are also increasingly using
SM as a health information tool (
Fernandez-Luque and Bau, 2015
), a development that will have
significant implications for nursing practice. Nurses must have an in-depth understanding of how
information is aggregated and distributed through SM (
Risling, 2016
). Current patient education
skills related to accessing health information on-line should be expanded to allow for further
assessment of patients’ digital literacy skills and networked connections. Future clinicians can
collaborate with patients to minimize risk related to erroneous information circulated through
SM and connect patients into reliable networks to enhance positive support mechanisms.
Patients are not the only ones who can benefit from SM. Nurses should be well versed in the
professional benefits of these tools (
Risling, 2016
), such as the creation of personal learning
networks (PLNs) (
Farrelly, 2014
). Already there are concerns about digital overload and burnout

in relation to our technology driven environments and this is only likely to intensify. PLNs and
other tools for filtering internet information can support nurses in retrieving the best evidence
and information available. Nursing organizations, healthcare and academic institutions,
publishers, non-profits, and a host of other healthcare agencies are already engaged in the use of
SM. Although the ongoing importance of these networks remains to be seen, it seems very likely
that SM will emerge as significant factor in nursing practice in the coming years.
6. Curricular supports for a nursing future
Each of these trends requires a shift in how nursing prepares future generations of practitioners
and these are only a few areas where technological change is imminent. However, a technology
infused healthcare future does not require a complete transformation of nursing education
practices. Nursing has always required competencies that are essential to supporting sound
technology based practice such as clinical knowledge and skills, therapeutic communication,
patience (
van Houwelingen et
al., 2016
), and foundational critical thinking and problem solving
abilities. In their recent research,
van Houwelingen et
al. (2016)
also identified several unique
technological competencies that should be demonstrable by nursing graduates today. Many of
these skills align with key informatics competencies identified by groups such as TIGER
and
CASN (2015)
and include a basic familiarity with a host of varying digital tools and
information formats. The use of computers and smart devices (phones or tablets), electronic

