NURSING THE INTERNET: A CASE STUDY OF NURSES' USE OF
COMPUTER-MEDIATED COMMUNICATIONS - Peter J. Murray

CHAPTER 3

COMMUNICATIONS ON THE INTERNET

Introduction

computing is a cultural and social phenomenon as well as a technical one Taylor (1990:34)

While I do not intend to provide a detailed description of the Internet, its history, available resources, or the, often hyped, potential for its future use, in order to understand the context of the study, some background information is necessary (Porter 1993b). After a short historical section, different types of CMC will be briefly discussed (note 1).
 

A brief history of the Internet

The Internet, only 25 years old was 'born' on September 1, 1969, when a computer at University College of Los Angeles (UCLA) transmitted information to three remote sites (Jul 1992). It started as a network of American defence computers, the ARPAnet, designed to allow the automatic rerouting of communications in the event of nuclear war or other disruptions rendering part of the network non-functional (Hoffman 1994, Krol 1993).

With the linking of increasing numbers of academic sites, the structure and use changed radically, so that most of today's traffic has nothing to do with military work. The Internet expanded, through "academic institutions sharing research results, [evolving] into a medium for mixed academic, commercial, and personal uses" (Hoffman 1994:2), and became today's 'network of networks' (Laporte 1994, Schneider 1993). Three phases in this evolution have been identified (Gates 1993). From the mid-1970s to 80s, with a small group of researchers, linked by computer networks, it grew in the mid-1980s to early 1990s into almost a club. It became the domain of academic computing professionals, and the Internet as we now know it emerged, with networks of universities tied together by the 'backbone' of the National Science Foundation (NSF) net. From the early 1990s onwards, Gates (1993) sees the Internet having become a community, with millions of disparate users (including many nurses) having access to the facilities.

Much of the traffic on the Internet involves the retrieval of computer files from remote sites, for example accessing the International Nursing Library (Schneider 1993). However, a considerable proportion of the network traffic involves person-to-person communication, via e-mail, computer conferences, and discussion lists.
 

Computer-mediated communications

The term computer-mediated communication (CMC) encompasses a number of similar methods, including computer conferencing, e-mail and the use of listservers. It allows for the development of communication and co-operation between groups of people that is not restricted by geographical or temporal proximity (Lyness & Raimond 1992), but based on shared expertise or interest. It is suggested, however, that high demands are put on participants in CMC, in terms of effort required to produce coherent messages, and "effectively couple the text and context of a message" (McCarthy et al 1992:268).
 

Electronic mail (e-mail)

E-mail, we say, is like a phone call, only written...a paperless letter, but faster...a casual conversation, or a postcard...It's all of the above, and, considering its ethereal nature, none of them; whoever has printed out a pleasing e-mail message discovers that on the page it is rendered lifeless, like an exquisite tropical fish removed from its tank. Leslie (1993)

E-mail (electronic mail) describes an asynchronous, text-based electronic message (Rapaport 1991, Sproull & Keisler 1986), rapidly, and often informally (Watson 1994), sent from one individual to one or more recipients, over a computer network. It consists of two parts, a header (akin to an addressed envelope), and the content (Dippold 1994). The header is essential for delivery (and has some value in establishing context), but the content is, for most people, and for the purposes of this study, the important part.

Its textuality (similarity to either speech or writing), and the presence of different genres, are matters of some discussion (Yates 1994). It has advantages over what aficionados term 'snail-mail', as it can be sent round the world and received in seconds, allowing multiple messages to be sent in a very short time period, and over telephone communication of being available for reading at a time convenient to the recipient. Studies of business organisations' use of e-mail have found that many workers use it to contact even geographically close colleagues, seeing it being more efficient that unanswered phone calls and fruitless walks to empty offices (Walther 1992).

Proposals have been developed for formal guidelines, "netiquette", on use of e-mail, especially in view of the potential for misunderstandings, given its text-based nature, and the absence of phatic aspects, issues that will be further discussed in Chapter 4.5. Conventions that have developed through actual use include covering only one topic in a message, avoidance of "flaming" (excessive abusive or obscene language), the effect of using capitals to simulate shouting, and the use of emoticons or "smileys" to convey phatic aspects (Updegrove 1991).
 

Computer conferences

Much of the published work discussing CMC has focused on the analysis of computer conferences (e.g. Mason 1989). While sharing many similar features with e-mail, their essential differences are in providing one-to-many communication (Laurillard 1993), and usually of being formatted so as to address single issues. They have been described as the "electronic equivalent of face-to-face meetings" (Emms & McConnell 1988:264), and Mason (1989:29) sees them as "interactive and 'autonomy-enhancing' communications" when used for educational purposes.

Computer conferences may occur in real-time, as FTF conferences, but are usually asynchronous. They are usually moderated, can last a short time or for many months, and may be open to many participants or to a restricted group (Taylor 1990).
 

Lists

The case in this study is a list, specifically the Nursenet list. List systems developed as methods for automatically redistributing to all subscribers, who usually form a special interest group (Paxton 1994, Sparks 1993, Sullivan 1993), e-mail sent to the system.

Lists share many features of both e-mail and computer conferencing, by allowing one-to-many communication (Kaye 1991). However, as will be seen in later discussion, while conferences are usually subdivided into specific topic areas, no such division occurs on a list, so frequently several themes are being discussed simultaneously. Kaye (1991:6) has likened CMC of this type to a "virtual seminar", wherein "a small group of articulate peers exchange ideas and information over a period of several months, in a text-based mode entirely free of any time or place constraints".

While important differences currently exist between the forms of CMC, some believe that the distinctions are diminishing with the development of increasingly sophisticated software (Keisler 1991).
 

Nursing on the Internet

Several authors have described the range of specifically nursing-related resources available on the Internet and methods of accessing them (Anthony 1994b, Bowles 1994, Brink 1989, DeVillier 1988, Nicoll 1993, 1994a-d, Schneider 1993, Sparks 1992, Taira 1993). They include on-line databases and similar facilities, such as the Virginia Henderson International Nursing Library and the Sigma Theta Tau Library in USA, and a variety of nursing-related lists, including Nursenet, Nurse-UK, NurseRes, NurseEd, Nightingale, Nrsing-l (informatics). In addition to accessing the lists, using e-mail, and browsing on-line databases, nurses can use a variety of software tools, called file transfer protocols (ftp) to receive files from distant sites (Taira 1993).

Now that the range of facilities on the Internet has been briefly described, the next chapter reviews selected aspects of the literature discussing CMC.

Chapter 2

Chapter 4

Contents

Copyright: Peter J. Murray 1996, 1997, 2000

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Last updated 23 June 2000 (contact email address changed; previous address on longer valid; previous job affiliation deleted)
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