社论：精神健康护士参与社交媒体和相关新兴技术的持续重要性

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‍As the new Social Media Editor for the International Journal of Mental Health Nursing (RW), I would like to pay respect to my predecessor, the inaugural Social Media Editor, Mr. Paul McNamara. We are grateful for his 10 years of social media leadership with this journal and of the impact that has been apparent (McNamara, 2022). Social media has proved to be a vital platform for amplifying the voice of mental health nurses worldwide and in sharing our scientific and practice knowledge (McNamara & Usher, 2019).

作为《国际心理健康护理杂志》（RW）的新任社交媒体编辑，我想向我的前任，首任社交媒体编辑保罗·麦克纳马拉先生表示敬意。我们感谢他10年来对本杂志的社交媒体领导以及所产生的明显影响（麦克纳马拉， 2022）。社交媒体已被证明是一个重要的平台，可以放大全球精神卫生护士的声音，分享我们的科学和实践知识（McNamara&Usher， 2019）。

TECHNOLOGY CONTINUES TO TRANSFORM

技术持续变革

As mental health nurses, we have engaged with social media strategically for some time through establishing professional networks that extend beyond the local and regional, enabling and reinforcing a wider global dialogue (Wilson et al., 2014; Wilson & Armstrong, 2016). We have used it to strengthen our practice as educators, scientists, and clinicians (Cronin et al., 2020; McNamara, 2021; Usher et al., 2014; Wilson & Usher, 2017). As technology continues to transform, it reveals expanded capacity and capabilities, and it is inevitable that we will continue to see innovative implementation, and leadership evolving within our discipline.

作为心理健康护士，我们通过建立超越地方和区域的专业网络，战略性地参与社交媒体已有一段时间，从而促成并加强了更广泛的全球对话（Wilson等人，& nbsp; 2014 ;威尔逊& 阿姆斯特朗 2016 ）.我们已经用它来加强我们作为教育工作者、科学家和临床医生的实践（Cronin et al.，& nbsp; 2020 麦克纳马拉， 2021 ; Usher等人，以及nbsp; 2014 ;威尔逊& 招待员 2017 ）.随着技术的不断变革，它揭示了扩展的容量和能力，不可避免的是，我们将继续看到创新的实施，以及领导能力在我们的学科中不断发展。

In today's digital age, social media is an integral part of our lives. Even if we are not aware of it, our mobile phones listen to us and track our online activity, frequently resulting in unsolicited tailored advertisements and offers aligned to our interests (Wilson et al., 2023). Social media platforms such as Facebook and Twitter have been around for nearly two decades, while the rise of wearable technology and the Internet of Things has enabled our devices to be more integrated and convenient to use (Higgins et al., 2023a). Additionally, integration of Artificial Intelligence (AI) with social media has revolutionized communication, accommodating instant language translation and human-like chatbots (Higgins et al., 2023b). Perhaps, there is no better example of the speed at which technology has seen expansive popular uptake than through the introduction of ChatGPT [a service within the OpenAI software brand] in November 2023, who themselves tweeted that they achieved 1 million users in just 5 days (see Figure 1). It is apparent that social media is entering a new transformative era, and that AI will rapidly accelerate the continued digital evolution. The discipline of mental health nursing should position itself to be ready to take advantage of the benefits on offer, and to address any limitations that may arise as a consequence.

在当今的数字时代，社交媒体是我们生活中不可或缺的一部分。即使我们没有意识到，我们的移动电话也会监听我们并跟踪我们的在线活动，经常导致主动提供的定制广告和与我们的兴趣一致的优惠（Wilson等人，& nbsp; 2023 ）. Facebook和Twitter等社交媒体平台已经存在了近二十年，而可穿戴技术和物联网的兴起使我们的设备更加集成和方便使用（Higgins等人，& nbsp; 小行星2023 ）.此外，人工智能（AI）与社交媒体的整合已经彻底改变了通信，适应即时语言翻译和类人聊天机器人（Higgins等人，& nbsp; 小行星2023 ）.也许，没有比2023年11月推出ChatGPT（OpenAI软件品牌内的一项服务）更能说明技术被广泛接受的速度了，ChatGPT自己在推特上说，他们在短短5天内就获得了100万用户（见图 1）.显然，社交媒体正在进入一个新的变革时代，AI将迅速加速持续的数字化演进。心理健康护理的学科应该定位自己准备利用所提供的好处，并解决任何限制，可能会出现的后果。

FIGURE 1

Tweet by @ChatGPT 19 January 2023.

DIGITAL DISADVANTAGE AND OUR ROLES AS ADVOCATES

数字劣势与我们的倡导者角色

As mental health nurses, it is imperative that we understand the strengths and risks associated with social media and technology use, as occasionally, the people we care for may experience problematic technology use that can adversely impact their mental health (Luengo-González et al., 2022). Our own experiences with social media, as end-users, allow us to participate in the public discourse surrounding mental health, with Usher and Jackson (2023) providing us with a recent example, noting their observations about the way social media had been used in the public grieving context. As social media users, mental health nurses have an opportunity to promote accessibility and equity to reach vulnerable or priority populations that may otherwise be digitally disadvantaged. Thus, we can ensure our voices of advocacy are represented in the digital and wider community, amongst developers, and across policy and political domains to support our service users' needs (Wilson et al., 2023).

作为心理健康护士，我们必须了解社交媒体和技术使用的优势和风险，因为偶尔，我们护理的人可能会遇到技术使用问题，这可能会对他们的心理健康产生不利影响（Luengo-González等人，& 2022年）。 2022 ).作为最终用户，我们自己在社交媒体上的经验使我们能够参与到围绕心理健康的公共讨论中，Usher和Jackson（2023）为我们提供了一个最近的例子，指出了他们对社交媒体在公共悲伤背景下使用方式的观察。  ( 2023 ) providing us with a recent example, noting their observations about the way social media had been used in the public grieving context.作为社交媒体用户，心理健康护士有机会促进无障碍和公平，以接触弱势或优先人群，否则可能处于数字劣势。因此，我们可以确保我们的倡导之声在数字和更广泛的社区中、在开发人员中以及在政策和政治领域中得到体现，以支持我们的服务用户的需求（Wilson等人，& 2023年）。 2023 ).

PROS AND CONS

利与弊

AI services, for example ChatGPT (2023), will offer opportunities to extend and enhance our practice. One of the major advantages of this technology is its ability to understand natural language interactions (Aljanabi et al., 2023). There are pros and cons to consider, and as such, human critical clinical judgement by mental health nurses will always be essential as an implementation consideration. With this caveat in mind, who better to explain the benefits of technology, such as ChatGPT, than ChatGPT itself. We asked ChatGPT to: ‘write an instructional guide demonstrating the pros and cons of using ChatGPT in the mental health nursing practice context’. The response generated is shown in Figure 2. It is noteworthy that even ChatGPT ‘confesses’ that it is not a substitute for human expertise and should not be used as a sole source of information.

人工智能服务，例如ChatGPT（2023），将提供扩展和增强我们实践的机会。  ( 2023 ), will offer opportunities to extend and enhance our practice.该技术的主要优点之一是其理解自然语言交互的能力（Aljanabi等人，& 2023年）。 2023 ).有利弊要考虑，因此，人类的关键临床判断，由精神卫生护士将永远是必不可少的，作为一个实施考虑。考虑到这一点，谁能比ChatGPT本身更好地解释技术（如ChatGPT）的好处呢？我们要求ChatGPT："编写一份指导指南，演示在心理健康护理实践环境中使用ChatGPT的利弊"。生成的响应如图2所示。 2 .值得注意的是，就连ChatGPT也"承认"，它不能替代人类的专业知识，不应作为唯一的信息来源。

FIGURE 2

ChatGPT generated response weighing up the pros and cons of ChatGPT in mental health nursing practice context.

END-USERS AND SERVICE USERS

最终用户和服务用户

A person-centred approach to mental health care requires us to meet people wherever they are situated, and this must increasing include virtual or digital environments, in addition to familiar and traditional physical environments (Wilson, 2020). Many mental health nursing services can be delivered in a range of modes: face-to-face, virtually and/or a hybrid mixed-mode format with the integration of video, audio, and text-based communication. As mental health nurses, we must ensure that our perspectives as technology end-users are not omitted from the ad hoc training and discussions surrounding AI and social media implementation in our settings, because our advocacy (or lack of) can positively and/or negatively impact the quality of life for mental health service users (Wilson et al., 2023). As always, the wellbeing and safety of our service users must be our priority.

以人为本的精神卫生保健方法要求我们满足人们的需求，无论他们身处何地，除了熟悉和传统的物理环境外，这必须越来越多地包括虚拟或数字环境（Wilson，2020）。 2020 ).许多心理健康护理服务可以通过一系列模式提供：面对面、虚拟和/或具有视频、音频和基于文本的通信的集成的混合混合模式格式。作为心理健康护士，我们必须确保我们作为技术终端用户的观点不会被忽略在我们环境中围绕人工智能和社交媒体实施的特别培训和讨论中，因为我们的倡导（或缺乏）会对心理健康服务用户的生活质量产生积极和/或消极影响（Wilson等人，& 2023年）。 2023 ).一如既往，我们的服务用户的福祉和安全必须是我们的首要任务。

CONCLUSION

结语

In conclusion, social media is already an integral part of our lives and within many aspects of mental health policy and practice. As mental health nurses, we must carefully reflect on our biases, dominant sentiment, decisions, actions and narrative about our engagement (or not) with social media, and emerging technologies, to ensure that our considered perspectives and expertise are included, and amplified, in ongoing public discourse. It is important that we contribute to discussion about the adequacy of design and continue to influence ongoing development, and clinical solutions that are suitable for contemporary mental health care for people who require it.

总之，社交媒体已经成为我们生活中不可或缺的一部分，也是心理健康政策和实践的许多方面。作为心理健康护士，我们必须仔细反思我们对参与度（或不参与）社交媒体和新兴技术的偏见、主导情绪、决定、行动和叙述，以确保我们经过深思熟虑的观点和专业知识被纳入正在进行的公共话语中，并得到放大。重要的是，我们要参与关于设计充分性的讨论，并继续影响正在进行的开发，以及适合当代精神卫生保健需要者的临床解决方案。

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