Monthly Archives: October 2013

Professional use of Twitter and Healthcare Social Media #NPD100

SmartCare-Poster

About the Conference

Peter Carr is an innovative Nurse Lecturer who coordinates the subject NPD100 Health Communications, Research and Informatics for undergraduate nurses at The University of Notre Dame Australia.

Peter, with support from his colleagues and students, has organised the SMART CARE Conference (SMART = Social Media Application for Research and Teaching) hosted by the University of Notre Dame, School of Nursing and Midwifery, Fremantle campus on Friday 25th of October, 2013. More about the conference here: #NPD100 The Conference

The tagline on the poster “#NPD100 The Conference” refers to the neat trick of using the subject code as the hashtag. Such a good idea. Some universities and workplaces still have a stop it or you’ll go blind! kind of attitude towards social media, so it’s very refreshing to see a university subject that so strongly encourages students to utilise social media professionally, to be digital citizens.

It is a terrific honour to be asked to contribute at this conference – I’m very grateful to Peter for asking me along. Together with Kane Guthrie and Marie Ennis O’Connor, we will have time to explore some of the uses of health care social media. To assist the flow of ideas to continue beyond one Friday in Freo, a copy of my #NPD100 SMART CARE Conference presentation is included below.

Professional use of Twitter and Healthcare Social Media

Two Notes in Closing

  1. Regular visitors to meta4RN will recognise the presentation above as having a lot in common with this recent post: meta4RN.com/poster. Yes folks: self-plagarism is alive and well. However, in my defence, the #NPD100 presentation will be able to explore some of these ideas in a lot more detail than the poster version.
  2. Ironically, I’m about to go pretty quiet on social media for a couple of weeks. After spending all week in Perth and Fremantle talking about and using social media, I’m going on holiday in country Western Australia with my lovely partner. On one of the slides above I present balance as being one of the risks of using social media. To manage that risk, there are times when ignoring social media and simply enjoying time with the people you love is the sensible, balanced thing to do. Digital citizens need to be analogue citizens too. :-)

See you in a couple of weeks!

Paul McNamara, 25th October 2013

A Twitter Workshop in Tweets

Monday at the Australian College of Mental Health Nurses (ACMHN) 39th International Mental Health Nursing Conference, we conducted a workshop on Engaging with Social Media. There were three workshop facilitators: Clare Butterfield from Canberra, Communications & Publications Officer (see @ACMHN on Twitter), Paul McNamara (me), Clinical Nurse Consultant from Cairns (see @meta4RN on Twitter) and, our special guest co-facilitator Emily Mignacca (see @emilymignacca on Twitter) graduating student nurse who commences as a RN specialising in mental health early in 2014.

Rather than use a PowerPoint or other traditional presentation method, I wrote the core content of the workshop as a series of Tweets. In real time as the hands-on part of the workshop was in action, we sent the Tweets out from the @ACMHN Twitter account. The Twitter feed on this page twubs.com/ACMHN2013 was projected onto a screen so workshop participants could see the @ACMHN tweets, their own tweets using the conference hashtag and, perhaps most importantly, the comments and interaction from other Twitter users who used #ACMHN2013. It was a successful strategy – I’ll certainly use it again for future workshops on using Twitter.

You are welcome to use all or part of A Twitter Workshop in Tweets below provided you abide by the Creative Commons Licence below. This licence lets others distribute, remix and build upon the work, but only if it is for non-commercial purposes, they credit the original creator and source – Paul McNamara (2013) A Twitter Workshop in Tweets http://meta4RN/tweets – and they license their derivative works under the same terms. You are also welcome to contact me to facilitate/co-facilitate your health care social media workshop.  My email is meta4RN [at symbol] gmail.com

1. Pre-workshop info/publicity

Engaging with Social Media – Clare Butterfield and Paul McNamara Monday 21st October 2013 12:30-2:30pm

Social media allows Collaboration and Partnerships in Mental Health Nursing to transcend time and place: time through collaborative, asynchronous communication; place by being connected to the world’s online clinical communities. This hands-on workshop aims to act as a launching-pad for those who want to turbo-charge the conference theme.

The workshop will be in two parts: The first, briefest part, will introduce four examples of professional use of social media, using Twitter as the primary example. This part of the workshop intends to show participants the value of engaging with social media.

The emphasis will be the second part of the workshop. This will be a hands-on session that will assist participants gain confidence in using Twitter. This part of the workshop intends to equip participants with skills in engaging with social media in a professional capacity. Wifi will be available. Participants are asked to bring:

  • a mobile internet device (eg: smartphone, tablet or laptop computer);
  • knowledge (ie: the relevant passwords) on how to download apps onto your mobile device;
  • for those who already have an established Twitter account, the knowledge (ie: the relevant passwords) on how to access it;
  • a spirit of curiosity and fun!

To reinforce the learning acquired in the workshop, follow-up “skill checks” will be scheduled during conference breaks on Tuesday and Wednesday. Please come along – the workshop facilitators expect it to be a dynamic, fun, enlightening masterclass in engaging with social media.

Emily Mignacca was invited to join in co-facilitating the workshop just a couple of weeks before the workshop. Although Emily missed-out on being named in the pre-conference publicity, her participation on the day was vital. Emily worked hard and did a good job supporting people who were more than twice her age pick-up some of the skills and enthusiasm she has in using social media professionally. You could do worse than follow @emilymignacca on Twitter.

twitter

Below is a list of my pre-composed, pre-ordered tweets for the workshop. There were minor adjustments, inclusions and exclusion made as we went along, but mostly we just sent them out verbatim.

2. #ACMHN2013 Twitter Workshop in Tweets

Creative Commons License
A Twitter Workshop in Tweets by Paul McNamara is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Based on a work at http://meta4RN/tweets.

Before

Please RT to show Twitter’s potential/reach to participants in today’s #ACMHN2013 Engaging with Social Media Workshop

Starting soon: #ACMHN2013 Engaging with Social Media Workshop. Info: http://acmhnconferences.acmhn.org/speakers/ (near bottom: scroll down) #HCSMANZ

No PowerPoint slides at the Engaging with Social Media Workshop. We’re Tweeting the content using this hashtag #ACMHN2013

Warning: HEAPS of #ACMHN2013 Social Media Workshop tweets next 2 hours
To join: http://twubs.com/ACMHN2013
To mute: http://roniweiss.com/2011/05/03/muting-hashtags/

Start

#ACMHN2013 Facilitator 1 of 3: Clare Butterfield @ACMHN Communications and Publications Officer with – Face of ACMHN’s Twitter

#ACMHN2013 Facilitator 2 of 3: Emily Mignacca @emilymignacca GenY/Millennial, Almost-Mental Health Nurse – Future of @ACMHN

#ACMHN2013 Facilitator 3 of 3: Paul McNamara @meta4RN clinical nurse consultant + educator – Fellow of @ACMHN

First-up, a hard-sell on some professional uses of Twitter. For those playing-along at home see http://meta4RN.com/poster #ACMHN2013

What is Twitter’s potential/reach? Here’s a demonstration we prepared earlier https://twitter.com/meta4rn/status/392021423943716866 #ACMHN2013

Here are the results: http://www.symplur.com/healthcare-hashtags/acmhn2013/analytics/?hashtag=acmhn2013&fdate=10%2F17%2F2013&shour=9&smin=0&tdate=10%2F21%2F2013&thour=9&tmin=0&ssec=00&tsec=00&img=1 #ACMHN2013

Enough chin-wagging. Let’s start doing! Go to https://twitter.com/signup to start an account #ACMHN2013

Make a choice now: is this an official, personal or professional twitter account? Mental health nurses know about boundaries, right? #ACMHN2013

Need clarification on official, personal + professional? This Qld Gov site is clear + succinct: http://www.qld.gov.au/web/social-media/policy-guidelines/guidelines/official-use.html#ACMHN2013

On your professional twitter account you’re not representing an organisation, but are primarily talking about work-related stuff #ACMHN2013

Choose a short name (aka “handle”) eg: instead of @BartholomewBonython maybe @BartB #ACMHN2013

Bad news for people without exotic names: @JohnSmith @JSmith + @SmithJ are all taken ;-/ #ACMHN2013

Short names and concise tweets are good. Twitter = Brevity Central #ACMHN2013

Struggling deciding on a name? Get creative! Example: a nerdy mental health nurse might be @MHnerse #ACMHN2013

Or… a graduating student nurse might be @SN2RN #ACMHN2013

Don’t use your workplace name/initials unless you’re 100% sure you’re representing your employer rather than your professional self #ACMHN2013

That’s why I’m @meta4RN rather than @QueenslandHealthRN – there’s a BIG difference in implications/expectations #ACMHN2013

Think about how you’ll describe yourself in your Twitter bio. Do you need to name your employer? It might be easier if you don’t. #ACMHN2013

Twitter bios accommodate a bit of personality along with a description of you/your interests #ACMHN2013

Re bio: maybe better not to say “lost virginity to a rockstar”, but “enthusiastically supporting musicians” would be OK :-) #ACMHN2013

Professional doesn’t have to be boring #ACMHN2013

Still nervous re the name/bio thing? You’ll get away with being anonymous, but why? On the run? Witness protection program? #ACMHN2013

And a pic. You’ll need a pic. Eggs repel followers. #truefact #ACMHN2013

Your pic doesn’t have to be a photo. There are avatars available online PRN. eg: http://www.twittergallery.com/?p=1985 #ACMHN2013

DON’T BE AN EGG! #ACMHN2013

Right. When you’re ready, announce your arrival to the Twitterverse. No pressure: channel Neil Armstrong. #ACMHN2013

Oh, and use the conference hashtag so we can see your tweet on the #ACMHN2013 screen

Next up you’ll want to start following some people, otherwise your Twitter feed will be bare, and you will get sad, lonely and bored :-( #ACMHN2013

Who to follow? We can start with each other – a learn as we go thing #ACMHN2013

Twitter is not like Facebook. It is perfectly acceptable, not at all stalker-ish, to follow a complete stranger. #ACMHN2013

#ACMHN2013 Also, if you want to see who else is active in health care social media in Aus/NZ sus-out this hashtag: #HCSMANZ

#ACMHN2013 @nurse_w_glasses is a rockstar amongst social-media-mental-health-nurses: well worth following.

While we’re looking at who to follow, sus out the #WeNurses + #OzNurses hashtags – anyone/anything of interest? #ACMHN2013

If so, you may want to follow that person and/or retweet (ie: share) their tweet. #ACMHN2013

RT = ReTweet
MT = Modified Tweet
HT = HatTip/HeardThrough
More about Twitterisms here http://meta4RN.com/FF #ACMHN2013

Now, about hashtags… don’t be intimidated. You can use Twitter happily with never using one in your whole life #ACMHN2013 BUT…

Hashtags pull disparate conversations and people together. Like at this mental health nursing conference, for instance #ACMHN2013

Eg: even if you had the most incisive political tweet ever created, QandA viewers wouldn’t know about it without the #QandA hashtag #ACMHN2013

The hashtag thing can be fiddly at first. For the #ACMHN2013 conference this site makes it REALLY easy: http://twubs.com/ACMHN2013

Create your own hashtags, BUT learn from the Susan Boyle album launch hashtag: #susanalbumparty can be read 2 ways :-) #ACMHN2013

So, what to Tweet about? Anything that you think is relevant to people who may share all or some of your interests #ACMHN2013

Remember: the conventions of professional communication are long-established: letters, email etc. Why change it on Twitter? #ACMHN2013

Now, let’s pause and have a look at the @acn_tweet / RCNA (2011) Social Media Guidelines for Nurses http://www.rcna.org.au/WCM/Images/RCNA_website/Files%20for%20upload%20and%20link/rcna_social_media_guidelines_for_nurses.pdf #ACMHN2013

While we’re at it, let’s have a look at the @NurMidBoardAust guidelines too http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD10%2F3224&dbid=AP&chksum=qhog9%2FUCgKdssFmA0XnBlA%3D%3D #ACMHN2013

Any surprises or comments about the social media guidelines? #ACMHN2013

#ACMHN2013 The guidelines are pretty common-sense stuff. Maybe this flowchart is all we need

SoMeFlowchart

On a mobile device? Install an app, eg: Twitter https://about.twitter.com/download #ACMHN2013

On a mobile device? Install an app, eg: HootSuite https://hootsuite.com/features/mobile-apps #ACMHN2013

On a mobile device? Install an app, eg: Tapbot http://tapbots.com/software/tweetbot/ #ACMHN2013

Probably the easiest way to learn Twitter is to follow people who have already learned Twitter. Stick with it – it’ll click in. #ACMHN2013

Do unto others. #TwitterTips #ACMHN2013

#TwitterTips #ACMHN2013 Be careful mixing personal and professional. Boundaries are important.

#TwitterTips #ACMHN2013 You already know about confidentiality; if you’re doing confidentiality wrong online it will definitely get spotted.

#TwitterTips #ACMHN2013 Naturally, you would NEVER give individual or detailed clinical advice on Twitter.

#TwitterTips #ACMHN2013 Generalised info is fine, eg: Getting great feedback from consumers about the @mindhealthc site http://www.mindhealthconnect.org.au

#TwitterTips #ACMHN2013 Try not to act like a dickhead. Also, don’t use words like “dickhead” – it’s unprofessional. #TwitterTips #ACMHN2013

#TwitterTips #ACMHN2013 Apologise if you do/say something stupid. BTW sorry for saying “dickhead” before.

#TwitterTips #ACMHN2013 Twitter spam is especially good at playing on the insecurities of newbies, so be vigilant + don’t click dodgy links.

#TwitterTips #ACMHN2013 Spam example 1:
This person is saying horrible things about you www.dodgylink.com DON’T CLICK!

#TwitterTips #ACMHN2013 Spam example 2:
This photo of you! LOL www.dodgylink.com DON’T CLICK!

#TwitterTips #ACMHN2013 Mostly you won’t Tweet from/about your workplace… you’ll have your work to do.

#TwitterTips #ACMHN2013 There may be an occasional exception to the workplace rule, eg: Gammin Hospital Christmas decorations are fabulous!

#TwitterTips #ACMHN2013 Would your patients or boss be offended by that photo? Yes = Delete. No = Tweet.

Finish

#TwitterTips #ACMHN2013 RT @charleneli: Twitter is not a technology. It’s a conversation. And it’s happening with or without you.

#TwitterTips #ACMHN2013 No need to worry about forgetting today’s workshop, it’s all here: http://meta4RN/tweets

#TwitterTips #ACMHN2013 Connect. Be generous. Have fun.

Creative Commons License
A Twitter Workshop in Tweets by Paul McNamara is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Based on a work at http://meta4RN/tweets.

As always, your comments and feedback is welcome. Please use the comment facility below.

Paul McNamara, 23rd October 2013

Professional use of Twitter (my #ACMHN2013 conference poster)

At the Australian College of Mental Health Nurses 39th International Mental Health Nursing Conference (Perth, 22nd-24th October 2013) there are three poster presentations (no oral presentations) regarding social media:

  1. Utilising social media collaboratively to strengthen interdisciplinary understanding and networking (Zara Mills)
  2. Twitter: a contemporary nursing conversation tool (Rhonda Wilson)
  3. Turbocharging mental health nursing collaboration and partnerships: professional use of Twitter (me)

Social media is a good fit for the conference theme “Collaboration and Partnerships in Mental Health Nursing” (hence the full name of my presentation). There are many examples of nurses acting as “digital citizens“, reflecting the ever-changing practice domains and the importance of partnerships to the nursing professions. My poster presentation cites four examples of nurses embracing social media, adapting content that I have accrued on my blog and presented as the closing plenary session at the ACMHN Consultation Liaison / Perinatal Infant Mental Health Nurses Conference in June 2013.

Anyway, with no further ado, here’s a breakdown of my poster presentation for the conference with the #ACMHN2013 Twitter hashtag:

Abstract 

Working in partnership with consumers, carers and colleagues is part of mental health nursing’s heritage. Over time we have adapted this collaborative approach to the technologies available to us. For example, telephones and videoconferencing are commonly used to establish and maintain therapeutic and professional relationships by mental health nurses. Yet, for some of us, there seems to be hesitation to use one of the technologies of our time – social media – in a similarly confident manner.

This presentation will make a clear distinction between official, personal and professional use of social media. Using case studies, four specific examples of professional use of Twitter will be presented, covering these aspects of mental health nursing:

  • mental health promotion
  • sharing mental health nursing conference information and innovations
  • collaborative multi-national discussions re contemporary issues
  • enhancing education

Referring to these examples, the argument will be made that professional social media participation builds collegial relationships and enhances the profile of mental health nursing.

Those baffled or intimidated by social media are strongly encouraged to attend, as are those interested in exploring ways mental health nurses can use social media to turbocharge our collaboration and partnerships.

The abstract was submitted as an oral presentation, but accepted as a poster presentation. I used many (not all) of the ideas found in Colin Purrington’s enlightening and entertaining blog post “Designing conference posters“. The post was divided into into four parts, each part giving different examples of nurses embracing social media. Those four parts are presented separately below:

1. Health Promotion

1

#bePNDaware and Postnatal Depression Awareness Week 2012

Hashtags mark keywords or topics. This facilitates information sharing: clicking on a hashtag will lead you to other tweets with that same hashtag.

As a health promotion strategy, #bePNDaware was the designated Twitter hashtag for Postnatal Depression Awareness Week 2012. This facilitated the sharing of resources, information and support across a variety of agencies and individuals.

Data

From midnight beginning Thursday 8th November 2012 to midnight ending Sunday 25th November 2012 (Cairns time) using the #bePNDaware hashtag there were:

  • 250 Twitter participants
  • 928 tweets
  • 3 of the most prolific Twitter accounts represented mental health nursing
  • the “impressions” (potential number of views) was over 1,500,000

So what?

Australia’s National Perinatal Depression Initiative (NPDI) cites improved community awareness as one of the key performance indicators for the success of the NPDI.

As the data demonstrates, Twitter provides a vehicle for active participation in health promotion activities with a very large reach.

Social media health promotion is an example of effectively using the internet. Some nurses are “digital citizens” who use the internet to curate and share health-related information.

For further data analysis and information about this example, please visit meta4RN.com/bePNDaware

2. Sharing Conference Information

2

Case Study: The Reach of One Tweet

A key purpose of health care conferences is to share information and professional values. Can social media play a role in this?

Below is a tweet of a statement made during a presentation at a small Consultation Liaison and Perinatal Infant Mental Health Nurse conference held in June 2013. The presenter’s message went beyond the 70 people attending the conference in a small Queensland regional city, and reached many thousands of people elsewhere in Australia and internationally.

Data

579 = the number of people following the @meta4RN Twitter account in June 2013. So, that one tweet could have been seen by up to 579 people/organisations.

That single tweet was retweeted (ie: shared/passed-on) by five other Twitter accounts, each with their own group of followers, thus:

  • 9712 following @nurse_w_glasses
  • 8433 following @yayayarndiva
  • 1969 following @ClaudiaNichols
  • 1403 following @HR1529
  • 178 following @SameiHuda
  • + 579 following @meta4RN
  • = 22, 274 impressions (potential views).

This conference tweet had an audience over 300 times larger than the conference audience.

Data: Three Nurse Conferences on Twitter

  • Consultation Liaison & Perinatal Infant ACMHN Conference
    • Noosa
    • June 2013
    • Approx 70 delegates
    • Conference Hashtag = #ACMHN
    • 125,794 Twitter Impressions
    • 141 Tweets
    • 26 Twitter Participants
  • Australian College of Mental Health Nurses 38th International Mental Health Nursing Conference
    • Darwin
    • October 2012
    • Approx 700 Delegates
    • Conference Hashtag = #ACMHN2012
    • 395,557 Twitter Impressions
    • 586 Tweets
    • 38 Twitter Participants
  • International Council of Nurses (ICN) 25th Quadrennial Congress
    • Melbourne
    • May 2013
    • Approx 4000 delegates
    • Conference Hashtag = #ICNAust2013
    • 2,201,098 Twitter Impressions
    • 3,764 Tweets
    • 288 Twitter Participants

For more information about these examples, please visit

3. Discuss Important Issues

3

Case Study: #WeNurses Twitter Chat

Planned Twitter discussions (those with a designated time and topic) are known as “chats”.

On 21st December 2012 (Cairns time) nurses from the United Kingdom and Australia came together on Twitter to discuss issues raised by the highly publicised suicide of a colleague. During this chat 33 participants used the #WeNurses hashtag. There were 360 tweets, and the impressions (aka “TweetReach”) of the chat was well in excess of one million views.

The structure of the discussion and the issues that emerged are as below:

  • Preliminary Information
    • Introductions
    • Setting the Tone
  • Theme: Communication & Confidentiality
    • Patients and Mobile Phones.
    • Social Media
    • Individualising Communication & Confidentiality
    • WiFi for Hospital Patients
  • Theme: Compassion
    • Prank Call
    • Targeted Crisis Support
    • Clinical Supervision
    • Supportive Workplaces
    • Preventative/Early-Intervention Resources
    • “The 6Cs” (Care, Compassion, Competence, Communication, Courage & Commitment)
    • Integrating Defusing Emotions into Clinical Practice
  • Finishing-Up
    • Key Learnings
    • Closing Remarks
    • Farewells

Outcome

Nurses from opposite sides of the world utilised a high-profile social media platform to engage in a conversation about the high-media-profile suicide of a nurse. Unlike much of the commentary on both social media and mainstream media, the #WeNurses discussion was conducted professionally, calmly, and with thoughtfulness and grace.

For a curated transcript of the discussion and more information about this example, please visit meta4RN.com/WeNurses

4. Enhance and Amplify Education Sessions

4

The Experiment

A perinatal mental health workshop on 8th February 2013 also served as an experiment in using Twitter to bookmark and share resources. Using HootSuite 19 scheduled tweets with the #bePNDaware hashtag were sent from the @meta4RN Twitter account before or during the workshop. Additionally, one tweet was sent during a break and one after the workshop had finished (ie: 21 tweets in total). The scheduling of tweets allowed the facilitator to be fully present during the workshop, while simultaneously making links to the resources/topics discussed in the workshop readily available to workshop participants and a broader audience.

Data

9 Twitter accounts other than @meta4RN retweeted 6 of the original tweets; one tweet re Clinical Practice Guidelines was retweeted 3 times. Between 7:00am and 7:00pm on 8th February 2013 (Cairns time) there were 30 workshop-related tweets which, through the amplifying effects of social media, had 17,784 impressions.

Outcome

The links shared on Twitter had a theoretical/potential reach of 17,784 people. This is in stark contrast to the number of participants who attended the perinatal mental health workshop face-to-face that day: 4 people.

For references, more information and a short video about this example, please visit meta4RN.com/workshop

Four Versions of the Poster

1. Portable Document Format (PDF) pdficon

meta4rn.files.wordpress.com/2013/09/twitterposter.pdf

2. Picture (JPG)

3. Prezi (online presentation) prezi.com/user/meta4RN

4. YouTube (animated online presentation) youtube.com/meta4RN

The YouTube version was made in four steps

  1. Visual content assembled and arranged using Prezi
  2. The track “Sevastopol” generously provided royalty-free by mobygratis
  3. Vision and sound captured and melded using Screenflow
  4. Completed video uploaded to YouTube

Citations (this section added on 9th November 2013)

Sometimes it is useful to be able to cite references that carry more prestige than this blog page (short IRL = meta4RN.com/poster), well have I got a deal for you! Because the poster was presented at the ACMHN conference it was accepted into the book of abstracts published by the IJMHN, this allows you to cite this content thus:

McNamara, P. (2013) Turbocharging mental health nursing collaboration and partnerships: Professional use of twitter (poster, Australian College of Mental Health Nursing 39th International Mental Health Nursing Conference – Collaboration and Partnership in Mental Health Nursing). International Journal of Mental Health Nursing, volume 22, Issue Supplement S1,  page 22.  doi: 10.1111/inm.12047 http://onlinelibrary.wiley.com/doi/10.1111/inm.2013.22.issue-s1/issuetoc

Also, snippets of this content made there way into a paper recently accepted into another nursing journal. If you can get access to the full content via your employer/university (otherwise there’s a paywall) you will find info that reflects some of this blog post. The paper is currently in press, so the citation will change from this in coming weeks/months:

Wilson, R., Ranse, J., Cashin, A. & McNamara, P. (2013) Nurses and Twitter: The good, the bad, and the reluctant. Collegian (Royal College of Nursing, Australia), 4 November 2013 (DOI: 10.1016/j.colegn.2013.09.003) http://www.collegianjournal.com/article/S1322-7696(13)00090-5/abstract

End

That’s it. Thanks for dropping by. As always, you’re welcome to leave comments/feedback below.

Paul McNamara, 1st October 2013