Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. A potential resource within HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION the model incorporates two axes: individual-group and humanistic-group with four care (knowledge) domains - Sciences, Interpersonal, Political and Social. Follow the development of a new website using Drupal as I commence post graduate distance-learning studies in January 2014. See our bibliography, archive and please do get in touch. Welcome.

Saturday, September 13, 2014

In political hands person-centred care is a quantum phenomena (entanglement)

humanistic ------------------------------------------- mechanistic
Acute mental health needs

Local care?
empowering the individual?
cognitive distance
Let therapy commence
Cognitive distance?
Organisational (distance) dementia?

personal hygiene
domestic environment


metrics: Km or Miles or time?
Gallons or Litres?
To say nothing of cost?
Illusory savings?

 Harm to others

to integrated care 
multidisciplinary care


Lintern, S. (2014) Mental health patients sent hundreds of miles for a bed, HSJ, 14 August.

Beds shortage = Gathered Sobs
Mental Health = Lethal Anthem?
Mental health = Lean Halt Them

Bed image:
By kieran jones (http://www.clker.com/clipart-bed-icon.html) [Public domain], via Wikimedia Commons

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Thursday, September 11, 2014

Technologies for Development: Project - founding ideas

Reading the website of the project (posted yesterday) I noticed that their founding ideas can be mapped to Hodges' model. As depicted below some are pretty obvious, notably the POLITICAL domain and the SOCIOLOGICAL.

Their first founding idea is placed in the interpersonal domain. This is very subjective exercise - literally playing with words - but here I am prioritizing individual cognitive access above physical access. I am thinking of individual participants. As Nanotechnologies for Development state the first idea also focuses on countries - the group. So maybe I am wrong, if there is a wrong when using models - idealisations - in this way?

Staying with the group, access and participation are also a crucial matter of human rights - education, health information, health and social care, employment, freedoms, and security - freedom from violence, unlawful imprisonment...

These founding ideas clearly denote underpinning values, note in-particular the way risks and benefits are included at the individual and the group level.

In the SCIENCES domain from the beginning acknowledges time, process, project management. Nanotechnology needs to be understood in terms of the environments we inhabit. Not just us, now; but grandchildren... too. Not just the physical environment, but that embodied under and within this other divide: skin.

Within the mechanistic domains how will consultation about benefits and risks be negotiated and communicated to the humanistic domains?

How will the individual - group : community - commercial enterprise and innovation be squared?
This individual-group distinction is becoming ever more significant - of which more to follow.

humanistic ------------------------------------------- mechanistic
The first founding idea of this project is that developing countries should not be denied participation in advanced modern technologies.The third core idea is that such developments entail risks and benefits that need to be addressed from the beginning.
The second that they should do that in their own culturally-specific ways. Our approach rejects any a priori distinction between traditional and modern technologies, but rather seeks innovative ways to connect indigenous and globalized knowledge and practices.
The fourth founding idea is that choices about those benefits and risks need to be made in a democratic way.

Source: Technologies for Development: Project Founding ideas

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Wednesday, September 10, 2014

Technologies for Development: Project Closing Conference - Nanotechnologies for Development in India, Kenya, and the Netherlands

[ This is a small but interesting interdisciplinary conference - pj ]

December 15-17, 2014. Maastricht University Brussels Campus

What is the challenge of development today? What is the role of science and technology in development? What are the problems and possibilities that emerging technosciences—such as nano-bio-technoscience—pose for development? What institutional and organizational configurations enable development? How can interdisciplinary inquiries into the social studies of science, technology, and innovation contribute to developmental agendas?

The closing conference of the NWO-WOTRO http://www.nwo.nl/en/about-nwo/organisation/nwo-divisions/wotro sponsored project, *Nanotechnologies for Development* http://fasos-research.nl/nano-dev/, invites proposals that reflect on the relationship between science, technology, development, and innovation.

We are interested in contributions that offer insights into the historical and contemporary principles and practices of development and the role of science and technology therein. These reflections can be empirical, conceptual, or methodological. We also welcome contributions that reflect on collaboration between researchers and development practitioners. We thus invite proposals from a broad range of participants: activists, academics, development practitioners, and beyond.

The conference programme will strive to strike a balance between various approaches and perspectives and consist of keynotes, panel presentations, and a closing roundtable discussion.

The conference will be held at the Brussels campus of Maastricht University (Avenue de l’Armée / Legerlaan 10, 1040 Brussels, Belgium) on December 15-17, 2014. Participation is limited to 50 participants.

To participate, please submit a title, 500-word abstract, a list of 5 keywords, and your CV (max. 400 words) to techdev-conf-fasos AT maastrichtuniversity.nl. The deadline for sending your abstract is September 14, 2014. The conference committee will notify their decision by September 30, 2014.

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Tuesday, September 09, 2014

UK: Health Insights - how innovations support in health and care communities

Hi Peter

We are delighted to introduce our new series of Health Insights. These free to attend events for healthcare professionals feature interactive round table activities, news on how the latest innovations support the health and care community, and best practice experiences from NHS Trust colleagues.


Starting in Leeds and Newbury this October and held in association with NHS England, each one day conference will feature:

Digital Discovery Sessions

- facilitated round tables exploring procurement issues

An update from NHS England on Tech Funds and Open Source Programme
Host Roy Lilley, popular Healthcare Broadcaster, with lively panel debates

Speakers will include Rob Webster, CEO of NHS Confederation, Tim Straughan, Director of Health and Innovation at Leeds and Partners, and Clive Kay, Chief Executive of Bradford Teaching Hospitals.


We hope to see you at your local Health Insights.

Kind regards

Samantha Phillips

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Interviews: In the political melee don't forget the green corner...!

humanistic ------------------------------------------- mechanistic


"Sir Robin cited research conducted by two psychologists on interviews during the 1987 general election campaign. Dr Peter Bull and Kate Mayer found that Kinnock and Thatcher avoided more than half the questions put to them. They concluded the party leaders used 31 different forms of evasion, among them ignoring the question, acknowledging the question without answering, questioning the question, attacking the question, attacking the interviewer, declining to answer, giving an incomplete answer, repeating a previous answer and claiming already to have answered the question." FT Weekend. p.1

Katz, Ian, (2014) The death of the political interview. FT Weekend, Life & Arts, September 6-7th. p.1.

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Friday, September 05, 2014

ICN and IHTSDO extend collaboration to advance harmonisation of health terminology

Press Information   .   Communiqué de presse   .   Comunicado de prensa

Geneva, Switzerland & Copenhagen, Denmark, 1 September 2014

The International Council of Nurses (ICN) and the International Health Terminology Standards Development Organisation (IHTSDO) today announced an updated collaboration agreement to advance terminology harmonisation and foster interoperability in health information systems.  The new collaboration agreement signed today will be reviewed on completion of the work or in April 2016, whichever is earliest.

The overarching goals of this collaboration are to ensure that nurses worldwide have the tools they need to carry out their jobs effectively, that they are not disenfranchised from the global informatics infrastructure, and that they remain active in the collection of meaningful and useful health information.

As part of the collaboration agreement, ICN, owner of the International Classification for Nursing Practice (ICNP), and IHTSDO, owner of SNOMED CT, have agreed to undertake further work that defines the relations between SNOMED CT and ICNP to enable their interoperability in health information systems globally. It builds on work already undertaken to produce an equivalence table for nursing diagnoses.

In the coming years IHTSDO and ICN will focus on two key areas of work: joint publication of a completed equivalence table between SNOMED CT and ICNP for Nursing Diagnoses, and joint publication of a completed equivalence table between SNOMED CT and ICNP for nursing interventions.

“ICN is delighted to extend our collaboration with IHTSDO,” said David Benton, ICN’s Chief Executive Officer.  “This agreement will be of mutual benefit to both organisations as well as to patients and will improve the description and comparison of nursing practice locally, regionally, nationally and internationally.

“IHTSDO is pleased to be continuing its collaboration with the ICN”, said Jane Millar, Head of Collaboration at IHTSDO. “Our joint work in linking SNOMED CT and ICNP will be of benefit to the nursing profession worldwide to ensure a common understanding and interoperability, and also to support sharing with other members of the healthcare team.”

The first collaborative agreement between the two organisations was signed in 2010, and in January 2014 the cooperation was further advanced by the announcement of an equivalence table between ICNP concepts and SNOMED CT concepts.

Notes to the Editor:

ICN and IHTSDO are the developers of the International Classification for Nursing Practice (ICNP) and SNOMED Clinical Terms (CT), respectively. The ICNP terminology serves a critical role for ICN in representing the domain of nursing practice worldwide, thus providing nurses at all levels with data-based information used for practice, administration, education and research. SNOMED CT is a multidisciplinary healthcare terminology designed to support the entry and retrieval of clinical concepts in electronic record systems and the safe, accurate, and effective exchange of health information.

About ICN:
The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the millions of nurses worldwide. Operated by nurses and leading nursing internationally, ICN works to ensure quality care for all and sound health policies globally. (www.icn.ch).

IHTSDO determines global standards for health terms, an essential part of improving the health of humankind. Its experts work collaboratively with diverse stakeholders to ensure that SNOMED CT, its world-leading terminology product, is accepted around the world as the common language for health (www.ihtsdo.org).

My source: Amy L Amherdt

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Thursday, September 04, 2014

UK - USA - Global health (physical care, mental health care, social care)

humanistic ------------------------------------------- mechanistic





5 Megatrends With The Potential To Transform U.S. Health Care

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Wednesday, September 03, 2014

Five Domains - Five Gyres

There are five domains in Hodges' model that can help us assess, plan and formulate health and social care, support reflection upon interventions and evaluate progress over time. An aide-memoire indeed!

humanistic ------------------------------------------- mechanistic

Brain Plasticity

Plastic Brain

With five domains to support short and longer-term memory do we really need to force the oceans to remember when we fail to care...?

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Sunday, August 31, 2014

Four domain link pages updated

The four links pages are still out there and recent interest prompted a review. Given the total number of links included, it is no surprise how url domains are taken over - vape, fitness... It felt good using a links checker and finding and deleting these 'broken' sites and some that are plain dead-ends: the 'domain for sale'. There may be a few more to sort in there...

The pages are archaic in terms of approach - they are not responsive but the format is fine on a desktop and should work on a tablet. The pages started in 1997-98, you don't do this now! People search in real-time for what they need. Besides not everyone may agree with the subjects I have included and the domain in which I have placed them? What is missing?

The intention is to indicate as with another resource the potential scope of Hodges' model in the knowledge and subjects that can be encompassed. I'm not sure of the longer term future of these pages, as I look to new hosting for Drupal.

Over the coming months I will emphasise research, TEL - technology enhanced learning, e-learning and Drupal resources.

Keen to reduce the maintenance overhead, two rows have been removed and categories moved about. As a result there are a couple of 'vacant' columns in there.

In the future I need to investigate the full ramifications of SEO search engine optimization. I receive many requests offering SEO services, and to add links. Given the demanding update task if I can add a few paid links this will help me fund conference travels and studies. ...

As I return to revising my latest essay I'll let you grab a drink and browse, enjoy...(?)

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Saturday, August 30, 2014

Welcome to the QUAD to be archived by The British Library

http://www.webarchive.org.uk/ukwa/The old website is archived on the Internet Archive Wayback Machine going back to 1999 and so is W2tQ.

The British Library also has a web archive, UK based of course. The website's there and now I've news that Welcome to the QUAD will be too.

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In a 'paperless NHS' - let's not forget...

The benefits of information technology across all sectors are well recognised when they are realised:

humanistic ------------------------------------------- mechanistic
readiness to hand

information storage and retrieval, access, efficiency, space, security, information sharing, patient safety, legibility

digital inclusion

cost, savings, governance, reporting (locally, nationally, internationally), policy integration

As we head towards a paperless NHS let's not forget that health care is both an art and a science.


The Digital Challenge (due for an update?)

Digitising the NHS by 2018 - One Year On. techUK report | March 2014.

What of the impact of the pending election 2015? Time inconsistency problem:
The NHS needs a 'Bank of England moment' HSJ.

drawMD Pediatrics - Patient Education by Drawing on Medical Artwork for Healthcare Providers


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Friday, August 29, 2014

Technology Enhanced Learning: A Medical Student Conference, Belfast, 3rd October 2014


Abstract submissions are open for the Technology Enhanced Learning: A Medical Student Conference being held on Friday 3rd October in Riddel Hall, Queen’s University, Stranmillis, Belfast. The team welcome abstracts reporting on innovations in technology enhanced learning within medical education. This could include the development of electronic materials as well as medical education research. Further details on abstract submissions including the categories and the types of presentation opportunities can be found on the QUB website.

Deadline for receipt of abstract submissions: Wednesday 17th September.

Bookings are also open for this event through the Higher Education Academy’s website for students and educators to join the team in Belfast for a celebration of student engagement in the area of technology enhanced learning within medical education. The day will showcase student presentation poster presentations and demonstrations. In addition there will be a keynote from Jane Hart from the Centre for Learning & Performance Technologies and a group discussion on the future of technology enhanced learning in medical education. Prizes will be awarded for best poster and best presentation.

For further information about the event please go to the QUB event page or contact Karen Murphy from the School of Medicine, Dentistry and Biomedical Sciences.

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Thursday, August 28, 2014

Compare and contrast potential - Energy for Change Index and Hodges' model

The biopsychosocial model is quite all encompassing used as it is to help explain and represent pain, explain human development and balance the physical excesses of psychiatry.

For all its scope the biopsychosocial model is two domains short of Hodges' model.

Hodges' model is dated though, a child of the mid-1980s. The biopsychosocial model predates Hodges' and as models of nursing have fallen out of favour in terms of the attention they receive the biopsychosocial is subjected to critique as per:

Ghaemi, S.N. (2009). The rise and fall of the biopsychosocial model. Br J Psychiatry.195(1):3–4.

Hatala, A.R. (2012). The status of the “biopsychosocial” model in health psychology: Towards an integrated approach and a critique of cultural conceptions. Open Journal of Medical Psychology, 1, 51-62. doi: 10.4236/ojmp.2021.14009
A cursory check reveals a diverse and current literature on the biopsychosocial model. If this is positive for the general role of 'models' in health and social care education and learning then there is another encouraging source in the five energies for change with its five domains, as per the figure:
The five energy domains
  • Spiritual
  • Social
  • Physical
  • Psychological
  • Intellectual
There is clearly great similarity with Hodges' model although in h2cm the spiritual combines all the four domains of which the political also replaces the intellectual. I would equate the intellectual with the psychological, accepting of course the existence of individual and group psychologies. Being intellectual and becoming intellectual to the extent of an individual realising their potential has long been recognised as a political matter and consequence (Freire). As such the Political domain within Hodges' model is central to its relevance within the field of engagement and innovation and beyond.

Whilst the energy for change domains have a specific derivation and (instrumental) purpose I would suggest that a possible strength for Hodges' might lie in the notion (which it is) that there is an underlying conceptual structure from which the domains arise. This structure might support the model's application in time, as well as assuring its longevity and the stamina of its champion.

My prompt: Land, M., et al. (2014) Pedal to the metal to improve the NHS. HSJ, 124, 6389, 26-27.

Image: (please see title and image link)

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Wednesday, August 27, 2014

Global Research Nurses competition: win attendance to UK research nursing conference

The Global Research Nurses’ network is pleased to announce the second competition for nurses working in clinical research




To enter, research nurses should write a 1,000-1,500 word article to discuss the role of the research nurse: “Using examples from research projects that you have worked on discuss what skills nurses contribute to a clinical research team.”

Full information and criteria, as well as information on how to upload your entry, can be found at https://globalresearchnurses.tghn.org/extra/competition-2015/

Entries must be received by 31st October 2014. Please share this opportunity widely!

Thanks and kind regards

Tamzin Furtado
Project Manager
The Global Health Network

HIFA profile (and source): Tamzin Furtado is Project Manager of Global Health Trials, UK. Professional interests: Global health, clinical trials. tamzin.furtado AT ndm.ox.ac.uk

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Tuesday, August 26, 2014

Heat maps and hotbeds in Hodges' model

humanistic ------------------------------------------- mechanistic

"Out of area placements are a good indicator of heat within the system and how over-stretched it is." p.5

Prof. Paul McCrone,
Lintern (2014).

Image: http://www.usability.gov/sites/default/files/images/eye-tracking-full-option1.jpg

Lintern, S. (2014) Analysis reveals mental health trust funding cuts, Health Service Journal. 124, 6411, 4-5.

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Thursday, August 14, 2014

Paper: Low-cost strategies to improve dementia care

An interest in health and science invites some thought about chaos, complexity and catastrophe theory. These suggest quite a cold - mechanistic - perspective of reality. So trying to think of clinical and nursing examples beyond fluid dynamics, the heart muscle... to more socially oriented applications demands some creative thinking.

In my work within intermediate support in the community for decades my colleagues and I come across cases were husband, wife, partner have looked their significant other to the nth degree. That degree can include hiding the extent of a person's cognitive problems from other family members. Suddenly there is a real catastrophe as the carer is taken acutely ill and hospitalised.

Left at home soon the dependency is revealed. Trying to negotiate care at home can then be a real challenge.

Alternately, when people living with dementia are hospitalised for physical reasons another host of challenges arise.

I've a relative who works over at Warrington General Hospital and it's great to be able to help highlight a paper written by Michelle Beavan their dementia champion and published in Nursing Times:

Beavan M (2014) Low-cost strategies to improve dementia care. Nursing Times; 110: online issue.

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Tuesday, August 12, 2014

Disobedient Objects

humanistic ------------------------------------------- mechanistic

personal ethics


social justice

The Victoria and Albert Museum 26 July 2014 – 1 February 2015
Disobedient Objects:
From Suffragette teapots to protest robots, this exhibition is the first to examine the powerful role of objects in movements for social change. It demonstrates how political activism drives a wealth of design ingenuity and collective creativity that defy standard definitions of art and design.

Image source: Inflatable cobblestone, action of Eclectic Electric Collective in cooperation with Enmedio collective during the General Strike in Barcelona 2012.
© Oriana Eliçabe/Enmedio.info

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Saturday, August 09, 2014

HIFA Voices Database - launched 12 August 2014

The HIFA Voices database will bring together the experiential knowledge of HIFA members: more than 12,000 professionals from over 2500 organisations in 170 countries, ranging from senior executives at the World Health Organization in Geneva to community health workers in rural Gambia. Our common vision is a world where every person and every health professional has access to the information they need to protect their own health and the health of those for whom they are responsible. HIFA Voices will be launched on 12 August 2014.

HIFA Voices harnesses the practical expertise of providers and users of healthcare information, together with relevant health information sciences literature. This helps us to understand the healthcare information needs of different users in different contexts and how these needs can be more effectively addressed. Further information about HIFA Voices.

Read the blog about HIFA Voices on the ElsevierConnect website, and the press release from mPowering Frontline Health Workers and Intel Corporation.

We are currently seeking further financial and technical support to enable us to develop HIFA Voices through 2015 and beyond. Please contact us for details.

My source: HIFA2015 list.

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Thursday, August 07, 2014

Health and Social Care Policy: Always - from a distance

humanistic ------------------------------------------- mechanistic

"Cura te ipsum." - "Take care of your own self."

mental health




Additional link:

Latin source: Mediawatch, tpm the philosophers' magazine, 2nd quarter 2014, p.14.

(which cites: http://www.3ammagazine.com/3am/cura-te-ipsum/ )

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