The effective ‘use’ of knowledge is constantly espoused in health care both informally with patients and formally in evidence based research. Knowledge is the key to improving patient safety and delivering efficient, high quality care interventions and effective outcomes. Things become complicated in health and social with the number of potential knowledge sources and the disciplines intent on seeing, gathering, recording and utilizing knowledge that is theirs. From that adopted vantage point they are bound to have a certain perspective.
There are still vestiges of C.P. Snow’s The Two Cultures (1959) when we view the use and ab-use of knowledge, particularly the way knowledge is sliced, diced, partitioned and housed into disciplines. In the Introduction to Michel Serres' Parasite, Cary Wolfe notes that:
... the Latin prefix ab- meaning, the Oxford English Dictionary tells us, “off, or away from”: "abuse" value at a tangent to use and exchange value, at a distance from it: a different vector, a different type of value (Wolfe, 2007). p. xx.
Literally looking at the model we see that whilst there is increasing interdisciplinarity and collaboration between disciplines, practitioners and managers, academics and policy makers … there remains much ab-use between the domains of (care) knowledge.
If by definition abuse brings individuals, agencies and whoever falls in-between into disagreement, dispute and possibly much worse then clearly a tool that can help furnish a common understanding and insight should be welcomed.
For all that Hodges’s model can offer as a common foundation and bridge for the disciplines, we must ask where is the patient, the carer and the public? Is there a new discipline emerging?
What is needed to help gauge the potentials of use and ab-use in health and social care ...?
Additional links - for the image:
Coxeters Loxodromic Sequence of Tangent Circles
Snow, C.P. (2001 ). The Two Cultures. London: Cambridge University Press.
Wolfe, C. (2007). Introduction to the New Edition. Bring the Noise: The Parasite and the Multiple Genealogies of Posthumanism. In Serres, M. (1980). The Parasite. University of Minnesota Press.