INTERNATIONAL NEGOTIATIONS: TOWARD A 2015 CLIMATE AGREEMENT
- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal (it might happen one day!!). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.
in the corner,"
I am sure that many of you are aware of the work of the GRADE Working Group to develop an approach to grading quality of evidence and strength of recommendations (see: www.gradeworkinggroup.org
We have recently established a new project group within GRADE to develop an analogous approach for assessing how much confidence to place in evidence from reviews of qualitative studies (sometimes called qualitative evidence syntheses). The GRADE CERQual (Confidence in the Evidence from Reviews of Qualitative research) Project Group has just released its first newsletter which can be accessed via the following link:
This newsletter includes contributions about the development of CERQual, systematic reviews where CERQual has already been used, future workshops and talks, and explains how you can join the mailing list or join the open Project Group if you would like to be more actively involved in the development of the approach.
For more information about CERQual please visit our website at www.cerqual.org
HIFA profile: Simon Lewin is a health systems researcher at the Norwegian Knowledge Centre for the Health Services (www.nokc.no and the Medical Research Council of South Africa (www.mrc.ac.za). His work is mainly in the field of implementation research, including systematic reviews of health systems interventions; the development and evaluation of strategies for changing professional and user behaviours and the organization of care; and the use of lay or community health workers to deliver care. He is an editor for the Cochrane Consumers and Communication Review Group and the Cochrane Effective Practice and Organisation of Care Review Group. Email: simon.lewin AT nokc.no
HIFA: Healthcare Information For All: www.hifa2015.org
If I adopt Networked Learning as a research methodology I am aware of what might be a cognitively, conceptually (or plain habitually!) driven tendency to harvest concepts on the basis of association.
Now association may be the basis of a database model, but this is clearly insufficient even when a strut of the argument is the vertical axis of Hodges' model.
(Draft 7270 words, 64 references, primary focus threshold concepts)
Whenever financial markets get hyperactive - the norm rather than exception over the past three decades - we hear calls for "patient capital" that can fund long-term investment in the productive capabilities that are essential for a prosperous economy. ...
The problem is not just "short-termism" but more fundamentally value extraction that far outstrips contributions to value creation, with financial interests, including top executives, reaping gains that should go to taxpayers and workers.
For the sake of stable and equitable growth, it is time that these real patient capitalists lose their political patience, and demand fundamental economic reform. p.24.
On leave this week and as per a previous post I attended the GRADE CERQual workshop last afternoon. It was a very helpful exercise, a presentation and some group work. There's that word some again. The workshop is related to and will be repeated as a presentation at:
Reflection should be undertaken using a recognised model as this adds structure and provides direction. The model used should be chosen by the individual and influenced by a number of factors such as ease of use, understanding and ease of flow when writing. Models without these elements will give the writer a negative experience of the reflection process (p.14).Collins, G. et al (2015) Using reflection on reading for revalidation. Nursing Times; 111: 23/24, 14-16.
A mixed methods way of thinking is an orientation toward social inquiry that actively invites us to participate in dialogue about multiple ways of seeing and hearing, multiple ways of making sense of the social world, and multiple standpoints on what is important and to be valued and cherished.
Clearly, such frameworks could assist with navigation in mixed methods studies consisting of concurrent or sequential investigations, facilitate integration of methods in at least one phase of the inquiry, and provide a map for combining the what with the why to gain a multidimensional understanding of causal mechanisms. Utilization of such frameworks could, then, fit snugly into Tashakkori and Creswell’s (2007) recent definition of mixed methods: “Research in which the investigator collects and analyses the data, integrates the findings, and draws inferences using both qualitative and quantitative approaches or methods in a single study or program of inquiry” (p. 4). (Evans et al. p.278)
For international readers this may be of limited relevance, but I've a couple of local events coming up. It's likely too late to book but other offerings will no doubt follow from the respective organisers. I'm very grateful to Salford University & UCLAN for my places and look f/w to posting about the Salford event next month.
Before then on Tuesday afternoon I'm on leave and will be at UCLAN:
(to ensure, process, distribute,
use, maintain, use,
and preserve human service demands)
ECOLOGY (as Nature)
distribute 'hard systems' use
"Culture, in the form of interaction between people, may in itself generate constraints on conceptual spaces. For example, Freyd (1983) puts forward the intriguing proposal that conceptual spaces may evolve as a representational form in a community just because people have to share knowledge (Freyd 1983, pp. 193–194):
There have been a number of different approaches towards analyzing the structures in semantic domains, but what these approaches have in common is the goal of discovering constraints on knowledge representation. I argue that the structures the different semantic analyses uncover may stem from shareability constraints on knowledge representation. [. . . ] So, if a set of terms can be shown to behave as if they are represented in a three-dimensional space, one inference that is often made is that there is both some psychological reality to the spatial reality (or some formally equivalent formulation) and some innate necessity to it. But it might be that the structural properties of the knowledge domain came about because such structural properties provide for the most efficient sharing of concepts. That is, we cannot be sure that the regularities tell us anything about how the brain can represent things, or even “prefer” to, if it didn’t have to share concepts with other brains.Here Freyd hints at an economic explanation of why we have conceptual spaces: they facilitate the sharing of knowledge." p.17.
Special Issue on the Health Informatics Journal
Infrastructures for healthcare (IHC): Patient-centred Care and Patient-generated Data
Enrico Maria Piras, Fondazione Bruno Kessler, piras AT fbk.eu
Gunnar Ellingsen, UIT – the Arctic University of Norway, gunnar.ellingsen AT uit.no
Information infrastructures are an integral part of western healthcare services. Regarded by policymakers, healthcare managers and healthcare providers as obligatory passage points to improve the provision of care and the overall efficiency of the healthcare systems, they have contributed to shape the existing landscape of healthcare provision and technological capabilities. Despite some failures and shortcomings, healthcare infrastructures have proven to be strategic assets. Over time they have provided support to clinical and administrative personnel in the recording and sharing of information in/across medical settings, streamlining of care processes, and providing decision support. In due course, many healthcare professions and medical practices have been re-defined by the pervasiveness of infrastructures and ICTs.
|Health Informatics Journal|
Nurses get 1% pay rise
MPs should get 10% pay rise, says regulator
NHS Pay Review Body (NHSPRB)
Independent Parliamentary Standards Authority (IPSA)
The gallery of inspirational sites in the July issue of net magazine features MINDCRAFT on p.45 (that's the paper copy, I spend enough time reading a screen).
MINDCRAFT, designed and developed by Clearleft showcases excellence in responsive web design, graceful degradation, interactions that serve the narrative, innovative scrolling and jQuery.
For me this a great opportunity to mix two passions: my career in mental health and an academic focus and interest. From the Welcome site:
Mindcraft explores a century of madness, murder and mental healing, from the arrival in Paris of Franz Anton Mesmer with his theories of 'animal magnetism' to the therapeutic power of hypnotism used by Freud. ...
|Hostius Pamphilus. Rome. Tablet of stone [Photo: PJ Musei Capitolini]|
Seeking conceptual anchors I've often thought of Hodges' model as a rich picture. Reading to complete my latest module and add to the threshold concepts draft I came across:
Berg, T., Pooley, R. (2013) Contemporary Iconography for Rich Picture Construction. Systems Research and Behavioral Science 30, 31–42. doi:10.1002/sres.2121
There are several points with implications for h2cm and future work. From the abstract:
The RP is a diagrammatic means of identifying differing world views with the aim of creating shared understanding of the organization. The RP has predominately been used as a freeform, unstructured tool with no commonly agreed syntax.
Our research suggests that the RP requires structure to become a contemporary knowledge elicitation device. p.31.The application of rich picture is quite specific within soft systems methodology [SSM], but there is much to learn here. Let's use the abstract as a template:
This holistic methodology [SSM] uses the rich picture (RP)... p.31Hodges' model is a holistic methodology that combines threshold concepts, conceptual spaces...!?
Avison and Fitzgerald propose that there is an unwillingness to engage in the rather lengthy requirement gathering process of the RPs and further suggest that management want to avoid political issues that could arise. In certain hierarchal organizations, it is suggested that the RP does not appear ‘business like’, and there is a lack of credibility with the approach (Daellenbach, 1994). p.32.Judging from the graphics in the paper much of the 'political' may be interpersonal-relationships, but this will inevitably also refer to interdepartmental and interdisciplinary wrangling. Hodges' model gets# politics. H2CM includes into its structure a POLITICAL domain. If we expand Berg and Pooley's observation could this account in part for the failure of so many IT projects and the need for socio-technical approaches? Computers feature quite highly as one of the most repeated icons in RPs (graph on p.35). There is also a striking similarity between Hodges' model and RP in the simplicity I referred to previously. Within the 'organization' and the hierarchy (even if levelled to pubescent bumps) there remains a need for efficiency (accounting for time), formality and being 'business-like'.
Born in Liverpool. Three children. Community Mental Health Nurse NHS, West Lancashire, Independent Scholar & Researcher Nursing & Technology Enhanced Learning
RMN, RGN, CPN(Cert.), PGCE, BA(Hons) Comp/Phil, PG(Dip)COPE.
Live and Work in Central & West Lancashire, England - working on achieving a global perspective.
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