- 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.

Friday, February 24, 2017

Inner model II: Hodges' model - helping to locate Social Sciences...

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population














A scheme for analysing assumptions about 
the nature of the social sciences, 
The subjective-objective dimension

The subjectivist            The objectivist

Nominalism          ontology      Realism
Anti-positivism    epistemology  Positivism
Voluntarism       human nature  Determinism
Ideographic        methodology   Nomothetic









Burrell, G., and Morgan, G. Sociological Paradigms and Organizational Analysis. London: Heinemann, p.3.

My source: Table 1.1 A scheme for analysing assumptions about the nature of the social sciences, The subjective-objective dimension, Tudor, K. (1996). Mental Health Promotion, Paradigms and practice, London: Routledge, p.30.

Related link: http://www.darsis.dk/fileadmin/user_upload/Darsis_course_Oct_2010/Burrell_and_Morgan_4_Paradigms_v2lsu.pdf

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Wednesday, February 22, 2017

Update PhD and other stuff...

Even though this blog is a personal initiative, it's not often that I share such details. Perhaps I'm still more accustomed to listening, or at least that is what I believe.

Anyway a lot's been happening in WN4 and L39, as for us all globally.

In January 2014 I started a part-time distance learning PhD programme at Lancaster University in E-Research and Technology Enhanced Learning. Part 1 2014-2015 included two five-day residential's, both mandatory at Lancaster which I attended being able to commute the 40-odd miles from Wigan. One of the greatest gifts presented was to learn of the other student's work, projects and partake in the online learning and discussion. As if getting on-board was not enough, being told at the start of Parts 1 & 2 that we were all there because we were deemed capable was a great encouragement. Even with a sense of distance now that still speaks to me, ploughing this furrow...

Although I was assigned a supervisor for Part 2 I did not get to complete my research proposal. I've had to exit. I do feel I've bottled it, but there is a sense of achievement in having earned an MRes. It has been a great and rewarding experience.

If anyone without funding for a course is thinking of pursuing post-graduate studies; do stop a moment. Seriously consider seeking out funding avenues, bursaries, scholarships, trusts and union support before you start. I was in the process of trying to raise funding but doing this having fallen behind and between parts 1 & 2 is not the place to be. Being turned down rather sealed the matter. On paper I've some fees to clear this month, but a further two years would be difficult for me even though I am (still) working full-time. There is an ongoing public sector pay-cut in effect taking heed of what the unions say. In effect my peers and I are 10% less better off than I was in 2010. That really annoys me, not just personally, but healthcare is competing for recruits in an increasingly competitive jobs, careers market.

In May 2015 my mother suffered a major stroke. We had had an amazing time in New York. She was cleared medically to go, was due a check up on return. There were two nurses with her but calamity can still happen. I learned afterwards of some 'difficulties' before we travelled; not feeling 100% which was shared with friends but not the 'nurses'. So another tip in these circumstance: ask the pointed questions. Have an ECG before travel not just planned upon return. Now in addition to visiting nursing and residential care homes at work, I also visit in my own time. The cost to me is as nothing to a dearest mum who could walk down town, drive to Liverpool to see her sister and take yearly trips to Benalmádena. Oh yeah... and cook a great breakfast.

With memories of the Empire State (all floors), Little Italy, Statue of Liberty cruise, Grand Central, a subway ride to Hoboken and Frank Sinatra's home ground, the Rainbow Room, Central Park and Strawberry Fields, Ground Zero and "On The Town" I'll try and get back to New York and find her. It is as if we left her there.

In the two years of Part 1 five studies were completed. The module that coincided with the aftermath of New York did suffer and was a struggle. There was encouragement to look to publication but more work would have been needed with the one study that might have passed muster. The learning was invaluable however and the exposure to the literature, theory, practice and research methodologies. What was insightful was the process of generating data: real data!

Another factor prompting the exit was that in October 2015 I also became a Granddad. I still can't believe it! Magic!! Of course, this discussion and the points (excuses) raised are an exercise in Hodges' axial journey; that is, the to-and-fro between dichotomies of reasons to try and carry on and reasons to exit.

Speaking of to-and-fro there are a few more twists and turns to add, which I'll write about soon.

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Tuesday, February 21, 2017

#healthsocialtools: Skills for Health launches social media toolkit for healthcare sector

Skills for Health logo
Skills for Health has today launched a comprehensive social media toolkit for the UK healthcare sector, providing healthcare organisations and professionals with sector-specific insight, advice and best practice on using social media effectively.

The free toolkit, created with support from Public Health Wales, key industry experts and employers, has been written with healthcare organisations of all sizes and social media capabilities in mind. Whether organisations are new to social media and unsure where to start or want to make sure their existing social presence is fit for purpose.

The toolkit covers everything from strategy to content creation, including guides to the key platforms and leading influencers to follow, examples of best practice, downloadable templates and additional resources, as well as advice on how to encourage organisations to embrace a digital culture.

Dawn Bratcher, Senior Marketing Manager for Skills for Health said:
‘30% of adults said they would share information about their health on social media and more than 40% said information found via social media affects how they deal with their health.

Social media plays an ever-growing role in our daily lives, including the way we access and share information, so by starting conversations online enables healthcare organisations to raise awareness, share information, engage with existing audiences and reach out to new ones.’
Last year, Skills for Health launched the #OurHealthHeroes campaign on social media to raise awareness of the vital role of the healthcare support workforce. The campaign launched with a YouTube video, filmed using real staff members at Southmead Hospital in Bristol and the hashtag encouraged the public to thank support staff online.

The video was viewed more than 100,000 times and supported by more than 30 trusts and healthcare organisations across the UK, with a social reach of over five million. This social success led to the creation of the inaugural Our Health Heroes Awards, which received more than 500 nominations from across the UK.

Dawn Bratcher continued,
‘The success of the #OurHealthHeroes campaign shows what a powerful tool social media is for building connections with patients, stakeholders and communities both inside and outside the healthcare sector. It is important to be present in these conversations online, but knowing how to do this effectively is not always straightforward.

‘As the Sector Skills Council for the UK healthcare sector, we hope this comprehensive guide will give organisations the knowledge and understanding to use social platforms with confidence. We are proud to be helping the healthcare sector to embrace this important shift in the way we communicate and take steps towards a more digital future.’
Download and share the social media toolkit here: skillsforhealth.org.uk/socialtoolkit

Join the conversation using the hashtag #healthsocialtools

For more information about Skills for Health, visit www.skillsforhealth.org.uk


My source; Email from Dawn Bratcher

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Monday, February 20, 2017

#NHSMillion: From one quadrant to another three

The image below is from twitter and the #NHSMillion campaign which I've RT a couple of times on @h2cm. The graphic is repurposed here representing the NHS as an organisation with its Socialist founding. On twitter the arrow would point to the twitter account holder's name. In Hodges' model we can readily travel from the individual to the million and more; from personalised healthcare to population health:

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population






Within Hodges' model the arrow points to the INDIVIDUAL axis. The stress is placed on a person* and their experience of the NHS whether for themselves or a family member. Care should always encompass physical and mental health care, with emergency care prioritised firstly of course.

As an NHS employee I have been cocooned from many of the financial vagaries of the world. This does not mean I work for nothing, don't pay tax, have holes in my pockets ... On the contrary I'm frustrated and increasingly annoyed about austerity and the pay situation over the past 5 years and more. Interest rates, Brexit, the Euro, the $ ... all count here too. Healthcare does need to be paid for - one way or another. The cocoon refers to the effect of the founding core principles of the NHS:

  • that it meet the needs of everyone
  • that it be free at the point of delivery
  • that it be based on clinical need, not ability to pay
As well as the four domains Hodges' model carries within its structure a series of interdisciplinary bridges as previous posts reveal; psycho-social, psycho-somatic - you get the picture.

A further tweet from @NHSMillion brings home the SOCIO-ECONOMIC and SOCIO-POLITICAL dimension of health and social care. The cocoon is ruptured, the vulnerability of the NHS's core principles and values is laid bare:

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population





We need to assure and ensure that the many can continue to make a difference to the one. Even as that gratitude is increasingly reframed as people learning how to stay well for longer and better look after themselves.

*The arrow is also pointing to the center of the model. Truly person-centered care should be able to demonstrate that full round of the four domains have been factored into any assessment, plan, intervention and evaluation with the spiritual also duly considered.

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Sunday, February 19, 2017

Space, Memory, Home, Organisation I - Do Ho Soh

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population

"... Suh creates architecturally scaled, fabric installations informed by his personal experiences, that recreate specific domestic spaces where he has lived, including his childhood home (a traditional hanok-style Korean house), a house in Rhode Island where he lived as a student, and his apartment in New York. Suh weaves translucent structures made of monochrome polyester, at once architectural, and ephemeral, inviting viewers to wander through their dreamlike interior passageways (often complete with details such as light switches and door handles). ..." 
Rubbing/Loving Project: Apartment A, 348 West 22nd Street, New York, NY 10011, USA





Do Ho Soh

Text: http://www.lehmannmaupin.com/exhibitions/2015-09-25_museum-of-contemporary-art-cleveland

Image: TimeOut - An artist's house is not a home: It's a bunch of drawings

My source: Bloomberg - Brilliant Ideas

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Friday, February 17, 2017

Author's latest work: The list keeping dementia at bay

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
Raymond Briggs
Image: Jenny Goodall/Daily Mail








Photo and story: https://www.pressreader.com/uk/daily-mail/20170117/281715499314709

My source: Whipple, T. (2017) Author reveals his latest work: the list keeping dementia at bay, The Times, January 18, p.11.


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Thursday, February 16, 2017

A Spin on Logic, Belief, Facts & Truth

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population

Doxastic Logic
Individual Belief


Post-truth (time)
Short : Long term
Statistics
Facts
Proton Spin Mystery

The public
The crowd
The people
The public - the politicians deserve

Post-truth (politics)
Alternative-Facts
Fake news
False promises
True Spin
The politicians - the public deserve



My original source:
Simon Kuper, (2017). The age of broken promises, FT, Magazine, 28/29 January, p.5.

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Saturday, February 11, 2017

Threshold Concepts, Professionalism & Scope of Practice

Amongst the chaos of self-directed study, vapourware, writing and starting a PhD program one writing project still in draft form concerns Hodges' model and what is termed the 'scope of practice'. As a generic and multidisciplinary conceptual framework Hodges' model can, I believe, assist in demarcating and differentiating the following:

  • knowledge - in all its forms;
  • a curriculum;
  • interprofessional working;
  • activity, tasks, actions;
  • responsibilities;
  • expected competences;
  • procedures;
  • assistant, associate, general registered, specialist - advanced practice;
  • existing policies, law, rules and standards;
  • records

Another draft paper (closer to completion I think) and which I've referred to before (see - chaos is the word!) relates Hodges' model to threshold concepts and definitely bears revisiting.

Scope of practice is different from professionalism but invites comparison. For example, the professionalism that is hopefully exercised when a practitioner recognises that their scope of practice is being called into question.

Searching the literature once again below is a new paper that combines professionalism and threshold concepts. I will see if I can add another paper of note and extend this post later in the week.

Hilary Neve, Helen Lloyd & Tracey Collett (2017) Understanding students’ experiences of professionalism learning: a ‘threshold’ approach, Teaching in Higher Education, 22:1, 92-108,
DOI: 10.1080/13562517.2016.1221810

To link to this article: http://dx.doi.org/10.1080/13562517.2016.1221810

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Wednesday, February 08, 2017

The Cost of Dementia - Total £26.2 billion

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population


Unpaid Care by Relatives*
£11.6 billion

psycho
Healthcare Costs
£4.3 billion
social

Publicly Funded Social Care
£4.5 billion

socio


Private Social Care
£5.8 billion

economic


*A Carer qualifies for an assessment themselves as an individual.


My source:
Whipple, T. (2017). Millions of pounds are 'wasted on poor care'. The Times, February 2. pp.20-21.

Figures: Alzheimer's Society estimate
https://www.alzheimers.org.uk/info/20091/position_statements/146/financial_cost_of_dementia

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Tuesday, February 07, 2017

Why we need a generic conceptual framework: "Universal person centered care"?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population

PERSON-CENTERED CARE

PERSON-CENTERED CARE

PERSON (FAMILY)-CENTERED CARE

Universal credit...?


My source: The Guardian via Natalie Bennett


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Sunday, February 05, 2017

A Model of Nursing: According to Klein

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population

Monochrome vert sans titre (M 75), 1955 ca
Région de grenoble (RP 10), 1961

Monochrome rouge sans titre (M 38), 1955
"Klein's paintings take away the expected content of that form, instead focusing our attention on a direct encounter with pure colour freed from all external impurities. Created using mechanical rollers, the works emphasise a non-expressive gestureless presentation of pure pigment, affirming his refusal to 'provoke colour relations'." (TATE Liverpool, Feb 5th 2017).


In the (science and) art of nursing, however; we must provoke assessments and evaluations within these care relations and between them. 

L'infirmière est le travailleur constant, à l'intérieur, sans et entre les deux.


My source: TATE Liverpool, Yves Klein, Feb 5th 2017.

Images: Yves Klein Archives

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Saturday, February 04, 2017

Book: Sex, Lies, & Brain Scans (Empathy)...


individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
empathy

emotional mind ------ rational mind

moral reasoning

moral decision-making


Sex, Lies, & Brain Scans









My source:
Baggini, J. (2017). Compassion fatigue, Life&Arts, FT Weekend, 21-22 January. p.9.

Book image: OUP

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Friday, February 03, 2017

Lancet: A new Berlin Declaration for STM publishing - c/o HIFA

Dear colleagues,

This week's print issue of The Lancet (28 January 2017) carries an important article by Richard Horton, Editor-in-Chief. He has just returned from Berlin where he attended the Academic Publishing in Europe conference.

He writes:

'We talked about important issues, to be sure: our collectively poor reputation, improving peer review, gender discrimination. But we didn't talk about how we might address emerging epidemics, climate change, or conflict and war. Academic publishing has lost touch with the concerns of the very society it is supposed to serve. It has become so wrapped up in its own technical preoccupations and internecine struggles that the global predicaments that publishers should be addressing have been forgotten or ignored...'
'In 2003, the Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities was published. It was a self-declared milestone in the open access movement. 2017 demands another Berlin Declaration, one directed to the crises we face today. The Declaration I offer is a proposal only, but I hope you might consider signing up to it. It says, for example: "We, the undersigned, are concerned that the potential contributions made by academic publishing to human prosperity and advance, as well as to the protection of our planet's rich but vulnerable ecological and cultural resources, have not been fully realised. In accordance with the spirit of the Sustainable Development Goals, launched on January 1, 2016, and with a target date for completion of December 31, 2030, we wish to commit ourselves to using the publishing resources at our disposal to accelerate progress towards the fulfilment of these internationally agreed goals." Academic publishers: let's do something important. Together.'

The full text of Richard's article is freely available here: http://thelancet.com/journals/lancet/article/PIIS0140-6736(17)30183-6/fulltext

And the Declaration is here: http://www.thelancet.com/BerlinDeclaration2017

I have read and signed it and invite you to do so also. The text includes the words 'We, scholarly publishers in and across Europe...' because this reflects the first signatories at the Berlin meeting. However, the Declaration can I think be signed by anyone who agrees with it, whether you describe yourself as an academic publisher or not, and wherever you happen to be based.

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare knowledge - Join HIFA: www.hifa.org 

HIFA profile: Neil Pakenham-Walsh is the coordinator of the HIFA campaign (Healthcare Information For All - www.hifa.org ) and current chair of the Dgroups Foundation (www.dgroups.info ), which supports 700 communities of practice for international development, social justice and global health.  Twitter: @hifa_org  FB: facebook.com/HIFAdotORG    neil AT hifa.org

__________

From 16 January to 24 February 2017 HIFA is hosting a thematic discussion on the theme: Community Health Workers. http://www.hifa.org/news/join-hifa-thematic-discussion-community-health-workers-starting-16-january-2017 With thanks to The Lancet, Reachout Project/Liverpool School of Tropical Medicine, World Vision International and USAID Assist Project.

To send a message to the HIFA forum, simply send an email to: hifa@dgroups.org

HIFA: Healthcare Information For All: www.hifa.org

HIFA Voices database: www.hifavoices.org

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Wednesday, February 01, 2017

Hodges' model: A prompt for debate in defining Health & Well-being

WHO definition of Health

"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."

The Definition has not been amended since 1948.

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
mental

disease infirmity

physical

disease infirmity



social

disease? infirmity?


political?

disease? infirmity?

The correct bibliographic citation for the definition is: 
Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
See also: Wikipedia - Health (as a human condition)

Text source: http://www.who.int/about/definition/en/print.html

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