Hodges' Model: Welcome to the QUAD: occupational health

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label occupational health. Show all posts
Showing posts with label occupational health. Show all posts

Monday, November 11, 2024

ii "Nye" | Full Show [now ended] | National Theatre at Home

Watching yesterday on YouTube, I enjoyed NYE and was challenged by it personally and as a grandfather, son, nurse and tax-payer.

It wasn't all sweetness and light regards Aneurin "Nye" Bevin's character. Politically, he clearly pushed boundaries in response to the values he carried on his sleeve. As the family's of many health care professionals may recognise, needs outside the family can be prioritised at the family's cost. The theory-practice gap is expressed in so many ways. 

Whether by intent, or accident, the play points to the timeless challenge of social care and women's role in delivery of this care. This strikes home in the drama not just as care of the elderly, but being confronted (alone) with the slow, painful dying of a loved-one; and the reality of occupational diseases - 'black lung'. Women are exploited as carers, their hearts and feet may as well be bound; in the same way the mine owners exploited the workers. There was a stark reminder for me, of how continuity of care is often lacking today.

Nye becomes personal, as even up to 1970s working class parents would have worried, did worry about the prospect of their (invariably male - with some exceptions?) offspring going down the pit, especially in Lancashire and Yorkshire. Watching and listening to this you can appreciate how education was seen a passport to alternative white-collar work. My paternal grandfather worked in a slate quarry. I recall many invites to punch him in the 'stomach': a slate wall. He walked quite a few miles to work and wasn't that old when he died; although he (soon) followed grandma J.

For quite a while I've been drawn to the theatre. Aged 15 I was Francis Nurse - yes, the irony - in the school play, Arthur Miller's, The Crucible. It was Miss Smith, a drama teacher who first brought my attention to the idea of 'social awareness'. I recall Miss Clayton too who was a student teacher. On visits to London I've been struck by the relevance of Ibsen today. 

If there were to be a play in me, perhaps 'Axes and Crosses' must be-up-there as a working title? For  my father the 11+ exam was the icon to ward off the evil that was work down a mine; or lying under a an excavator / crane at 0400 to get the machine fixed for the shift due to start. The 11+ and need to pass this has provided its own anxiety, burden, and it must be said - motivation not just for me, but many more senior adults. I can see this now. So thank you Tim Price, National Theatre and Nye (2025!) for many further insights into stagecraft. 

See also:
https://www.bohs.org/media-resources/press-releases/detail/deadly-lung-disease-in-uk-kitchen-worktop-workers-is-avoidable/

September 2024: 'The Lightest Element'
https://www.hampsteadtheatre.com/whats-on/2024/the-lightest-element/

Previously:
What wright to care?

drama (theatre), arts

Tuesday, September 10, 2024

Suicide Postvention in the Workplace - new SOM resource

https://www.som.org.uk/suicide-postvention-workplace-new-som-resource

Posted by Ann Caluori | Mon, 09/09/2024 - 08:52

The term 'suicide postvention' refers to the actions taken by an organisation to provide effective support in a sensitive manner after a death by suicide. It aims to promote recovery and prevent further adverse outcomes.

This new SOM resource, authored by Professor Gail Kinman and Professor Neil Greenberg, provides evidence-informed guidance and recommendations for organisations to respond to the death by suicide of a colleague, or the unexpected death of a colleague from other causes. The guidance draws on high-quality sources from research and practice and was developed through consultation with experts from various fields. It aims to help organisations navigate the complexities and sensitivities involved in such tragic events, ensuring they provide the support required to maintain a healthy and compassionate workplace.

The resource should be useful for occupational health practitioners, wellbeing leads, HR professionals, managers, and policy makers. It addresses several important issues in the aftermath of a workplace death by suicide, such as immediate response approaches, communication protocols, support mechanisms for affected individuals, and long-term considerations for fostering a supportive work environment.

Download the guidance here.

This resource has been launched ahead of World Suicide Prevention Day 2024.

My source: TwiX @somceo

See also: 
World Suicide Prevention Day 2024 #WorldSuicidePreventionDay

Thursday, December 15, 2022

Spark! Strike! c/o - Ack Lemn Sissay


 INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP




"Long before the Bryant and May Factory was opened in Fairfield Road, Bow in East London, Charles Dickens wrote, in 1852, about the risks of phossy jawin matchmaking factories. Yet, when the factory was opened in 1861, they proceeded to use the dangerous white phosphorus that caused the disease."

https://www.matchgirls1888.org/the-story-of-the-strike

Spark Catchers by Lemn Sissay

"...

The greatest threat to their lives was
The sulferuous spite filled spit of diablo
The molten madness of a spark

They became spark catchers and on the word “strike”
a parched arched woman would dive
With hand outstretched to catch the light.

And Land like a crouching tiger with fist high
Holding the malevolent flare tight
‘til it became an ash dot in the palm. Strike.


..."





Friday, April 26, 2019

Glove Awareness Week: Under the SSKIN ii


Glove Awareness Week
29 April - 3 May 2019




SELF - individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - POPULATION


"What should I do?"

Glove Awareness: RCN

What can we do?
 
What must I/we do?


On the 15th April in London I attended the 3rd RIPEN workshop (Re-envisioning Infection Practice Ecologies in Nursing) I learned a lot from listening to colleagues far closer day-to-day - night-to-night to the sharp end of infection control and protective measures. Of particular interest was discussion on hand-washing and the circumstances, frequency and numbers of dressing packs that are used and the constant search for evidence-based practice.

Actually without taking anything from those people at the infection coal-face, can I take back that reference to "far closer"?

Take it back, because this really matters to us ALL.

See also:
Under the SSKIN 

Wednesday, February 06, 2008

jQuery test page - Pippa's H-M axis question

Pippa's query about the HUMANISTIC & MECHANISTIC axis within Hodges' model, got me thinking not only in terms of her Occupational Health Nursing context, but how can I display the questions and answers in a new way - at least for me?

For web designers this is noddy stuff, but I worked on an effort using some jQuery, plus a style sheet. The idea is to work through the questions THEN click the question to reveal / hide a response.

Time as ever has not allowed me to consult with OH professionals and their course curricula. Despite this, the pointers appear to have helped Pippa and may inform general readers.

As to the page itself, there is much more to do. Refine the code, test it across browsers and consider some additional touches - possibly rounded corners. How might this sit in Drupal? There is one CSS (javascript?) technique that I really must tackle - a gift for Hodges' model: opacity and layers.
I will be checking what Drupal can do from an educational perspective and contrast this with tools like Moodle.

Monday, February 04, 2008

Occupational Health nursing and Hodges' model

In response to Pippa Crouch's enquiry posted here on New Year's Day I eventually sent some Q&A's to her (which I'll post here or through the site soon). Although Hodges' model seemed to fall in place for Pippa, there were some remaining questions about the HUMANISTIC - MECHANISTIC dimensions of the model in the OH context.

Since then (and post-submission/marking) Pippa has forwarded her completed assignment:

SUPERVISED PRACTICE OF OCCUPATIONAL HEALTH NURSING 1
- at 7,000+ words I've some reading to do.

Pippa has obviously explored the website; as her study includes a basic grid for Hodges' model to illustrate a CARE PROBLEMS OUTLINE. This MS Word template is available through the website homepage - resources (which reminds me I must check/update these too!).


Tuesday, January 01, 2008

Happy New Year + enquiry: Occupational Health and Hodges' model

Whether the 1st of January is with you or yet to arrive as I post this I would like to wish you a very happy and peaceful New Year.

I've received an enquiry from Pippa Crouch copied below - a great start to 2008.

There's another post to follow today on University of Toronto's Health and Human Rights Conference later this month and WorldCOMP'08. In the meantime....

Pippa: I'd be very pleased to help you. If you've some specific questions about the HUMANISTIC-MECHANISTIC dimensions in the OH context ask away and I'll try to answer them. Once your study is sorted we can move on from there. (I have a graphic template for an A3 poster - used in 2005 - I can share with you.... If your OH contacts/Univ. would like me to link to the conference let me know.) Thanks for your interest and the insights/references below, really enjoyed reading it.

Sent: Saturday, 29 December, 2007 7:27:12 PM
Subject: thank you - OH and Hodges' model
Hello

Just wanted to say a quick thank you for your web site.

I am writing a paper for my Occupational Health degree and have to apply a model. As it stands there are no models specific to OH which are of any use. They are either theoretical or 'amended' from traditional nursing.

I stumbled across your website and thought I would give the career model a paragraph or two, but have become completely converted and will now be using it as the model on which to base my critical incident.

After spending weeks shifting through all the dross that apparently is supposed to make our lives as nurses easier, it is nice to finally find a model that I can actually use in practice. I will (after submission of course) be posting the link on our University website.

Many thanks

Pippa Crouch (convertee)
===================

Date: Sat, 29 Dec 2007 21:56:11 +0000
Subject: Re: OH and Hodges' model
Hello Pippa

Thanks so much for your message - a real fillip with the start of a new year beckoning.

I'm really pleased to hear that the model is useful. As you may be finding the model will grow with you as you learn and encounter new OH and other experiences.

If you have any queries get in touch and let me know how you get along. I'd be delighted to provide some feedback on your study. If you wish and would like to provide a little background about yourself, such as where you are studying and practising I would very much like to post your message on the blog?

As you have noticed on the blog one of the ideas for the new site is an open source book that people can contribute to. A contribution on OH would be a great idea. If you are already published or would like to try I'd be delighted for us to knock some ideas around regards the possibility of collaborating. (Maybe other OH practitioners will get in touch and provide assistance and opportunities?) Your studies are the priority at present of course.

Any way all the best with your studies and for the new year holiday.

Peter
====

Sent: Monday, 31 December, 2007 7:56:31 PM
Subject: RE: OH and Hodges' model
Hey Peter

Please feel free to publish any of my emails on the blog.

As you know now, my name is Pippa Crouch and I'm an OH nurse advisor at East Grinstead Hospital. I'm fairly new to OH, but I have a sound background in oncology and A&E. I have recently experienced a very steep learning curve from spending two years as a practice nurse in OH to becoming an OH nurse advisor virtually overnight. Couple that with now running my own department for a small NHS trust (of around 1000 employees), this transition has been alarming to say the least!

I suppose what I have found the hardest is the ethical position that being an OH nurse puts you in. You are still the patient's advocate, but you have a wider responsibility to the employer and community as a whole. This I suppose is what part 3 of the register prepares you for.

I have never been pro models and usually I think they are a waste of time and energy. Nursing is an instinct; if you are unable to talk to patient’s and decipher their needs then you are in the wrong profession.

That said, whilst looking back on my nursing career, there is a distinct basis from which the questioning occurs, whilst in oncology there was Orem's self care model in the background and A&E - a very loose base of Roper, Tierney and Logan.

I suppose why I am struggling now is because there is no universal model for OH. Wright (1990) likened OH nursing to a building with fours pillars from which to distribute the weight equally. Each pillar is a simile for practice, education, research and management and each has to be equal else the building will fall.

Adisesh (2003) designed the OH Paradigm which incorporates how work can enhance health giving it a more balanced view as opposed to always causing detrimental effects.

In OH there are many models, yet there does not appear to be a universally accepted model to date. This presumably is due to the diversity and ambiguity of the OH role. Alston (1990) devised the Hanassari model which has allowed OHNs to reflect on their role, yet there is little indication that it has actually been applied in practice (McBain, 2006; Chang, 1994).

When I started my role, I found myself suddenly expected to be able to take patient histories and identify needs. I relied heavily on my experience in A&E for this, what I wanted was a model and an assessment tool that was actually applicable to the working environment.

I stumbled across Hodges' model purely by chance and at first gave it little thought. Then lying in bed that night I began to see how all the pieces fitted together. I realised how I could use my A&E assessment tool but take it further and how to use it as a health promotion tool as well. If I am honest then I am only learning the basics of it at present but feel it will grow with me and I can tailor it to my needs.

The only area I feel I would like more guidance is the humanistic to mechanistic section. I lack some clarity and was hoping you could offer some help?

To be honest I doubt I will be able to attend (2 very small children..), but I have been asked to write something for the OH review. I am thinking that with your guidance I may be able to use the HC model for it? I have been approached by the University to present a poster at this year’s OH conference.

Let me know what you think, and please feel free to edit any of this for the blog.

Wishing you all a happy New Year.

Pippa

Adisesh, A. (2003). Occupational Health Practice. In Snashall D, Patel D (eds) ABC of Occupational and Environmental Medicine. London, BMJ Publishing.
Alston, R. (1990). 'A critical examination of roles and attitudes of occupational health nurses, their relationship with safety personnel and managers and implications for education and training initiatives'. MA Thesis. Thames Polytechnic, London.
Chang, P-J. (1994). 'Factors Influencing Occupational Health Nursing Practice'. A two-part PhD thesis. Kings College London, University of London.
Hodges, B. (1997). Hodges' Health Career Model http://www.p-jones.demon.co.uk/hcm.htm (Accessed online 29/12/07 Online: 1998-2015).
Wright, S.G. (1990). Building and Using a Model for Nursing 2nd edition, Edward Arnold, UK.