Hodges' Model: Welcome to the QUAD

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Saturday, February 15, 2020

c/o Assoc. Prof. Nazilla Khanlou: Connecting - Hodges' model & Women's Health

From: Nazilla Khanlou
To: peter jones
Sent: Tuesday, 28 January 2020, 23:18:15 GMT
Subject: Re: Connecting - Hodges' model & Women's Health

Hi Peter,

I hope all is well. Yesterday in the PhD level 2 Seminar course that I teach (for PhD in Nursing students) we discussed your publication and 2 by 2 template. Thank you for letting me know about your work!

FYI, these are the readings we discussed yesterday:

Epstein I, Khanlou N, Ermel RE, Sherk M, Simmonds KK, Balaquiao L,& Chang K-Y. (2019). Students who identify with a disability and instructors’ experiences in nursing practice: A scoping review. International Journal of Mental Health and Addiction , 1-28, Published online: https://doi.org/10.1007/s11469-019-00129-7

Hoeck, B., & Delmar, C. (2018). Theoretical development in the context of nursing—The hidden epistemology of nursing theory. Nursing Philosophy, 19(1), e12196. https://onlinelibrary.wiley.com/doi/abs/10.1111/nup.12196

Jones, P. (2014). Exploring the dimensions of recovery and user experience. International Journal of Person Centered Medicine, 3(4), 305-311.

Khanlou N, Mustafa N, Vazquez LM, Davidson, & Yoshida K. (2017). Mothering children with developmental disabilities: A critical perspective on health promotion. Health Care for Women International (38)6, 613-634. Available url: http://dx.doi.org/10.1080/07399332.2017.1296841

Thorne, S., Stephens, J., & Truant, T. (2016). Building qualitative study design using nursing's disciplinary epistemology. Journal of Advanced Nursing, 72(2), 451-460.

Two of the readings in the above are related to my publications (1st one I am a co-author on and the 4th one I am the first author on).

The students asked how I came to know about your work, and I indicated one of the advantages of Twitter is you connect with folks related to our field!

Thank you again,

Nazilla Khanlou, RN, PhD
Women's Health Research Chair in Mental Health, Faculty of Health
Academic Lead, Lillian Meighen Wright Foundation Maternal Child Health Scholars Program
Associate Professor, School of Nursing
York University, HNES 3rd floor
4700 Keele Street
Toronto, ON, Canada, M3J 1P3

E-mail: nkhanlou AT yorku.ca
Twitter: https://twitter.com/YorkUOWHC

Website: http://nkhanlou.info.yorku.ca/

Friday, February 14, 2020

'Desk-topping' i [ c/o BBC Radio 4 today 5 Feb. ]

humanistic ----------------------------------------------- mechanistic
group - population


Definition #1 below is as obvious as it is brief. A desk might be topped with various things, so-called executive toys (still?), personal affects, or company related branding.
It may have the proverbial in-tray, out-tray (paper still lingers?). The desk may be clear, or cluttered as a workspace. It will be the home of technology, it's PC - desktop - namesake, that shares the floor nearby, wired the sign of connectedness and energy.


To have 'papers' on the desk, might be to denote action of some sort, but how long are those 'papers' held for?
The subjects of the issue at hand could be experiencing a protracted delay. The desktop in this case exemplifies not just bureaucracy, but obfuscation.

desk·top (dĕsk′tŏp′)
1. The top of a desk.
2. Computers
a. The area of a display screen where images, windows, icons and other graphical items appear.
b. A computer that is designed to be used at a desk or table and is not easily moved, in contrast to a laptop or other portable device. Also called desktop computer.


My source:
BBC Radio 4 Today 5 February 0838 discussion regarding historical child abuse in the Church.

Desk-topping or desktopping?

Friday, February 07, 2020

Post enigma 2008 ADLS

I've found back in 2008 there is reference to a non-existent post. I'm not sure what happened, but do remember considering this:


Creature of habit and habitat that I am, I also appear to have used the same 'strategy' of mapping concepts to the domains of Hodges' model.

In this case the focus was activities of (daily) living. It is this strategy that is employed in a draft paper still to be revised but on the Sustainable Development Goals. This exercise is not just reflective, there is a reflexive quality to it. The fact that asymmetry is revealed should not be surprising. In this post the clue is in the word 'activities' and ADLs and what is often deemed primary in theory, practice and common-sense.

To be revised ...

Monday, February 03, 2020

Deradicalisation: Sheep dips and holistic approaches

"Need to treat these people as individuals, not as generic sheep-dip things ..."

"Approach needs to be holistic, all encompassing ..."

humanistic ----------------------------------------------- mechanistic
group - population

Individual beliefs
Personality, Character
Religion - subverted
Need for Theological interventions

Subjective - Objective
Resource intensive

Social values, social media
Community leadership
Community response
Reintegration of Terrorist Offenders
Public Awareness - Preparedness

ACT Awareness E-Learning

(Counter) Terrorism
Prison (aptitude?)
Sentence served
Prison early  release
Deradicalisation programmes -
 (Globally none are 100% success)
Martyn's Law

My source:
BBC Radio 4 Today 3 February 2020, from - 0810 and 0849.

Sunday, February 02, 2020

The science and sociology of 'Labelling'

humanistic ----------------------------------------------- mechanistic
group - population



My source:
Hannah Kuchler, Nick Verbitsky, Tom Jennings, Shaun Connaire, Opiods sales chief admits to lacking morals, FT Weekend, 25-26 January, 2020, p.13. (additional reporting: Annie Wong, Rebecca Blandon).

Thursday, January 30, 2020

Books, Papers and Conferences ...

At present I'm reviewing a paper for a journal on an education topic - nearly complete.

Communication Skills
for Effective Dementia Care

I'm five chapters into the ten chapter book -

Communication Skills for Effective Dementia Care

A Practical Guide to Communication and Interaction Training (CAIT)

- this is for a journal so it will be a 'review'.



800 words, or thereabouts are needed on Hodges' model and its utility in reflecting, deliberating and comprehending the environment and climate change. I have some notes already. 

Mathematics and Art: A Cultural History

Yesterday I had to visit a neighbour. A card for an undelivered item: a parcel. 

What could this be? 

It was quite a big box. 576 pages worth to be exact and a larger format book 9.5 x 12 in that instantly shouted 'quality'.

The book is not new, but is lovely to discover ... 

In my message to the publisher I highlighted my non-mathematical status, but great interest in topics within mathematics and the disciplinary bridges from maths - physics; sciences and humanities and of course mathematics and art.

I'm really grateful (especially to Princeton University Press) to receive both these books.

The dementia care title will also help me complete the two-part paper on Hodges' model, deprivation of liberty and threshold concepts. There are so many strategies and techniques outlined for carers both formal and informal. In July reading this book will also assist with a presentation at the Threshold Concepts conference.

Now well into the new year - the revisions to the paper on the SDGs and Hodges' model is also a priority.

To manage time I've put twitter down, but clearly with the above some tweets will follow in due course.

Then finally it will also be time to leave this blog alone for a time - well fewer posts at least ...


Tuesday, January 28, 2020

c/o RCN: Nursing Emotions, Art and History

humanistic ----------------------------------------------- mechanistic
group - population



My source: RCN as per main link.

Image original (please do see the original - which I have quartered here):

I remember an article in an issue of 'Computer Arts' many years ago on creating stained glass images, the example included fish I think?

Monday, January 27, 2020

What should be written in a HC Professional's DNA?

Before putting twitter down for a break, I was reminded about a form of DNA.

There are previous posts on the 6Cs in nursing here on W2tQ and taking these essential qualities as an obvious starting-point:

  1. care,
  2. compassion,
  3. courage,
  4. communication,
  5. commitment
  6. and competence
- and mapping them to the care (knowledge) domains of Hodges' model, you realise how they apply across the model. Care, Compassion and Communication are the essence of what it is to be human and humanistic. If however the time 'allowed', environment and accessibility are not attended to, then the mechanistic domains can disrupt the most caring of efforts.

What about courage? This is surely a very individual character trait? A personal quality in this context, with an emphasis on the humanistic domains.

Care is relational and we can consider courage in respect to scientific knowledge. As a member of the multidisciplinary team, or specialist practitioner a nurse may need courage to share scientific knowledge, evidence concerning genomics, for example. The public's knowledge and understanding of science is brought to the fore. There is the alternate scenario with the 'patient' as expert, for example in the case of rare diseases (especially next month).

Courage is a continua, that like strands of DNA runs through all the domains of Hodges' model and the 2020s ... will see the political realisation of courage in nursing and healthcare; locally, regionally, nationally and globally.

Reading (another) book for review, the authors draw attention to how Maslow's hierarchy says little, if anything, about altruism (but is implied?).

As these brief observations should demonstrate, Hodges' model facilitates relational, person-centredness, the cross-fertilization of ideas and high standards of care.

Who needs a double-helix when you can have a quadruple form?

humanistic ----------------------------------------------- mechanistic
group - population

My source:
MindScience, Biochemistry, FT Magazine, FT Weekend. 26-27 January 2013, p.50.

Reminded via:

Sunday, January 26, 2020

Books: Technology, Capital and Ideology - captured in h2cm...

humanistic ----------------------------------------------- mechanistic
group - population

My sources:
The Times and FT Weekend.

Saturday, January 25, 2020

h2cm = 'GI - General Intelligence'?

"In 1990 a paper curiously- titled "Elephants don't play chess", published by Australian roboticist Rodney Brooks, ushered in the idea that artificial intelligence could become smarter by learning as the human brain does. Building simple connections that gradually become more complex could help AI emulate the way we think."

"AGI [artificial general intelligence] is a really tough problem, making something that is as flexible and efficient across a wide range of domains as a mammalian brain is a tough challenge.."

"In a new paper published in Nature yesterday, DeepMind unveiled how an area of AI , known as reinforcement learning, has shed new light on the way the brain learns. ... At the heart of the paper is a new idea of how dopamine works. Known as the "motivation molecule" or "surprise signal", dopamine has come to be of significant interest." Chowdhury, 2020.

AI or G(A)I ? Specific and General ...
... depending on the situation ...

humanistic ----------------------------------------------- mechanistic
group - population

decision making




data  information

Brooks, Rodney (1990), "Elephants Don't Play Chess" (PDF), Robotics and Autonomous Systems, 6 (1–2): 3–15, CiteSeerX, doi:10.1016/S0921-8890(05)80025-9

Dabney, W., Kurth-Nelson, Z., Uchida, N. et al. A distributional code for value in dopamine-based reinforcement learning. Nature (2020). https://doi.org/10.1038/s41586-019-1924-6

My source:
Chowdhury, H. Why scientists just had a brainwave in quest for artificial intelligence, Business, The Daily Telegraph, 16 January, 2020, p.5.

Friday, January 24, 2020

The 9th World Congress of Clinical Safety (9WCCS)

9th WCCS 2020 Amsterdam

QI (Quality Improvement) and
CI (Communication Improvement)
for Patient Safety Promotion

2 (Wed) - 4 (Fri) September 2020
Bilderberg Garden Hotel, Amsterdam, The Netherlands

hosted by
International Association of Risk Management in Medicine (IARMM).

The Amsterdam Congress covers a wide range of safety topics, such as clinical safety (patient safety, medication safety, medical device safety), infectious disease outbreak, and other related safety subjects.

The key concept of congress is "QI (Quality Improvement) and CI (Communication Improvement) for Patient Safety Promotion". The causes of medical accidents in the world can be summarized into bad quality and bad communication. Thus, it is clear that safe healthcare culture needs both of QI and CI.

Let's enjoy the Amsterdam Congress to meet together with multi occupations, share information and create your new global partnership.


IARMM 2020

Thursday, January 23, 2020

Person-Centredness and Safety: 25st / 350lb / 159kg

humanistic ----------------------------------------------- mechanistic
group - population


... doors and doorways, entrances, exits, passages, chairs, stretchers, hoists ... moving - handling ...

My source:

Wednesday, January 22, 2020

CfP: The Future as a Problem. Between Philosophy and Cultural Studies

Trόpos. Rivista di Ermeneutica e critica filosofica

ed. by Gianni Vattimo and Gaetano Chiurazzi
2020, n. 1

The Future as a Problem. Between Philosophy and Cultural Studies
Edited by Daina Habdankaitė and Davide Sisto

The upcoming issue of Tropos will be dedicated to the concept of future, with a view to reconstructing its peculiar hermeneutics, which is, its theoretical meaning and many nuances.

The topics include but are not limited to:

- Future and technology: political, social and ethical problematics;
- Ontology of the future: classic and contemporary approaches;
- Virtuality and/or possibility in theory and/or in praxis;
- The future of philosophy as a philosophical problem.

Submission deadline: March 31, 2020
Results of blind reviews: April 30, 2020
Publication date: July 2020

Submission Guidelines
Papers should be submitted to:

- Daina Habdankaitė: d.habdankaite AT gmail.com
- Davide Sisto: da.sisto AT gmail.com
- Papers should be in English, French, or Italian.
- Papers should be prepared for blind review (double)
- Each submission should consist of two separate documents containing the following:

1) The full paper including:

- Title
- The full paper should not exceed 50,000 characters in total.
- An abstract of no more than 200 words - also including an English title
- 5 keywords

2) A separate cover letter including the following information:

- The title of the paper
- Your name, affiliation and contact information
- A biographical presentation of 50-60 words.

Presentation of the topic

A quick glance at the current political, social, technological and artistic reality reveals increasing popularity of the discourse about the future which is reconceptualized and scrutinized from both theoretical and practical approaches. As soon as it enters the theoretical field, the question of the future becomes a question of the future of philosophy, to the point that it has been said that the future of philosophy itself might be the philosophy of technology (J. C. Pitt). There is a prominent idea that the technological future will cause a revolution in interpersonal relations: the increasingly frequent interaction with AI (vocal assistants, chatbots, etc.) is generating new relationships between human beings and robots, causing problems that are still unclear, but are starting to attract the attention of scholars and researchers.

The omnipresence of digital objects, especially within social networks, has often determined a pathological nostalgia for the past: when the past tends to overlap with the present, making itself indistinguishable from the latter, we tend to look back and to not look in front of us. The inability to distinguish the present from the past is also connected to the modus essendi of contemporary neoliberalism, which in the name of "there is no alternative" forces us to spend all our energy in recovering the past: we would be not able to build a new future anymore since it appears impossible to be done a priori.

This tendency, according to which we refuse the unusual and keep alive the usual, has been described, in the context of Cultural Studies, as retromania (S. Reynolds), or as slow cancellation of the future (M. Fisher, F. Bifo Berardi) This general pessimism is also connected to the idea that we are approaching the end of the world. The economic and the environmental crisis, combined with the eternal and suffocating presence of the past, are determining the spread of apocalyptic philosophies that, starting from the cosmic pessimism of G. Anders, stress that the end of humanity is near (D. Danowski; E. Viveiros de Castro; E. Thacker; J. Bridle), or even that the end of the Earth itself is coming, to the point that the even the bringing a new life to the world is questioned from the moral standpoint (D. Benatar; T. Ligotti).

On the other hand, an optimistic view of our technological future can be also encountered. The present age focused on technological and digital enhancement has produced the diffusion of transhumanist ideas revolving around the vision of the entire humanity soon gaining access to the eternal life, sometimes in the form of the digital immortality, through which human beings are to be replaced with their digital identities (from avatars to holograms). In other words, there is hope for death to be defeated.

From a more general point of view, the future is a challenging philosophical problem, engaging discourses in the realms ranging from metaphysics and ontology to politics and ethics. After the spectrality of Derrida and virtuality of Deleuze, that have marked the discourse of the 20th century, new ontologies are being formed as either a direct response to the limits of deconstruction, a continuation of non-essence based ontology or an attempt to make a significant conceptual shift in contemporary metaphysics. With the rise of different versions of speculative realism (Q. Meillassoux, G. Harman, R. Brassier, I. H. Grant) and new materialisms (K. Barad, R. Braidotti, E. Grosz, J. Benett) classical philosophical notions of virtuality, potentiality, matter, technology, human and many others are being reshaped and rearticulated not without an attempt at building bridges with other discourses such as science, feminism, science fiction, visual arts, etc. The vast array of different takes on classic philosophical problems share a similar urge for reshaping philosophical discourse as such and very often reconceptualizing the question of the future turns out to be also an attempt at reimagining the future of philosophy itself.

General information
Publisher Website:
Journal Website:
Journal Email Address:
tropos.filosofia AT unito.it

Indexed in: Philosopher’s Index, Philosophy Research Index, Catalogo Italiano dei Periodici (ACNP)
Questions are welcome and should be directed at the editors of the current issue:

- Daina Habdankaitė d.habdankaite AT gmail.com
- Davide Sisto: da.sisto AT gmail.com

My source:
Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ Messages to the list are archived at http://listserv.liv.ac.uk/archives/philos-l.html.
Recent posts can also be read in a Facebook group: https://www.facebook.com/PhilosL/ Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos

Monday, January 20, 2020

Collective Intelligence in Hodges' model: c/o Röling (2009)

humanistic ----------------------------------------------- mechanistic
group - population
Intelligence Quotient

Emotional Intelligence
Spiritual Intelligence

Individual beliefs
Individual motivation

"Can individuals really be rational and modify behaviours accordingly?"

Ozone layer


Deepest Ocean bed

"Anthropogenics would also be a praxiology - a science that informs decisions and action." p.40.

The 'Enlightment' tradition:
Science, Knowledge, Human ideals distilled in history and future history.

"Can we adapt tools forged to create wealth and use them for sustainable development?
Is ever-increasing wealth the only viable measure of progress?"

"A close understanding of how institutions determine individual behaviour might even curb the enthusiasm for "methodological individualism", the tendency to explain collective things such as the marketplace as a necessary outcome of individual choices." p.41.

[Context: How can agriculture feed the world ..? ]
"One of the things this exercise brought home to me was how poorly we understand humans as agents of planetary change, how little of what we do know is widely shared, and that this knowledge is scattered across disciplines that appear distant to governance. I began to ask if we needed a new discipline, one that could beyond the work of thousands of ecologists, climatologists, economists, anthropologists, psychologists, political scientists, neuroscientists and the like. I decided to appropriate the name "anthropogenics" for my dream discipline. p.40.

My source:
Röling, N. (2009) Profile. A proper study of mankind, New Scientist, 17 January, 201, 2691. pp.40-41.

Saturday, January 18, 2020

Book* - "Healing Spaces"

- plus, five care knowledge domains*

and a question...?

humanistic ----------------------------------------------- mechanistic
group - population

"What is missing from the book is a precise figure on just how great a contribution a restful atmosphere makes to healing - something health chiefs are sure to demand before making changes in our hospitals. Nevertheless, it provides a pleasant glimpse of the possible future of rest and recuperation." p.45.

Which, if any, healing space - or care domain in Hodges' model should be the priority?
Justify your choice and subsequent ordering.

My source:
Geddes, L. (2009) Books&Arts, A view to recovery, New Scientist, 9 May 2009, 202:2707. p.45.

See also:
Ulrich, R. (1984) View through a window may influence recovery from surgery. Science, 224: 4647, 420.

Friday, January 17, 2020

Science and Critical Thinking: c/o New Scientist 2015*

humanistic ----------------------------------------------- mechanistic
group - population
4. "That works for some, but all too often the reaction is: "I'll never need to use this once I've left school. That is being taken up by the Programme for International Student Assessment."

"critical thinking toolkits"

3. "... the desired combination of scientific literacy and critical thinking remains rare in public discourse. Perhaps that is because we hope that children will learn to evaluate claims rationally if we teach them science. ...

But mastery of the [scientific] facts alone is not enough for the internet age. Much of the copious online rhetoric is more viral than factual, so it is just as important that we know how to evaluate sources of information., and how to tell correlation from causation, and opinion from fact - in matters both obviously scientific and otherwise. "

1. "Here's a game to play next time you catch the news headlines. Count how many would dissolve away or be markedly different if the people writing them had evaluated the evidence more critically. Your count will probably be alarmingly high."

5. "But our societies still have a long way to go when it comes to reading between the headlines - or rewriting them."
2. "We have a long tradition of allowing civic affairs to be settled by persuasive rhetoric. That is inadequate for our modern society."

"a reflective citizen"

public understanding of
 terrorism, vaccination, climate change, chemical pollution ..

PISA is the OECD's Programme for International Student Assessment. PISA measures 15-year-olds’ ability to use their reading, mathematics and science knowledge and skills to meet real-life challenges.

My source:
Leader, Critical thinking, New Scientist, 12 December. 2015, 228: 3051. p.5.

*Yes, still also sorting magazines, papers, notes...
Blue (paper) bin repeatedly quite full.

Thursday, January 16, 2020

Social Care: in the round and square c/o King's Fund

Simon Bottery's Long Read -

What’s your problem, social care? The eight key areas for reform

- and listed below, have been mapped to Hodges' model. The full article and comments are well worth reading and may help readers discern the relationships between the key areas identified.
  1. Means testing: it’s not like the NHS 
  2. Catastrophic costs: selling homes to pay for care 
  3. Unmet need: people going without the care and support they need 
  4. Quality of care: 15-minute care visits and neglect 
  5. Workforce pay and conditions: underpaid, overworked staff 
  6. Market fragility: care home companies going out of business 
  7. Disjointed care: delayed transfers of care and lack of integration with health 
  8. The postcode lottery: unwarranted variation in access and performance

I have associated each with the respective knowledge (care) domain in which they are placed:

humanistic ----------------------------------------------- mechanistic
group - population
1. Parity of Esteem in Means Testing
2. (Catastrophic) Cost to me, anxiety, depression, stress
3. Unmet need (mental health, counselling ...)
4. Quality of Care (Mental Health, Well-Being..)
5. Workforce (values, person-centred, self-esteem, job-well-done, BE the Difference?)
6. Market fragility (attractiveness as career pathway, having a leader)
7. Disjointed care (number of carers, lived experience...)
8. Postcode (I thought this had been addressed?)
(postcode? - a remote 'thing' outside through the window and (summer) garden]

1. Parity of Esteem in Means Testing
2. (Catastrophic) Cost to NHS - innovation, change, prevention, transformation
3. Unmet need (physical, access ...)
4. Quality of Care (Time, Logistics)
5. Workforce (tasks, scheduling, physically reasonable?)
6. Market fragility (scale, bed occupancy, local demographics...)
7. Disjointed care (geography, transfers, A&E admissions...)
8. Postcode ('literally') North, West, East, South,
Regions, London, Urban, Rural ...

1. What is your
Parity across

2. (Catastrophic) Cost to my family.
3. Unmet need (socialising, access, carer ..)
4. Quality of Care (Relationships, Belonging, Communication, Family Groups..)
5. Workforce (job satisfaction, status, social worth ..)
6. Market fragility (Public perception, marketing, negativity bias - local news, time for outreach, intergenerational engagement...)
7. Disjointed care (input of family, local provisions, self-funding - budgets...)
8. Postcode (pre-social care, pre-lottery?)

Means (let's Test that.)
here too?

 2. (Catastrophic) Cost to the State?
3. Unmet need (my choices, informal carer ...)
 4. Quality of Care (Value for £, Measures, Inspection, safety..)
5. Workforce (pay and conditions, minimum wage?, Unions, contracts, training, BREXIT ..)
6. Market fragility (FUNDING settlements, estate, investment, staff turnover, Qualified staff, commercial history, profit, governance..)
7. Disjointed care (commissioning, ...)
8. Postcode (local policy, funding, protocols ..)