Hodges' Model: Welcome to the QUAD

Hodges' Model: Welcome to the QUAD

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 ...

Friday, June 12, 2026

Chapter needed - Health Equity Social Movements e.g. People's Health Movement, Healthy Cities

Dear Colleagues:
I am in the process of preparing a book for Policy Press in the UK and need an author for the chapter Health Equity Social Movements such as People's Health Movement, Healthy Cities, etc.  It would be due late August and would conform to this generic outline. Please forward to those you think might be interested.

5500 words text, 2000 words references = 7500 words.
Please see attached approved proposal for Policy Press.

Thank you for considering.

Dennis Raphael

Chapter xx. Health Equity Movements – your name
Introduction
Overview of purpose and content of the chapter including the specific social movements to be examined.
Goals and Aims
What are the stated goals of the social movement? To what extent do these concern public policy? Do they represent a challenge to the status quo?
Identified Adversaries
Are there stated opponents to the aims of the social movement? Are they explicitly identified and if so, who are they?
Formal and Informal Networks
 Are there networks that are part of the social movement? How were they formed? What roles do they play in advancing the goals and aims of the social movement?
Common Identity
Can there be said to be a common identity to which members of the social movement conform? How is this common identity represented and presented to governing authorities and the public?
Activities
How does the social movement act in the service of achieving its aims and goals? Are these activities traditional in scope involving research and advocacy or do they involve elements of confrontation?
Cognitive and Affective Components
 What are the ideas and emotions associated with these social movements and their goals and aims? Are the ideas focused on reform or transformational? Are the emotions associated with the movement and its activities of high valence using powerful language in pursuit of its goals and aims?
Political and Social Contexts
 What are the economic, political, and social environments in which the social movement operates? How have these facilitated or hindered the activities and outcomes of the social movement?
Successes and Failures
What have been the track records of the social movement in achieving its goals? What are the reasons for these outcomes?
Potential Links to a Health Equity Social Movement
 How do the aims and goals of the social movement potentially link to an all-encompassing health equity frame?
Conclusion
This provides a summary of the extent to which the social movements in the chapter conform to conceptualizations of a social movement as defined in the literature.

Dennis Raphael

Professor
School of Health Policy and Management
York University
4700 Keele Street
Stong College, Room 334
Toronto, Ontario M3J 1P3
email: draphael@yorku.ca

Thursday, June 11, 2026

NHS Corridor Care – Urgent and Emergency Care Daily Situation Reports

If politicians & policymakers regularly 'walked'
 all the corridors of Hodges' model -
 they would see the false economy 
of their combined incremental works.

Incremental? Yes, in first being a 'temporary measure', then having a deleterious impact as the duration per patient and number of patients on corridors increased.

Now to the situation when the standard of care is unsafe, sub-standard, and denigrates the NHS as a social institution.

The fact of insufficient beds and its effect on care (pathways) and patient (and family) experiences severely affects staff morale, as they recognise subtle abuse, a precursor to structural and attitudinal changes that foster, encourage and establish institutionalised harm.

Staff also realise that they risk being de-skilled, 're-educated' -
becoming less compassionate ... (a 'lesser Nurse') as corridor care 
and its consequences are normalised.

Ignoring demographic trends and without an alternative concerted 
preventive/health education and health promoting plan, this is the result 
of the health and social care funding and policy
of successive governments, enacted by NHS management.

NHS England: Corridor Care – Urgent and Emergency Care Daily Situation Reports
https://www.england.nhs.uk/statistics/statistical-work-areas/corridor-care-urgent-and-emergency-care-daily-situation-reports/

Wednesday, June 10, 2026

v Book: 'Complexity in Health Care - A Paradigm Shift for Clinical Practice'

Chapter 11 held promise in the title 'Formalising the Clinical Field'.

If anyone is interested, formalisation is what I would like to focus upon - using Hodges' model - over the next several years (taking nothing for granted). If truth be told, I'd be stressed as if (true) formalisation was discovered here, I may find this is beyond me, but this is the course I have chosen.

There was nothing new, the 'clinical illustrations' continued. The reading is worthwhile, in trying to define complexity, or what constitutes a 'complex case', hence 'Each new entry expands the complexity and gravity of the case, moving it beyond "plain vanilla" of a single medical or socially based condition'. I was reminded here of the user personas used in developing online communities. And in health the way personalised detail gets lost as personal details - emotional content gets lost (necessarily) as data is aggregated. The chapter revists the definition of clinical complexity.

'So, how does this information fit with our tentative understanding of clinical complexity as "the potential for progress toward health recovery in the context of a particular set of diagnoses and available treatments" (Kathol et al. 2018)? The phrase "particular set of diagnoses" could be replaced by "clinical challenges?" After all, where do you fit cultural considerations or family disjunctions here? Neither are diagnoses per se. Both have typically been relegated to the periphery of diagnostic considerations. Instead, they are elements in a loose matrix of clinical influencers.' p.76. [My emphasis].
Well, Hodges' model provides an ideal place for cultural considerations and family disjunctions. But replacing 'particular set of diagnoses' with 'clinical challenges' will be met with a challenge itself. This serves my purpose in advocating for Hodges' model, if challenges across the model's four care/knowledge domains can be seen as 'clinical'.

Identity morphism

Part VI on Subjectivity and Intersubjectivity is an important lesson to look; then look again - beyond the (basic!) subjective-objective dichotomy. You want patients - clients to recover quickly. The clinical illustrations are helpfully carried forward, as per the longevity their being 'complex' portends. The fact that in a clinical conference, social aspects are barely mentioned is one rationale for use of Hodges' model in practice. What has not been discussed? For 'Seth' a case formulation is raised, (I sketched a 'simple'  triangle) and the limited conceptual scope acknowledged above (p.80). Reading, I did wonder what a new edition might look like given developments in the USA? Would it make a difference? There a question about to categorise one client. And I scribbled 'identity' in the summary for the subjectivity between client and clinician.

I've always liked archaic terms^ and here cussedness springs to mind as the authors seem compelled to return to the issue of a definition for complexity. You could say - they can't put it to bed! 'Lifestyle' is not indexed. But it is clear that the adopted lifestyle of many clients also compounds, contributes to the clinically complex presentation. Case, condition, set of sign/symptoms, state of affairs, situation - all may be simple or complex. On page 87 regards Mark: 'The management challenge of this situation is evident. The situation itself is not medically complex. However, managing it is.'

When I read the aforementioned formalisation (chapter 11), I thought logic might follow, a specific illustration? Abduction is a teaser introducing chapter 14. It is chapter 15 that inference including abduction is usefully discussed:

'Abduction goes further than obtaining general and specific logical conclusions. Abduction seeks explanations beyond logic. The clinician listens to the utterances of a patient and integrates word meanings and word referents with other gathered data. The clinician abductively decodes information and concocts potential explanations for the words of the patient that fit with aggregated clinical findings. This rational processing results in what the clinician considers the best explanation for the information at hand. However, other explanations remain as viable until and unless eliminated by subsequent data. The clinician using abductive reasoning always maintains an openness to changing explanations and an intention to expunge unsatisfactory conclusions as accumulating data dictate [1].' p.96.

The author's empirical-collaborative (E-C) approach spans the book. They might find that Hodges' model as a conceptual framework can seamlessly fit with E-C. A reference on Bayesian Statistics. Lee PM (2013), plus further reading is listed.

There is a spelling mistake p.73; 'contacted a disease'?

One more post to follow ... may add here also.

Thanks again to Daniela and colleagues at SpringerNature for the review copy. 

Steven A. Frankel, Steven D. Thurber, James A. Bourgeois (2023) Complexity in Health Care: A Paradigm Shift for Clinical Practice. Cham. Switzerland: Springer. ISBN: 978303114948. 

Image:
https://krossovochkin.com/posts/2020_04_26_category_theory/ 
 
^Which is ok, I'm a grandad now. 

Tuesday, June 09, 2026

Typologies in nursing - Macduff (2007)

This paper was brought to my attention by the author Colin Macduff (now retired) who was Principal Investigator in a project [2018-2020] RIPEN. This included a series of workshops to which I was able to contribute. I knew this would be useful and must find the paper (in 14,1) also mentioned.

"What are typologies?

In relation to this initial question. Patton (2002) offers a useful definition and  distinction: 'Typologies are classification systems made up of categories that divide some aspect of the world into parts along a continuum. They differ from taxonomies, which completely classify a phenomenon through mutually exclusive and exhaustive categories, like the biological system for classifying species. Typologies, in contrast, are built on ideal types or illustrative  endpoints rather than a complete and discrete set of categories'." p.41.

'Most commonly, typology constructors such as Roberts-Davis et al  (1998) and Nolan et al (1995) present them as ways of clarifying thinking  rather than as rigid structures that are universally applicable. The difficulty  here is that within nursing discourse a number of other devices such as conceptual frameworks and models are also commonly used to this end.' p.42.

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

 



Box 1: Typology of family care (Nolan et al 1995)
  1. Anticipatory care
  2. Preventive care  
  3. Supervisory care  
  4. Instrumental care  
  5. Protective care  
  6. Preservative care  
  7. (Re)constructive care  
  8. Reciprocal care p.44.




If you can obtain a copy^, do check out Box 2 and Figure 1, plus the discussion and conclusion.

Macduff, C. (2007). Typologies in nursing: A review of the literature. Nurse Researcher, 14(2), Article 2.  https://doi.org/10.7748/nr2007.01.14.2.40.c6020 (^Paywall)

Sunday, June 07, 2026

Book: "The Elements of Power"

individual
|
INTERPERSONAL
: SCIENCES             
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
group
logicical OR
 

the periodic table
|
mining
|
elements
COBALT


the 'table' ...

family

communities


CHILD LABOUR
 
power 



“A tale of rapacious colonialism, Cold War spy games, dazzling technical innovation, big business rivalry, big power geopolitics . . . Niarchos has produced an unflinching, landmark work on the nature of extractive capitalism.” —Patrick Radden Keefe, New York Times best-selling author of Empire of Pain and Say Nothing

Epic, shocking, and deeply reported, The Elements of Power tells the story of the war for the global supply of battery metals—essential for the decarbonization of our economies—and the terrible, bloody human cost of this badly misunderstood industry


'Congo is rich. Swaths of the war-torn African country lack basic infrastructure, and, after many decades of colonial occupation, its people are officially among the poorest in the world. But hidden beneath the soil are vast quantities of cobalt, lithium, copper, tin, tantalum, tungsten, and other treasures. Recently, this veritable periodic table of resources has become extremely valuable because these metals are essential for the global “energy transition”—the plan for wealthy nations to wean themselves off fossil fuels by shifting to sustainable forms of energy, such as solar and wind. The race to electrify the world’s economy has begun, and China has a considerable head start. From Indonesia to South America to Central Africa, Beijing has invested in mines and infrastructure for decades. But the U.S. has begun fighting back with massive investments of its own, as well as sanctions and disruptive tariffs. ...'

https://www.penguinrandomhouse.com/books/709025/the-elements-of-power-by-nicolas-niarchos/

My source: James McConnachie, The dirty truth behind our 'clean energy' cars, saturday review, The Times, 17 January 2026, p.13.

Previously: 'mining' : 'corruption' : 'Africa

Saturday, June 06, 2026

"step inside" TO "think outside"

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



 










             c/o Somerset House, 6th June 2016.

Friday, June 05, 2026

Call for Abstracts: Land Use for Net Zero Hub Early Career Conference

Dear colleagues,

 

We are pleased to open the call for abstracts for the Land Use for Net Zero Hub Early Career Conference, which will be held on 7 September (1:00–6:00 pm) at the James Hutton Institute in Aberdeen, ahead of the LUNZ consortium meeting (8–10 September). The call for abstracts will close on 12 June 2026.

 

The conference theme is: “Future Careers at the Science–Policy Interface: Exploring Opportunities and Challenges in LUNZ.”

 

We aim to bring together early career researchers and practitioners from LUNZ Hub and LUNZ Research, as well as other early career groups interested in the conference themes, to network, share work, and discuss careers at the science–policy interface.

 

We welcome abstracts for poster and oral presentations within the following themes. Submissions can include works in progress and unpublished research, as we aim to stimulate open dialogue, feedback, and learning. We also encourage contributions from partners beyond academia. The format of the day will be shaped by the level of interest across these topics:

 

  • Transdisciplinary collaboration across sectors and knowledge systems
  • Science communication and knowledge impact
  • Modelling and evidence for land use change
  • Integrating people, place, and nature in Net Zero transitions
  • Just transitions and community resilience
  • Community-based research in academia and policy

 

Please complete the following form to submit your abstract: https://docs.google.com/forms/d/e/1FAIpQLSeOzhkowu0NdM3YlQz-XEIovSB3805zX5LTT4Fm7FzBPq3f7Q/viewform?usp=header

 

Once we have received and reviewed abstracts, we will open up registration to presenters and the wider community.

 

If you are interested in helping with the organisation of the conference at an early stage, we would be very happy to hear from you—please get in touch.

 

We look forward to your participation.

 

Best regards,

LUNZ Early Career Board

https://lunzhub.com/get-involved/early-careers-board/

 

Anita Lazurko (she/her)

Senior Transdisciplinary Scientist

Biodiversity and Land Use

--------------------------------

My source: At 'Ecologies of Care':

Henrike (Kika) Neuhaus
Pronouns: she/her, they/them
Post-doctoral Research Fellow in Anthropology and Art

Livelihoods and Institutions Department
Natural Resources Institute
University of Greenwich 

'Moved to Care' amid the Boxes - RCN

A Balikbayan Box for Nursing: artists and writers in residence

'Our new Arts Council National Lottery funded project takes the Filipino custom of the Balikbayan Box as its central theme, inspired by Romalyn Ante's poem Notes Inside a Balikbayan Box. The Balikbayan Box is a long-standing Filipino cultural practice through which we are exploring the spirit of nursing across borders and boundaries. 

Visit our exhibition to explore the installation ‘Inside Home’ by Haleema Aziz and meet our writers in residence – Romalyn Ante, Jennifer Wong and Christie Watson – to explore the art of nursing with a difference.

Our writers will each be running a writing workshop for a different audience to help them engage with the exhibition themes, and develop their own writing skills: refugees, schoolchildren and young adults.

Writing residencies run in the RCN Library and Museum (20 Cavendish Square) from April – June 2026. Find our what our writers have been working on at this public celebration of art and migration panel event in July.

Our writers will be based in the Moved to Care exhibition space in the England Library from 11am-4pm during their residency week. Anybody can drop in and chat to them between 3-4pm, or if you're a member you can book a free half-hour 121 slot. Discuss your own writing, ask questions about publication or the role of art and creativity in nursing with our writers in residence.'

Previously: 'box' : 'creativity

My source RCN Congress 2026

Thursday, June 04, 2026

Individual and shared mental models c/o Proctor, & Vu, (2023).

The first day of the conference on 'Ecologies of Care' 4th-5th June is complete. It was helpful to contribute early and then focus on the programme. The questions and acknowledgement have made the (personal) effort worthwhile. Tomorrow also looks promising. There was an emphasis on attention which I tried to reflect and featured in a fascinating keynote by Professor Yves Citton. I will check the sources highlighted; and tomorrow, inquire about a point made re. use of socio in contrast to social.

Regards ongoing reading, perhaps, the evidence to support Hodges' model in practice is already out there? There might be a caveat, that the literature may suggest (if does not yet confirm) that if taught cross-curricula and professional groups then Hodges' model can function as a meta-model? 

What do you think of the following from a chapter on 'Social attention and team performance' (with my emphasis)? :

'... Other two-person team examples include doubles tennis partners and pairings of an airline pilot and copilot. Larger teams can be found in the numerous team sports surgical teams, busineses, and research teams of many scientific laboratories. For teams, coordinated performance is crucial, which becomes more difficult when teams extend to three or more people. As such, teams need to have shared mental models representing the team knowledge (Gardner et al., 2017), which support team situation awareness (Demir et al. 2017).
 
The concept of individual mental model refers to understanding a particular event on the basis of the activation of relevant schemas from long-term memory and, sometimes, simulation of possible scenarios (see also Chapter 10). Bower and Morrow (1990) pointed out that a crucial role in mental models is to shift and focus attention. ...
 
Shared mental models refer to collective understanding among team members of the task to be performed and how it can be accomplished. This understanding includes the responsibilities of the individual team members and dependencies between teammates on other members progress. The term team mental models is sometimes used when the context is teamwork that needs to be coordinated and executed (Jonker et al., 2010). The idea is that teams will perform better if they share mental models. ...
 
The surgery intern study illustrates that shared mental models are learned, leading to the question of how this learning can be facilitated.' p.368. ...
 
'Team leadership can be effective at getting members to be engaged in activities that will promote shared mental models. Boies and Fiset (2018) found evidence that leaders can facilitate the development of shared mental models by involving team members in the consideration of the to-be-accomplished task and their roles in its accomplishment. This involvement, again, likely directs members' attention to information relevant for achieving team goals and enables more domain-specific group discussion, which then furthers the emergence of a shared mental model. ...
 
Situation awareness is a broader concept than mental models, focusing on an explicit understanding of events and contextsShared situation awareness differs from individual situation awareness discussed in Chapter 9, in the information required for operators to have effective coordination (Chiappe et al., 2016). For example, paramedics delivering a patient to an emergency room need to coordinate with the hospital and its staff members to ensure that the hospital has the capacity and that the doctors receiving the patient have the vital information they need to treat the patient. Once the patient is in the emergency room, nurses, doctors and technicians need to coordinate with each other to make sure that the patient is being properly cared for.' p.369. 

Proctor, R. W., & Vu, K.-P. L. (2023). Social attention and team performance. In R. W. Proctor & K.-P. L. Vu, Attention: Selection and control in human information processing (pp. 343–374). American Psychological Association. https://doi.org/10.1037/0000317-012

Tuesday, June 02, 2026

Call for Participants: Survey on Trauma-Informed Archival Practice

Dear all,

My name is Emily Hill, I am a current master's student at the University of Glasgow completing my dissertation titled: 
 
To what extent is Trauma-Informed Archival Practice understood and used within the Archival Sector? How effective are the methods of support available to Archivists? 

The aim of this dissertation is to explore the breadth of knowledge within the Archival sector surrounding Trauma-Informed Archival Practice, where professionals have learned about Trauma theory and if the mental health and secondary trauma support available is accessible and effective. There is no prior knowledge of Trauma-Informed Practice needed to participate, as these concepts are explained within the Participant information forms. 

Participation in this survey will take approximately 15 minutes, including the Participant Information and Agreement forms which should be viewed and signed before participation in the survey questions. 

All survey responses are received anonymised, with the data being analysed in correlation with other respondent data on a question-by-question basis. 

I would be very grateful for your participation in this survey, and if you have any questions or concerns you wish to address prior to participating, please email me at 2650467H AT student.gla.ac.uk. 

You can access the survey here

Thank you in advance for your participation!

Best wishes, 
Emily Hill.

My source:
To view the list archives go to: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK