Hodges' Model: Welcome to the QUAD: October 2010

- 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, October 30, 2010

HCI 2011 Health, Wealth and Happiness Call for Papers

The 25th British Conference on Human-Computer Interaction (HCI2011)

July 4th - 8th, 2011 at Northumbria University, Newcastle-upon-Tyne, UK.

The HCI Educators conference, Workshops and Tutorials will be held on 4th and 5th July, 2011 and a Doctorial Consortium on the 5th July. The main conference runs from the 6th-8th July, 2011. HCI 2011 is organised by the PaCT Lab (Northumbria University) in cooperation with the British Computer Society.

This year we will be looking for papers to put in our alt.hci sessions. So if you think your work doesn't usually make it into this conference then maybe this year is your year.

Accepted papers will be published by BCS in the annual conference proceedings, freely available online in BCS Electronic Workshops in Computing (eWiC) and will also be included in the ACM digital library.

Important Dates:
  • Full Paper and Workshop submission: 21st January, 2011
  • Workshop notification of acceptance: 11th February, 2011
  • Work in Progress and alt.chi submission: 18th February, 2011
  • Short and Posters  submission: 18th February, 2011
  • Demos and Experiences submission: 18th February, 2011
  • Doctoral Consortium 18th February, 2011
  • Panels: 18th February, 2011
  • Notification of Acceptance for all other categories: 8th April 2011
  • Camera-ready copy for proceedings required by 6th May 2011
Deadline for author registration: 4th May 2011

Conference: 4th July - 8th July, 2011

Conference Scope and Description:

Human Computer Interaction is a key area of computing. This is the leading conference in the field of Human Computer Interaction in the UK. It covers the design, evaluation and application of techniques and approaches for interacting with devices and services.  HCI is now on its 25th conference and at this anniversary we ask you to reflect on our theme of Health, Wealth and Happiness. Technology is posed to play a growing part in our health and maintaining well being into older age; wealth manifests itself in many ways, many of which we do not always recognise - relationships, richness of life experience, creativity and innovation, knowledge and qualities of character. Lastly is there a relationship between happiness and technology use, will more gadgets increase our well being? And as ever contributions in any aspect of HCI are welcome.

Suggested topics:

We solicit original research and technical papers not published elsewhere including the following topics:
  • Affective interaction
  • Aesthetic interaction
  • Art and interaction
  • Bodily interaction
  • Cyber-relationships, sex and eroticism
  • Design and Evaluation methods
  • Ethnographic and field studies
  • Ethics and HCI
  • Experience Design
  • Fun and Play
  • Health informatics and technology
  • Human values
  • Information visualization and presentation
  • Interaction Criticism
  • Moods, meditation and relaxation
  • Musical and audio interaction
  • Novel interaction techniques and devices
  • Privacy, Security and Trust
  • Social networking
  • Spirituality and Beliefs
  • Sustainability and HCI
  • Ubiquitous, pervasive, and mobile interaction
  • Universal design
  • Usability studies
  • User Experience
  • Wearables and fashion
  • Wellbeing and technology
Keynote Speakers
  • Abigail Sellon, Microsoft Research, UK
  • Gregory Abowd, Georgia Tech, USA
Paper Submission:

Submissions must be in an electronic form as PDF format. All submissions should be formatted to the ACM standard, see http://www.acm.org/sigs/publications/proceedings-templates , and will appear on-line in the BCS EWiCS series and the ACM Digital Library.

Submissions should be made through the EasyChair system, which will open for submissions in November and will be linked from the conference website http://www.hci2011.co.uk/ with detailed instructions. We have put together an international review panel. Submissions will be peer-reviewed by at least 3 peer-reviewers, selected by the appropriate chairs. Additional guidelines can be found on the conference's website.

It is a condition of acceptance that at least one author must register for each accepted paper, no later than the early bird deadline of 4th May 2011.

Thursday, October 28, 2010

Fran Biley's video: Students on nursing theory

I came across this great video created by Francis Biley Bournemouth University through the Martha Rogers list:

Quite some time ago I wondered about having dummy - animated heads to carry out a dialogue. It is great to see how e-media forms and tools have developed now.

I have my own thoughts and ideas on nursing, perhaps over time I am drafting them in the bibliography and here on W2tQ?

Additional links:

Nursing theory resources SCIENCES links
Virtual Reality in Nursing: A dialogue from 1991
Nursing Telemachus and Computers: A dialogue from 1995

[The above are no longer available but the dialogues may reappear in an archive.]

Saturday, October 23, 2010

Drupal musings 18: healthcare group, DrupalCamp and #183

It's a fair trip to Edinburgh from NW England just for one day on the 30th October, but DrupalCamp looks like it will be worth it. I've just booked a room for the Friday night and will set out straight from work.

There's been a Drupal healthcare group for quite a while, now there's also a list of health sites using Drupal:


One day, one day....!

I'm not sure if this post is contrived: a means of getting to post #183. That was the total for 2009 and here we are already.

If one day, one day is going to happen then this blog is going to slow down soon. No suspended animation though. There will be a pulse.

The involvement of a few link partners on W2tQ is very helpful. It seems the archives are of interest. This not only supports the IT side - future hosting ... but attending events (DrupalCamp travel, B&B) and possibly conferences...

As a full-time nurse I sometimes have to rely on holidays to attend events. Drupalcons are a case in point. It's not easy trying to simultaneously span nursing, education and informatics, but it really is fascinating [and it makes me :-) ]. Take the following 'local' conference:

Celebrating the Past and Embracing the Future:
Evolution and Innovation in Problem-based Learning

March 30th and 31st 2011 in Grange-Over-Sands, Cumbria, UK

I raise this because problem-based learning is a real gift for the health career model, but this gift runs to £235 (which of course for two days training / education is very reasonable - there is a free half-day workshop too). 

Friday, October 22, 2010

Care origin(s) and open access #OAW2010

The most striking and ubiquitous presence in the health career model is its basic diagrammatic form. The image at left provides some mathematical additions and there at the center is the origin.

In this respect the model (literally) draws our attention to the identification of the care problems, constraints, strengths, solutions that affect the individual with whom we are engaged. We are immediately aware that there is inevitably more than one aspect to consider.

To save repetition I am only going to refer to problems. So, the model's form highlights that there is no single origin of problems, but many. At some time a problem, for example physical, may become the priority. Then the SCIENCES domain is critical. Deprivation of liberty concerns may split the priority creating tension across the INTER-intraPERSONAL and POLITICAL domains.

As priorities are dealt with there needs to be a return to the -


The question is asked: in which care domains do the problems lie? We call this re-assessment and evaluation.

In Open Access Week the health care model is also 'open access'. Not just in terms of being a free, accessible resource available to all, but being discipline agnostic, neutral and applicable across cultures and ethnic groups. The model is also open in terms of mindset. The users of h2cm provide that and as they do open* and origin-al care unique to the individual has a chance to follow.

*Open care? Mmm...

Image source: origin - http://en.wikipedia.org/wiki/File:Coordinate_with_Origin.svg

Monday, October 18, 2010

Drupal musings 17: PHPNW 2010, HTML5, DrupalCamp Edinburgh

PHPNW 2010 on the w/e 9th - 10th October was well worth attending. Sessions for me after the keynote included:

Let your toolchain set you free

Debugging – Rules and Tools

The curious case of php|architect

Designing HTTP URLs and REST Interfaces

All the sessions where very informative, but the latter proved the most interesting. I noticed REST interfaces kept coming up at the Ruby conferences in '08 and '09 and also in reading about Ajax. So David Zuelke's session was very interesting both with his critique of how REST is applied (twitter) and his humour. I look f/w to the videos appearing.

A dinner date with friends meant I had to leave early and so I missed the prize draw. The past week started with a smile when Emma Parker, PHPNW10 Events Team emailed to say I'd won a book in the prize draw. Last Thursday the book arrived:

Pro HTML5 Programming

Magic! Thanks to the conference team and Apress.

I have just learned about DrupalCamp Edinburgh on the 30th and have registered.

Saturday, October 16, 2010

New to nursing? after Jules (just scratchin the skin)

If you are new to nursing (social care, learning disability, forensic nursing... ) we have some amazing guests on this weeks show, appearing especially for you, because of you: because you care - on four stages .... [with apologies: Jules Holland, BBC 2]

Interpersonal : Sciences
Sociology : Political
Self Awareness
rapport, empathy
values, beliefs
mood, risk
knowledge & skills
aptitude and attitude
anatomy and physiology
(The) Make the Beds
journals, books
assess, plan, actions, evaluate
tech & equipment

traditional medicine
social networks
public involvement
Consent, Choice, Capacity
health economics
health social care services

Friday, October 15, 2010

Blog Action Day 2010 - Water: conceptual drops in the health career model

Today is Blog Action Day and the theme is water.

Below I have added a selection of water related links across the domains of the health career model:

Interpersonal : Sciences
Sociology : Political
Water use - You?

Water Encyclopedia

water in Philosophy

National Geographic

the Water project
Properties of water

The water cycle

Water, sanitation & health: WHO

 Water on the Sun

SI water

Water mythology

Water development photos

Costing the Earth BBC:
Cleaning Up the Ganges
Geopolitics of water scarcity in the Middle East
World Water Day
Water, health and economics:

Thursday, October 14, 2010

ERCIM News No. 83 Special Theme: "Cloud Computing"

Dear ERCIM News Reader,

ERCIM News No. 83 has just been published at http://ercim-news.ercim.eu/

Special Theme:
"Cloud Computing"
- coordinated by: Frédéric Desprez, Ottmar Krämer-Fuhrmann and Ramin Yahyapour
- featuring the keynote "Cloud Computing: The Next Big Thing?" by Burkhard Neidecker-Lutz, Keith Jeffery, Maria Tsakali and Lutz Schubert.

Next issue: January 2011 - Special Theme: "Intelligent and Cognitive Systems"

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor
Follow us on http://twitter.com/ercim_news

Of note in ERCIM #83 :

An Infrastructure for Clinical Trials for Cancer – ACGT Project Successfully Terminated; by Jessica Michel Assoumou and Manolis Tsiknakis

Mastering Data-Intensive Collaboration and Decision Making through a Cloud Infrastructure; by Nikos Karacapilidis, Stefan Rüping and Isabel Drost

Finally, the first issue of 2011 #84 sounds a great prospect!

Wednesday, October 13, 2010

Balanced Care: Safe Landings and Recovery

In health and social care patient, family and the health care team are united in what is constantly described as a journey. Sometimes there are several, care pathways into territories unknown.


Well yes, if care delivery is personalised (who are we to assume ...?); and yes again even if the patient - the individual concerned is an 'expert' in their condition.

Apart from the metaphysics of life's journey our physical environment can present dangers and yet fewer and fewer corners are truly  unknown. We leave it to astronauts (and oceanographers) to adventure on our behalf. Prior to the Apollo missions it was essential to confirm the nature, solidity of the lunar surface. Would a spacecraft sink and possibly tilt to the extent that return to lunar orbit and Home was impossible?

The Apollo Lunar Module's four legs provided support for a safe landing and take off. A base in every sense.

In health and social care the health career model can provide a base and re-assurance too. Each of the four care domains allied with knowledge and skills - holistic competence - can bring about a successful mission: however the crew and 'success' are defined.

Image source and original text below from:
Cartier Replica of a Lunar Module
Three individual 18-karat-gold models of the American lunar module were made in 1969 by the jeweler Cartier of Paris on behalf of the French newspaper Le Figaro and presented to the three Apollo 11 astronauts during their post-flight tour in Paris. This model was presented to astronaut Michael Collins.
Image ©Nick Welsh/Cartier Collection 2006

Tuesday, October 12, 2010

Naivety [I] ever unfolding : ever present - SCIENCES

naivety [naɪˈiːvtɪ], naiveté, naïveté [ˌnɑːiːvˈteɪ]n pl -ties, -tés

the state or quality of being naive; ingenuousness; simplicity

2. a naive act or statement

My source:

There are times when we are all naive. It can be so embarrassing! When you realise, or more severely are made aware by others the abrupt learning is suddenly resolved. Within the bounds of the health career model, naivety can be found and is expressed in so many ways.

Hodges' model may appear naive in its simplicity, but behind that simplicity there are several assumptions. When you act as scribe, reader or doer you exercise the model's structure. You potentially demonstrate several levels of literacy.

If the health career model can represent most 'everything', then naivety should be no problem. So, if we visit each of the care domains in turn what can we find?


I came across a post: 'We are all naive scientists' on The Financial Philosopher blog which includes this quote:
"It is clear, then, that the idea of a fixed method, or a fixed theory of rationality, rests on too naive a view of man and his social surroundings." ~ Paul Feyerabend
Regularly, I ask myself if I am naive in this particular domain. Am I right to assume that there are questions in nursing that can be answered (or at least reflected upon) using Hodges' model? Furthermore, can this use, this application be demonstrated in a scientific (evidenced) way?

Does experience of programming in BBC Basic as an enthusiast really help equip me now to get to grips with PHP, using Drupal and even Ruby?

Is information (and informatics) really the all encompassing Swiss army knife of a concept I take it to be?

The most extreme naivety here is not mine, however; it is as Feyerabend suggests the one that is in diagonal opposition. It is the scientific naivety of the masses in the social domain. Is this ignorance? In some cases, yes. But the tabloid (gutter) press shouts aloud when science gets it wrong; or, more accurately industrial processes based on science totally mess up.

The masses are not divorced from science. True, there was (still is?) a promised intimate relationship borne of equality and egalitarian ideals (education), but this naivety matures in real (social) time also known as life-chances. Its cost is not just red-faced, but illiteracy and exclusion at a time when literacy, inclusion and engagement are paramount.

Friday, October 08, 2010

FROM: A community mental health context TO: Acute EMR/EHR and other ...

or: Will 21st Century health and social care informatics truly begin on Sunday 10 10 10 ?

I've been a nurse AND info tech / informatics enthusiast since 1981. As an advocate of info-tech as a means to improve the quality, effectiveness and safety of health care - I must confess; I feel I have let down those colleagues purely there to 'nurse'. .

After 20+ plus years the nearest we (the team and I) got to a system that answered our questions was a small PICK database and a later MS Access database. These focused on referrals and data capture - demographics, problems, interventions (WHO and what) and outcomes. Although the number of data items was not great, no more than 30 the insights we could glean from queries was surprising. People versed with databases, datasets and research readily appreciate how even small datasets, carefully thought out and planned, can answer a diverse range of questions (and generate countless new ones too!).

I noticed in the mid-1980s to mid-1990s the development of customer management software and recognised that clinicians have a need: caseload management.

Even now the requirement of 'X' visits per day, the number of information systems and lack of integration (health - social care) mean that in many instances there is still no readily accessible caseload manager for the individual practitioner. This is an outcome and amid all the talk around 'engagement' (with a 'E').

Perversely, ironically, paradoxically (take your pick) at a time when Lean is (presented and) needed, there are scarce resources to do the things that should now be embedded (routinised) into the life history of the professional. This includes what the professionals do WITH the patients, carers, data, information ...

I speak to student nurses (and other disciplines) regularly as a nurse mentor and sign-off mentor. Their exposure to health care informatics to me is minimal, adhoc, and when it has happened it has signally failed to strike a cord. A very small (and so non-significant*?) sample admittedly.

Informatics remains an academic 'must do'.
Perhaps 21st century informatics only begins on Sunday -
as it stands informatics is a management pursuit.

Slippage is a fact of project management, but words present their own challenge when target driven 'secondary' uses become 'primary'.

*surely not.

[A version of this post first appeared on the Healthcare Information and Management Systems Society HIMSS group on LinkedIn.]

Thursday, October 07, 2010

Lean machine(s): chasing the contexts

There is a perennial game in health and social care called assessment and evaluation: the game could also be called 'CTC' - 'chasing the context'.

Relativity lies not only in the realm of physics and philosophy.

When I say relativity I am referring of course to the influence and impact of a health and social care situation from the constantly changing perspective of each of several different players:

  • the patient;
  • carer;
  • nurse;
  • doctor;
  • manager;
  • medical ward;
  • community mental health team;
  • commissioner.
Usually, the context collapses to a specific problem (a situation) and the players set to solve a care problem presented by an individual -
  • a client, resident or patient;
and their -
  • relatives;
  • residential care home manager;
  • residential care home staff nurse and team;
  • community mental health nurse;
  • medical personnel.
Context directs, dictates, and shapes health and social care theory, practice, management and policy.

This relativism can also subvert, sublime, confuse and stymie plans, common sense notions, creativity, innovation and management directives.

Like a tide this relativity picks us up and re-figures, re-paints and shifts the location of everything - including measures and how they are used.

Context is all! - so the saying goes. But context never wholly reveals itself. For that is another situation, another context, another side, another coin.

For context there are key defining parameters (location, diagnoses, risk, need, physical, mental, holistic ...) all of these are couched or spring from time.

So, the game calls for us and the tide teases us to measure and evaluate. This coast is never clear, but how long is it now? Where are the pathways now? Where will they be again?

As we travel (and travail) to and from this context to that - thresholds are also altered: up and down and always around; the way of life and ..... .

Image source:

Monday, October 04, 2010

Mother Pelican ~ Vol. 6, No. 10, October 2010

FYI ... the pelican journal of sustainable development has been renamed
*Mother Pelican* in honor of the *Human Being* she represents.

The October 2010 issue has been posted:

Going Forward After the UN MDG Review Summit

1. Current Status of the Millennium Development Goals
2. Review of the "Keeping the Promise" Declaration
3. Timidity of National Governments and Global Citizens
4. Ms. Michelle Bachelet and the UN Women Entity
5. Sustainable Human Development and the MDGs
6. Links to Key UN and MDG Documents and Resources
7. Links to News and Reports about the MDG Summit
8. Current Research on Sustainable Human Development
9. A Meditation on Sustainable Human Development


Supplement 1: Advances in Sustainable Development
Supplement 2: Directory of Sustainable Development Resources
Supplement 3: Sustainable Development Simulation (SDSIM)


Socioeconomic Democracy: A Psycho-Politico-Socio-Economic System, by Robley George.

Composition and Trends of Homestead Agroforestry in Bangladesh, by Sourovi Zaman et al.

Will Working Mothers' Brains Explode? The Popular New Genre of Neurosexism, by Cordelia Fine.

A Paradise Built in Hell: Communities that Rise to the Challenge of Disaster, by Rebecca Solnit.

We Need Millennium Development RIGHTS, Not Just Goals, by Phyllis Bennis.

Feedback is cordially invited!


Luis T. Gutierrez, Ph.D.
The Pelican Web
Editor, Mother Pelican: A Journal of Sustainable Development
A monthly, CC license, free subscription, open access e-journal

My source:
e-Network of Academia in Social Sciences (e-NASS)

Friday, October 01, 2010

Older People with High Support Needs want more Choice and Control in How they Live their Lives

A new paper has been published today (to coincide with International Older Person's Day) by the National Development team for Inclusion (NDTi) to share findings from a two year project which is aiming to increase the voice, choice and control of older people with high support needs. This includes older people living in care homes and those living at home with a lot of support.

Around 1 million older people live in residential care and sheltered / supported housing. Older people want to have a broad range of options for their care and support, yet there seems to be widespread reluctance to develop and adopt new ways of thinking about and working with older people with high support needs. Traditional forms of service provision still dominate. As our society ages, the way we think about ageing, older people and disability needs to change to reflect with this demographic reality and the expressed wishes and desires of older people themselves.

The paper is from a 2 year project taking place in 3 local authorities in the South East Region of England. Local organisations and communities are working together to ensure options and opportunities are developed which support independent living and increase voice, choice and control for older people with high support needs. (See notes to editors for more information on the project and NDTi). The project is supported by ODI as one of the commitments in the Independent Living Strategy, which states:

Older disabled people must have the same options and opportunities for independent living as anyone else and the Strategy contains a number of commitments which will help achieve this goal.

The paper is :

- 'South East Regional Initiative on Increasing the Voice, 
Choice and Control of Older People with High Support Needs - Emerging Lessons'.

It summarises the findings to date from this project and has been written particularly to inform local authorities and partners about the work, to help them to achieve better outcomes for older people as well as best value in the use of public services and resources.

The paper highlights findings and messages about the priorities for ensuring older people can exercise greater choice and control over their support, including where and how they live. It also identifies some of the issues and barriers which get in the way of this happening.

A summary of the paper has been produced as an 'NDTi Insight' - part of a series of 2 page highlights of the most important learning from pieces of work carried out by NDTi.


Helen Bowers, Head of the Older People and Ageing Programme at NDTi and author of the paper said:
"The same level of commitment given to transforming health and social care is now required to transform expectations and experiences of older people with high support needs across all public services, including in residential care. Current debate in this area tends to focus on funding pressures and extending traditional services, rather than how we conceptualise, design and deliver support that promotes citizenship and transfers power from professionals and organisations to individuals, their families and friends."
To find out more, contact:- Helen Bowers, Head of Older People & Ageing Programme, National Development Team for Inclusion Magnolia House, 21a Stour Road, Christchurch, BH23 1PL Tel. 01220 471423 helen.bowers at ndti.org.uk
Rob Greig, Chief Executive, National Development Team for Inclusion - Head Office, Montreux House, 18a James Street, West Bath, BA1 2BT Tel: 01225 789135 rob.greig at ndti.org.uk

My source:
The Choice Forum

Healthy Active Ageing Virtual Global Discussion Forum: Int. Day of Older Persons 2010

Dear Colleagues,

The World Health Organization, Departments of Reproductive Health and Research, Human Resources for Health, University of Iowa Hartford Center of Geriatric Nursing Excellence, and Partners would like to invite you to join Healthy Active Ageing Virtual Global Discussion Forum - 1-12 October 2010.

Join us in creating an interprofessional network involving representatives from health professions, policy makers, programme managers, international organizations/agencies, universities, research institutes and our clients to share our knowledge and experience on issues that affect healthy ageing.

REGISTER NOW! http://knowledge-gateway.org/ahaa

Share your experience, your opinion on issues that affect us all, as individuals, families and health practitioners. Contribute through this forum to the policy and practice dialogue.

During this twelve day forum you will receive two emails per day; one email to introduce the day’s questions and one daily digest of the contributions. Daily questions will be disseminated within three topic areas:

  • Challenges and opportunities to support healthy active ageing
  • Sharing of success stories
  • Caring for older persons with dementia
Once you have registered you can participate in the forum simply by responding to the daily emails or sending a message directly to ahaa at knowledge-gateway.org

You can also log into http://knowledge-gateway.org/ahaa to browse the archived discussions and resource materials.

For any questions on this Virtual Global Discussion Forum please contact the forum facilitator: 

Christina Fusco christyfusco at gmail.com

Please pass this invitation onto your colleagues and networks.

With kind regards,

Maggie Usher-Patel
Scientist/IBP Secretariat

My source: HIFA2015

Additional links:
Full of Life  - http://www.dwp.gov.uk/policy/ageing-society/full-of-life/
International Day of Older Persons - http://www.timeanddate.com/holidays/un/international-older-persons-day

Caution! spanning the Theory - Practice Gap

As a new academic year begins and we endeavour to bridge the theory - practice gap we need to be cautious:

While we may not burn our bridges we need to be aware of which bridge spans are redundant and which are still active and serving their purpose.

As ever - standards, inspection, audit and governance are critical.

So in our efforts to bridge the theory - practice gap do we also maintain it?