- 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 26, 2011

Presentation(s) at 1st Int. Congress of Nursing Models and Theories in Colombia

I will revise this post over the coming week and add more, including one of the Spanish slides.

Many thanks to Danny Eduardo Rodriguez for meeting me at the airport (and to everyone who waited  with Eduardo). Hearing my name and seeing the university transport proved instantly reassuring. Thanks also Eduardo for the in-session translation - a great help and for your efforts to ensure I felt at home and a part of things: I certainly did. ... 

Well I am due to leave Paipa soon for Bogota El Dorado airport and the trip home via Paris. It is a beautiful day in Paipa. Very warm, bright sun, from my room I can see people water skiing on the lake.

Yesterday's presentation, workshop and Q and A session were very well received through a lecture and workshop. These would not have been as successful with the brilliant work* of Interpreter Andrea Ramirez on both occasions.
I had started to add some Spanish translations to my slides and these were checked and extended by Luz Stella Saray and Prof. Wilson Canon Montanez, (UDeS) to whom I extend sincere thanks (a good photographer too!).

In the morning session Andrea related each slide in Spanish after my account. For the workshop I had emailed the case study in English with a Spanish version c/o Google translate. This had been checked and improved and the format we followed was for students to read the case study and then individually draw out the aspects of Alice's case (fictitious yet based on 20+ years of experience) which they feel significant across the care domains. During this exercise for 20-25 minutes Andrea assisted again with some questions from individual students. Then in groups of 4-5 they collectively reflected on their 'results'. Finally each group in turn offered one item for each of the four domains. Astute questions from the floor and discussions followed. Not having done this before, with the addition of translation I was surprised at how well it worked: instant teamwork!

At 5.30 Luz had arranged to meet to discuss nursing in England. A little jet-lagged, I thought she meant with 2-3 colleagues, but in the end the room was filled as we were joined by 60-70 students in a circle. I can't believe that 90 minutes passed. The students and faculty are so very enthusiastic, charming, friendly and knowledgeable. Two days is not long to learn and make judgements, but from the student's questions they seem acutely aware of the specific health challenges and issues they face in Colombia. Their professor's approach in pursuing this meeting reflected an awareness of 'nursing as it is learned and practiced elsewhere'. I advised I was not able to speak generally, outlining my specific role and location. I let them know I was drawing from matters I do know (as highlighted on W2tQ) and personal experience. The notion of 'basic nursing care' is clearly and unsurprisingly universal given this encounter.

You do need to consider such travel very carefully: your health, security, travelling alone... The organisers took care of this assuring a personal meeting at the airport, transport and accommodation. The journey was hard for me from the UK. A short hop Manchester to Paris 1.15-30 was followed by an 11 hr and 10 hr flight back home passing through Bogota. Travel is difficult due to the condition of the roads, driving laws and the traffic situation that the populous of Bogota faces; but where there are 'gaps' (pot holes!) there is a way through.

I never would have believed I would set foot in South America. To stand under Orion and see Canopus was another dream come true. As Space Shuttle Discovery set off on her last flight I was making discoveries of my own in helping others do the same.

I am very grateful to GICS - the three Universities UPTC, UdeS and Unillanos who invited me and supported my attendance; plus my employer Lancashire Care NHS Foundation Trust and colleagues covering duty for new referrals at the Beechurst Unit, Chorley, Lancashire. This has been a marvellous experience, with many contacts made that I hope will grow in the future.

*Presenting in Spanish at the conference (Teoría “Marco de la Organización Sistémica” con enfoque en Familia), Dr Marie Luise Friedemann - RN, PHD and her husband informed me of Andrea's effectiveness and memory feat. Dr Friedemann, Profesora de la Universidad Internacional de la Florida, in Miami and I also hope to compare our respective interests.

Saturday, February 19, 2011

Presentation London May 2011: The Future Role of Support Workers & Assistant Practitioners in Mental Health and Social Care

I hope there will be other opportunities to present h2cm with the MKUPDATE team and other conference organisers.

2011 looks like it will be busy:

In May I have been invited to present the Health Care Domains Model at a conference organised by M&K Update.

The Future Role of
Support Workers & Assistant Practitioners in
Mental Health and Social Care

My presentation will include:

Why does ‘having’ a framework matter?
  • Explaining the health care domains model, its structure, knowledge domains and applications.
  • How the model can support HCSWs to address personalised, integrated and holistic care. 
  • The model in theory, practice and management – an illustration.
 There will be 10 minutes for Q&A too.

This is a great prospect as with Colombia this coming week.

Wednesday, February 16, 2011

Silver bullets & Magic wands: NHS shamed over callous treatment of elderly

There are none:

Silver bullets or magic wands - that is.

This ongoing news is very distressing for everyone.

I attended a sign-off mentors meeting yesterday afternoon and everyone takes this still relatively new role (outside midwifery) very seriously. It's a very parochial and a biased perspective, but I do believe that in teaching h2cm to the students that I come across they are better prepared to nurse, be a nurse and indeed question what nursing is to them and the public at large. This applies to all qualified nurses who try their collective utmost to instill positive values, safe practice and professional attitudes of the highest order.

Through h2cm I try to provide students with a reflective gravity assist.

As a student I recognised the gravity of what I was doing, or at least trying to do.

30+ years later I still need to do that.

If a student does not recognise the presence of gravity in the care environment, they cannot be effectively guided, navigate their way through it, warn of pending problems. They may not be able to work as an effective member of a team.

Collisions will happen. At the end (and start) of the day even if the student is sensitive to gravity waves and can snatch a Higgs boson out of the ether: mistakes do happen. Non-fatal though we pray, the public is very forgiving when the best efforts to deliver basic nursing care are made and that is the clear intent. This is why we are told if someone makes a complaint deal with it as quickly as possible.

The real deal isn't 'new'. It's the social and political contract called 'NHS'.

Without the necessary gravity assist students may not see, and may not hear what they should be sensitive to. Examples publicised in reports such as this (15 February 2011), by Health Service Ombudsman Ann Abraham shame us all.

Self awareness is a complex thing (rapport, reflection, empathy, emotional intelligence...). Self awareness is not a given. You have to check the switch is there, then be able to help them switch it on, and validate it - for the good of all. Failing that? Well - being prepared to fail a student too if you have to.

Friday, February 11, 2011

Reflections on publicising The 1st Int. Congress of Nursing Models and Theories in Colombia

Inevitably I have posted news of this conference and presentation to several mail lists. I received a reply pointing out that this news was short notice and getting to Colombia in the time remaining would be quite a feat. I replied saying that I had only just sorted medications and my yellow fever jab was only just 'active'.

I realise you can read all sorts into such short notice, but apart from being truly flattered and cock-a-hoop about this invitation my post was intended to raise a question...

In October 2009 I posted a fictional quote apparently cited from a conference in 2015 by:

Ms. Florence Seacole Mashaba*. 3rd Year Student Nurse
Keynote address 2nd February 1000hrs
Global Conceptual Frameworks for Health & Education:
1st International Conference on Visualization in Care Models, Assessment and Evaluation.
St Francis Bay, South Africa. Monday 2nd - Thursday 5th, February, 2015.

Future Conceptual Frameworks for Global Health: a quote

Nursing models and theories are still a feature on nurse curricula. As a mentor I check when student nurses are on placement with us - the community mental health team. What models have they come across? What are their thoughts about them? Many models of nursing still have an active following and conferences. The oomph factor is definitely lacking though. As a feature models and theories are but a frame or two in a busy learning schedule. Where does informatics figure? Does geography begin and end in school or maybe the hospital site map? ...

Then here, suddenly in Colombia is the 1st International Congress. I do hope this is the first of several and an awakening. An awakening not of a fashion item (perish the thought), but an emergent attentiveness to theory that is mature and ongoing. A thread that is worthy of the communities and populations we serve, the students we must inspire to one day be leaders themselves, the disciplines with whom we form 'the team', the people - patients and carers - we must also educate and empower.

We need models (yes plural) of care that extend beyond nursing across the four care domains and several divides. That is where the pearls of enlightenment lie.


I opted for St Francis Bay as the 2015 venue recalling the film The Endless Summer. This will be the closest I have ever been to the equator.

* Personal communication from a future fictitious individual. ;-)

Thursday, February 10, 2011

OERU / OERF / UNESCO Press release: Towards an OER university - Free learning for all students worldwide

Please circulate: Joint OER Foundation / UNESCO press release.

The Open Education Resource (OER) Foundation is to host a strategic international meeting in Dunedin on 23 February, to commence planning for the provision of free learning to all students worldwide. Support from the United Nations Science and Education Organisation (UNESCO) to stream the meeting on the internet will allow the participation of education leaders and interested persons from around the globe.
Join the meeting as a virtual participant and help make OER futures happen.

Read more.

(If you blog about this important meeting -- please use the #OERU tag).

2011 will be a quantum shift year for the mainstream adoption of OER.

Wayne Mackintosh , Ph.D.
Director OER Foundation
Director, International Centre for Open Education,
Otago Polytechnic, New Zealand.
Founder and elected Community Council Member, Wikieducator
Skype: WGMNZ1

You received this message because you are subscribed to the Google Groups "OER university" group.
For more options, visit this group at
Visit the OER university page on http://wikieducator.org/OER_university

Wednesday, February 09, 2011

Health Literacy: A Public Health concern? 1-day Conference, Manchester, UK

Venue: Chancellors Hotel and Conference Centre (Manchester)

Friday 10th June 2011

Join us for our first national Health Literacy Research Conference.

Health literacy is -
‘the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand, and use information in ways which promote and maintain good health’.

We welcome applications for oral presentation or posters on Health Literacy research and development. The abstract submission guidelines are available from the website http://www.healthliteracy.org.uk/

or Lucy McDonald: mcdonall AT lsbu.ac.uk

The conference will include 2 plenary sessions with international health literacy
keynote speakers and a panel discussion.

Cost: £60 per day

My source: Lucy McDonald

Monday, February 07, 2011

h2cm: philosophy of science - analytical AND dialectical Refinetti, R. (1989).

"For centuries, philosophers have discussed whether knowledge progresses analytically or dialectically. In the Cartesian tradition of starting with simple concepts and then building up more complex concepts [4], the idea of science as a gradual accumulation of small pieces of knowledge was put forward by Auguste Comte [5]. This constitutes an analytical view of the progress of knowledge. On the other hand, Hegel proposed that knowledge grows as a whole, so that contradictions between opposing ideas are solved (and disperse pieces of knowledge are integrated) at each stage of the dialectical progress of knowledge [6]. This constitutes a dialectical view of the progress of knowledge.

The partial correctness of both the analytical view of Comte and the dialectical view of Hegel have been acknowledged for many years. Wisdom from both views can be found in the writings of many contemporary philosophers of science." Refinetti, R. (1989) p.583.

.... and can also be found within the structure and potential content of the Health Care Domains Model. Goethe in his own way(s) of seeing recognised the same...

Refinetti, R. (1989). Information processing as a central issue in philosophy of science, Information Processing & Management, 25, 5, 583-584.

Saturday, February 05, 2011

The Evidence Network

Evidence based - medicine, health care, nursing - and other variations abound.

Having requested a subscription regularly into my inbox pops the The Evidence Network's newsletter c/o Alan Gomersall, at the Centre for Policy & Practice, King’s College London.

This issue - includes a number of recent reports from the Social Policy & Practice database which appear to be relevant to EBPP (evidence-based policy and practice), as well as the usual coverage of new services, forthcoming conferences and courses etc.

Associates Network

The Associates Network fosters contact between members of a diverse and growing EBPP community. Membership is free, but you must be an active researcher or practitioner with a particular interest in evidence-based policy and practice issues. Benefits include:
  • access to the Associates database of the activities, interests and contact details of over 1,350 members of the Network worldwide
  • a regular email newsletter, to which you can contribute
  • an opt-in email discussion group
  • a discounted subscription to the peer reviewed journal Evidence & Policy.
I've tried to capture some key resources on the SCIENCES links page - must make sure this network is there.

Friday, February 04, 2011

Call for Papers: Special issue on Community Informatics for Health - Journal of Community Informatics

Abstract submissions due 14 March 2011

A special issue of the international Journal of Community Informatics (http://ci-journal.net) is going to be devoted to Health. Community Informatics (CI) is the study and the practice of enabling communities with Information and Communications Technologies (ICTs). This special issue will focus on how the social application of ICTs can empower and enable communities towards improving health. The issue is expected to be published in late 2011. The Journal of Community Informatics is a focal point for the communication of research of interest to a global network of academics, community informatics practitioners and national and multi-lateral policy makers.

The field of community informatics seeks to explore the potential of information and communication technologies and their applications for social and economic development efforts at the community level. It particularly seeks to ensure that marginalized individuals and communities can benefit from the opportunities that ICTs can provide. In the area of health, this is all the more important since those with poorer health status and poorer health outcomes are usually those with less (or no) access to ICTs, or are those who have fewer skills to make use of and benefit from ICTs.

For this special issue of the Journal on Health, we are inviting submission of original, unpublished articles. We welcome research articles, along with case studies and notes from the field. All research articles will be double blind peer-reviewed. Insights and analytical perspectives from practitioners and policy makers in the form of notes from the field or case studies are also encouraged - these will not be peer-reviewed.

Please read the full Call for Papers and more specific information on the intended 'flavour' of the issue at: http://www.flinders.edu.au/medicine/sites/southgate/research/projects/digital-tech-health/

Guest editors:

*  Lareen Newman PhD, Southgate Institute for Health Society & Equity, Flinders University - Australia
*  Ali Al Sanousi MD, King Faisal Specialist Hospital & Research Centre, Riyadh - Saudi Arabia

Contact for queries and abstract submissions:  lareen.newman AT flinders.edu.au

Deadline for abstracts: 14 March 2011
Notification of successful abstracts:  9 May 2011
Deadline for submission of full papers/articles: 31 August 2011
Estimated publication date: November 2011

Dr Lareen Newman, DipEurLangs (Hons), BA (Hons), PhD
Senior Research Fellow
Southgate Institute for Health Society & Equity
Flinders University - Adelaide, South Australia
Personal page: http://www.flinders.edu.au/people/lareen.newman
Program page: http://flinders.edu.au/medicine/sites/southgate/
CRICOS Provider Number: 00114A

Additional link: h2cm in community informatics ....
Jones, P. (2004) The Four Care Domains: Situations Worthy of Research. Conference: Building & Bridging Community Networks: Knowledge, Innovation & Diversity through Communication, Brighton, UK.

Thursday, February 03, 2011

KT-EQUAL future events - Ageing Research and Design 4 Health Conf.

Dear colleague,

KT-EQUAL is planning lots of interesting events in the next few months focused on aspects of ageing research.

Below are a few upcoming events that may be of interest to you, more information can always be found on our website.

Upcoming workshops include topics such as -

  • digital inclusion
  • ethical dilemmas
  • and creative societies.
A flyer is available with more information about these exciting free events.

The I'dgo consortium has also confirmed the full programme for their seminar on An international perspective on the Built Environment for an Ageing Population: Issues in maintaining access to outdoor places on the 16th February 2011.

Another upcoming conference which is still accepting papers* is the Design for Health Conference in Sheffield Hallam University on the 13th-15th July 2011

We look forward to seeing you at some of our events in the future.

Best Wishes

Helen Haigh
KT-EQUAL Co-ordinator
University of Sheffield

PJ adds: *Kirsty Christer at SHU contacted me re. D4H to advise that submissions are open until 7th Feb.

Wednesday, February 02, 2011

Old website - home page - musings!

I could strikethrough much of the text here:

Earlier this evening I thought "This could not happen at a better time!" Suddenly - or maybe not if I'd checked before - the New Year emphasised the age of the h2cm homepage. It did look poorly.

On the old PC in 2005 I updated the home page using Fireworks, that was the last front-end revision. When I checked in a couple of browsers the formatting of the graphics for the menus was falling apart. The links still worked, but the main image was out-of-kilter.

I actually thought this was good news.

For a short while I put a note up apologising for the mangled look. Anyway, it works out I messed up the Doctype declaration. It looks OK now and I've taken the opportunity to highlight the Colombia conference.

The trip to South America later this month means that I've pushed a short break back to March. I've not many holidays left, but plan to pack laptop, spend a couple of days walking and with Drupal plus HTML5 and CSS3. I'm really enjoying .NET magazine and should subscribe. In December they featured a CD with CSS3 video training with Think Vitamin. It does give you an appetite to tear stuff down and start again...

Just to mention, the communication - dementia care teaching session went very well. Six people - one general nurse and five health care support workers. They helped me too adding to my notes. I'd left out the impact of dementia on eating and drinking, they needed reminding about swallowing. Lots of discussion and questions.

They appreciated the basic SENDER - channel - RECEIVER communication model (and I didn't mention bits and bytes). I managed to create a feedback form too. This and the slides I'll feed into the training group as collectively we try to identify, source and brand learning materials. Not sure as yet about the personalised care session, I'll ring up tomorrow morning.

Tuesday, February 01, 2011

Dementia care: communication in nursing homes

In nursing home liaison the importance of communication quickly asserts itself (as it does throughout health and social care). As an organisation effective communication is evident (or should be) at all levels:

  • Corporate: across the 'group'
  • Management: within the home
  • Clinical: continuity of care between shifts, days - nights
  • Care staff and residents - especially those with challenging behaviour
  • The care home (staff), relatives and community
This week and as also recognised for colleagues in the future, my role will focus on education. In particular reviewing the background, theory and practice of communication with people who are more severely disabled by this condition. I've sixteen slides as a guide, a lesson plan but I will be using a flipchart (arriving early to scribble away) with the intent to engage the audience. Given my pre-occupation with information I want to mix and match as follows:
  1. Use information as a central concept, not technically but personally as per self-awareness, knowledge and orientation, person-centred care.
  2. Have people contemplate communication in a practical sense.
  3. Finally, obviously ensure that what is discussed and shared is directly related to their work, the care needs and challenges of the residents (and families?).
On the information front I'm sure I can employ the conventional and simplified communication model:


This may appear mechanistic but it's an effective way to highlight the real difference that Health Care Support Workers - and indeed family and friends can make to resident's lives. Referring to this model I can demonstrate the very upsetting inequalities that are often found here. The audience can contrast themselves as SENDER and RECEIVER with each other and in care scenarios.

We will identify and acknowledge the deficits that people living with dementia must contend with and endure. This is to review previous learning and ensure staff fully appreciate the care situation. More positively the session will stress the role of staff as builders and agents of personalised care with a great contribution to make.
  1. They can consider (critically) the care environment - yes the 'home' - as the source of potential noise
  2. When there is an imbalance in the capabilities, comprehension and meaning between SENDER and RECEIVER skilled, insightful, and patient staff can compensate, addressing the person's unique needs.

If there are matters that cannot be resolved then these 'risks to person-centred care' should be carried forward to management: a prescription that must be repeated as necessary. With the purported high rate of staff turnover in homes (is that a myth - what are the figures really?) they should be able to leverage these FFIs - frequent first impressions - from new staff, before they are also part of the furniture.

Allied with this is a request for support in person-centred care. For me these two go together and it's good that this 2nd session follows tomorrow. This is an opportunity to introduce the Health Care Domains Model and build upon the points raised and factor in the questions and issues raised by the staff.

Critically across all these layers of comms is: Leadership. A key part of that of course is recognising training needs and pursuing change.