Hodges' Model: Welcome to the QUAD: May 2013

- 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

Friday, May 31, 2013

Sheffield, UK: Critical Writing Bursary - re. Design4Health Conference

Interface @ a-n The Artists Information Company is pleased to offer a Critical Writing Bursary to visit and write about the Design4Health Conference at Sheffield Hallam University. The bursary includes £150 and a free three-day conference pass (worth £495). It includes lunch on all three days, plus the conference networking dinner on Thursday evening) to enable one writer to visit and review Design4Health Conference at Sheffield Hallam University.

Full details at ...

To apply, please email ... by 5pm on Monday 10 June with a short statement of no more than 200 words outlining your interest in the conference and exhibition.

Apologies for cross posting. Please circulate to students and colleagues.

Kirsty Christer - Research Publications and Events Officer
Art and Design Research Centre, Sheffield Hallam University, UK

e: k.a.christer at shu.ac.uk 

Thursday, May 30, 2013

Author's copy: Humans, Information and Science - now on Academia.edu

Humans, Information and Science

This evening I went through some old directories from two PCs ago and added the two figures missing from a paper published in 1996. This is now available on Academia.edu:


I've mentioned this paper before on W2tQ. I thought I would upload a copy as the basic details seems to have prompted some interest. At some point I would like to return to this subject:

The use of information forms the basis of nursing policies, standards and professional codes of conduct. Although used intuitively, nurses must now also grapple empirically with information needs often defined by others, and with the technology used to capture and process it. Even the briefest contemplation of 'information' reveals a truly pervasive concept. Information is ubiquitous. In order to care effectively in the so-called "information age" health care professionals need to understand information. This paper is a small contribution to that effort, attempting to conjoin the disparate fields of health and the information sciences; and the basic sciences upon which they are based.

This paper explores how definitions of 'information' formulated in computing and communication theory relate to health and other aspects of human experience. The strategy adopted to achieve this is threefold. First, there is the vexed question of defining data, information and knowledge. Second, I consider how communication - that essential nursing activity - relates to information, meaning and the messages people seek to convey to each other. Thirdly, clinical situations are described in an information oriented manner, using the concepts of 'redundancy' and 'entropy'. The conclusion provides an historical perspective.
Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

In the meantime a draft paper on Hodges' model, case formulation (conceptualization) and diagrams is at a reduced 4,000 words ready for a meeting with my co-author later in June.

Tuesday, May 28, 2013

Countries, places and maps (Lahiri)

“The place to which you feel the strongest attachment
 isn’t necessarily the country you’re tied to by blood or birth:
 it’s the place that allows you to become yourself. 
This place may not lie on any map.”

Jhumpa Lahiri

My source: Fred Dervin via cosmobilities.net

'Lost Luggage': From the many to the one

Lost Luggage, (Cover, goodreads)

Christof, Christophe, 
Christopher and Cristòfol 

- are four brothers – sons of the same father and four very different mothers...

One mother, an English nurse on a cross channel ferry...

The Times, Saturday Review, 25 May 2013, p.17.

Tuesday, May 21, 2013

H5P framework: rich content and applications in Drupal

If I ever get to create a new site devoted to Hodges' model it will be an enjoyable experience. A couple of weeks ago I learned of a framework H5P (also a file format) that can be integrated into Drupal to create content types for educational purposes.

In addition to the archive material on the model, it is important to offer students a means to test their knowledge. This might involve a trial of several modules, including H5P:
H5P is a framework for creating HTML5 content and applications that can be easily moved between web-sites. H5P facilitates sharing and reuse of code used in rich content and applications. H5P also includes an authoring tool so that H5P content may be created and edited using a web-browser.
Organizations and governments spend millions of dollars creating rich Internet content, games and applications. The code used may be shared here on h5p.org as libraries so that others may fill in their own content and reuse the code.
Drupalcon Portland is now underway and I'm looking forward to tuning in live and following sessions, starting with Dries' keynote. This should begin at 7.30pm here in the UK. Drupalcon Munich seems ages ago now (4.7 even longer ..! ) and suddenly Prague is on the horizon.

Additional link:

Quiz Questions Import for Drupal 7 released

Saturday, May 18, 2013

North West Health Hack 15/16 June 2013

Dear Health 2.0 Manchester member,

Please see an update on opportunities that might be of your interest:

Follow us on Twitter!
@H20MCR for latest updates and digital health insights & opportunities

North West Health Hack 15/16 June 2013
This is a free event where clinicians can work with some very talented developers/coders and designers to develop their ideas into working prototypes. There will also be an opportunity to get some early concept validation and feedback from investment/ technology and NHS mentors.  The event is not only open to new concepts but also to ones that are already in development so that teams that are already formed are also invited! Who is organising it: Barclays, ECH Alliance, University of Manchester, Health 2.0 Manchester Chapter, TechHubManchester. Dr Ranjit Gill (Chief Clinical Officer, NHS Stockport) & Dr Mike Burrows (Area Director, NHS Greater Manchester) will attend the event.

Check it out  & REGISTER at ...

Blueprint Health accelerator is currently accepting applications for their summer program
We have been approached by Blueprint Health to share this opportunity with our community: Blueprint Health, the premier healthcare accelerator program, located in the heart of New York City. Blueprint is currently accepting applications and our team is seeking talented entrepreneurs to join us for the Summer 2013 Program. A number of incredible entrepreneurs have traveled from as far as Shanghai, Dubai, and London to partake in our program. You may have seen some recent press coverage of four surgeons who founded Touch Surgery, a company that graduated with our Winter 2013 Class. http://www.guardian.co.uk/artanddesign/architecture-design-blog/2013/feb/27/touch-surgery-ipad-app-surgeons-learn
We look forward to meeting the talent from Manchester.

Michael Maggio

Blueprint Health
483 Broadway, 2nd Floor
New York, NY 10013
cell: 781.864.6283
office: 646.627.7627 ext 703
mmaggio@blueprinthealth.org | blueprinthealth.org | @bphealth

Next  H 2.0 Manchester Meetup Thursday the 23rd of May: Care Homes and Assisted Living: in what ways technology can help?
Another great opportunity to discover new opportunities, be inspired and meet like minded people in a relaxed atmosphere.  ...

Thank you and best regards
Idalia, Daniel, Mariano and Preeti
Health 2.0 Manchester - Leadership Team

Sunday, May 12, 2013

International Nurses' Day 2013: "The drama of it All"

There is a new nursing drama series starting on BBC TV next week - Frankie:
District nurse Frankie Maddox is a saint. At least she would be if it weren’t for her fondness for red wine, loud music, ghastly singing and fast cars.

Whether it’s an elderly man with dementia, a pregnant woman whose husband is on duty in Afghanistan or a sickly young child who’s never at school, nothing is too much trouble for this caring, smiley character. “Why do you always insist there’s something we can do, when sometimes there isn’t?” snaps Dr Evans (Jemma Redgrave). Because “the world is my patient,” Frankie explains, although she has the grace to grimace after delivering such a clunking line (from Radio Times).
That line may be clunking as a piece of dramatic prose, but there is a need to make some noise that extends beyond nursing's one-to-one encounters.

We are well aware of the challenges that the NHS faces, the themes are well known and read like a script that is increasingly played out on wards, the media and in parliament. The latest playwright is Francis. This is the drama we cannot ignore locally.

What of nursing globally on IND 2013?

The nursing communities within the various nations must also listen to the world. We can make a difference as individuals by challenging our often parochial perspectives; by trying to travel, seeking to engage with others electronically and learn what global nursing organizations are doing on our behalf.

Best wishes to nurses everywhere.

Friday, May 10, 2013

Learning theory: an A3 poster

Source: Richard Millwood - A new learning landscape

As the poster demonstrates and Millwood's notes explain learning theories are very varied and yet a constant in terms of teacher education. What is less permanent is the significance of learning styles, which are included above. I wonder if there is an A3 poster addressing that question? A different treatment would be needed, one that might for example show the ups and downs of the literature? What theoretical underpinning has been proposed for learning styles? What are the connections to forms of literacy? I had a brief search, but found nothing to compare with the above effort.

Richard Millwood has provided a great resource and is seeking feedback. The pdf version is very readable on my laptop in HD; plus there is a CMap tools version with links.

It seems blended learning really is the hybrid? It is traditional in face-to-face sense, but can be found in multiple combinations within Millwood's formulation. Is there a place for gestalt learning - a further link with learning styles?

I'm subscribed to a Vygotsky list that is very active; most of the posts pass like e-leaves in the wind-e, a case of info overload.

Vygotsky has a place above:
it is a small place.
So it looks like there really is a lot to take in. Oh joy!

Thursday, May 09, 2013

Jordan JNC Conference: Mental health and stigma, Student nurse's aptitude and the MDGs

There were a great many fascinating talks at the conference in Amman. The following caught my attention:

Dr Heyam Dalky on Perception and Coping with Stigma of Mental Illness: Arab Families' Perspectives

Since I trained in the late 1970s there has been a marked positive change in the social stigma associated with medical and mental health conditions. People are by and large more enlightened regards epilepsy for example. Although perhaps some of the progress can be related to medication, medicine management and community follow-up. Mental health professionals and services are aware of the potential damage that a diagnosis of 'schizophrenia' can inflict on young adults. Despite any sense of progress I might see, there is much still to be done as campaigns such as Time To Change attest.

It was very useful then to revisit the historical development of thought in stigma. Dr Dalky also shared global insights into stigma perception within families by citing research in a range of countries; for example, in Jordan, Morocco, Sweden, Germany, China, Malaysia, and Ethiopia.

Within Hodges' model the individual, as in the self, is given a pivotal and yet mobile place (transferable from the top of the model to the center) this led me to the concept of self-stigma (Corrigan, 2009) as I draft a paper on h2cm, case formulation and diagrams.

In her presentation Dr Dalky notes:

  • Link and Phelan (2001) defined stigma as the co-occurrence of the components of: 
    • labeling, stereotyping, separation, status loss, and discrimination.
  • “self-stigma” or “stigma perception,” is the extent to which individuals believe others stigmatize them because of who they are.
They say travel broadens the mind and listening to this presentation you really see the difficulties, objectives and aspirations that not only practitioners share but families and our clients too.

Heyam F. Dalky, PhD, RN, Jordan University of Science & Technology, Irbid, Jordan

Ever since my engineering aptitude was measured in the mid 1970s by predicting the movement of a series of gears I've always held a special place for aptitude and attitude, as reflected here on W2tQ.

Mrs. Maxie Andrade, et al. presentation Aptitude Towards Nursing: Is it Measurable? highlighted a central challenge within nurse education.

Nurse training represents a major personal investment for the student (their family too in many cases), the educational institutions and societies concerned. As a sign-off mentor I assess third year students on their final placement. This is a great responsibility that is usually a privilege, but it can be a frustration at the loss entailed for a failing student.

Mrs Andrade defined aptitude:
Is a condition, a quality or a set of qualities in an individual, which is indicative of the probable extent to which one will be able to acquire under suitable training some knowledge, skill or composite of knowledge, understanding and skill

Ref: Mangal S L. General Psychology. Fifteenth reprint. New Delhi: Sterling Publishers Pvt. Ltd; 2008.
The main questions:
Do nursing students possess the required ability (aptitude) to become an effective nurse?
What abilities do we really expect from nursing students?
The development of a tool to measure aptitude was described, reviewing the literature. Are there any existing tools within nursing? What exactly should a tool measure? Statistics and results were listed. This was a very interesting presentation and of particular interest to me.

Mrs. Maxie Andrade, Asst. Professor, Manipal College of Nursing Manipal, Manipal University

There was also a reminder of the time left to achieve the Millennium Development Goals [MDGs] c/o Prof. Hester C. Klopper's keynote: The nursing education tipping point: Forces of change. 
Less than 1,000 days and that was last month.

One thing I noticed and a sign of the issues in the Eastern Mediterranean is that the JNC conference website has proved unavailable at times. It is accessible as I post this.

Andrade M. Perceptions of health care consumers, deliverers and nurse educators on nurses, nursing practice and nursing education system. Manipal University, Manipal: 2010. (Dissertation work).
Andrade M. Choice of nursing career: Pleasure or pressure. International Journal of Nursing Education. 2012; 4(1); 42-44. 

Corrigan, P.W., Larson, J.E., Rüsch, N. (2009). Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry. 8(2): 75–81.

Saturday, May 04, 2013

'Nursing the Nation' poem Molly Case at RCN Congress 2013

The past fortnight has been quite intense in terms of conferences and the focus upon nursing education; plus as was pointed out to me I travelled from Jordan to Jordanstown. The conference in Jordan began with a beautiful prayer and I heard of this poem while away:

Wednesday, May 01, 2013

Jordan: hospital, hospitality and the global research nurses network

The Jordan conference and experience prompted me to reflect upon 'hospitality' and 'hospital'. Also hospital as a physical environment and the way this contrasts with community care; and those without access to either.

At the research workshop on Monday with Nicola McHugh Project Coordinator for the Global Research Nurses' network, we were asked to consider and record how our respective job had changed. I jotted down the following also expanded here:

Winwick Hospital - Institutional care.
Issued with a (grey) suit and waistcoat.
White coats. Union lapel badges.
Witnessed (not overnight and still ongoing ...?) the transition to community care.
Development of primary care mental health.
The emergence of information technology.
From frontplate - nursing process and models, theories of nursing.
Nurses as advocates - now the addition of independent advocates.
Revisions to the Mental Health Act.
Changes in organizational hierarchies.
Changes in nurse education.
The increase in significance of the POLITICAL care domain:
informed consent, mental capacity, public engagement, litigation.
The cycle of re-organisations - NHS and Social Services.
Community Mental Health Nurses as therapists to assessors.
The development of the care programme approach (CPA).
The reduction in the number of injections / use of electroconvulsive therapy.
New drugs, evidence, specialist teams.
From in-house system to Körner to National Programme for IT to ..........
Less stigma for some conditions: epilepsy, psychosis but much remains
Diseases - Recovery - Self-care

Here are hospital and hospitality:



During the Middle Ages hospitals served different functions to modern institutions, being almshouses for the poor, hostels for pilgrims, or hospital schools. The word hospital comes from the Latin hospes, signifying a stranger or foreigner, hence a guest. Another noun derived from this, hospitium came to signify hospitality, that is the relation between guest and shelterer, hospitality, friendliness, hospitable reception. 
The word hospitality derives from the Latin hospes, meaning 'host', 'guest', or 'stranger'. Hospes is formed from hostis, which means 'stranger' or 'enemy' (the latter being where terms like 'hostile' derive).
group - population