Hodges' Model: Welcome to the QUAD: April 2014

- 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

Tuesday, April 29, 2014

Don't RAID on my Care Domains

humanistic ------------------------------------------- mechanistic

Person-centred, Holistic, Equality of Esteem in Care, Self-care, Literacies
Co-ordination, Speed, Synchronization, Length of Stay, Physical access, Systems
Communities of practice, Resources, After-care, Communications, Education
Policy, Infrastructure, Integration, Choices, Liaison, E-records, Information Sharing

Additional link:

Sunday, April 27, 2014

12th May Lancaster, Workshop: Patient knowledge and involvement in healthcare

An event I am looking forward to: 

Royal Institute of Philosophy Workshop
Storey Institute, Lancaster
Monday 12th May

In recent years great efforts have been made to listen to “patient voices” in healthcare practice, research, and policy, but such initiatives have met with mixed success and many patients continue to feel that their view are overlooked (sometimes despite the best efforts of health care professionals). In this workshop we consider whether and why patient views matter. We ask what factors act to limit the possibilities for communication between patients and professionals, and consider how they might be overcome.

  • 10-10.40 Chaos, conflict and cooperation. Havi Carel, Senior Lecturer in Philosophy, Bristol University
  • 10.40-11.20 Silencing the sick. Ian J. Kidd, Addison Wheeler Fellow in Philosophy, Durham University
  • 11.50-12.30 On trusting and being trusted. Garrath Williams, Senior Lecturer in Philosophy, Lancaster University
  • 2-2.40 Patient advocacy challenged: The case of ME/CFS. Nancy Blake, Patient activist and PhD candidate, Lancaster University
  • 2.40- 3.20 Medical paternalism and the right not to know. Emma Bullock, Postdoctoral Fellow “Concepts of Health”, King’s College London
  • 3.50-4.30 Negotiating as individuals and groups. Rachel Cooper, Senior Lecturer in Philosophy, Lancaster University
Organisers: Ian J. Kidd and Rachel Cooper

Thursday, April 24, 2014

Interested in writing?

Two items can be readily brought together here: 

----- Forwarded Message -----
From: JS Drummond
Sent: Tuesday, 22 April 2014, 18:00
Nursing Philosophy (Post)-Graduate Student Essay Prize
Hi Folks,

To interested parties, there is still time to submit an entry for the (Post)-Graduate Student Essay Prize to the Journal, Nursing Philosophy.

Details are on the IPONS website. http://www.ipons.co.uk

Best Wishes,
John Drummond (IPONS)
Sent on behalf of Derek Sellman, Editor, Nursing Philosophy

The latest paper on Hodges' model -

Exploring the Dimensions of Recovery and User Experience

- has progressed to the point were I am awaiting contact from the production office of the International Journal of Person Centered Medicine.

In addition to the (Post)-Graduate appeal with IPONS there may be an opportunity through h2cm. If there are any student nurses and other health care learners interested in models of care and the future, I would be pleased to offer some support on a paper. Perhaps there are personal tutors out there who could also engage? I can't offer a prize, but there is surely a prospect with the journal Advances in Nursing Sciences:
Models of Care for the Future
Vol 38:1 - June 2015
Manuscript Due Date: October 15, 2014
As nations worldwide seek to establish models of care that provide quality and efficiency, nurse leaders are emerging to play a significant role in the development of these models. For this issue of ANS we are seeking manuscripts that provide theoretical underpinnings of creative models of care, as well as evidence that supports their implementation. Manuscripts should be clearly grounded in a nursing perspective; the content can include philosophic, theoretic, empirical or ethical aspects related to the model.
I do have form here - two submissions without success - but the very helpful feedback did result in a publication elsewhere.

With studies of my own I can't write another paper alone, but perhaps I can help others. It's time for me to not just think about the model, but do something with it too. It feels strange finally having questions out there in the field - a small study.

Earlier this week a colleague referred to the model's elegant parsimony. This is definitely a quality of Hodges' model and one that merits exploration with new explorers.

Sunday, April 20, 2014

Blog birthdays, a missing model and history

Eight years ago today this blog was born. Last month I came across a backup of some old emails and discovered one of my first related to Hodges' model. This was while attending Bolton College for the Post Graduate Certificate in Education in 1997. I had a project to complete and in researching nursing theory came across a resource by Judy Norris then at the University of Alberta in Edmonton. There was one a model of nursing missing. I'd also visited Alberta (ALTA) twice in 1979 and 1989: wonderful holidays.

19 ‎March ‎1997, ‏‎09:28:38

Hello there.

I'm fairly new to the net and E-mail, but fairly conversant with other aspects of I.T.. I would be very interested in being involved. My E-mail is read once a week, when attending college.

Both nursing informatics and nursing theory have been keen interests for some time. Over Easter I'll have more time to explore and learn.
There is one 'model', which I don't think you have listed, although it is debatable whether it qualifies as a model - the health career model.

Perhaps I could write something up with references, and key questions?
(And also consider the list of work for volunteers.)

Bye for now

P.S. I hope ALTA is still as beautiful as I remember it.
So, h2cm became the preoccupation and now there is a small research project to complete these next six weeks, Hodges' model within the residential care sector.

Nursing theory links: H2cm Links II (any updates?)

Acknowledgement: Judy Norris
Thanks Judy for your encouragement all those years ago and with this post.

Saturday, April 19, 2014

care.data: too much information?

humanistic ------------------------------------------- mechanistic

individual - person
My identity:
 lost in numbers Vs. specificity of patterns
*my attitude to my 'sensitive' information
health literacy
personal responsibility, self care, quantified self
my understanding of care.data

datasets, BIG data
hospital episodes, treatments
privacy research
 anonymising process for nhs data
*care.data is a natural step towards personalised medicine?
axon - neurobiology
Axon - data warehouse
service development and innovation

Too Much Information
data security, law, information governance
commercial, contract
potential for abuse - assumptions
public mental health
public health
policy, consultation
policy communication
public engagement, primary care
informed consent, opt-out
data definitions, standards
population, insurance

Additional link:
Allyson Pollock - Protecting confidential patient information and promoting public health research. Three proposed amendments to the Care Bill

Image source:

Friday, April 18, 2014

[ Exclusive* preview ] Wrinkles

individual, dignity, person, memories, identity,
security, communication, perception, meaning, friends,
belonging, mood, orientation ...

demographics, evidence based care, medication, treatments, physical environment ....
policy, standards, inspection, training, organisation, safety, governance, management culture, leadership ...


*Person centered?

Saturday, April 12, 2014

ERCIM News No. 97 Special theme: "Cyber-Physical Systems"

Dear ERCIM News Reader,

ERCIM News No. 97 has just been published at http://ercim-news.ercim.eu/en97

Special theme: "Cyber-Physical Systems"

Guest editors
- Maria Domenica Di Benedetto, University of L’Aquila, Center of Excellence DEWS
- Françoise Lamnabhi-Lagarrigue, CNRS, Laboratoire des Signaux et Systèmes
- Erwin Schoitsch, AIT Austrian Institute of Technology/AARIT.

http://ercim-news.ercim.eu/en97Keynote: "The Importance of Cyber-Physical Systems for Industry" by Clas Jacobson, Chief Scientist for United Technologies Systems & Controls Engineering, USA

This issue is also available for download as:
epub: http://ercim-news.ercim.eu/images/stories/EN97/EN97.epub

Next issue: No. 98, July 2014 - Special Theme: "Smart Cities"
(the call will be published shortly at http://ercim-news.ercim.eu/call)

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

Optogenetics to Unravel the Mechanisms of Parkinsonian Symptoms
Big Data in Healthcare: Intensive Care Units as a Case Study
SEMEOTICONS: Face Reading to Help People stay Healthy

Making learning visible dodging bullet points

Since January and the start of the course in Technology Enhanced Education there's been - and still is - a lot of reading to do. I've gained new and renewed insights into possible research methods and I'll share some of this in the next few weeks. The figure below is from:

Hay, D., Kinchin, I., Lygo‐Baker, S., 2008. Making learning visible: the role of concept mapping in higher education. Studies in Higher Education. 33, 295–311. doi:10.1080/03075070802049251

Figure 4 from Hay.
Over the years I've noticed and been rewarded when after a session on the care domains model some audience members have commented that the exercise made them think. There's nothing special in that of course, simple maths makes me think. Perhaps, people felt relief for a change from the passive absorption of facts, images, acting as static targets for a slew of bullet points. What comes across though is that there was some effort involved. In the figure above we can imagine the energy needed to not only create new and maintain existing concepts, but reject others. This might also constitute one front of the theory - practice gap?

This in a way reflects my thinking that although we refer to person-centred care in theory, practice and policy, this does not automatically follow. Person-centredness should take effort, work and energy. If that is the case, it also needs time.

Wednesday, April 09, 2014

Angling for Ideas

The Angler by Paul Klee (1879-1940, Switzerland)

This is just a rock pool
I reflect

So is this, even before Pollock
just a single drip in the ocean

Fishing for praise

Here we trawl, as we do we maul.
Why owns the holistic ocean?
Does it bleed, does it leak?
Abs-orbs all angles?

Image source: http://en.wahooart.com/@@/8LT48X-Paul-Klee-The-Angler

Tuesday, April 08, 2014

From local field to global arena: the rough and tumble of conceptual sport

Jo hit the deck. it was a foul tackle, an apt description for a move that Jo did not see coming.

Talk about a change of perspective!! Sheesh! Was it bone crunching, did I hear something?

It could have been worse. At least the ground knows it’s March and not January.

There was no anticipation, no reflex adjustment, no ability to shift, just in time, no poetry in motion this time.

The coach and physio dashed on to the field. Jo looked up and said “OK, tell me straight, what’s the damage?”

Coach looked down. "Well you're talking that's a start." Assessing rapidly though and through gritted teeth he replied:

“It’s not looking good Jo.”


Oh come on tell me…”

“Well, kid it’s bad, yes, really bad.

You’ve got an academic detachment.”

Jo groaned, "Oh no, not that! What about the future!!"


OK, sorry about that and I do realise that a great many world class athletes are very well educated people.

The tendency of young and promising athletes to relinquish contact with their academic side and really be the best they can be - remains a challenge for some, but this post concerns academic detachment as in - educational institutions and students with the world.

Call it a paradox, a contradiction in this hyper-connected world, what with gap years, travel opportunities.... that there seem so many examples of a lack of awareness of the bigger picture that is the international stage. Not just in students, in education, but the wider citizenry.

Does this matter. Well it does, at least according to the 2012 Conference of The Association of International Education Administrators (AIEA) which included:

Academic detachment is not an option in the 21st Century

on the theme “Building a Secure World through International Education.”

The point I’d like to make is that Hodges’ model is fit to assist in some of the objectives that the AIEA outlines in this context:
Keynote speaker Abiodan Williams, Senior Vice ‐ President of the US Institute for Peace, offered remarks at the opening plenary. Mr. Williams said that his own international education began with post ‐ secondary level study at the Lester B. Pearson College, United World College of the Pacific, in Victoria, BC. To develop graduates committed to peace and security, he urged educational institutions to teach:
  • Knowledge – including greater interdisciplinarity and learning about conflict prevention
  • International outlook – to shape the attitudes and outlook of a new generation, encourage all students to spend at least six months studying abroad, learn at least one new language and take at least one course about another country
  • Sensibility – alluding to Fielding’s definition of ‘good nature’, developing people of benevolent and amiable temper of mind, who sympathize with the problems of others and who enjoy the happiness of others
“Academic detachment from the world is not an option in the 21st Century,” he said. Globalization is here to stay, and international education is playing a key role in contributing positive answers to many of the challenges that it presents.

Many institutions are actively engaged in programs that further environmental and energy sustainability, broader access to health care and education, resolution of conflicts, pursuit of fundamental human rights, economic development, and greater cross‐cultural understanding around the world. Harnessing the collective effort, and lessons learned, from each of these individual initiatives is important in moving internationalization forward. [AIEA conference website]
With thanks to Katy Rosenbaum:
27 March 2014:
Good morning,
Thank you for your email. I will check with my colleagues to see if they have any suggestions for someone who might be able to provide more information on work within this theme, and if they have any insights on this, I will certainly forward these on to you.
In the meantime, all conference session materials that presenters made available to download are available at the link below. The zip files include multiple presentations and handouts; underneath are links to these materials hosted on other websites: http://www.aieaworld.org/2012-conference#Presentations
The article you referred to mentioned Abiodan Williams' keynote address, which is available here: http://www.aieaworld.org/assets/docs/Conference_Materials/2012/abiodunwilliamsspeech2012.pdf
Thank you for your interest; I hope this information is useful. If my colleagues have other suggestions, I will certainly pass them on.

Katy Rosenbaum
Program Associate - AIEA
Association of International Education Administrators
kathryn.rosenbaum AT duke.edu

Additional link:
Thanks Dad.

Saturday, April 05, 2014

Lancaster University studies - residential past week

It's not listed in the sidebar, but by far the most significant h2cm related event I've attended in the almost eight years of Welcome to the QUAD has been the residential week up at Lancaster. I had just 41 miles to travel; fellow students in cohort 7 came from much further afield: UAE, Egypt, German, Japan, Canada, Saudi Arabia, Oman, Singapore and Isle of Man (Yo! there used to be users of h2cm there!) ....

I was late on the first day.

It was 0930 start last Monday, I arrived 1015. There was an accident at Preston on the M6.

It was great to meet people, fellow students and staff that I'd shared online learning tasks with since January. Strange to think - hope! - that we'd all be meeting again in a year. Meeting cohort 6, the group 12 months ahead of us was very informative. Also exciting that the group are considering an extramural residential in other climes: I hope this happens.

The presentations were a great help and included guest speakers - Prof. Charles Crook and Dr Debbie Prescott (cohort 1).

Now I've a research study to complete and Hodges' model is (will be) a key part of this. It's looking like there will be a literature search to follow.

Yesterday 0930 I thought the day was going to be wasted. It wasn't. I settled on Zotero now and it's a boon (at least I hope I don't have to start afresh!). There are other productivity tools to find, select and master into a workflow.

I hope to hear next week about a research conference in September that will further h2cm studies.

The study double bind is always an interesting one, being scared out your pants ... the 60+ mark: but also reassured - "You wouldn't be here if....".

I'd applied before for other programmes (Netherlands and thought about Italy), drafting a proposal and with subsequent efforts amazed at the demonstrated ineptitude. I think there's progress.

At the reception the progression of studies was stressed. The way, if we get beyond part one, we will be learning more and more about less and less.

How does that sit with Hodges' model and all it entails?

  • A generic conceptual framework?
  • A series of conceptual spaces?
  • Is there such a thing as 'holistic bandwidth'?
  • Can Hodges' model serve as the universal conceptual framework for health care, nursing and social care?
As the birthday of W2tQ beckons later this month there's no escape. Drupal 8 is going to throttle me soon as the pressure to introduce TEL technology enhanced learning to my studies takes hold.

Tuesday, April 01, 2014

Space Station Robot Forgets Key Again

humanistic ------------------------------------------- mechanistic

Memory: artificial (jokes aside) and real


Making sense of the
activities of daily living


Space Station Robot Forgets Key Again

Making sense of someone
else's sense of the
 activities of daily living

Funding for research
group - population

Additional link: The Economist - Rise of the robots 29.3.14
Image source: APOD