- 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, December 30, 2017

Design4Health2018: Sheffield, UK

http://www.design4health.org.uk/Design4Health2018 will be hosted once again by Sheffield Hallam University from 4th to 6th September 2018 in Sheffield, UK.
We’re delighted to announce that

Issue 2 of new journal Design for Health is available now. Find out how to subscribe or submit on our Publications page

My source: Design4Health team mailing list c/o Kirsty Christer

Friday, December 29, 2017

Book: Sound - A Story of Hearing Lost and Found

humanistic --------------------------------------- mechanistic
"Sight gives you the world, ...

... but hearing gives you other people."

Source: Holgate, A. The Sunday Times, Culture, Books, 28 May 2017. p.36.

Wednesday, December 27, 2017


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

Tuesday, December 26, 2017

"Modern financial theory ..." Letter c/o FT

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

"... for their quantitative models based on equilibrium, efficiency and rationality. By co-opting methods from the physical sciences, a bewildering array of fancy-looking graphs and complex equations was soon spawned. Having stripped out the fuzziness of mortal endeavours, these neo-economists were freed to use their slide-rules on a quantitative version of our world. ... Their Möbius-strip models go everywhere and arrive nowhere." (2)

"Since the early writings of 13th century theologians such as Thomas Aquinas, what we call economics had been taught as a broad discipline covering politics, society, ethics, husbandry and moral philosophy. But by the 19th century, academics such as Vilfredo Pareto, Alfred Marshall and Thorstein Veblen had jettisoned humanistic thinking ..." (1)

"For the rest of the 20th century, the cult of quants purged humanity from the study of finance. This was a big mistake. We don't build businesses, work in offices, service customers or sell products to satisfy arcane algorithms.
We pursue a very human set of needs: food, shelter, status, community and well-being. Economics needs to be re-entered on human ad societal conduct - however messy and irrational it actually is." (3) Aron Miodownik

Aron Miodownik, Modern financial theory is built on conceit, Letters, FT Weekend, 9-10 December 2017, p.10.

Monday, December 25, 2017

Survey on Risk Assessment for Communicable Diseases in Humanitarian Emergencies

Dear colleague,

The deadline for our final survey on risk assessment for communicable diseases in humanitarian emergencies has been extended until December 31, 10 pm GMT.

Please consider helping us collect data for a new risk assessment tool. The survey takes approximately 10 minutes to complete.

You can find the survey here: https://www.surveymonkey.co.uk/r/2FLY9CW

Season’s greetings,
Charlotte Hammer

Charlotte C Hammer
PhD Candidate

Health Protection Research Unit in Emergency Preparedness and Response
University of East Anglia
Norwich, United Kingdom

HIFA (my source) profile: Charlotte Christiane Hammer is a PhD candidate at the University of east Anglia, Health Protection Research Unit for Emergency Preparedness and Response in the UK. Professional interests: humanitarian health, conflict medicine, communicable diseases, epidemiology.
c.hammer AT uea.ac.uk

Sunday, December 24, 2017

Focus on Theory - wither the website (gulp)

"A subtler effect of ego is one that doesn't threaten reputation so much as how you prioritize what is important. The threat is based on a sense that your opinion, approach, and perspective are the only ones with merit. While arrogance is one outcome of these elements, a much subtler risk that can bubble to the surface is becoming too focused on theory.

Unfortunately, some folks have something of a love affair with theory. Many of these people write extensive blog entries, give very generic (though well-meaning) presentations, and often seem to think that their primary role is to impart knowledge to others and sound as wildly academic as possible. But there is no secret ingredient in growing community. What makes a great community leader is experience: trying new ideas and concepts and learning from the successes and mistakes." p.17.

Bacon, J. 2012. The Art of Community, Building the New Age of Participation (2nd ed.)  CA, O'Reilly. (1st edition)


Thursday, December 21, 2017

Paper - draft: Exploring the relationship of Threshold Concepts and Hodges’ model of care through Deprivation of Liberty Safeguards (DoLS) [iii]

Exploring the relationship of Threshold Concepts and Hodges’ model of care through Deprivation of Liberty Safeguards (DoLS)


Threshold concepts are an established topic of research in education and health care. The primary aim of this descriptive paper is to explore the relationship and utility of threshold concepts to the study of a conceptual framework known as Hodges’ model. After introducing Hodges' model definitions of threshold and threshold concepts are provided. Thresholds are explored generally and through to scientific and health perspectives. The features of threshold concepts are shared from source with an explanation that includes reference to critique. The threshold concepts literature is outlined in brief across education and health and related to Hodges' model. This relationship building exercise is supported by care concepts drawn from the author's clinical experience. The discussion is accompanied by illustrations of care and threshold concepts mapped in figures to Hodges' model. The paper combines the example of 'Deprivation of Liberty Safeguards' from nursing and social care practice. Closing with future plans, the paper as a whole will act as an introduction for readers new to threshold concepts and Hodges’ model.

This draft paper is I think finally worthy of submission to a journal. I've dispensed with the 'compound threshold concepts' although there remains a 'compound' conceptual organising influence behind mental capacity, consent, deprivation of liberty and choices. The word count is 5,000 with a total of fifty references that include:

Aggleton, P., Chalmers, H., 2000. Nursing Models and Nursing Practice, 2nd ed. Palgrave Macmillan, London.
Allan, H. T., Magnusson, C., Horton, K., Evans, K., Ball, E., Curtis, K., Johnson, M., 2014. People, liminal spaces and experience: Understanding recontextualisation of knowledge for newly qualified nurses, Nurse Education Today. Available online 31 October 2014, DOI: 10.1016/j.nedt.2014.10.018.
Alligood M.R. 2014. Nursing Theorists and Their Work. 8th ed. Mosby Inc., St Louis, MO.
Barradell, S., Kennedy-Jones, M., 2013. Threshold concepts, student learning and curriculum: making connections between theory and practice, Innovations in Education and Teaching International, 1–10. DOI:10.1080/14703297.2013.866592
Batelaan, N., De Graaf, R., Van Balkom, A., Vollebergh, W., Beekman, A., 2007. Thresholds for health and thresholds for illness: panic disorder versus subthreshold panic disorder. Psychological Medicine 37, 247. doi:10.1017/S0033291706009007
Berg, T., Pooley, R., 2013. Contemporary Iconography for Rich Picture Construction: Contemporary Iconography for Rich Picture Construction. Systems Research and Behavioral Science (30) 31–42. doi:10.1002/sres.2121
Beta, G., Lidaka, A., 2015. The Aspect of Proficiency in the Theoretical Overview of Pedagogical Practice of Nurses. Procedia - Social and Behavioral Sciences, (174) 1957–1965. doi:10.1016/j.sbspro.2015.01.861
Bridson, J. M., Prescott, D., Guha, A., Strivens, J., Taylor, D., 2017. Implementation of Critical Threshold Concept in Clinical Transplantation: A New Horizon in Distance Learning, World Journal of Educational Research 4 (2), 301-312.
Clouder, L., 2005. Caring as a ‘threshold concept’: transforming students in higher education into health(care) professionals, Teaching in Higher Education 10 (4) 505-517, DOI: 10.1080/13562510500239141
Collins, G et al., 2015. Using reflection on reading for revalidation, Nursing Times 111: 23/24, 14-16. http://www.nursingtimes.net/Journals/2015/05/30/y/t/u/030615_Using-reflection-on-reading-for-revalidation.pdf
Colman, A. M., 2009. A Dictionary of Psychology. OUP, Oxford. p. 3. ISBN 978-0-19-104768-8.
Crump, K., 2011. Use of threshold and mode of action in risk assessment. Critical Reviews in Toxicology, 41(8), 637-50.
Edmundson, E., 2012. The Quality Caring Nursing Model: A Journey to Selection and Implementation, Journal of Pediatric Nursing, 27 (4) 411-415. http://dx.doi.org/10.1016/j.pedn.2011.09.007
Next to find a (non-predatory) journal...

See also: 

Paper - draft: Threshold Concepts and Hodges' model [i]

Paper - draft: Threshold Concepts and Hodges' model [ii]


Monday, December 18, 2017

Healthcare: Public Health Stories - if Heard...?

----- Forwarded message -----

From: Neil Pakenham-Walsh 
To: HIFA - Healthcare Information For All 
Sent: Saturday, 16 December 2017, 08:59:54 GMT
Subject: [hifa] Trump administration bans the use of the terms “evidence-based”“science-based”

CDC gets list of forbidden words: fetus, transgender, diversity

The Trump administration is prohibiting officials at the nation’s top public health agency from using a list of seven words or phrases — including “fetus” and “transgender” — in any official documents being prepared for next year’s budget.

Policy analysts at the Centers for Disease Control and Prevention in Atlanta were told of the list of forbidden words at a meeting Thursday with senior CDC officials who oversee the budget, according to an analyst who took part in the 90-minute briefing. The forbidden words are “vulnerable,” “entitlement,” “diversity,” “transgender,” “fetus,” “evidence-based” and “science-based.”...

with thanks to Juan Gervas and EVIDENCE-BASED-HEALTH forum

Best wishes, Neil

Coordinator, HIFA Project on Evidence-Informed Policy and Practice

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org 

----- Forwarded message -----
From: Neil Pakenham-Walsh 
To: HIFA - Healthcare Information For All 
Sent: Monday, 18 December 2017, 08:51:17 GMT
Subject: [hifa] Trump administration bans the use of the terms evidence-based and science-based (7)

The message below is from the CDC Director, from the CDC Facebook page:
I want to assure you there are no banned words at CDC. We will continue to talk about all our important public health programs.

You may be understandably concerned about recent media reports alleging that CDC is banned from using certain words in budget documents. I want to assure you that CDC remains committed to our public health mission as a science- and evidence-based institution.

As part of our commitment to provide for the common defense of the country against health threats, science is and will remain the foundation of our work.

CDC has a long-standing history of making public health and budget decisions that are based on the best available science and data and for the benefit of all people—and we will continue to do so.

Below is the full HHS statement addressing the media reports.
"The assertion that HHS has 'banned words' is a complete mischaracterization of discussions regarding the budget formulation process. HHS will continue to use the best scientific evidence available to improve the health of all Americans. HHS also strongly encourages the use of outcome and evidence data in program evaluations and budget decisions.”
-CDC Director Dr. Brenda Fitzgerald
Best wishes, Neil

Saturday, December 16, 2017

Healthcare: One Story - Several Voices - if Heard?

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

1st PERSON here

'Me' 'I' - my dialogue

'Me' - a PERSON - as Narrator

Psychiatrist... as Narrator?

and ... 1st PERSON here

perspective, point of view

Physician... as Narrator?

Case Study as Narrator

'We' as Narrator 1st PERSON

'You' 2nd Person

'He' or 'She' as Narrator -

Carer / Relative as 1st or 2nd PERSON

NHS as Narrator - The Clinical Record

Commissioner - Insurer as Publisher?

Dept of Health as Narrator

Governments as Publishers 
(What chance of an 'advance')?

"The person narrating the story influences the amount of information you, the reader obtains."

When governments do not fund healthcare the stories that truly count go untold. As carers and families know too well, there is never just one story in healthcare but several.

Wednesday, December 13, 2017

Universal Health Coverage (UHC): WHO is Listening?

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




Tuesday, December 12, 2017

Ayurvedic Man: Encounters with Indian Medicine

The Wellcome Collection

‘Woman Swinging Below an Aubergine Plant’, watercolour with pencil, 19th century (Wellcome Collection)

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

oral traditions
learning teacher - student

3000 years

culture, history,
community knowledge, 
traditional medicine

West - contested - East
scope of patents

My sources: November London visit research and FT.com Magazine, 28-29 October 2017, pp.20-22.

Sunday, December 10, 2017

EHR Individual - Group: Aggregator

People probably look at Hodges' model and see something that is simplistic. There is a great power, however, in the scenarios that the structure of Hodges' model can readily encompass. Not just in the hospital, but across all care contexts.

"Where is the great value promised by the transition to EHR [Electronic Health Record]? Where is the huge surplus from all those lives saved? Without an actor who can find it, and deploy it to shift the doctors into surplus, nothing will happen. 
If the ecosystem* includes just the five traditional players, EHR will remain an academic dream. The answer, then, requires introducing a new player - an aggregator. Because the odds of mistakes are so low, the benefits of EHR are invisible to the individual patient. They become material only when we aggregate outcomes over a large enough number of patients. We need to find an actor whose surplus is affected by patients not as individuals but as a group, and who is able to both capture and distribute this benefit; insurers, health-care systems, and governments all fit the bill. And the larger the group, the larger the surplus." p.130.

*The ecosystem illustrated by Adner is simplified and includes:
Payer/ Insurer, IT Provider, Hospital Administration, Hospital Department, Doctor, Nurse, Patient
(I have added Nurse)

Adner, R. (2012). The Wide Lens: A New Strategy for Innovation. London: Portfolio/Penguin.

Saturday, December 09, 2017

Universal Health Coverage Day 2017 - 12 December

Universal Health Coverage (UHC) Day is Tuesday, 12 December – five years after the United Nations unanimously endorsed UHC for the first time. Since then, voices declaring UHC morally right, economically smart and urgently needed have grown louder than ever before. But progress has not followed at an equal pace. Like any political goal, the right to health will not be guaranteed until people everywhere decide to fight for it.

Join us this UHC Day [http://universalhealthcoverageday.org/] as we “Rise for Our Right” to health and demand courageous political action in every country. We will celebrate local change-makers and inspire our communities to join our cause. We will partner with fellow advocates for equity and shared prosperity. And we expect a record number of marches, rallies and events to amplify the growing people’s movement for UHC.

On behalf of the Universal Health Coverage Coalition – 1000+ organizations in 120+ countries calling for quality health care without financial hardship – we encourage you to explore our social media toolkit [http://universalhealthcoverageday.org/toolkit/] and interactive map of global events [http://universalhealthcoverageday.org/global-events/]. You can also follow us on Twitter [https://twitter.com/UHC_Day] and Facebook [https://www.facebook.com/UHCDay/] to participate in the #HealthForAll conversation.

Beyond 12.12 itself, stay tuned for updates from the historic UHC Forum in Tokyo, Japan (12 to 15 December), which will feature the launch of the new WHO/World Bank Global Monitoring Report on Universal Health Coverage, with new financial protection data from 132 countries. http://universalhealthcoverageday.org/forum/

Together, we can work toward stronger, more equitable health systems.

In solidarity,
Secretariat of the Universal Health Coverage Coalition

HIFA profile: Karen Anderson is a Communications & Advocacy Fellow at Global Health Strategies in the United States. Professional interests: Advocacy for universal health coverage. 
 kanderson AT globalhealthstrategies.com
My source: Karen Anderson
c/o HIFA: Healthcare Information For All: www.hifa.org

HIFA Voices database: www.hifavoices.org

You are receiving this message because you're a member of the community HIFA - Healthcare Information For All.

View this contribution on the web site https://dgroups.org/_/c4vanzv0

Friday, December 08, 2017

Is Hodges' model a selection machine?

Sober (1984) Child's toy
"It is gratifying to find these biological ideas already enshrined in the ordinary meaning of 'selection for' and 'selection of'. My young son has a toy which takes all the mystery out of this distinction. Plastic discs with circles cut out of them are stacked with spaces in between in a closed cylinder. Top-most disc contains very big holes, and the holes decrease in size as one moves down from disc to disc. At the top of the cylinder are found balls of different sizes. A good shaking will distribute the balls to their respective levels. The smallest balls end up arrayed at the bottom. The next smallest sized balls settle at the next level up, and so on. It happens that the balls of the same size also happen to have the same color. Shaking sends the black balls to the bottom, the pink to the next level up, and so on. The whole cylinder (plus paternal administered shaking) is a selection machine. The device selects for small balls (these are the ones which pass to the bottom). It does not select for black balls (even though these are the ones that pass to the bottom). But when we ask after a shaking what was selected, it is equally correct to say that the black balls were selected and that the small ones were. 'Selection for' focuses on causes; 'selection of' picks out effects." p.50-51.
Sober, E. Force and disposition in evolutionary theory. In. Hookway, C. (ed.) (1984). Minds, Machines And Evolution. Cambridge: Cambridge University Press. pp.43-61.

Image adapted from figure 4 within "Is art an adaptation? Prospects for an evolutionary perspective on aesthetic emotions" http://homes.chass.utoronto.ca/~sousa/artfunction/art.htm

See also: slide 35/47  http://slideplayer.com/slide/9735486/

Thursday, December 07, 2017

Human Flow

humanistic --------------------------------------- mechanistic
h       u m  an f   l   o      w
h  u m   a      n
f l            o   w

Wednesday, December 06, 2017

Out Lines

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

Source: The Sunday Times, Culture, On Record, 29 October, 2017. p.22.

Tuesday, December 05, 2017

Quadratic Social Erosion..?

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

(a) lived experience




Please see (for context):

BBC News

Social mobility board quits over lack of progress
"Mr Milburn, a former health secretary, took up his role at the commission in July 2012, under the coalition government led by David Cameron and Nick Clegg.Speaking on the BBC's Andrew Marr Show, he said divisions in Britain were becoming wider - pointing to the ongoing squeeze on wages.
The government lacked the "bandwidth" to tackle social division while also dealing with Brexit, he said, describing his task as being like "pushing water uphill".
[My emphasis]

As can be seen, in broad terms, above, Hodges' model can help to promote awareness of holistic bandwidth, facilitating reflective practice, critical and transdisciplinary thinking and person-centeredness. Social mobility is clearly sociopolitical.

Monday, December 04, 2017

RCN: Modern Slavery Pocket Guide (includes...)

humanistic --------------------------------------- mechanistic
What to do next:

• try to find out more about the situation and speak to the person alone and in private
• reassure them that it is safe for them to speak
• only ask non-judgmental relevant questions
• allow the person time to tell you their experiences do not make promises you cannot keep
• do not let concerns you may have about challenging cultural beliefs stand in the way of
making informed assessments about the safety of a child, young person or adult
• speak to your manager, colleagues or local safeguarding leads for advice.

45 million
are trapped
modern slavery
across the 

(Global Slavery 
Index, 2016)

Signs of trafficking

If the person:
• is accompanied by someone who appears controlling, who insists on giving information and speaking for them
• is withdrawn and submissive, seems afraid to speak to anyone in authority
• provides vague and inconsistent explanations of where they live, employment or schooling
• has old or serious injuries left untreated
• provides vague information, is reluctant to explain how the injury occurred or reluctant to provide a medical history
• is not registered with a GP, nursery or school
• has experienced being moved locally, regionally, nationally or internationally

 Key legislation:
  • Modern Slavery Act 2015 (England and Wales)
  • Human Trafficking and Exploitation (Scotland) Act 2015
  • Human Trafficking and Exploitation (Criminal Justice and Support for Victims) Act 2015 (Northern Ireland)

For full guide please see:
RCN Modern Slavery Pocket Guide
Publication code 005 984. Printed May 2017

Saturday, December 02, 2017

Data, Information, Knowledge defined c/o McGonigle & Mastrian

Graves and Corcoran (1989) drew from Blum (1986) to define the three concepts as follows: (1) data are discrete entities described objectively without interpretation; (2) information is data that are interpreted, organised, or structured; and (3) knowledge is information that is synthesized so that relationships are identified and formalized. Drawing on this work, Nelson (1982, 2002) defined wisdom as the appropriate application of knowledge to the management and solution of human problems.  
Data, which are processed to create information and then knowledge, may be obtained from individuals, familes, communities, and populations and the environment in which they exist. Data, information, knowledge, and wisdom are of concern to nurses in all areas of practice. For example, data derived from direct care of an individual may then be compiled across persons and aggregated for decision making by nurses, nurse administrators, or other health professionals. Further aggregation may address communities and populations. Nurse educators may create case studies using these data, and nurse researchers may access aggregated data for systematic study. pp.97-98.

McGonigle, D., Mastrian, K.G. (2012) Nursing Informatics and the Foundation of Knowledge, Second Edition. Jones & Bartlett Learning, Burlington, MA.

Fourth edition: http://www.jblearning.com/catalog/9781284121247/

See also:
Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

Friday, December 01, 2017

'International Community'? c/o Grayling & Thatcher

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

"There is no such thing as society." 
Margaret Thatcher

"In the article to which my first article was a response you dwelt at length on the practical difficulty of making the ICC [International Criminal Court] work, and the related likelihood that its existence will reduce the US willingness to police the world. ... in essence your argument is that there is no such a thing as an 'international community', and therefore only an historically evolved practice of law-governedness in tribal, ethnic or national settings can work. And because there is no 'international community' the assumptions and hopes of human rights advocates are bound to fail, based as they are on what you take to be the false idea that humankind can be holistically viewed as a nation or tribe writ large."

Grayling, A.C. (2009) Liberty In The Age Of Terror - A Defense Of Civil Liberties And Enlightenment Values. London: Bloomsbury. p.220-221.

Margaret Thatcher
Interview for Woman's Own ("no such thing as society")https://www.margaretthatcher.org/document/106689

Thursday, November 30, 2017

Gagné nine events in E-learning

In checking through more books, I revisited Khan and Ally's International Handbook of E-Learning. Chapter 10 by Florence Martin includes several models for instructional design. My in-situ pencil notes from 2015 reminded me of Figure 10.1 "Adaptation of Gagné's nine events" (Gagné and Driscoll, 1988).

I found a version on Pinterest:

Gagné's nine events

Martin and others refer to "Present Stimulus" as "Present the Content" and this is what stands out. If Hodges' model was realised within an online reflective workbench then the student would be engaged in creating the content. The student becomes the stimulus, generating the content.

Pinterest provides another version which sums up quite nicely the potential of Hodges' model. It was brainstorming and developments in mind-mapping that prompted my interest. Structure can gain attention. Structure might also invite interaction. Hodges' model presents a space in which the contents might be manipulated? The initial blank space might also indicate an objective. A series of care or knowledge domains may also invite reflection on a practical experience, a patient or carer encounter.

Gagné's nine events

What follows from Present the content in Gagné's nine events remains a challenge, but if you understand what Hodges' model is and its application then you may also see its potential.

Martin, F. (2015) E-learning Design-From Instructional Events to Elements, Chapter 10. In Badrul H. Khan, & Mohamed Ally (Eds) International Handbook of E-LearningVolume 1, Oxford: Routledge. pp. 153-170.

With regards to putting a pile of books together for a trip to Hay-on-Wye these handbooks Vols 1 & 2 are keepers.

Monday, November 27, 2017

NW England - UCLAN: Principles and Methods of Systematic Review Course 2018

Dear Colleagues

Please find attached the details for the upcoming Principles and Methods of Systematic Review Course, January – April 2018 to be held at the University of Central Lancashire, Preston.

This successful course has previously run as a training opportunity for UCLan staff and is now available as a post-graduate assessed module ‘NU4094 Principles and Methods of Systematic Review’.

Do you work in Health or Social Care and need to access evidence for practice or policy development?

Would you like to earn 20 credits for completing NU4094?

Are you looking to further advance your skills in review methods for your practice or teaching?

Then this course is for YOU!

All sessions are free to those not wishing to undertake assessment or to those who wish to only attend ad-hoc sessions.

Undertaking the full module with assessment will cost £880 approximately.

For registration and further details please contact rsenquiries AT uclan.ac.uk

Please feel free to forward this on.

Thank you

Asha Maqsood | Clerical Assistant (Research) | Research Support Team | Faculty of Health and Wellbeing | Brook Building BB417 | University of Central Lancashire | Preston | Lancashire | PR1 2HE | * amaqsood1 AT uclan.ac.uk / rsenquiries AT uclan.ac.uk ( 01772 893653

Sunday, November 26, 2017

Barefoot Thinking

As Leadbeater described through Illich in the previous post we need a transformation from healthcare supplied as a service to individual personal responsibility for health and wellbeing. How can this be brought about though?

The power of grassroots, social movements is well established, even if since 2009 the idealism of the Internet as a force for positive change and democracy has been somewhat undermined.

As a force for positive change and exposing the thinking and skills of the poor, Leadbeater also highlights the creation of the Barefoot College by Bunker Roy and barefoot thinking. The poor do have skills and knowledge that can effect change and community growth.

Situated and capable across all contexts, Hodges' model can help facilitate personal responsibility and self-care. In addition to supporting the learning of health and social care professionals, Hodges' model can also provide a conceptual scaffold as barefoot thinkers redefine professionalism.

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

My source: Leadbeater, C. (2009) WE-THINK. 2nd ed., London: Profile Books.
(Now in the book pile destined for Hay-on-Wye)

Saturday, November 25, 2017

Health Systems Design: Service Vs Personal Responsibility

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

Personal Responsibility


We have been schooled to regard health as a service delivered to us, when it should primarily be a responsibility we all exercise. In The Limits to Medicine Ivan Illich described a health system based on personal responsibility rather than service.
"Success in this personal task is in large part the result of the self-awareness, self-discipline, and inner resources by which each person regulates his own daily rhythm and actions, his diet and sexual activity... The level of public health corresponds to the degree to which the means and responsibility for coping with illness are distributed among the population."

My source: Leadbeater, C. (2009) WE-THINK. 2nd ed., London: Profile Books. p.152.
(... and an interesting way to write and produce a book):

See also - related to media:


Surgery, Medicine and Nursing: Art & Science

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

My source: Various - newspaper reviews, visits to Waterstones, Foyles, & Hatchards

Thursday, November 23, 2017

Pay "Nurse Kathy" ?

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

Kathy ...

HK$31,000,000 - 41,000,000

My source: FT Weekend, Arts, 18-19 November 2017, p.16.

Wednesday, November 22, 2017

Southern Sudan Medical Journal - November 2017

Dear SSMJ Reader,

We are pleased to announce that the November 2017 issue of the South Sudan Medical Journal is now on our website - South Sudan Medical Journal. This issue means the journal has now been published for 10 years – we thank the many people who have made this possible: the SSMJ Editorial Board, the editing, IT and reviewing teams, and everyone who has submitted articles.

You can download this issue as a PDF or the individual articles listed below:

SSMJ marks ten years of continuous quarterly publication
With this issue in November 2017, the South Sudan Medical Journal marks its tenth anniversary of continuous uninterrupted quarterly publication since the first issue in February 2008.

Midwives’ knowledge and use of partographs at Juba Teaching Hospital, South Sudan 
The study found that despite good knowledge of the partograph, about half of the providers do not use them. We recommend training and recruitment of more qualified midwives.

Frequency and causes of ocular trauma among children attending Mulago Hospital Eye Department
The frequency of ocular trauma amongst children attending Mulago Hospital is high, one in every five children seen at the eye clinics had ocular trauma.

Multi-disciplinary stroke care in developing countries – lessons from the Wessex-Ghana Stroke Partnership 
Stroke care is multifaceted and complex, and therefore any approach to developing specialised stroke care must take the various facets into account.

Facial and eye injury following a fridge cylinder gas explosion 
Gas cylinder explosions may result in life threatening and severe ocular injury if not properly managed. Early presentation and effective management resulted in good facial healing and vision in this patient.

The health of South Sudanese refugees: one million and counting.

UK South Sudan Alliance launched.

Juba College of Nursing and Midwifery: Aspiring for Growth. 

Obituary: William Lual Gang. 

We thank those of you who completed our recent survey of the website. The results are being collated and will be shared when they are ready – and the winners of the prizes will be announced.

Please continue to support the journal by sending us items for future issues. So send us articles on your research, case reports, and clinical guidance, as well as news of projects, and relevant photographs. We can help you prepare these for publication (and see ‘Information for Authors’ which has been updated). We welcome letters to the editor and questions. Send your contributions to the Editor-in-Chief, Dr Edward Luka at admin AT southernsudanmedicaljournal.com

All previous issues of the journal are in the Archive section, and you can ‘search’ for particular items.

If you are not already a member, join our Facebook Group and share your news and experiences. You can follow us on twitter: @SSMedJournal. Other people can be added to our mailing list by clicking here.

SSMJ is now a member of African Journals Online – visit this site to find out more about the advantages of being a member of AJOL.

Kind regards,
The SSMJ team

My source: SSMJ mailing list (hence format)