Hodges' Model: Welcome to the QUAD: May 2017

- 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

Monday, May 29, 2017

Conceptual Blending - Glocalisation


verb tr.: To make a product or service available widely, but adapted for local markets.

A blend of global and localize. Earliest documented use: 1989.

“Communications have also been glocalized. Facebook, the global power on the rise, is an expression of this.”
Uri Savir; Glocalization; Jerusalem Post (Israel); Feb 24, 2012.

with Anu Garg

This week’s theme
Portmanteau (blend words) 

I've been subscribed to A.Word.A.Day for many years and could not resist posting this word based on the current week's theme and musings...
  • Conceptual blending
  • Blended learning
  • Blended family
Self care + Health care (the multidisciplinary team) + Social care (family/friends as carers) + State care = Blended care

Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from http://ci-journal.net/index.php/ciej/article/view/876/

Jones P. (2014). Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.

Wednesday, May 24, 2017

What does professionalism mean to me? #IND2017 (dnf: draft never finished)

Something along, within and across these lines...

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

Being self-aware, reflective and
reflexive including aspects of your
role that either you don't especially
like, or you're just not 'good' at.
Recognise when to ask
for help, advice, supervision.
Anticipating needs.
Indicating pros and cons.
Keeping up-to-date.
*Have the courage to blow
that whistle if you must.
Communicate to the best of your
ability and learn constantly as human
nature dictates you must.
Look after yourself: if ill Be ill.
Take care
of your personal ethics and values,
don't be bullied into lowering them
and running with the crowd.
Nurse = Lifelong Learner
... then you will question your own competence.
As you strive to be someone else remember you can be yourself.
The things you take personally are those you open the door to. Learn from them.
Never forget your shield,
protect yourself and others in
what you disclose about
yourself and others.

Being compass-ionate requires

360 degree

vision, hearing ...
learning and forgetting...

Your keen are you?
So really observe.

Care about time,
your management of it as a resource
and the time frames of
past, now, future, hoped for and imagined.
Remember you need to understand information systems, data management in so far as it supports or places at risk the care you deliver and the safety of your patients.
If I use IT based media I bear in mind the scope of the platform.
Open to innovation:
but see the elephant as an elephant.

When the robots knock on your door being professional means you won't be in: "Moved On"

As you care, draw on learning
regards where you stand -
 you are a guest in someone's home,
As your feet are then grounded politically,
so too is touch and
negotiating personal spaces.
 Learn from others 
Expectations Expectations Expectations
Manage them in a way such that you do not make promises you can not keep.
Be committed to what you do.
Learn from your peers, especially for safety's sake, but also form your own opinion.
Talk this and work through with colleagues.
Not everyone will 'like' you; you in turn may not 'like' people. Working through this (without experiencing abuse) as your role demands is being professional.
By all means be a team player, but don't let the games that people play distract you from being professional.

Community Care
End of Life Care
 As you learn from others 
pay most attention to the lessons 
in Love as you will witness many. 

The trust and respect of others take time to earn,
but can be lost in an instant;
if you have 'it' use it to foster trust and self-respect in others.
You have to remember constantly
you are accountable here.
Remind yourself of codes of conduct the legal aspects of your role.
Know your lines -
especially when crossed | STANDARDS.
With your ID have your whistle ready*.
What you do and who you are is a privilege.
Know your scope of practice, but be ready to question it. If you do not the future will.
This domain is the most powerful and neglected to the professional nurse. As a professional what are YOU going to DO here?
The art of leadership is filled with wonder: at what together you can all achieve.
Take stock and ask in Year 1 what are the
legacy issues my seniors are wrestling with?
In years 10 20 30 40 ...
(robotics permitting) repeat and reflect.

... because, being professional means learning and unlearning when the lines are there for a purpose and when they need to be shifted, lifted or plain erased ...

Previous post c/o NMC

Monday, May 22, 2017

Monday, May 15, 2017

SUPPORT: Global Health - Health Support - Support Change

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



My source: Halcyon Gallery

Artist: Lorenzo Quinn


Friday, May 12, 2017

What does professionalism mean to you? c/o NMC - #IND2017

Dear Peter

We are writing today to wish you a happy International Nurses’ Day – a chance to celebrate the exceptional professional contributions of nurses across the world.
The professionalism of nurses and midwives has always been essential to good care. We all know professionalism when we see it – but there’s never been a single definition for what it means in nursing and midwifery.
So we wanted to use the opportunity of International Nurses’ Day to tell you about a new tool we have developed, Enabling professionalism in nursing and midwifery practice, which defines professionalism in nursing and midwifery for the first time.
We hope it will help you to explain and strengthen your own professional contribution as a nurse or midwife, as well as being a tool you can use to reflect on your practice when you revalidate.
We have each shared what professionalism means to us, and we would love to hear your stories too. Share your views on what professionalism means to you through this form or through the NMC’s Twitter account @NMCnews using #professionalism.
Best wishes, and happy International Nurses’ Day.
Jane Cummings, Chief Nursing Officer, England
Charlotte McArdle, Chief Nursing Officer, Northern Ireland 
Fiona McQueen, Chief Nursing Officer, Scotland
Jackie Smith, Chief Executive and Registrar, Nursing and Midwifery Council
Jean White, Chief Nursing Officer, Wales

I will investigate this tool and reflect - post about it in the near future as appropriate.
To nurses and carers the world over Very Best Wishes for #IND2017.
Please look after yourselves too!!*

*The 1st rule of 1st aid.

Thursday, May 11, 2017

Mental Health Awareness (Second) ... (Hour) (Day) Week (Month) (Year) (Life) (History)

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

Thoughts Beliefs Emotions Mood...
Motivation, Confidence
Memory, Experiences, Trauma, Grief

Mental Health - Reasons for Referral


Self-help     Self      Self-stigma

Learned Helplessness

Psychological Theories & Therapies

Sleep  Coping  Concentration

self-harm risk, specialist services

Surviving OR Thriving?

Debate: Ethics, Diagnosis, Philosophy of Care

Systematic diagnosis

Evidence-based Care, Treatments

Effective Treatment, Outcomes

Drugs, Side Effects

Local access (200+ miles for a bed?)

Demographics - Research

Data, Information, IT Records

Emergency (MH Crises) Services

Referrer's Knowledge of Care Pathways

Debate: Pathologizing,

Evidence Based measures


Group Therapies

Community Family Friends

Relationships - Social Network

Risk  Behaviour  Safety

Mental health as a Social Construct


Folk theory UNDERSTANDING Specialist

Sociological Theories
prediction uncertainty expectations

Social Norms      Conformity

Culture, Ethinicity, Education


Quality of Life

Power         Mental Health Law

Review of Mental Health Act?

WAIT! Government Policy Targets

 ? Funding of Services ?
??  Parity of Esteem  ??

 Community Care - Beds - In-patients

Mental Health Services

Primary, Secondary, Tertiary

Mental Health Professionals

Human Resource Planning


Tuesday, May 09, 2017

"Global Mechanism - Your analysis and ideas?" c/o COMMINIT.com

I have posted some items c/o The Communication Initiative Network previously, but that was quite a while ago. Having just contributed to an ongoing discussion I thought it might help me and readers new to COMMINIT to post some background and add to my comment over coming weeks. The topic begins on COMMINIT:

UNICEF, with Rafael Obregon (Chief, Communication for Development, UNICEF New York) leading and The Communication Initiative, through Warren Feek (Executive Director) are holding a series of consultations, to gather views, opinions and ideas on what kind of global mechanism could be helpful for supporting advancements in the scale, sustainability, relevance and influence of programmes, strategies and organisations that develop and implement initiatives rooted in communication and media development, social and behaviour change. 
The global development tapestry has seen the growth of a series of such mechanisms seeking to advance particular fields of work. For example, WASH for All; the Global Partnership for Education and, the Global Partnership on Violence Against Children, amongst others.
As we have reviewed these mechanisms it is clear that there are a range of differing goals and roles including:
  • Raising technical standards;
  • Advocating value and impact;
  • Engaging in policy debates and dialogue;
  • Coordinating action;
  • Accrediting data;
  • Expanding funding levels; and,
  • Acting as a legitimate global point of contact for policymakers, funders and other major global players in development.
What kind of mechanism - priority, strategy, structure?
The major question for the social and behaviour change, communication and media for development field of work is what kind of mechanism – focus and structure - could help to advance our field of work. Consequently, there will be 3 major themes to the consultation that we will be holding. From your perspective and experience:
  1. What priority goals and themes would you propose as the focus of such a possible mechanism?
  2. What strategic approach should such a possible mechanism take to work towards those goals?
  3. How would you recommend that such a mechanism be structured and organised?

There was a meeting last year in London but I could not attend. I was prompted to write following a brief comment by Lorenzo Vargas...

Communication... also as a right (and more in Hodges' model)

I have copied and will further develop my ramblings as follows...

Dear Lorenzo and All,
'Communication' needs to be considered as not just a com-plex concept (process, social, practice, research, purpose, policy, reality...) but a com-pound phenomena too.
I have raised the potential of Hodges' model previously and in your few lines Lorenzo you also highlight how this (open) model might help integrate and provide a generic foundation for the whole health care agenda, locally, globally and glocally - through technology and culture.
First I quite agree to 'communication' being a Right: definitely and even when claims of rights has been described as a 'rights-fest'. In some contexts communication is a privilege, when cultural and historical structures accord a speaker - the 'stage'. Communication as much an innate ability. So the work of Paul Watzlawick needs to taken into account. The primacy of communication is made explicit in the first of Watzlawick's axioms of communication: "One cannot not communicate." Stepping over several axioms, number five brings us to the health context: "Inter-human communication procedures are either symmetric or complementary." This communication dynamic is the pivotal point of entry for communication as a right. The politics of axiom 5 is why we focus so closely on advocacy, engagement, safeguarding, guardianship, best interests, translation services and other measures that might include others acting as a proxy. If these are legal so much the better, if recourse to law if needed is accessible and affordable for example. In health, gender and development contexts a mix (compound) of qualities, characteristics and outcomes must be taken into account:
  • being heard (physically, linguistically, politically, educationally - literacy, culturally ...)
  • and being able to hear (physically, politically, language, environment, educationally - literacy ...)
We must also include choosing not to communicate (verbally, non-verbally, vote) and such acts ?
I'm sure we can all add our own experiential, personal, and professional emphases on the above.
The link below (should... ) outline Hodges' model - a generic conceptual framework.
What is 'spiritual' encompasses the whole model.
As a 'right' like human rights we can place this conceptually in the POLITICAL domain. The scope of 'communication' and its dimensions can then be reflected upon and made more explicit. 
There are a number of 'gifts' in your comment beyond the obvious one in C4D :-)
We are aware of the skills needed in the sciences and many clinical treatments in handling instruments. The history of science is full of them through to the fact of robots deftly and with mm accuracy (and less) assisting in surgery.
For communication to be a right, this should necessitate a series, or at least one 'policy instrument'. 
In Hodges' model the SCIENCES and POLITICAL domains are associated with what is usually considered MECHANISTIC (physical).
This is not merely word association, but a tool that imho can help this and related communities.
With communication as a right, Hodges' model can help stress the need for the many identified and debated literacies to be made a reality. Or if they are not realised, then those who control axiom 5 (and other key factors - social media?) can be held to account?
Just to close I am presenting Hodges' model in London on the 18 May - there is a link on the blog's sidebar.
Thank you for your comment Lorenzo.
I hope this helps your deliberations?
Kind regards,
Peter Jones
Jones, P. (1996). Do we need an overarching theory of health communication? Health Informatics Journal, 2,1,28-34.

Monday, May 08, 2017

Hodges' model: Parity of Esteem - ic ic ic Integrated Care

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

Mental Health Care

Parity of


Physical Care



My source:
Log-in or Institutional access required to access the paper.

Mitchell, A.J., Hardy, S. & Shiers, D. (2017). Parity of esteem: addressing the inequalities between mental and physical healthcare. BJPsych Advances, May 2017, 23 (3) 196-205;
DOI: 10.1192/apt.bp.114.014266

Tuesday, May 02, 2017

Looking at Clouds from Two Domains ...

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

"Humanitarian Applications"

2. "Estonia's entire government IT systems have been uploaded to the cloud and stored on international servers, so the country could be relocated at a moment's notice if needed."

"Good things can come from innovative tech"

1. "The Estonian government is nervous. ... British and American troops are located on the border, as part of a "trip-wire strategy" to get NATO mobilised. If the worst happens, the Estonian government has a rather ingenious contingency plan. ... A government in exile could relocate, boot up the cloud systems and serve the 1.3 million citizens as before."

Cloud for Business, Raconteur, Estonian Defence Plan. 12/03/17 #0439, p.5.


Monday, May 01, 2017

The Body and the Space - GIANNI COLOMBO

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



My source: Exhibition notice by ROBILANT+VOENA in FT Weekend 2015

Photo source: