Public Service(s) Ethos ii (notes)

Behind the post from 19 January 2018 are the 4Ps which can be related to Hodges' model.

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

ethos: PURPOSE - Were possible the patient should have a purpose in relation to their condition, care, and recovery as far as possible. (How do we define proactive, preventive care...?) The nurse and colleagues will similarly be purposed to deliver person-centred care. The organisation can make a difference here - to individual practitioners, translating the organisational ethos through leadership to ensure individual's can be creative, safe, effective, innovate and find their role and purpose rewarding and (constantly) refreshing. Ethos here should align with personal ethics and values. Fire may be a mechanistic phenomena, but burnout here is best avoided.

SERVICES: process - In the past and today nursing has been and is defined and described in task-oriented terms. Hodges' model acknowledges this by differentiating between the activities that nurses carry out some are mechanistic and others are humanistic. Through a combination of  interventions nurses help patients regain their independence as far as possible.  Outsourcing and project management are also tied to process-laden perspectives, models and schema.

PUBLIC practice - Students are socialised into practice (yes, I had a bath).  Our practice is contextual, that is, it is situated. Interaction and the time nurses spend with patients and often carers places an emphasis on the exercise and maintained competence of interpersonal skills. Empathy, rapport, dignity and respect, universal positive regard ... they are exercised and practised here. If this is the domain were therapuetic relationships are forged, this is also the domain where contact-time counts. Count the beans as we may, the qualitiative relationships in the time spent between nurse-patient; lecturer-student; mentor-student; leader-team contact are definitive for the public and practitioner. Enjoy this, as the robot help is enabled with an ethos of its own?

ethos POLICY - The initial post was prompted by POLITICS.  Many nurses try to be apolitical, necessarily so at work. In a way, as you can see the HUMANISTIC-MECHANISTIC axis provides a dodge. The humanistic placement of practice in Hodges' model can account for the public service ethos of "Don't Panic Carry On". Although many try to circumvent the politics of healthcare, there is no escape from the effects of policy on the service. The UK and USA remain ideologically divergent in healthcare (and geologically) but the debate is now heard everywhere and when. It is infraglobal. It is heard everywhere and when. In the political domain there are obvious sensitivities associated with our use of maps and our place upon them. Addressing the ethos of healthcare at an individual and population level now calls for maps of a unique kind.