- 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, March 31, 2018

This Drupal week - Zirconed by...

I've enjoyed the past week of in spare time working on Drupal 8 and the three main pages of archive material I have to re-publish. That last days holiday on Monday proves that I can create the pages, the basis for what might follow. Brian Hodges's lecture notes are fairly straight forward in terms of the text. I've to decide on whether to reuse the images from the defunct 1998 website. At Drupalcamp one of the sessions highlighted the need to keep the images separate from text so as to have them searchable. Embedded in some text editors they may be 'lost'. Other points include specific attention to the references (standards) and keywords and colour scheme.

Having a logo (old one), site name and slogan all on display is also too much. The three columns seems to suit the main content, the width being more readable. I must drill down to find out about the text specs, fonts, lines, text sizes and accessibility plus printing (if absolutely necessary!). There's testing on devices too.

Hodges' model - drafting website text
Hodges' model - drafting website text
Just realised the obvious - for the archive the user isn't going to be altering the text. The outline view(?) would be useful - if meaningful.

It is a distraction, I admit, but I have been looking at the possibilities for a timeline:


Hodges' model - drafting website timeline
Hodges' model - drafting website timeline

Clearly, the sidebars have to go. I need to organise some media, in order, as the timeline docs advise - to be better able to tell a story. Speaking of stories, there is the matter of other languages. There is nothing as yet behind the 'language switcher', but this a key facility to include from the start.

There's no url to point to, just localhost... the challenges follow finally backing up (already scheduled - weekly) uploading and updating... This time when I need help I must holler.

Gotta Keep Going... 

Friday, March 30, 2018

When a Double-Page Spread is not Enough ...

humanistic ---------------- the HEALTH RECORD --------------- mechanistic

VA ".. how important is the notion of the book or the page to your research and outcomes?"

AGV "They are fundamental to my research.

I explore the double-page spread as a material support and a discursive space for visual ideas within an exhibition context. ...

The double-page spread is for me an extended space, a place to develop a site-specific practice.

... My intention is to generate meaning through symbolic signification, enhancing its material qualities through mirroring, folds, reflections and echoes."

Source: In Conversation, PRINTMAKING TODAY, Spring 2018, Cello Press Ltd. Volume 27, No. 1 Issue 105, p.4. Victoria Ahrens talks to Altea Grau Vidal about her PhD research and the format of the double-page spread as an opening for all her work.

Thursday, March 29, 2018

Planetary Health Photo Contest 2018

Dear HIFA members

I would like to share the announcement of Planetary Health Photo Contest 2018 which can be found here. https://planetaryhealthalliance.org/photocontest
Please follow the process-


1. Upload photograph to Instagram, using #planetaryhealth2018 and #planetaryhealth, and tagging @planetaryhealthalliance.
2. Explain its relevance to planetary health
3. Make sure your Instagram is public so that we can find it.

*Note: If you do not want to make your Instagram public or you do not have an Instagram, submissions can be sent to pha AT harvard.edu 

There is a limit of up to two submissions per individual.

Deadline is April 19, at 5pm EST.

Please let me know if you have any questions.


Muhammad Asaduzzaman
Country Representative, Bangladesh
Member, Emerging Scholars Committee for Planetary Health

My source: Health Information for All

Brexit: Britain at the Crossroads...

humanistic --- Care is always @Crossroads --- mechanistic
The motivation for health care professionals
 (former*, current, future)

Mental Health

Learning Disability Services

Self-care - Health Promotion - Care delivered

70 years


Primary, Secondary, Tertiary & Quaternary Healthcare - Prevention


Planetary Health

Keeping the HUMAN in healthcare

Social Care - Future (Nationalised)?

70 years social history

NHS funding - Hypothecated Tax?

Future (global) workforce

Data protection

*Return to work candidates?

Tuesday, March 27, 2018

Citizenry: In Hodges' model

humanistic ---------------- HUMAN NEEDS --------------- mechanistic

My identity


Public, Family, Community

Citizens, Nation State, Welfare

Political identity

BBC Radio 4 The Public Philosopher: Citizens of Nowhere?

Monday, March 26, 2018

Last Day of Leave 2017-18: Annie Swynnerton, Drupal & Zircon

Today was my last day of regular leave for this year. The total resets 1st April.

After an overnight stay in Manchester and prospective rail disruption today it made sense for me to stay on and pick up my partner Sue after her working day. This was an even greater pleasure as the day proved quite productive.

After checking out of the hotel with my laptop I headed to Manchester Art Gallery. The Annie Synnerton exhibition is a joy especially this year.

From there I started to look at Drupal 8 and the three pages worth of archive. First at HOME and then Ziferblat. Admittedly, so much more could have been achieved (a whole website for example!) but I'm happy with this. A drop down menu and basic layout I can consider now for style, accessibility, printing and much more.

Working on new website for Hodges' model

The text on the welcome page could have been Lorem Ipsum hurried as it was, but this will do for now. I need to this regularly and get beyond so many false starts. For access - here is the text from the above screen capture. ...

Home Page - Welcome

This is the start of a project to establish a web presence for the conceptual framework Hodges' model beyond the blog "Welcome to the QUAD" which has been published since April 2006. After 12 years the blog will be less active as energy is focussed here.

A website devoted to Hodges' model ran from 1998 until summer 2015 when Demon the ISP finally closed. Created in the mid-1980s there is an argument that 'models of nursing' have run their course and are no longer relevant in a multidisciplinary, digital and demographically challenged world.

This website then has three purposes:
  1. To provide a repository for an archive of previous notes and a timeline;
  2. To argue that contrary to the above, the relevance of Hodges' model increases daily;
  3. To work towards creating a reflective workbench built using the structures and knowledge content suggested by the model.
The archive includes my introduction to how I came to create the now defunct website and two pages that provide the original text used by Brian Hodges' when teaching the model. The old biographies are provided as well as updates.

So welcome to this web effort, which has been promised for over a decade and will no doubt break frequently. If you would like to get involved there will be opportunities so please register and I will add to the mail list.

The blog may become a news outlet for this new site, as with twitter and LinkedIn.

Sunday, March 25, 2018

Somewhere in Between: c/o Wellcome Collection

humanistic & INBETWEEN ---------------------- mechanistic & INBETWEEN



Somewhere in Between c/o Wellcome Collection
Somewhere in Between

collaboration scientists & artists

art as:
genetic engineering;
HIV medicine;
 free diving;
mirror-touch synaesthenia.

My source: Moulton, N. (2018) We are all scientists now, FT Weekend, Life&Arts, 3-4 March. p.4.

Saturday, March 24, 2018

4th International Workshop on Socio-Technical Perspective in IS development (STPIS'18)

Dear colleagues,

Please consider visiting Tallinn, Estonia in June 2018 and participating in

4th International Workshop on Socio-Technical Perspective in IS development (STPIS'18)
planned for 12th of June 2018

This is the second call with a new submission deadline of 1 April 2017
The first call is closed and the submitted papers are under review

The main purpose of the workshop is to arrange discussions on using a socio-technical perspective in IS development, the long term goal being to make this workshop a meeting place for the community of IS researchers and practitioners interested in the socio-technical approach.

Following the purpose, only part of the workshop is devoted to presentations, the rest is designated for collaborative work. This year we follow the practice established during STPI'17 and will be working on a real case from the local industry. We are now discussing a potential case with the local CAiSE'18 organizers. It will be announced on our WEB site as soon as it becomes certain.

Attached to CAiSE'18 conference https://caise2018.ut.ee/

Full description see at http://stpis2018.blogs.dsv.su.se/

Short description is presented below
Despite that a socio-technical perspective has been around for over a half century, it is often forgotten in the Information Systems (IS) discourse today. Consequently, many “new approaches” appear to reflect on IS systems problems, such as modern IT systems poorly adjusted to the external or/and internal environment (e.g. market, organizational culture) of organizations in which they are (to be) deployed. We strongly believe that it is high time the social-technical perspective took its proper place in IS research, practice and teaching.

The main purpose of the workshop is to arrange discussions on using a socio-technical perspective in IS development, the long term goal being to make this workshop a meeting place for the community of IS researchers and practitioners interested in the socio-technical approach.

Topics of interest include but are not limited to:

   * Case studies using socio-technical approach
   * Information system design using socio-technical approach
   * Socio-technical comparative studies of technology/IS adoption
   * Socio-technical analysis, design, development and integration of
    – health care systems
    – crisis management systems
    – information security management systems
    – learning systems
    – privacy enhanced technology
   * Societal Security from a socio-technical perspective
   * Ethnographic and Anthropological aspects of IS design and adoption
   * IT business alignment from a socio-technical perspective
   * Using Viable System Model (VSM) for analysis and design of socio-technical systems

We invite submissions of short and long papers and multi-media materials in the following categories:

   * Position papers
   * Idea papers
   * Experience reports
   * Research papers
   * Multi-media. Besides papers, we accept submissions in form of multi-media materials, for example, recorded video or animated presentation, describing industrial experience of using socio-technical perspective for IS analysis or development. In case of acceptance, an extended abstract is published in the workshop proceedings, while the multi-media material itself or a link to it is placed on the workshop site.
  * Posters

Deadlines for the first call
Submission of papers - 4 March 2018

As with the previous editions of  STPIS. We are planning to produce proceedings on-line via CEUR services. CEUR proceedings are indexed by DBLP, Google Scholar, Scopus, CiteSeer/CiteSeerX, etc. For Scandinavian researchers, the publisher is in the Norska systemet rated as level 1 (which is the highest level for the conferences and workshops). Proceedings for the previous editions of STPIS can be found here: http://ceur-ws.org/Vol-1604/http://ceur-ws.org/Vol-1374/ and http://ceur-ws.org/Vol-1854/

Organizing committee
Stewart Kowalski, Norwegian University of Science and Technology, Norway,  - general chair
Peter Bednar, School of Computing, University of Portsmouth, UK - program chair
Ilia Bider – DSV, Stockholm University/Ibissoft, Stockholm, Sweden - publicity chair

PC (under construction)

Peter Bednar – School of Computing, University of Portsmouth, UK
Ilia Bider – DSV SU/Ibissoft , Stockholm, Sweden
Stewart Kowalski, NTNU, Norway
Gil Regev, EPFL, Switzerland

Best regards

-- Ilia
Dr. Ilia Bider
Process- och systemutvecklingskonsult at IbisSoft.se
Lektor & Forskare/Docent i data- och systemvetenskap at DSV.su.se

Friday, March 23, 2018

SIEMENS Healthineers [tm]

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

"Healthcare for tomorrow."

manufacturing, imaging, diagnostics,
precision medicine, neuroradiology,
advanced - image-guided therapies,
point-of-care testing, mobile c-arms, ...

"Listed now."

Wither tools 4 CAREINEERING...?

My source: SIEMENS Healthineers, Advertisement, FT Weekend, 17-18 March 2018, p.5 (full page).

SIEMENS Healthineers (TM acknowledged).

Wednesday, March 21, 2018

Mapped to Hodges' model: "Is it okay tell a person living with #Alzheimers a white lie?"

I've posted before [Planning tool for Early Onset Dementia - Mapped to Hodges' model [i]]
following a tweet by Ian at @LEAD_Coalition. Very quickly I can see how a piece of content can be represented and importantly - expanded upon by using Hodges' model. In this case there is an article from the Washington Post, which is vital for the wider context.

Below I have used this tweet, the replies that followed combined with my experience and I would like to suggest the structure and care domains of Hodges' model to consider what can be a complex, personal, distressing and ethically provocative dilemma.

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

short term - memory - long term
Cognitive skills - sentences*, language...
Well-formed sentences / arguments?
Orientation: Time, Place, Person
Mood, Depression

Grief, Distress, Agitation, Risk of aggression

Personal ethics, sense of trust

personal meaning - coherence, consistency
"Rare conscious moments?"
Assessment tools
subjective assessment?

data - Information - knowledge

Informational redundancy (repetition)

Place, Space, Time: impact of cues

Former vocabulary, 'new' vocabulary day care center is the 'club' formerly the place Bill walked for a drink. Non-recognition of spouse "I'm a friend they'll be back soon."

Use of non-alcoholic beers -
service user does not discriminate

Evidence-based care?
objective assessment?

-lying (definitions: facts - truth)

"Love lies"
"Loving deception"
truth and trust

Right to know bad news, to feel grief even if transitory, but to be repeated, ..., ...?

Psychosocial interventions -
distractions, activities, time and cues to help recall - recovery of memory if distress is not marked

Family's, carer's views on the above.

Validation of service user's perspective

Deceased relative

Questions, questions:
*When am I going home from the nursing home?
When will Mary be home?

Lying = Unprofessional behaviour?

Misconception assumes ability to cognise,  conceive and apprehend a fact, situation, context, history... 'mental capacity'?

Facilitating reliving of trauma = abuse?

Professional Bodies - Guidance

Independent Advocates - their stance?

Universal approach, protocol - Case law?
Care Standards
Best interests

Diagnostic precedence?
How was diagnosis managed? 

Advanced directives if possible?

Is it okay to tell an Alzheimer’s patient a white lie? Washingtonpost.com.

Tuesday, March 20, 2018

Steve Coleman And Five Elements, Functional Arrhythmias

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

Steve Coleman And Five Elements, Functional Arrhythmias

Monday, March 19, 2018

Individual choice & life chances c/o Mark Power

humanistic --------------------------------------- mechanistic
Harlan, Kentucky, December 2015 (c) Mark Power



Photo and source with thanks: Harlan, Kentucky, December 2015 @copy Mark Power

My source: Requiem for a dream, David Chandler, 2018 FT Magazine, March 3-4.

Sunday, March 18, 2018

Drupal Europe: Darmstadt, Germany - and ESOC?

For anyone attending Drupal Europe this might also be an opportunity to visit the European Space Operations Centre.

For Drupalers with children over 10 years old there are guided tours Mondays, Wednesdays and Fridays.

Next month this blog will be 12 years young. There are many blogs which W2tQ went to school with so there's an achievement there. And at 12 years the blog qualifies for a certain tour!

The advice from Chris, Dan and James back in Szeged 2008 still reverberates: Drupal needs - demands your full attention. It was same again in London this month and umpteen other events. There was even an offer of help from NWDUG years ago which I kind-of side-stepped. Why did I do that? Is this all about 'having a project', 'being a (lifelong) student' or trying to recover what were real delights of ZX81 Basic and the BBC micro? There is a real irony there. My trying to champion Hodges' model in health and social care but no one being interested as "it wasn't invented there (by them)"? But in reality I am holding on with nothing happening.

Well, I'm sat in Tom and Gerry's (The Sir Thomas Gerard) at the moment and unfortunately(?) there's no couch in site ;-) just a flat white and laptop. I'm still very much on-board with Drupal - Ruby is still riveting too. The fascination lies with just these two; that is plenty thank you, since I'm scared of snakes and yes I know babies are cute. ... It is simply time to acknowledge the diagram below (with apologies for the depictions).

Learning curve for popular CMSs

Dries has described this in at least one keynote as have other speakers including Drupalcamp London. This isn't an excuse, although I could summon a few.

So, next month posts will - finally - be on the back-burner. After all the traffic (while much appreciated!) is hardly that of a rocket launch.

Saturday, March 17, 2018

Drupal Europe: Darmstadt, Germany 10-14 September 2018

There is a pause in Drupalcon Europe but there will be an event. The organisers of Drupal Europe are encouraging early purchase of tickets to help provide impetus for sponsorship and organisation. I'm giving this serious thought not only after missing Vienna last year, but there may be another incentive to attend... First though the following details are from the website:

Europe's largest Drupal event in 2018

Drupal Europe
Drupal Europe
The community re-imagines what a major Drupal event in Europe could be. Come experience it with us. Read more about it

Location and Dates

Darmstadtium in Darmstadt, Germany - with a direct connection to Frankfurt International Airport. Drupal Europe will take place 10-14 September 2018 with Drupal contribution opportunities everyday. Keynotes, sessions, workshops and BoFs will be from Tuesday to Thursday. Further program details to be announced later.

Early Supporter Tickets

We want to give an opportunity to our eager community as early as possible to show their support and ensure thir place at the event. By buying your ticket now, you contribute to our initial venue payment. Limited offer


At the Drupalcamp London social I mentioned that I'd need to justify attending Drupal Europe. So as per the life of this blog I've work to do! The other incentive I'll post about tomorrow, but you may have it already, judging from the location above...?

Friday, March 16, 2018

UKSS 2018 – Can systemic thinking help shape health services?

Looking forward to a 20 minute presentation I have just sorted accommodation for this conference in June. I am still wondering about train or car, preferring the former if possible for the c.240 mile trip to Portsmouth. With an interest in ecology I welcome the opportunity to be involved in an event connected with Schumacher College. I have long wondered about Dartington. Now that would be an excellent way to study and learn about Hodges' model and 'holistic bandwidth'...

News of this conference I posted on 2 January 2018 but as I add the news to the sidebar - here are some details once again and the necessary links...

UKSS Conference 25th June 2018

Can systemic thinking help shape health services?

A UK Systems Society conference in association with SPMC and the Schumacher institute; supported by the World Organisation of Systems and Cybernetics and the Associazione Italiana per la Ricerca sui Sistemi

Speaker: Alex Whitfield, CEO Hampshire Hospitals NHS Trust

Provision of health service is facing major challenges in every country. Life expectancy has increased, people are active for longer, and citizens expect first class healthcare and for “repairs” to be done quickly to restore them to their full capacity. Some expectations are fantasy but others are justifiable, yet every day we hear or read about outcomes that give cause for concern. In the UK we recognise that the NHS cannot continue in its present form. But the NHS is close to the heart of our citizens making major reforms difficult because of the intense passion that any discussion generates. But the NHS as a ‘system’ is more than 3/4 of a century old. The way that illness and old age are viewed now is different to that when the health service was created. This conference will provide a platform for ideas that might contribute to a way forward.

We would be delighted to see and hear from you at this conference.

Thursday, March 15, 2018

Webinar: Gamification in self-care - 19th March 1100 GMT

Here is news of a webinar next Monday 19th March:

"What is Gamification, how does it work and how is it used? Gamification has the potential to significantly impact health services and the general public. Join Managing Partner of Soho Strategy, David Wilkinson, and Cheshire and Merseyside’s Digital Innovation Lead, Richard Harding for an introduction to the history and usage of Gamification, its challenges, and how this technological innovation can improve health and wellbeing."

Thanks - Cara McDonagh

Wednesday, March 14, 2018

PROCESS and tick the boxes DO

For four decades at least and much longer (70 years?) within many health services there has been a preoccupation with process. Patients and carers may then perceive such services and how services are delivered as machine-like. As a whole the experience then constitutes an actual output - an outcome of clinics, appointments, waiting lists, tests and treatments. This is very unfortunate amid ongoing claims for services that are person-centred, individualised, patient oriented and even patient-first.

The patient is left to feel like a diagnosis, or even worse a problem in search of a diagnosis; tossed from one clinical encounter to another. In-between all this activity there are hopefully some compassionate brush strokes that soften the picture and patient experience. If not people notice the impact on values and quality of care ...

Whenever I see the word 'holistic' I wonder if it really is holistic? Yes, you can be holistic by ticking all the boxes, but nursing involves much more.

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

'Process' has been delivered at the door of nursing by management and the appeal to theory to inform practice. Nursing itself produced the 'nursing process'.

The nursing process through the stages of assess, plan, implement and evaluate prompted the argument that nurses were processing patients. To nurses of a certain age the nursing kardex, the record filled in every shift mirrored the nursing process. In a way recourse to process is not a problem, it is inevitable. It is to be expected. As we deal with space, time, risks and decisions ... we have to make judgements that are invariably process bound.

The four P's can help to 'balance the books' ...

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





We need to remind ourselves of the four P's as they affect us individually and as organisations and collaborative agencies.




Perhaps, patient engagement can be defined as when the tick-boxing is obvious but it is also taking account of the 4Ps (and in a way beyond tokenism). For example, patients, carers and the public involved in policy review? The patient is then more realistically involved in the activity. Anything else, really is a tick-box exercise.

Progress has been made (at least in the four decades of my purview). Government policy is in continuous development but there remains - as ever - much to do. Especially in spanning the various distances that apply from policy, experience, care to be delivered and how; from the individual to the health services and health system as a whole.

('P'rogress! Mm... Is there another way to measure progress?) ;-) 

Tuesday, March 13, 2018

The fake news game (four forms of resistance?)*

humanistic --------------------------------------- mechanistic
psychological well-being
vaccination against

"... research has shown that exposing people to propaganda tactics can psychologically immunise them against a growing epidemic of misinformation said to be sweeping across social media and online news outlets."

inoculation: resistance 

 epidemiology of news 
 broadcast dynamics
assertions - claims

instructional, educational, app design

inoculation: resistance

stories ..... rumors

role: fake news producers

social media:
‘echo chambers’ and ‘filter bubbles’

inoculation: resistance


POLITICAL polarisation

inoculation: resistance

Jon Roozenbeek & Sander van der Linden (2018) The fake news game: actively inoculating against the risk of misinformation, Journal of Risk Research, DOI: 10.1080/13669877.2018.1443491

My source:
Honestly, fake news is now an online game, The Daily Telegraph, 20 February 2018. p.8.

*perhaps even five?

Monday, March 12, 2018

The spread of true and false news online c/o Vosoughi et al.

humanistic --------------------------------------- mechanistic
psychological well-being


"Falsehood also diffused faster than the truth. The degree of novelty and the emotional reactions of recipients may be responsible for the differences observed."

 epidemiology of news 
 broadcast dynamics
assertions - claims

"To understand how false news spreads, Vosoughi et al. used a data set of rumor cascades on Twitter from 2006 to 2017. About 126,000 rumors were spread by ∼3 million people. False news reached more people than the truth; the top 1% of false news cascades diffused to between 1000 and 100,000 people, whereas the truth rarely diffused to more than 1000 people."

social well-being

stories ..... rumors

social media
social networks
social bots

"We define news as any story or claim with an assertion in it and a rumor as the social phenomena of a news story or claim spreading or diffusing through the Twitter network. That is, rumors are inherently social and involve the sharing of claims between people. News, on the other hand, is an assertion with claims, whether it is shared or not."

POLITICAL polarisation

political and economic well-being

'news' = institutional source?

"Defining what is true and false has become a common political strategy, replacing debates based on a mutually agreed on set of facts. Our economies are not immune to the spread of falsity either. False rumors have affected stock prices and the motivation for large-scale investments, for example, wiping out $130 billion in stock value after a false tweet claimed that Barack Obama was injured in an explosion (7). Indeed, our responses to everything from natural disasters (8, 9) to terrorist attacks (10) have been disrupted by the spread of false news online."

Soroush Vosoughi, Deb Roy, Sinan Aral, The spread of true and false news online. Science 09 Mar 2018: Vol. 359, Issue 6380, pp. 1146-1151. DOI: 10.1126/science.aap9559

Saturday, March 10, 2018

Book Review: [ii] An introduction to Health Research Methods

An introduction to Health Research Methods Where were we from Part [i]? For the book contents listing look no further. The publisher's site also provides sample pages.

For part ii we are up to chapter 14. Correlation studies, also known as aggregate or ecological studies had me scurrying to the index. While such studies usually rely on secondary analyses I thought about the power of social media to disrupt such distinctions. 'Social media' is there p.165 and this would be primary 'live' (the idea of a feed sounds 'live', but then web crawling can be quite retrospective) or secondary and might deserve a chapter of its own in. Despite such queries figures proceed to inform the analysis of correlation pp.97-100.

At step 3 we are still under a third way through  the text, excluding the glossary and index. Chapter 15 explains research timelines and protocols. While trying to formulate my own research question, I created a research plan and Gantt chart (figs 15-1 & 15-2). This prompts me to revisit the exercise as an independent scholar with the decade long aspiration to create a new website. The treatment here is aimed, of course, at research teams with responsibilities and a principal investigator. Figure 16-1 on sample populations and how they are derived I sometimes share with students on placement as I encourage them to be researchers. They should always be asking questions, as students, at their job interview and a new post provides an ideal opportunity to hear problems, issues, uncertainties. Many managers miss this - a fresh pair of eyes.

Vulnerable populations deserve and are given specific mention. Chapters 17 and 18 covers primary research concepts, such as, sample size, power estimation, reliability and validity. The systematic approach throughout the book is evident here. My initial note about lack of whitespace sees Jacobsen advocating for whitespace in questionnaire design. This advice flows into surveys, interviews and other assessments. The research essential of Boolean search is described with the process of a systematic search strategy, also allied with Forest and Funnel plots. Do take time with chapter 25 on writing research grants, even if you are an individual. It is obvious, but your financial situation can greatly affect your staying power in a programme of study that incorporates research, or is research led. Personal circumstances can change.

In step 4 if research has its quarry face, then we meet it here in (what can be) the hard-grind of data management (chapter 26) code books, data entry, data cleaning and data coding. The maths is invariably explicit in chapters 28 and 29 on descriptive statistics, regression analysis. Here the figures and text really do go hand-in-hand. If baby should never be in the corner Step 5 reminds us that research should never just be stuck on the shelf. In reporting findings you will find posters, conferences, presentations and writing papers, citing sources, and seeing an article through submission, revision to publication. A chapter deals with success - or how to keep going which brings readers to end with a glossary that is not cross referenced but the index is thorough.

This is very good introduction and the title really reflects the aim and content. This is an excellent primer that you can return to after the paint is well dry. It will be a pleasure to pass this book on to a nurse working in research - clinical trials. As is often the case there is an online access code to additional course materials. I have not broken the seal but may add further comments if they follow. There are always other things that might be included. As research stresses literature is there a way to include literacy, to wrest health literacy from the fog of the research question? Visual methods are increasingly used and the comic format used for educational, and even presentation of theses and dissertations. Genomics and the advent of (medically) personalised care may demand additional knowledge for researchers of all levels.

The other thought I alluded to in part [i] does not affect my recommendation for this book; but it concerns the primary, secondary and tertiary forms of research, literacy and access to information. Yes, these have an established place in the research process and lexicon (inclusion/exclusion criteria, informed consent...) with a history to reinforce this foundation. But is there a problem as this research is supporting health systems that really must change. Does something further in research need to change? Where and how could we incorporate the quaternary view? Never mind a chapter: could that have a step all its own?

Part [i]

With thanks to Emma Phillips, Marketing Manager: Academic Class Learning.

Friday, March 09, 2018

Book Review: An introduction to Health Research Methods [i]

An introduction to Health Research Methods
For this review, the preface says it all in the purpose of this book as a: "necessary foundation for meaningful improvements in clinical and public health practice." From an outcomes based view, to the research process itself the book is organised through five - very recognisable - steps:
  1. The Research Question 5-43
  2. Study approaches 35-100
  3. Study design and data collection 101-211
  4. Analysis 213-271
  5. Dissemination 273-345
I have included the page numbers across the steps to give you an idea of the weighting. The text cuts across the various methods, disciplines and credentials of the researcher.

If you are looking for whitespace this book is not for you. As a result though this adds of course to value-for-money. As evidence of packing-it-in the publishers have packed the pages, which for a research book is welcome. The execution while dense with ink on the page, is well delivered in presentation. The font is large, clear, distinct and readable. The adopted format is established very quickly. The first paragraph refers to a figure which is also on the first page. Figures are used to good effect throughout the book, shaded tones not colour.

As per the steps outlined above, two structures to help formulate a general research topic and question are described Exposure, Disease, Population [EPD] and PICOT. Mental health represented here encouraged my reading early on. Literature is also explored, the process of reviewing and systematic revires and meta-analysis in chapters 3 & 22.

With so much research being conducted the matter of originality and gaps in the literature are included. Figure 3-1 provides useful "Ideas for new studies" p.18, the issue of gaps also earns a figure of its own. Chapter 4 quite rightly brought pangs of guilt here dealing with "Focusing the research question" - primary (new data), secondary (existing data), tertiary (review and synthesize the literature). I have struggled to finalise a goal and set specific objectives. This did give me something to ponder upon which I will save for the end.

Each chapter begins with a pithy sentence of advice. Some chapters are very short, e.g. chapters 5 and 6 but this is justified and not suggestive of a need for an alternative structure. Step 2 signifies the arrival at more technical content; time frames, population selection, case definitions, cohort studies, cross sectional surveys, case control studies - with odds rations. This is all framed in accord with the introductory theme. Even an introductory book cannot avoid maths and Jacobsen deploys the figures to very good effect, for example Incidence in figure 11-5. Chapter 12 may be less heavy on the maths but it is a vocabulary expander for the uninitiated in research, as figure illuminate random control trial approaches, randomization efficacy, numbers needed..., flows of participants and screening a diagnostic test results (positives and negatives). The author's picking out Qualitative Research - Chapter 13 gave me hope for Hodges' model which can readily differentiate between quant and qual. And yes, brainstorming and mapping are mentioned at the start of the book.


Thursday, March 08, 2018

Drupalcamp London: And all that jazz

Drupalcamp London was a bootcamp literally in light of the weather. This affected the schedule a bit but it was well worth attending.

The first session on my list was not the intended module development but:

Flexible content editing with paragraphs and Drupal 8 - with Baddý Sonja Breidert who stepped in at short notice. We were encouraged to look at Open Doors as an example of Paragraphs being deployed. The fact that there were 25 types of paragraphs prompts the thought - not so much how many would I would need but the users? Apparently, paragraphs are not that user friendly to edit. Navigation was indicated 'Manage Display' - 'Preview' - 'Paragraph'. The 'environment indicator' flagged whether the site in use was live or dev: a reminder. A future tip included not using entities, but media for anything reusable. Reusable paragraphs were applied to banner and images, using simple entities. There were some special functions (and specific modules) in the table of contents, entity embed, entity browser, insert view and add map.

In considering when to use paragraphs this connects with choosing content types - another key question for me. There was a lot more in what was a 'changed session'. I'll check the slides / videos were available and for those below. The three keynotes were brill too.

Let’s take the best route - Exploring Drupal 8 Routing System

Drupal in the era of microservices

"Hi user, I am Drupal. How can I help you?"

Accelerating Drupal projects with Thunder: a case study

In Make your site findable dutchyoda Dick Rensema pulled me up short. So, I will check out the metatags module and use this from the outset. As for being findable - it's also best to have separate text and images not have both within a WYSIWYG editor. Another point is to 'make it long'. That sits well for the archive pages for Hodges' model.

Lunchtime on Sunday was preceded with gambry on Plugin API, a key idea being:

ENTITY - Same model different data
PLUGIN - Same "thing" type different ways

This was a captivating, dense, rich session and one to revisit. I'll reflect more on Drupal, Hodges' model as the 12th anniversary of this blog approaches.

Finally, the 0930 start in London helped as I'd been up late. Ronnie Scott's is an amazing experience, the second house from 1030 doors open through to 0300: I left at 3 thanks also to Resolution 88.

Wednesday, March 07, 2018

Forensic Architecture (Care Forensis?)

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

adjective: forensic
  1. 1.
    relating to or denoting the application of scientific methods and techniques to the investigation of crime.
    "forensic evidence"
  2. 2.
    relating to courts of law.
plural noun: forensics; noun: forensic
scientific tests or techniques used in connection with the detection of crime.

See also:
ICA London, 7 March - 6 May, Counter Investigations: Forensic Architecture.

My source:
Rowan Moore, Forensic Architecture: detail behind the devilry. The Observer Sun 25 Feb 2018

Tuesday, March 06, 2018

Four forms of Recovery? Hodges' model and the Political Domain

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


Recovery Space - Report

Five forms in fact including the spiritual...

See also:
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.

Monday, March 05, 2018

c/o BMJ: Rediscovering humanitarianism in the wake of the aid agencies scandal

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

individual values, ethics...

whistle blower

Psychology of:
bystander as co-worker?

(Good work and the greater good
the misdeeds of an individual*)

empowerment vs. exploitation

define: "humanitarian"

natural disasters

"Hollywood to Rochdale"

scale of organisations:
larger = lower costs

monitoring challenge for large organisations in chaotic settings (for all orgs.)



vulnerable persons

Public interest
Private vs. Public

community trust

"football club"


Charities (raising money)
Corporations (making money)
"reputation management"
organisational governance & values
*individuals in positions of power over others
Human Rights

International Summit
Regulation - not just a ▢ here?

BMJ: Rediscovering humanitarianism in the wake of the aid agencies scandal

My source: HIFA - David Southall of MCAI

Q. What is the first rule of first aid?

Mental Health & Debt

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

Mental health problem

 1 in 4

10p coin N - NHS


Mental Health and Debt 2017 report

Friday, March 02, 2018

Just - "one quarter in four years"

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

"Number of nurses and health visitors fell by 0.2%

Shortage of 40,000 nurses

The total number of managers rose to 32,000 ... a rise of almost one quarter in four years

7% rise in number (over one year)

of senior managers on NHS payroll

Sharpest rise among managers was in those whose pay normally starts at £65,000 a year."

Source: Donnelly, L. (2018) NHS bureaucrats on the rise as nursing numbers fall, The Daily Telegraph, 1 March, p.2.