Distinction: Phenomenal - Psychological and Scientific interpretations

"In order to separate different uses of quality dimensions it is important to introduce a distinction between a phenomenal (or psychological) and a scientific interpretation. The phenomenal interpretation concerns the cognitive structures (perceptions, memories, etc.) of humans or other organisms. The scientific interpretation, on the other hand, treats dimensions as a part of a scientific theory." Gärdenfors (2004).

SELF - individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - POPULATION

Phenomenal (or psychological)	Scientific

Gärdenfors, P. (2014) Conceptual Spaces as a Framework for Knowledge Representation, Mind and Matter, Vol. 2(2), p. 14. 

Talk @PHPNW Manchester 2nd April 7pm

Responding to a couple of tweets by @phpnw I am now (happily) tasked with giving a talk on Tuesday evening:

Concepts, Spaces and Thresholds and why they matter

57 Thomas Street

Northern Quarter

Manchester

M4 1NA

Within the Drupal community and online I've heard frequent mention of imposter syndrome as reflected here. I'm no 'programmer', as much as I might wish and after stepping in to help with a quick editorial I'm also conscious of the risks of self-plagiarism - repeating myself yet again.

On Tuesday I'm pulling together threshold concepts, conceptual spaces and #h2cm in that order. I still believe there is a very worthy project here. Even if only having a sense that all the jig-saw pieces are present even if not quite 'correct'?

Recognising the expertise and professionalism of the audience I'm trying to make it relevant with an exercise too. I'm very grateful for the faith of the organisers as I fill a gap of sorts.

Thank goodness the talk is not a day earlier- which might be quite apt in respect of the 'new' site.

With changes in my full-time work status there will be more time.

Always good to see an excuse bite the dust...

Nursing's Golden Ratio: Safe-Staffing:Law

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - POPULATION

Care Philosophy: Task orientation Vs Person-centred (Reality: Hybrid that assures person-centredness?) Individual Patient's, Friend's and Family impression Individual Patient's, Friend's and Family experience (AND memory) Confidence in Care (Confidence as a Learning Environment)  Individual Nurse's Values Individual Patient Outcomes PURPOSES	Numbers - count "40,000 missing Nursing" [RCN] Ratios: x :: y Staffing Research (Falls, Quality...) Operational Research; Measures Dependency; Chronicity; Nursing hours / day; Skill-mix; Care undone Productive Nursing Care Demographics: Local, National, Int. TIME: tasks, events, priorities, shifts The E's: Efficiency, Effectiveness, Equity, Equality  PROCESS
Qualitative Duty of Care Public awareness / sensibilities History of Research into Staffing (Time and Motion studies) Direct Nursing Care High Quality Nursing Care = The Golden Ratio PRACTICE	Quantitative Recruitment, Retention, Attrition Workforce Planning Professional Accountability Commensurate: Policy - Law NMC Code of Conduct Contract of Employment Employment T&C Emigration Policy, Overseas Workers Professional Bodies inc RCN, Unions ... Nurse Administration Support Information System - Synergy?  POLICY

My prompt with thanks: https://twitter.com/DannGooding/status/1110929934262898689


Additional sources [ c/o @DannGooding ]

A critical moment: NHS staffing trends, retention and attrition
Health Foundation, ISBN: 978-1-911615-25-5

RCN

American Nurses Association, Nurse Staffing Literature Review

Word use & implications for research - 'Population health' by Canales, Drevdahl & Kneipp (2019)

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - POPULATION

individual health a. INTERVENTION in Individual behaviour 4Ps - PURPOSE My word use - (contribution to and affected by a community of practice)    scale Begin: Planetary Health End:	interventions   Length and quality of life  academia - evidence-base b. INTERVENTION in a healthcare sector Public Health as a discipline - word use SMALL-scale:  health promotion and disease prevention FROM: individual CLINICAL - sub-groups TO: group - population  A data dictionary? 4Ps - PROCESS
language use - 'pop. health' meaning? Social and Society Does the community have a role in local health population management? a. and b. insufficient to address - social determinants and health inequities root - societal and structural levels History Community activists for Social Determinants of Health 4Ps - PRACTICE SOCIO-	TOTAL POP. [health systems Pop.] population health management 4Ps - POLICY political & economic systems low-income LARGE-scale: community initiatives that attempt to reduce inequities by challenging poverty and racism SDOH - inc: food supply, housing, economic and social relationships, transportation, education, and health care -ECONOMIC

Canales, M.K., Drevdahl, D.J., Kneipp, S.M., (2019) Moving Words, Moving Meanings: The Discourse of Population Health, Journal of Professional Nursing, 35, 2, 71-73, ISSN 8755-7223,
https://doi.org/10.1016/j.profnurs.2019.02.007
(http://www.sciencedirect.com/science/article/pii/S8755722319300201)

c/o R Layard "Enact policies to boost emotional health"

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

individual well-being MENTAL HEALTH "HAPPINESS - EMOTIONAL HEALTH	"EVIDENCE-BASED" "overarching criterion for measurement" processes - SCIENCES" PHYSICAL HEALTH
COMMUNITY WELL-BEING Society Social values Social cohesion	POLICIES on - "schools, mental health, family support, child support, addiction, social work,  loneliness, methods of management and town planning."

"Fortunately more and more governments are beginning to think along these lines."

Prof. Richard Layard* (2019) FT Weekend, 9-10 March. "Enact policies to boost emotional health"
Author of: Happiness - Lessons from a new Science

*Co-director, Well-Being Programme, Centre for Economic Performance, London School of Economics, UK

"Calculated Risk" (2018) Ciara Phillips

Calculated Risk (2018) Ciara Phillips
Relief print and screen-print on paper on paper
Copyright - Courtesy of the artist.

Ciara Phillips

While far from a printmaker (or 'webmaker') Printmaking Today is a real treat. It gets read page-by-page - cover-to-cover and the challenge - finding this image on the cover - is not to be enthused and inspired by several contributions in an issue. I was disappointed there were no back-issues for sale at the recent Print Symposium.


My source: Cover - Printmaking Today, Volume 28, Spring 2019, Issue 109

Under the SSKIN

Since W2tQ started almost 15 years ago a collection of 250 draft posts have gathered (virtual dust). Many are probably empty - half-baked ideas - with no clear title (reminder - of the contents).

In nursing there are (thankfully) constant reminders, one being: the need to strike a balance between the person, being least restrictive, assumed mental capacity, best interests and high quality care delivery.

Revisiting the threshold concepts, h2cm and deprivation of liberty safeguarding draft paper brings recollection of a draft post and the lesson:

In many nursing situations you cannot assess what you cannot see.

In Nursing Times 29.11.11 a Nursing Practice comment item was titled:

“Compulsory training would help every HCA spot moisture lesions” 

Denise Elson, points to the SKIN (Surface, Keep moving, Incontinence and Nutrition) bundle as a set of very useful principles, and further refined to SSKIN:

SSKIN - Surface: Skin inspection: Keep moving: Incontinence: Nutrition

The Tissue Viability use the principle of SSKIN:

• Surface: make sure you're on a supportive surface 
• Skin inspection: check it isn't discoloured or sore 
• Keep moving: change your position often 
• Incontinence: keep clean and dry 
• Nutrition: eat healthily and drink frequently ( https://www.plymouthhospitals.nhs.uk/tv-sskin )

As a reflective exercise, if needed, think about SSKIN within h2cm - Hodges' model. Not just the physical (SCIENCES) focus but how these relate to the INTRA-INTERPERSONAL, SOCIAL, POLITICAL and the SPIRITUAL. We will revisit this using h2cm.

On the blog's 15th anniversary 20th April, I'll also try and put some numbers together.

Whitlock, J., et al. (2011) Using the skin bundle to prevent pressure ulcers. Nursing Times; 107: 35, 20-23.

See also:
Tissue Viability Society

Knife crime: treat as a 'disease'.. (in Hodges' model!)

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

Individual Human Rights  Self - IDENTITY Vulnerability - Influence of others?  Motivation, Anger, Impulsivity Schools - bag searches public MENTAL health Character; Values Self-esteem, responsibility, resilience 'Kids with attitude' (great)? 'Kids with attitude' (problem)?	D   disease models  A                           T                    Public Health  A             Violence: stabbing, slashing  T        Access to weapons inc. kitchen knives  R            Weapon concealment on person  A                            Metal detectors  C    of individuals
peer GANGS groups belonging social cohesion - social integration Family structures 'Friends and Family' 'Friends as Family' Social services: housing, education, community centers, community workers 'Moral Panics'? Victim's family - aftermath COMMUNITY	K    and groups  I                   Youth Services - Funding  N               'Global' action - All Together  G                          Chicago - Glasgow "STOP & SEARCH"           Public Health approach to policing violence School (exclusion, impact of) Knife crime: Policy, Home Secretary   'Strong ENFORCEMENT' Strategy - Early Intervention  POLICING           legal advocates

See also:

BBC Radio 4 - Moral Maze 13 March 'Moral Panics'

My source:

Various including: @rydermc "Not a sticking plaster" on https://www.tortoisemedia.com/

 https://twitter.com/rydermc/status/1104706208630489089

David Gillanders

'Surgical Procedure' by Hilary Paynter

Social History - Sterile Field


individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

	sterile field
Surgical Procedure by Hilary Paynter

"Road works to widen the airport road near  
Sumburgh Head uncovered a large and 
complex archeological site that had previously
been considered fairly insignificant." p.160-161.
Full Circle (2010)

With thanks to Hilary Paynter for permission and original tif file.
And to the Print Symposium events in Wrexham.

ii) A map as well as an app...? - c/o John Kulvicki

"Maps are picture-language hybrids." p.149.

"The features covering maps are like lexemes of a language that play a predicative role." p.149.

"Maps are pictorial in their use of space." p.149.

"Maps, pictures, and diagrams differ from language not in whether
they make use of predication, but in the way they organize predicates.
In maps, predicates are introduced holistically, in groups, as degrees of
freedom to which any location on a map must commit.
This proposal constitutes a different way of understanding the
coarse-grained distinction between maps, pictures, and diagrams
on the one hand, and linguistic representations on the other." p.150.

"In maps, failing to indicate the presence of something—a town, a river, a road, or an island—is tantamount to indicating its absence." p.150.

Kulvicki, John, Maps, Pictures, and Predication, Ergo, Volume 2, No. 07, 2015

DOI: http://dx.doi.org/10.3998/ergo.12405314.0002.007

https://kulvicki.org/

See also: i) A map as well as an app ...

"Invisible Women" on International Women's Day

International Women's Day 2019

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

	Voice recognition Crash victims - statistics Toilet space allocation  Fumes from cooking stoves Women - HIV Drug development studies
"This is a book about the absence of women, but it is also a book about the reign of the default male - the able-bodied, usually white, 70kg man for whom society is built to work."  Speed, B. (2019) This is a man's world, (The) 'i', p.43.	Invisible Women - Data Bias

i) A map as well as an app: A De Facto Map of Health

A consulting - interview room 


Patient:
This all seems quite complicated!

:Healthcare Practitioner

Yes, I can understand that. It is complex and complicated. You're having to take a lot of information in. And.., crucially make a decision that is right for you, as well informed as can be.

Has the app helped?

Patient:
Yes, sure. The app has helped - being in touch with other people - with similar experiences and yet different experiences and stages.

:Healthcare Practitioner

You don't sound fully convinced there..?

 Patient:
Well, someone with a relative - you know...? A health practitioner, erm.. Jo! Well, Jo argued that while the app is useful, for both the community and auto upload of tests... Jo made a joke too: "we need a map as well as an app".

:Healthcare Practitioner

A map - like on your phone? 

Patient:
Well no, not exactly. Jo said in medicine and healthcare there's long been talk and work on 'maps of medicine', atlases of various kinds and maps of where disease outbreaks are - I suppose.

:Healthcare Practitioner

Ah, yes of course. Maps are central in public [ mental ;-) ] health.
I'm not sure how a map can help here - beyond the app?

Patient:
When I said it's complicated - and yes complex too - we discussed how bizarre it is that with something so perplexing on so many levels there's no map! Not even a compass to get your bearings. 

:Healthcare Practitioner

A compass? How on Earth would that help?

 
Patient:
To center things. The whole cussed situation. To weigh up what needs to be thought about, discussed, given up and even grieved for.

:Healthcare Practitioner

I see.

Patient:
Yes, and that's an important point too - as a compass can help orientate us both. And ... are we focussed on your clinical priorities or my domestic and social circumstances. A compass and a map might help capture the context and 'my' health career insofar as what is happening to my life chances at present? ... Yes, I've been reading a bit...

:Healthcare Practitioner

This sounds quite an idea but I'm not sure where we'd begin. Perhaps we can pull some people together to discuss this? When you mentioned centering things in a way that would also help 'ground' things too. The small matters of money and politics that are sat with us already! 

What do you think?

Patient:
Well actually, I think we've got a starting point!