Mental Health & Well-being | Physical Health & Well-being |
Local & National
Government, Services |
As Greeta Thunberg arrives in New York for the:
3 Pillars | 10 Themes | 37 ESG Key Issues |
| Environment | Climate change |
Carbon emissions Product carbon footprint
Financing environmental impact
Climate change vulnerability |
| Natural resources |
Water stress Biodiversity & land use
Raw material sourcing
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| Pollution & waste |
Toxic emissions & waste Electronic waste Packaging
Material & Waste
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| Environmental opportunities |
Clean tech
Green building Renewable energy
| |
| Social | Human capital |
Labor management Health & safety
Human capital development Supply chain labor standards
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| Product liability |
Product safety & quality Chemical safety
Financial product safety Privacy & data security
Responsible investment Health & demographic risk
| |
| Stakeholder opposition |
Controversial Sourcing
| |
| Social opportunities |
Access to communications Access to Health care
Access to finance Nutrition & Health
| |
| Governance | Corporate governance* |
Board* Pay* Ownership* Accounting*
|
| Corporate behavior |
Business ethics Anti-competitive practices
Tax transparency Corruption & instability
Financial system instability
|
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| Sandra Blow RA. IV Square (2004) |
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| http://www.game-changer.net/tag/generalists/ |
It occurred to me that the last post would be ideal as a 'sponsored' effort. Many posts are incidentally, or voluntarily 'sponsored'. I wish a few were in fact. This commercial thought was prompted by an email three weeks ago that referred to mention of 'due diligence' in a post from 2009. The suggestion was that if I could add a link to an article by this real estate company, and let them know, then they could 'syndicate' this W2tQ. Reply sent, but nothing heard as yet.
In that last post I was careful to avoid referring to 'c*sme*ic', lest the floodgates open ;-) and this blog's potential 'long tail' be revealed.
In between the 'Barber's model' post: another email.
This, points to a post in March 2016 and (again) the possibility of collaboration. Their focus is Python and data libraries. Well this is really encouraging! I've replied, but I'm not sure if there will be a sponsored post, or something in the side bar. I've no time to fully understand 'SEO' and advertising. That is not the blog's objective. I am aware though that this blog is ancient and Google's algorithms have and continue to change.
Some income would help with conference registrations, accommodation and travel; and to revisit hosting which I cancelled recently (as unused). My main laptop (2017) is poorly too. They do get hammered a bit. Being conscious of 'false economy' in the politics of health, social care and the environment, perhaps I should return to the MacBook fold?
*It wasn't.
Through the 1980s and 90s when models of nursing and nursing theory were flavour of the month, I remember a conversation that being so numerous, there was no doubt a "Model of Hairdressing" too. This is not to denigrate hairdressing in anyway (not at all Sis!). I've actually considered this as a demonstration of the scope of Hodges' model. This post even prompted me to check the previous 2379 to see if I've been here before on W2tQ, but it appears not. (I do have an article somewhere - a parody on 'models of care'.)
There is a developmental tale here though, that is itself interesting. The story runs from the late 90s early 2000s thinking about hair, its qualities, scalp problems, nits (and diplomacy), health and safety at work, the equipment, the pictures displayed - advertising, ingredients, person-centredness, position - comfort and mobility, safety with some preparations and processes, gender and cultural aspects, the history of barbers and of the other 'services': ("Something for the weekend sir?"). So clearly hairdressing like all employment can be complex and rewarding. In addition: there are hosts of medical conditions and psychological factors (for example, self neglect*, phobias, children's reactions) that can affect the hair; its care, management, loss and compensating for this (with specialist help) as needed.
The social event that a visit to the hairdressers / barbers invites, was apparent as a child recalling my mother's former visits and the local 'news' that followed afterwards. In the later 2000's the need for dementia friendly communities was a further development, which is now a global initiative. Business owners can see changes in their regular customers too. Many businesses seek to sustain this awareness and sensitivity in their approach and business. On my visits, the whole process is very relaxing. A further invitation as we shift from the sinks to the chair and mirror. There we are reflected in a before and after. The banter may also include the aspirations and educational options as students work through part-time work. As you may also have heard, over the past few years the actual and potential role of barber's in mental health has been more formally recognised:
https://www.thelionsbarbercollective.com/about-us/
https://www.independent.co.uk/life-style/hairdresser-suicide-prevention-mental-health-tom-chapman-safe-space-torquay-a7644021.html
Recognised also in the arts:
Mental health | Physical health |
"Bleak House" - a work of fiction ...
| "Bleak Houses"
- a work of Government ...
|
grief mourning | August 2019 415ppm CO2 |
Cultural change and loss Collective grief & mourning | "Ok is the first Icelandic glacier to lose its status as glacier. In the next 200 years, all our glaciers are expected to follow the same path. This monument is to acknowledge that we know what is happening and know what needs to be done. Only you know if we did it." |
First work as Poet Laureate |  |
Poet | Laureate |
2 + 2 = 5
a notice put up in Moscow during the first Five Year Plan, indicating
the possibility of getting the job done in four years, if workers put
their backs into it
Burgess, A. "1985", 1978 |
No explanation is needed as to why this paper caught my attention in a tweet that featured the figure [2] below? The context is medical, not nursing and the extended multidisciplinary team, but as per the threshold concepts post the focus is decision making.
From a nursing perspective and using Hodges' model the 'individual processes' would include data gathering, patient assessment, liaison with relatives and colleagues and reflection to integrate information. Evidence-based sources will also be involved depending on the reason for referral, the patients (relatives) account, and the status of the diagnosis. Information technology input will be through the electronic health record that should also provide a history of previous episodes of care and the conclusions reached.
Within Hodges' model below I have added socio-technical and governance. Perhaps, as a systematic scoping review and applied to a specific healthcare profession there is less emphasis on the 'political' dimensions of decision making (management, policy, rules, reporting, targets). Equally from a nursing perspective there is the 'data cleaning' within the research process but then also nurses, and students in particular not being negatively impacted by comments about a forthcoming clinical placement, or a patient / client who has been referred (or referred) to the service / team.
individual as subject of mental health Dx Reflection Learning and decision-making styles and bias (positive and negative?) Feedback from Collective Intelligence? | Individual Input Group Input Synthesis Information Technology |
Collaborative working
Clinical Teams
integration | Studies were: individual or group process several a combination. governance |
TIL about collective intelligence in medical decision-making: Radcliffe, @UrmimalaSarkar &co found 15 studies thereof. Interesting! There are tech-supported forms now, but no strong evidence about their effects on patient care. https://t.co/TdQwwRQ4tg pic.twitter.com/odtjjv5hUg— Hilda Bastian (@hildabast) August 13, 2019
Here are the reflections on the photograph posted in June following the Conference on Threshold Concepts:
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| http://homepages.math.uic.edu/~kjerland/Lorenz/lorenz_attractor.html |
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Identity (use of name, touch ...)
(My) PURPOSE
Beliefs, Personal values
Safety (personal) Thresholds
Trigger warning
Critical - critique
not taking it personally
| PROCESS [Space] - physical & degrees of freedom in decision making constraints Rationale* Evidence Theory Quantitative Research | |
| Qualitative Research Patient : Healthcare practitioner decision making PRACTICE Critical - agreeing to disagree
Schism - 'distance'
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Consensus (bridge building)
Autonomy (in decision making)
Professionalism Anti- 'X' movements Riot and anarchy safety (POLICY) Critical - political |
"Targeting welfare is costly and difficult in a country like India. |
If it looks for signs such as straw roofs, it will almost certainly miss many poor people, especially in the cities.
|
How is the state supposed to identify the poorest 50m households in a country where income and spending are so hard to track?
| The political economy of targeted schemes is also tricky. In countries with minimal welfare states, schemes with few beneficiaries also have few supporters, and therefore risk being quietly wound down or diminished by inflation. And any formula used to target the bottom 20% is likely to be so opaque that people will never know whether they should have been included or not, so cannot fight for their entitlements." |
"Two years ago a government report suggested a bold new approach. Instead of a universal basic income - an idea doing the rounds in rich countries - create a nearly universal scheme from which you exclude the richest quarter of the population."
One Hundred and Eleven 111 [vertebrae] | |
| 111 on the FRINGE 111 on the FRINGE |
"The 16th spot on the cover will appear | FORCE CHANGE | ||
| CHANGE FORCE |
Geography
Number of Countries
Number of fatalities
Instruments: Legal, Science, Social, Policy, Financial ... ?
| |||
"On Wednesday [24 July], the World bank said it would give $300m in grants and loans to DRC to step up its aid response.
But funding connected to the World Bank's pandemic bonds, issued in 2017 have been less forthcoming. One relatively small slice - the so-called "cash" element - has delivered $31.4m to help with the crisis."
Ebola's latest resurgence in central Africa has led to more than 1,700 fatalities. But for the insurance element of the bonds to pay out, the disease must cross an international border and there must be at least 20 fatalities in the second country.
The total possible insurance payout for Ebola is $150m and comes in three tranches: when 250, 750 and 2,500 people have died across at least two countries, $45m, $45m and $60m, respectively, will be disbursed."
| Pandemic Bonds World Bank: Pandemic Emergency Financing Facility
|
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| International Handbook of Health Literacy |
When examining the scientific discourse around health literacy, we are surprised to see that while scholars have been extensively discussing the ‘literacy’ component of the composed term ‘health literacy’, discussion of the ‘health’ element is hardly to be found. ... Today, broad literacy concepts addressing functional, interactive and critical literacy are added to the health literacy discourse, giving way to multiliteracies and social literacies to merge with health literacy (see Chapters 14, 18, 36 and 39, this volume). This was not only the impetus for multiple research strains that broadened the theoretical and conceptual discussion, but also facilitated the uptake of health literacy by various research disciplines, such as healthcare, medicine, public health, education, psychology or sociology (p.649).
The need to rethink, and maybe also construct, the health component of the health literacy concept and its social representation needs to consider that health can be understood and approached in different ways (p.650).As a volume of recent developments in health literacy, that includes an Integrative Model of eHealth Use (p.277, 278) there is (imho) a need for a generic conceptual framework upon which to base the local, global and glocal theory, practice, management and policy of health literacy. Not only that but how health literacy relates to other forms of literacy. If not you are more likely - conceptually bound - to loose your footing socio-technically. As Saboga-Nunes et al. note, a normative framework is needed (p.651). Negotiating forms of literacy invariably entails questions about design and in chapter 39 avatars extends this to ethics. Hodges' model can readily encompass and incorporate simplicity, continua, complexity: health and literacy.
A transdisciplinary model of practice
"This model is different from the multidisciplinary and the interdisciplinary models, where occupational power, status and professional recognition are key issues.
‘Representatives of different disciplines are encouraged to transcend their separate conceptual, theoretical and methodological orientations in order to develop a shared approach to ... building a common conceptual framework’ (p.1351). Rosenfield.
The shared philosophical perspective that is created by all disciplines and public representatives enables practitioners to provide integrated services. All team members, including consumers, parents and community members, are involved in discussion, consensus building, decision making and implementation of the plan or the programme. Team members work together to explore different theories, conceptual frameworks, concepts or approaches that might be in the best interest of the patient, family and the community. This sharing of knowledge enables team members to learn from one another. Boundaries between disciplines are loosened, and overlap between services is recognized and incorporated into the plan, so that patients and families benefit from using similar but different resources in increasingly more practical and more meaningful ways." (p.1351).
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| Brian E. Hodges - c/o Brian's family. |
Born in Liverpool, UK.
Community Mental Health Nurse NHS, Part-time Lecturer,
Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General
Community Psychiatric Nursing (Cert.) MMU
PG Cert. Ed.
BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton
PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man.
MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise.
Comments are disabled.
If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
orcid.org/0000-0002-0192-8965
