An observational record and learning from 30,000 years ago

"A fascinating example is the shoulder blade of an ox unearthed in the 1980s (Figure 1) by archaeologists investigating a stone age encampment in the south of France. Carbon dating showed this to be approximately 30,000 years old. The bone was marked with inscriptions that the archaeologist couldn't decipher. It was clear they were neither a tally, nor a pattern, nor any recognisable form of writing. Late one night one of the archaeologists noticed the moon, and something in its shape caught his curiosity.

Aurignacian Lunar Calendar / diagram, drawing after Marshack, A. 1970; Notation dans les Gravures du Paléolithique Supérieur, Bordeaux, Delmas / Don’s Maps
Figure 1 my source: https://sservi.nasa.gov/articles/oldest-lunar-calendars/

Then it struck him. Here, on this fragment of bone, was a lunar calendar complete with 72 observations ... something like 1,600 generations ago. One of our common ancestors (statistically, all of us can claim a relationship to this thoughtful person) 30,000 years ago had the intellectual curiosity to watch the moon, night after night, and then transcribe these movements, at scale, onto the stone age equivalent of the back of an envelope, as he (or she) attempted to "think it through". What makes us human is our ability to think, learn and adapt to our changing environment. The story of the stone age learner gets even better when you imagine a small community of people (adults, adolescents, children on their laps) sitting around a campfire every night working out the meaning of the lunar phases together." pp.72-73.

Abbott, J. & Ryan, T. (2000). Chapter 4, How mass education eclipsed apprenticeship, The Unfinished Revolution: Learning, Human Behavior, Community, and Political Paradox, Stafford, UK: Network Educational Press. (The figure in the book does not include the bone.)

Previously: 'diagrams' , 'archaeology'

[I am also still trying to clear papers and books, as some posts will suggest.]

Gaia and Philosophy – international seminar

Dear all,

Here is the program for an upcoming international symposium: 

Jean Michel Etchecolonea, CC BY-SA 3.0 via Wikimedia Commons / Cropped

Gaia and philosophy

1-3 December, Donostia – San Sebastián
Basque Country University (UPV/EHU)
Organised by IAS-Research – Outonomy project

 

The recently edited volume of James Lovelock's and Lynn Margulis scientific correspondence will be presented for the first time at the occasion. Different lectures will discuss the scientific and philosophical status of Gaia theory and contemporary approaches to the understanding of the Earth as a self-organised entity. 

The seminar will be available to follow online. Feel free to distribute to however might be interested.

Registration form.

best regards
Alejandro Merlo 

---
IAS Research Centre for Research on Life, Mind and Society
Department of Logic and Philosophy of Science
University of the Basque Country UPV/EHU

---

n.b. I plan to attend online.

Concept analysis - Rodgers

"The method of concept analysis has not been well understood in nursing. Most significant is the observation that nurse scholars who describe or employ the method have rarely explored the philosophical foundations and implications of conducting an analysis of a concept. As a result, it is not clear precisely how the method functions or how analysis of a concept actually contributes to further intellectual progression. While the availability of a clear conceptual definition has much appeal, the actual value of a such a definition cannot be taken as self-evident." Rodgers (1989). p.330-331.

"The method entails an initial phase, a core analysis phase, and a further analysis phase (Tofthagen & Fagerström, 2010), which according to Rodgers (2000, p. 85) includes the following overlapping activities:

1. Identifying the name and concept of interest and associated expressions.
2. Identifying and selecting the appropriate setting.
3. Collecting the data to identify:
    a. The attributes of the concept.
    b. The contextual basis of the concept.
4. Analyzing the data.
5. If appropriate, identifying an exemplar of the concept.
6. Identifying hypotheses and implications for the further development of the concept."
Näsman, Nyqvist, & Nygård (2022). p.3104.

Rodgers, B.L., Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. J. Adv. Nurs. 1989:14,4,330-335.

Näsman, M., Nyqvist, F. & Nygård, M. Disentangling the Concept of Well-Being in Very Old Age Using Rodgers’ Evolutionary Concept Analysis. J Happiness Stud 23, 3101–3126 (2022). https://doi.org/10.1007/s10902-022-00496-4

Tweetchat - "Inter-Field Learning" 3rd November 2022

"There are four fields of nursing:

1. adult nursing
2. children’s nursing
3. learning disabilities nursing
4. mental health nursing"
   
   

NMC - Standards for competence for registered nurses

Share your experiences and innovative ways of implementing our @nmcnews standards of proficiency for registered nurses across the four fields of nursing. @JulieDi26744550 @paulajaneholt https://t.co/b9l6rUvQsX

— Susan Lynn West (@SusanwestSusan) October 27, 2022

Includes the questions:
How do you develop curricula to embrace holistic care? What examples of best practice can you share?

[ Competencies ( All nurses (field of registration) ) ]

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

professional values communication and...	decision making
...interpersonal skills nursing practice team working socialisation (professional values, identity...)	professional values leadership management

No endorsement of Hodges' model to be implied or intended.

The Listener ... and remarkable hearing

The Listener
Giuseppe Penone

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

	Giuseppe Penone, The Listener, 2008, installation view, Gaggiandre, Arsenale, La Biennale di Venezia, Venice © Giuseppe Penone/2021 Artists Rights Society (ARS), New York/ADAGP, Paris. Photo: Sebastiano Pellion di Persano, courtesy Vuslat Foundation
We used to till the land, cast our nets, now all we hear are the tills ...	Listeners Hearers - needed here.

My source:
Heathcote, E. 'Space - but not as we knew it', Venice Biennale, Life&Arts FT Weekend, 22-23 May 2021. p.1.

I see and hear you too Talio Havini, 'Deep listening across time', p.3.

Reflection = 'navel gazing'?

Individual and Collective reflection ...

THE NEED FOR HOLISTIC BANDWIDTH

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

Reflection Critique of reflective practice Risk of navel gazing
	"GLOBAL BRITAIN" 'Rules-based order' in the 21st C? Government - Governance Preoccupation with COVID-19, Brexit ... "We have not had enough bandwidth to deal with International issues to use our position on the security council and in the G7 ..." Jeremy Bowen Risk of navel gazing*

BBC Radio 4, Today, 25 October 2022 c.0816. Jeremy Bowen, International Editor.

Related:

Horta, H., Veloso, F., & Grediaga, R. (2010). Navel gazing: Academic inbreeding and scientific productivity. Management Science, 56(3), 41.

Ronald J. Pelias. (2009). Pledging Personal Allegiance to Qualitative Inquiry. International Review of Qualitative Research, 2(3), 351–356. http://www.jstor.org/stable/10.1525/irqr.2009.2.3.351

*A constant consideration here.

 

Invitation: Int. Congress on Evidence-based Parenting Support 2023

Hello HIFA Forums and CHIFA,

Neil Pakenham-Walsh (based in the UK neil.pakenham-walsh AT ghi-net.org) suggested I contact you about a call for abstracts for the inaugural International Congress on Evidence-based Parenting Support 2023

https://www.i-ceps.pafra.org/

The online event will be held on 6-8 June 2023 and will address the theme: Promoting wellbeing and health globally through effective parenting support. We would very much welcome your organisations’ insights on child health and how parenting support can benefit families and children. We are calling for abstracts from members of your organisations.

CALL FOR ABSTRACTS

The Congress will connect academics, policymakers, practitioners, consumers and service providers with international leaders in parenting. Keynote speakers have already been announced. It aims to bring the evidence-based parenting support community together. An innovative program of online events will reach for global impact that will benefit parents and families around the world now and in the next generation.

Abstract submissions are open. We welcome your contribution by 18 November 2022.

This is a fantastic opportunity to share your research, policy and practice expertise in parenting, family intervention and parenting support with a global audience. Participants will be part of a global collective action to improve access for all parents to high-quality evidence-based parenting support.

We invite you to submit an abstract that addresses any of the sub-themes that reflect your expertise of the research, practice areas or public policy focus of your organisation:

Read more https://i-ceps.pafra.org/submission

Please feel free to share with your colleagues. And if appropriate, perhaps you can also share the invitation in your organisational newsletter or group email.

And we also welcome you to follow us on our social pages to keep up to date with the latest announcements:

Twitter: https://twitter.com/PAFRA_Official Facebook: https://www.facebook.com/ICEPS2023 LinkedIn: ICEPS2023

We sincerely hope to hear from you, and do feel free to get in touch if you have any questions.

Regards, Maria Battaglia

Communications Officer Institute of Child Protection Studies Australian Catholic University 

P: + 61 3 9230 8732 E: Maria.Battaglia AT acu.edu.au Website: https://www.i-ceps.pafra.org/ Twitter: https://twitter.com/PAFRA_Official #ICEPS2023 Facebook: https://www.facebook.com/ICEPS2023 LinkedIn: ICEPS2023

I acknowledge the Traditional Owners of the lands on which I live and work in Australia, and their continuing connection to land, sea and community. I pay my respects to Elders past, present and emerging.

My source: https://hifa.org/

Paper: "Control, Extract, Legitimate: COVID-19 and Digital Techno-opportunism across Africa" + Noma

Earlier this month in draft papers iii I mentioned a lengthy draft 12k words ... "Society, Technology and COVID19 in Hodges' model" which needs revision (COVID-19 waits for no person):

"COVID's source, global spread, national responses, and management are politicised; a memetic and geopolitical viral response (Kavanagh, Singh and Pillinger, 2021). The hope remains that globally we will get a grip of COVID and learn collectively; even as politics is in play (The Lancet. 2021). COVID revealed itself as signs and symptoms were reported and aggregated, patterns identified, and advice modified accordingly. Routine news was interrupted by a daily round of COVID briefings by governments, their representatives and
experts. Charts and statistics were presented, numbers crunched (mechanistically, of course). Some governments, in denial, face a legal charge. Comparisons of national cases and deaths are ongoing, hard truths (proverbial ‘cock-ups’) explained away — rationalised. The global distribution of COVID vaccinations, influenza and booster jabs, lays bare colonial traces of inequity and inequality. A further twist of the south and north seasonal oscillation.

COVID-19 is striking, simultaneously creating opacity and transparency. Accentuated and aggravated by populist governments, COVID is now marked as a pandemic and infodemic (Cinelli, et al, 2020). Post hoc governments and academia must understand the societal and cultural ramifications of news generation, dissemination, and outcomes."

Socio-technical approaches feature on this blog, in a published paper (bibliography) and in Hodges' model. Socio-Technical can help assure success but they must be tempered - shaped - by taking into consideration the individual (user's) psychology, benefit; and the political aspects - what are the costs, collective benefits and governance?

The following paper stood out on twitter (COVID-19 is not a laggard in keeping pace with robots it seems) and will inform my update of the above:

Platzky Miller, J., Sander, A. and Srinivasan, S. (2022), Control, Extract, Legitimate: COVID-19 and Digital Techno-opportunism across Africa. Dev Change. https://doi.org/10.1111/dech.12734

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

logic(s)? . Fear - COVID-19 attitudes - receptivity (Expectations: now - future? Such actions spoil/taint technology.) individual psychology the 'user' (active/passive..)	socio-TECHNICAL robots digital solutions track and trace apps and vaccine passports (rate of failure) Life - Bio-Sciences TECHNO-
SOCIO-technical Societies Sustainable Development (Goals?) Social development, history Logics of control, extraction and legitimation Social Determinants of Health	OPPORTUNISM Political role of public health emergencies in Africa Rwandan government ZoraBots, a Belgian company Commercial Determinants of Health Colonialism: control, power Governance Neglected Neglected diseases - Noma?

My source:

How many lives did a robot save fighting #COVID19 in Rwanda? Short answer: ~none. Long answer: that's not the point. A collab bw @RwandaGov, @Undp and a Belgian robot firm, it's one example of rampant techno-opportunism across #Africa during the pandemic, with worrying effects... pic.twitter.com/6FWtlLR8b8

— Sharath Srinivasan (@sharath_sri) October 22, 2022

Plus: Re. Noma ...

Ioana Cismas (York) - What's in a Frame? A Human Rights Approach to Neglected Tropical Diseases - https://www.york.ac.uk/cahr/events/2022/justice-in-global-health-workshop/

https://philevents.org/event/show/101162

Concept Note in Support of the Inclusion of Noma (Cancrum Oris) on the World Health Organization List of Neglected Tropical Diseases (Commissioned by the Government of Namibia, 2016), 6 pp. (with Marie-Solène Adamou Moussa-Pham).

Srour, M. L., & Baratti-Mayer, D. (2020). Why is noma a neglected-neglected tropical disease?. PLoS neglected tropical diseases, 14(8), e0008435. https://doi.org/10.1371/journal.pntd.0008435

The Longitude and Latitude of Care ...

... and what lies between

As I continue to reflect upon Hodges' model (PROCESS 0 : 4 DOMAINS and other posts) I can see two influences on what it contains and how it works practically and more formally - what logic(s) might apply? The first is the binary state of: blank template, or empty set. The other is initiated when we start to populate the model with care concepts. Whether '0' or '1' the situation - context of the clinical encounter, has a bearing on both. Imagine, a student armed with an explanation of Hodges' model - having just 'created' the model through a seminar (Socratic dialogue); then, presented with a blank template they are ready to begin, while they listen to their mentor and a patient/client/carer? Alternately, a qualified practitioner examines their previous 'notes', with a patient, evaluating progress.

Imagination aside, I'm wondering (as ever!) about the what, how and why of the significance implied in placing concepts x,y, and z. What is the justification, if any, beyond seeking to assure person-centred, integrated, safe and high quality care? Restating the question, when concepts are placed in the 'INDIVIDUAL' domains what are the relationships between them, the model and the interactions that determined them?

Perhaps, I ask too much of this model? Are there underlying properties that characterise concepts placed in a domain and so distinguish them from others: (INTRA-)INTERPERSONAL - SCIENCES?

The model is acknowledging, incorporates the Cartesian divide: Mind-Body. When I write and advocate that the model supports integrated care, at one point do, can these two domains merge, 'collapse' into one?

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

Mathesis Universalis - Caresis Universalis ..?

Frontispiece of Operum Mathematicorum Pars Prima (1657)
by John Wallis, the first volume of Opera Mathematica
including a chapter entitled Mathesis Universalis

 

 

 

"Mathesis universalis (from Greek: μάθησις, mathesis "science or learning", and Latin: universalis "universal") is a hypothetical universal science modelled on mathematics envisaged by Descartes and Leibniz, among a number of other 16th- and 17th-century philosophers and mathematicians. For Leibniz, it would be supported by a calculus ratiocinator. John Wallis invokes the name as title in his Opera Mathematica, a textbook on arithmetic, algebra, and Cartesian geometry"

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

progress?	progress?
progress?	[PROGRESS?]

Also from: https://en.wikipedia.org/wiki/Mathesis_universalis

René Descartes

In Descartes' corpus the term mathesis universalis appears only in the Rules for the Direction of the Mind.^[1] In the discussion of Rule Four, Descartes' provides his clearest description of mathesis universalis:

Rule Four

We need a method if we are to investigate the truth of things.

[...] I began my investigation by inquiring what exactly is generally meant by the term 'mathematics' and why it is that, in addition to arithmetic and geometry, sciences such as astronomy, music, optics, mechanics, among others, are called branches of mathematics. [...] This made me realize that there must be a general science which explains all the points that can be raised concerning order and measure irrespective of the subject-matter, and that this science should be termed mathesis universalis — a venerable term with a well-established meaning — for it covers everything that entitles these other sciences to be called branches of mathematics. [...]

— René Descartes, Rules for the Direction of the Mind; translated by John Cottingham^[4]

 

... Feathers ... Light ... Corners

INDIVIDUAL
 | 
INTERPERSONAL    :     SCIENCES             
HUMANISTIC --------------------------------------  MECHANISTIC   
SOCIOLOGY  :   POLITICAL
 |
GROUP

I love you mum You named me 'Peter' ... Grief, is indeed -	Yesterday, I saw a kestrel and a sparrow hawk .                          . - a thing with feathers
... but it was always you, you are still - the rock - my rock - the reason I'm a nurse ... family community humanity	... and why I will continue to explore and follow ...

"Using Hodges’ model to prove light can travel around all the methods corners" ...

I cannot see you but I know you are there Crux.

REGULATORS, WAKE UP!

"The IPCC have declared a climate
change code red for humanity."


INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

	Science Based Targets initiative (SBTi)
	"Corporate climate action has potential, but it's currently voluntary... and failing."

"The very people giving the seal of approval
to business climate climate action - like the
Science Based Targets initiative (SBTi) -
are allowing companies to write their own
questionable rules, without checking whether
those rules are even being followed."

My source:

FTWeekend, 24-25 September 2022, p.11. 

See also:

Take aim, fire! @StandMighty @amazonwatch @IENearth in @FT on @sciencetargets conflicts of interest with the members they aren't regulating. @topnigel pic.twitter.com/QiwdBaaJzw

— Chris Brown (@chrisigloo) September 24, 2022

ERCIM News No. 131 Special theme: "Ethical Software Engineering and Ethically Aligned Design"

Dear ERCIM News reader,

ERCIM News No. 131 contains a special theme "Ethical Software Engineering and Ethically Aligned Design" - see https://ercim-news.ercim.eu/

This special theme was coordinated by our guest editors Georgia Kapitsaki (University of Cyprus) and Erwin Schoitsch (AIT Austrian Institute of Technology).

Thank you for your interest in ERCIM News. Please forward this message to anyone who might be interested. We also appreciate you following and talking about us on Twitter @ercim_news and other social media.

Next issue:
No. 132,  January 2023
Special Theme: "Cognitive AI & Cobots". Submissions are welcome! See call for contributions.

Announcements in this issue:

---

Call for Proposals: Dagstuhl Seminars and Perspectives Workshops Schloss Dagstuhl – Leibniz-Zentrum für Informatik is accepting proposals for scientific seminars/workshops in all areas of computer science, in particular also in connection with other fields. 

---

ERCIM "Alain Bensoussan" Fellowship Programme - postdoctoral fellowships available at leading European research institutions.
Simple application procedure. Next application deadlines: 30 April and 30 September 2022

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ERCIM News is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics. With the printed and online edition, ERCIM News reaches more than 10000 readers.
All 131 issues published published to date are available online. The last four issues have focused on  Quantum Computing, Smart and Circular Cities, Privacy Preserving Computation and Assistive Technologies for a More Accessible and Inclusive Society

About ERCIM

ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.

Subscribe to the ERCIM News quarterly alert

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join the ERCIM Linkedin Group
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Includes:
Plausible Reasoning that Mimics Human Argumentation
by Dave Raggett (W3C/ERCIM)

Why Might We fail to Develop Ethical AI/AS?
by Philippe Valoggia (Luxembourg Institute of Science and Technology)

Ethics and Human Aspects in Pandemic Management
by Karin Rainer (AGES), Viktoria Fischer (AGES), Alois Leidwein (AGES), and Georg Neubauer (AIT)

 
My source: Peter Kunz, ERCIM News quarterly alert.

Update on draft papers iii

There was news today about the draft paper on:

"First Episode of Psychoses, Early Intervention, Cardiovascular Nursing, Research Methods and Hodges' model."

It has been accepted and I can submit formally. 👍

This project - yes, a further distraction (that has borne fruit) started in March resulting in 4,800 words, an illustration of the model and 4 figures (2x2 tables). That I think, with the editors, guide the reader in applying Hodges' model, or at least the scope of its application, which is situated and person-centred.

I approached a journal regards the draft "Society, Technology and COVID19 in Hodges' model". Having reduced the original 12000 words to 7700, the paper is of interest, but is (as expected) too long. There is the possibility of reducing the word count to 5000, or splitting the essay.

This invites revisiting the original and teasing out the informational themes: fake news, mis- dis- malinformation and agnotology (in part 2?). Then I would (to a degree), finally be returning to the concept of 'information':

Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

- which keeps 'calling' (with complexity, emergence...).

I will consider the options, but submit the above: an instance of much appreciated encouragement and support by the editors. Writing this has proved an enjoyable challenge.

As ever, if you have any sources to add to the bibliography, wonder about using Hodges' model I would be pleased to hear from you: h2cmng at yahoo.co.uk

Social Prescribing Student Champion Scheme - APPLICATION FORM

We are looking for champions!!! Student Nurses, Midwives, AHPs and Medics! Come join us!!! Share on all platforms as there is only one week remaining before the deadline! @LJMU_MHN_Soc @LJMU @LJMU_Health #socialprecribing #supportinthecommunity #futureofhealthcare https://t.co/p0BoW7CY7H

— student_ nurse _2021 (He/Him/His) (@STN_JW2021) October 6, 2022

 
APPLICATION FORM

There is a QR code to apply too.

World Mental Health Day: Forms of Esteem ...

Tua Tagovailoa
Miami Dolphins, Quarterback

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

psychological trauma (or^, personal trauma) personal choice Identity Memory Motivation My.. 'Skill-set' SELF-ESTEEM Expectations: *on the field *off the field	physical trauma "Chronic Traumatic Encephalopathy" motor impairment "He lost consciousness as he instinctively assumed the "fencing position" position and his fingers curled and tightened." "Bennet Omalu, the neuropathologist who discovered CTE in American football players, watched the Dolphins v Bengals game in horror. He messaged Tagovailoa, saying: .."
social (family) trauma my children's names "[ Bennet Omalu ]... If you love your life, if you love your family, your kids - if you have kids, it's time to gallantly walk away. Go find something else to do. Tua, my brother. I love you. I love you as much as I love my son. Stop playing. Stop. Hang your helmet and gallantly walk away." 'pluralistic ignorance'	'Plausible ignorance' Informed consent MENTAL CAPACITY High risk - High reward "Think of what is still happening in the NFL, of what is happening in rugby, and soon you reach the conclusion that players need to be protected from themselves. Something their sports are absolutely not doing." p.24. PARITY OF ESTEEM

David Walsh, Latest NFL concussion scandal is a sickening indictment of ... Sport, The Sunday Times, October 9th, 2022, p.24. (Paper copy.)

Mr Walsh also refers to - Head On: Rugby, Dementia and Me (BBC 2 TV)

^ Person-centred?

A twitter reply re. diagnosis - mental illness

A Diagnosis alone cannot explain a person's 'life experience'.
Ppl untilise 'a' Dx for info compression, contracting+ *yes* to formulate treatment, explain behaviour *meaning*, give a 'why' (off-sick) socio-politically.
Medical sociology is a gift. Illich, Canguilhem et al. 1/7

— Peter Jones (@h2cm) October 7, 2022

 

My source: With thanks to Justin Garson and other respondents.

https://twitter.com/justin_garson/status/1577988186600611840?s=20&t=tcSVMBQbxNPSAlvudfVsSQ

PROCESS 0 : 4 DOMAINS

No, 0 - 4 is not a sports score.   

Quite a while ago and over several years I associated 4P's with each of the domains of the model:

SCIENCES: process
SOCIOLOGY: practice
POLITICAL: policy
INTRA- INTERPERSONAL: purpose

 

Although, this brings home the model's being an idealisation - there remains much to learn and discover. In addition to physical processes there are political, psychological, social processes too. If you were to prioritise the concept of PROCESS across the model how would you do this?

 

My take - which could (will) differ tomorrow - and could well do so if the context was specific. 

 

I've tended to think of triage, physical and psychiatric emergencies the focus being on the SCIENCE domain (ABC medical emergency...!) and that is the starting point. If triage is excluded, then #MyNameIs follows crucially in obtaining a comprehensive assessment and addressing 1-1 parity of esteem. There is a need to (really) attend to the INTERPERSONAL domain.

 

In a way the 'individual' domains INTERPERSONAL - SCIENCES should (must) collapse into one. This is to help assure, strive to achieve person-centred and integrated care; and not to reduce, rationalise, and generalise the nurse curriculum. We need mental health nurses equipped for the 21st century.

 

Reflecting on this though I'm jumping ahead.

 

We actually start with the POLITICAL domain 0 - below. With nurses in the UK being balloted on strike action this is difficult medicine to swallow, but there we are. Globally, we saw the literal power of the POLITICAL domain in health during the (ongoing) pandemic. We will do so again in future security, health, and climate challenges to follow. We don't want future generations to face ours, they will have their own.

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

3	1
2	0

Spiritual - 4

So, in 0 is there an advanced directive? Even before this, can I as a nurse, or other practitioner - nurse, treat, care ... for this person? Do we have consent - can they give consent? Is there a Dr 'in the house', a responsible medic? Have they been admitted, their referral accepted and acknowledged? Are there cultural or religious reasons not to proceed as we might otherwise? POLICY, safety, protocol also dictates that if we are a first responder then we do not become a casualty - that is obviously undesirable. So we are checking the environment (SCIENCES domain 1*) - the specific context.

THEN - I'm selecting 2 the SOCIOLOGY domain. The information obtained from the person (if any) is crucial to what follows. The 'if any' is non-trivial too were the INTERPERSONAL domain 3 is concerned (and the aforementioned collapse [3-1]. Even if the person declines, or is unable to communicate with us, we can still glean essential details about physical AND mental status. So, yes, the specialist skills of the practitioner and lived experienced colleagues really do matter.

With the SPIRITUAL domain (which can encompass the model) we close a circle, back to the religious, cultural, human rights and values dimensions acknowledged above. This conjunction of political and spiritual is a little surprising in global terms, and so maybe encouraging too.

*Yes, the SOCIOLOGY domain 2 also. You may think you are only going to visit a 79 year old man/women; not realising that their grandchild also arrives with a forensic history. This could be a very positive rewarding encounter, or otherwise.

Is there an implicit theory in Hodges' model? ii

Is there an implicit theory in Hodges' model?

— Peter Jones (@h2cm) October 4, 2022

More to follow, including what is proving a real yet enjoyable challenge.

"Drifter" - abstract - concrete - abstract - concrete ...

DRIFT STUDIO

INDIVIDUAL
|
INTERPERSONAL    :     SCIENCES              

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

My source: Caroline Roux, Float like a butterfly, Collecting, FTWeekend, 18-19 September, 2021,p.4.

@LJMU @UniofGreenwich @UniNorthants et al. *

Re. new Climate Change degrees ...

What do your students and faculty need to know
to nurture that green knowledge domain,
and turn the other domains green?

INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

MENTAL HEALTH CONNECTION ATTITUDE BELIEFS - SPIRITUAL ADVERTISING (mental pollution)? [meta-] ETHICS ECOCIDE ACTIVISM EDUCATION - LIFELONG LEARNING LITERACY - INFORMATICS SKILLS ...	BIOSPHERE POLLUTION EXPOSURE - EXPOSOME THERMAL REGULATION WATER CYCLE ... AGRICULTURE GEOPHYSICS, GEOGRAPHY MEGA-ENGINEERING PHYSICAL HEALTH URBAN - RURAL METRICS, MONITORING ...
SOCIAL HISTORY SOCIAL MEMORY, ARTS QUALITY OF LIFE WAYS OF LIFE - Communities (Nations!) SOCIAL DETERMINANTS OF HEALTH SOCIAL JUSTICE 'home-land' - DISPLACEMENT - RESETTLEMENT SOCIAL COHERENCE SUSTAINABLE DEVELOPMENT GOALS ...	POLICY, LAW PROTECT FUTURE PEOPLES COP X, UN, UNESCO ... REGULATION TRANSFORMATION OF ECONOMICS - CIRCULAR ECONOMICS SUSTAINABILITY COMMERCIAL DETERMINANTS OF HEALTH FORCED MIGRATION POLITICAL CHANGE (LONG-TERM) ...

What do they need to believe,
envision and be able to do,
to help transform the World?

My source: Nicola Woolcock, Universities offer first climate change degrees, The Times, March 23, 2021,p.16.

*Hope it is going well, and while we really need it to - this is, of course, a responsibility for us all.

Patient navigation model - Paper: mapped to h2cm

On twitter I learned of an EU project @CANCERLESS_EU and an initial paper:

 Exploring the application of the navigation model with people experiencing homelessness: a scoping review, Journal of Social Distress and Homelessness, DOI: 10.1080/10530789.2021.2021363

Phrases like 'navigation', 'architecture', 'maps' are a trigger so after some tweets, I was kindly directed to the above paper.

Here, I'm mapping patient navigation and related concepts I have added, to Hodges' model.

"Patient navigation is a community-based and person-centered intervention, whereby a named worker – the navigator – supports and guides individuals to overcome the barriers they face in accessing healthcare services and works to facilitate timely and appropriate access to care for the individual as well as their relatives, and caregivers, when needed (Freeman, 2012; Wang et al., 2015)."

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

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GROUP

psycho- depression, anxiety, distress, trauma (psyche) serious mental health substance misuse dual diagnosis vulnerability isolated difficult to engage, missing appointments, no designated point of access - Address Personally reliant on welfare/benefits for finance - phone contact sporadic. providing emotional support, phone, transport Hit by energy costs/rent (pre-payment) if finding a place. hopelessness, lack of trust - let down many times? Stigmatized attitudes towards treatment? tailored health education asocial (due to lived experience, trauma..?)

-geography low-income areas, or areas with a high proportion of ethnic minorities or migrants USA - other nations - terminology? method: scoping review, literature search, inc. exc criteria interventions tailored to age and gender respiratory conditions, trauma (physical) excess winter mortality "homeless population having an average age at death of just 47, 30 years lower than that for the general population" exposure to activities known to increase risk of cancer HIV patients data - inc. no-show rates in-person / phone Timeliness of screening, intervention

Navigators - lay persons, or clinical professionals Lived experience, "near peer" family Training for Navigators organizing and attending appointments and facilitating self-care/self-management clinical and community settings, parks, pavements, and homeless encampments, home visits, walking and support groups *risk of stigmatization and experienced discrimination navigation less successful with certain groups?

Underserved, marginalized people Homelessness High-risk of poor health-related outcomes reported barriers access to appropriate healthcare for this population are also often compounded by lack of insurance, legal problems*... ...the PN model has been associated with a reduction in hospital costs, and even in some cases, increased revenue histories of offending and/or care women in rural areas non-specific vulnerable populations reduce incarceration, vocational and volunteering activities, access to housing

Christina Carmichael, Lee Smith, Edelweiss Aldasoro, Alejandro Gil Salmerón, Tamara Alhambra-Borrás, Ascensión Doñate-Martínez, Radhika Seiler-Ramadas & Igor Grabovac (2022) Exploring the application of the navigation model with people experiencing homelessness: a scoping review, Journal of Social Distress and Homelessness, DOI: 10.1080/10530789.2021.2021363