Hodges' Model: Welcome to the QUAD: Because we are (still) living in a post-Project 2000 World ...

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Saturday, December 03, 2022

Because we are (still) living in a post-Project 2000 World ...

Hodges' model #h2cm is history ...

Ack. Walsh, M. (1991). Models in clinical nursing: The way forward. London: Bailliere Tindall.

"The emphasis of Project 2000 on community care also has implications for curriculum design, since the way nursing is taught must at least in part be applicable to the non-hospital situation. p.144.

"The power and autonomy of nursing have been under continual attack since 1985 with the Griffiths Report and the introduction of general management." p.148.

"Models act as broad organizing concepts, as philosophies or frameworks of care, and in that sense operate at the large-scale or macro-theory level." p.149.

"Models, therefore, are essential in defining nursing. Only by saying that 'This is nursing' and that only a trained qualified nurse can do whatever nursing consists of will be able to hang on to the domain of nursing. Once that is lost an army of low-paid health care assistants (HCAs) acting as 'basic carers' and 'physician's assistants' can be employed to take over."  p.150.

Figure 1 (p.155)
Sorry about the image quality (will try again)
but hopefully the meaning is conveyed.
" ... we can say that at the macro level of theory different models place differing emphases on areas of the patient for the nurse to explore. Each model also has its own unique philosophy of care. At the micro level, nursing theory remains an independent body of knowledge, applicable under any model of nursing, but which may be implemented in different ways, subject to the approach of that model."
p.150.

"British nursing has been talking for too long about models; it is time to see whether they can be made to work!" p.152.

See Figure 1 - "Perhaps nursing models may be best thought of as subjective views of nursing which by virtue of widespread discussion become generally accepted by nurses, leading to a series of coherent frameworks which have consistent value systems applicable to the delivery of care." p.154.

"The Sir Humphreys of the nursing world are quick to point out that nobody has shown that implementing a model of nursing has improved nursing care. This is true, although nobody has shown that a model makes care any worse either!" p.153.

... it is now and the future too ... [PJ]

Walsh, M. (1991). Models in clinical nursing: The way forward. London: Bailliere Tindall.

Context:

https://www.google.com/search?client=firefox-b-d&q=nursing+project+2000

https://en.wikipedia.org/wiki/Humphrey_Appleby