Information Design and Sense-Making c/o Dervin

'Information Design: Something New, Something Old

... I want in this chapter to challenge the central idea that information design is a new idea. Reducing the issues briefly to a polarity, it is useful to start by considering two ways to conceptualize information. One way, implicit in the above assumptions, is that information is something that describes an ordered reality and has some knowable, or at least idealized, isomorphic relationship to that reality (i.e., it represents in an identical way the form and content of reality). In short, information instructs us, this assumption says, about the nature of the world we live in: its history, its future, its functioning, our place in it, our possible
actions, and the potential consequences of those actions.' p.35.

[My emphasis.]

Brenda Dervin. Chaos, Order, and Sense-Making: A Proposed Theory for Information Design (chapter 3) In R. Jacobson (Ed.), Information Design (pp. 35-57). Cambridge, MA: The MIT Press

Previously: Information design: Tufte & Raskin 

Individual - Group and Rights: c/o Bond (1996)

INDIVIDUAL

|

     INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

"What this means is that it is necessary, or perceived as necessary, for each individual to protect his or her interests against the incursion of others, and the same for each group. Now this would not be possible if each individual did not have his or her own private or personal interests, and if each group did not have its own group interests, and that is undeniably true. Both individuals and groups are undeniably separate and different. Nevertheless, there is a common human interest in individuals and groups being decent to one another and respecting one another, and it would be better for every individual and every group if fear and adversarial competition could be eliminated. It is only because these things can never be completely eliminated, that universal solidarity can never be achieved, that we need the protection of rights, which, as has already been said (p.202 above), are always rights against. ...

SOCIETY - COMMUNITY SOCIAL JUSTICE sense of - SOLIDARITY

Rights are always adversarial, and provide deontic moral grounds for preventing actions or inactions that are contrary to the interests of the person or group whose rights they are. They are needed because such a danger will always continue to exist. This does not mean, of course, that universal solidarity, however unachievable, is not the ideal, for the closer we can get to it the better the interests of all individuals and all groups are served." pp.202-203.

Bond, E.J. (1996). Ethics and Human Well-Being: An Introduction to Moral Philosophy. Cambridge, Mass.: Wiley-Blackwell. p.202-203.

Book review iv "Human Landscapes: Contributions to a pragmatist anthropology"

Human landscapes

I am rueing the day (whichever it was) I lost my hard copy. Despite best intentions, I'm taking it slowly with the pdf, also much appreciated c/o the author Prof. Roberta Dreon.

The cover resonates at present as it was my mother's funeral on Wednesday. This provoked memories of my father too - happy times. Whatever emotional intelligence I can lay claim to I realise it is a gift from mum: a pragmatist anthropology indeed, as grief flies around.

 I can't help 'read' this as I apply a pragmatic tool:

"By following or even radicalizing Mead, it could be argued that it is at least partly through the use of verbal communication that the sense of one’s own self has been made possible—where self-reflection is considered to be a primarily affectively based form of awareness. While avoiding any hypostatization of interiority as a primary condition—which would give rise to the well known philosophical problems of the internal/external, private/public dichotomies—we should consider why humans are often capable of having a rich interior experience." p.68.

Dreon's (necessary) focus upon sensibility, habits and the insights obtained are rewarding:

In Chapter 3 Pragmatist Contributions to a Theory of Emotions -

"In spite of the abundance of theories, I think that developing a pragmatist approach can still be fruitful, because it helps to get rid of many of the noxious dichotomies that have shaped the philosophical as well as psychological conception of emotions—mind-body dualisms, nature-culture gaps, and private-public oppositions.." p.71.

The book isn't dizzying but the traversals from the sciences to the affective sciences, as an understanding of the emotions is sought highlights the elephant that follows us on the journey across Cartesian and other divides. Salience is here - in qualitative form, epigenetic threads are highlighted (p.73). As noted key to the project is dealing with a pragmatist theory of emotion. The legacy of issue in health and other disciplines is evident here, even if not explicitly stated. Conjoining experience, the environment and emotion is to grapple with parity of esteem - even if apolitically.

Clearly not a nursing or psychotherapy text - there are many connections: emotional intelligence, introspection (and its limits?).

"Emotions often arise out of a break in habitual behavior and provide the organism with a kind of affective proto-evaluation of environmental conditions that can later become an object of reflection and judgment." p.74.

I've reading to follow on enactivism, embodiment ever since at least: 

Paley J. Clinical cognition and embodiment. Int J Nurs Stud. 2004 Jan;41(1):1-13. doi: 10.1016/s0020-7489(03)00081-6. PMID: 14670389.

Plus some books (yes two in :: two out mum...).

When aged 16-17 I read and wrote about Wundt's recognition of the limits of introspection:

".. from the perspective of the methodological hypothesis that introspective analysis should be avoided because it is scientifically unreliable." p.76.

(If I find that notebook I'll do another post. Reading about the history of psychology, I was drawn to mental health/illness.)

Anyone familiar with h2cm and posts here will appreciate the trigger of association produced by:

"... 'interactive' is different from 'intentional'..." AND ".. a mechanical process; on the contrary, by emphasizing its plasticity." p.76.

We can even link book reviews!

"... recent ideas that the brain is at least partially configured after birth ..." p.77
(Brainscapes)

Clearly in the slow lane with this - but enjoying the learning and a further post - when I'll point to the review as a series.

Dreon R. (2022) Human landscapes. Contributions to a pragmatist anthropology. Suny Press, Albany.

Book review iii "Human Landscapes: Contributions to a pragmatist anthropology"

 

Human Landscapes

As per previous 'reviews', this reader can get lost in the Introduction.

Discussing - "interactions, and loop effects within the organic-environmental system" - there is emergentism, causality, teleology, and supervenience with argument about definitions and word-use through the historical development of pragmatism and understanding of human behaviour individually, collectively and as a culture.

 A close reading can help, is called for here ...

 

 
What is of interest to me at present is the non-surprising mention of logic, Dreon points to the many problems that Dewey and pragmatic and other philosophers encountered from the introduction of subjective-objective dichotomies. 

For a mental health nurse the intra- interpersonal is your 'bread and butter' so to speak. Dreon has you reflecting on your professional field, by raising the dichotomy of feelings and cognition, the psychical and the physical aspects of emotions, language and experience. (Interesting, does a pragmatic approach foster identification of dichotomy or continuity?)

For a moment on page 66 I thought we were still on the introduction: 

"The final chapter of this volume will be devoted to the development of a qualitatively richer conception of human linguistic experience conceived as continuous, rather than as opposed to sensibility."

But this is fine and is a statement of Dreon's argument, its depth in dealing with the thought of Dewey, James and others (e.g. Mead). This is dense, and yet detailed, when it is not your field, but you can - begin, at least - to see how the historical development of pragmatism (schools of philosophy), psychology and sociology create so many dilemmas and debates:

"In my opinion, some of the Classical Pragmatists’ insights should
be brought to a coherent conclusion by basically working on two sides,
in order to avoid a foundational conception of language, while at the
same time gaining a more rounded view on sensibility, as it unfolds in
our ordinary lives. As already hinted at in response to Dreyfus, I endorse
a more complex conception of language as primarily consisting in fully
embodied and socially shared linguistic practices that have a variety
of different ends in view and are largely regulated by an affectively or
qualitatively oriented mutual sensibility." p.66.

The book is also 'developmental' too:

"Those practices—from so-called motherese to lullabies, nursery rhymes, and storytelling—are often specifically directed at eliciting responses from the baby and catching attention. The baby’s behaviors—shaking the arms, keeping the eyes wide open,
squealing—are strongly embodied, even when they are vocal; but they are also affectively based and oriented responses to cultural-linguistic stimulations on the part of its caregivers." p.67.

All this shouted emergence to me (and as above), and Dreon rewards this reading. 

Thinking about the 'logic' (if any) in Hodges' model, this stood out:

"The point is to change our approach and to adopt the point of view of the
shared social context in which an individual’s first perceptions occur,
rather than the still monological perspective of an isolated individual
as the primary starting point of experience." p.67.

With more to follow ... I know now why I saved this:

embodied nature

an interactive installation to nurture
our sensibility to the living world

Dreon R. (2022) Human landscapes. Contributions to a pragmatist anthropology. Suny Press, Albany.

https://sunypress.edu/Books/H/Human-Landscapes

Video: Roux, Caroline, Design Miami: Tangled up in the natural world. FT Weekend, Collecting, 27-28 November 2021, p.3.

https://mischertraxler.com/projects/embodied-nature/

Book review ii "Human Landscapes: Contributions to a pragmatist anthropology"

When I have a book to review I need a hard copy - too much screen already - and while I hope the review is worth the author's and publisher's kind engagement my purpose includes gathering insights and evidence to support the project here.

Back in July I lost this book (OK I fessed up). I've searched ... and must have left it somewhere! This is a great loss.*

Human Landscapes

Thankfully, Roberta forwarded an early pdf, and I'm enjoying an informed and challenging read:

The author's task:

"... only a few scholars have sought to outline a philosophical anthropology through a pragmatist lens." p.8.

Distracted, as ever, I'm making progress and can see an author who is:

- embodied, embedded, enacted, and extended (p.7) - in this subject matter.

I'm going backwards from post i, but I commented on this:

"Even if Michael Quante’s proposal is not grounded in Pragmatism, I agree with his claim that, in order to be pragmatistic, a philosophical anthropology should assume that each concept or theory requires questions like: “How is this related to human action? What place does it have in the context of our
actions? (2018, 22)." p.15.

In the context here, this is precisely the role of Hodges' model, at the conceptual level - placement in the care domains, and in theory, care approach (context), philosophy. I like Dreon's focus on evaluation too, and the fact that an example is the impact of COVID on education and the resort and reliance of online learning.

Dreon concentrates on the organism and the environment (a key debate) from across the literature, and discusses concepts that are notoriously problematic, terms like, sensibility, and human nature.

"The situation is particularly complex because, evidently, this is not a merely
theoretical issue; rather, it has serious existential implications, both moral
and political." p.17.

Reading, I instantly thought of the social determinants of health [SDoH], moving away from reductive explanations. But the SDoH are precarious in the extent to which they will affect policy, and give rise to specific metrics - similarly to the sustainable development goals [SDGs]. These have a pragmatic and clearly anthropocentric quality about them. As Dreon notes the oppositions and dichotomies (very quickly as per post i) these policies 'light up' the humanistic domains. As health professionals and educators we can shout, warm, warmer, colder ... to the policy makers (and currently the 'purse' holders).

A 'good' book reassures you about what you've read - Whorf, time, Hopi; but also points to what you might like to read:

"In his entry for the Encyclopaedia, Dewey claims that isolating
the allegedly native and original constitution of human nature is possible
only through the assumption of a static point of view on it, for example,
by privileging features at birth over traits characterizing the intrauterine
past or the organism’s future development and adulthood." p.19.

Bubbles: Spheres I by Peter Sloterdijk, Wieland Hoban (Translator) - my emphasis above.

My .pdf copy is littered with comments where I (inevitably) read evidence in support of h2cm. I don't want to dilute Dreon's purpose, which is comprehensive (for me) in referencing and critical analysis of the latest thought. But if Roberta and Suny Press will (please) forgive me for losing the hard-copy hopefully they can see why I draw attention to the following:

"Grene was very careful to avoid reducing the relationship between biological factors and culture to causal dependence: she preferred to speak of a widespread dependence of sociocultural life on biophysical reality and to consider the relation as an “anthropological circle” (Peterson 2010)." p.24.

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

sustainable mindset (volunteered - incentivised)	"biophysical reality"
"sociocultural life"	circular economy

There are many circles, not just at work, but circles that need to work.

More to follow - as I pick up speed ...

Dreon R. (2022) Human landscapes. Contributions to a pragmatist anthropology. Suny Press, Albany.

https://sunypress.edu/Books/H/Human-Landscapes

*Looking at the photo, the table looks like a Booths cafe? I have phoned them and elsewhere - no joy. :-(

Book review - "Human Landscapes: Contributions to a pragmatist anthropology"

'After Ethnos', a previous book review was an enjoyable challenge. As a nurse, you are, to a certain extent several disciplines all rolled into one, sociologist, psychologist, diplomat, anthropologist ... but After Ethnos and now Dreon's 'Human Landscapes' bring their own demands.

If it was experiment that attracted me to Tobias Rees's book, Dreon's title works on two levels.

Hodges' model anticipates different 'landscapes'. The model also provides a lesson in pragmatism (another post) with pragmatism identified as a method to research Hodges' model.

On health care education programmes, how often do we write of human nature, cognition, or cognitive processes, qualitative and quantitative, subjective and objective? How quickly do we present ourselves, and the readers of assignments with dichotomies, dualities, and polarities?

Just 40 pages in they are here in expected and welcome abundance. I clearly have some reading to do [ that's why it's a review! :-) ] and from reading, much to critique in my differentiation between phenomena and as concepts presented here on W2tQ.

"... the conceptual framework for my approach to human nature is represented by cultural naturalism— that is, a nonreductive form of naturalism that assumes culture to be continuous with nature, rooted in the very organic and environmental conditions of human life, and yet irreducible to the mere association of preexisting resources." p.23

Human landscapes

"Nonetheless, even if we wish to focus on a theoretical analysis of the concept, the idea of human nature seems to display a tangle of problems, punctuated by distinctions that could be useful when treated as functional and connected to specific contexts, but which are actually turned into dogmatic oppositions. One first form of dualism concerns the opposition between the innate and the acquired, between the allegedly innate equipment existing on the genetic or neural level and the properties and ways of behaving this is assumed to give rise to. To give but one example, based on Chomsky’s influential hypothesis, the idea of a neural program for producing grammar encoded in our genes has been assumed to be an efficient (and sometimes sufficient) cause for specific linguistic practices. From this point of view, nurture, culture, and institutions seem to be something completely different from nature, since they supervene on an already fixed material substratum as an adjunct." pp.17-18.

"Taking this or that snapshot of a human could be a useful intellectual expedient in specific circumstances, but “[b]iologically all growth is modification and all organs have to be treated and understood as developments out of something else and as pointing forward to still something else” (Dewey 1985b, 32–33)." pp.19-20.

"I believe that the conceptual opposition between subjective and objective qualities is like a net with too wide a mesh, unable to catch the complexity of our interactions with the world. The problem, I would argue, is that this opposition often involves the idea that qualitative experience is a private, purely first-person experience, consequently posing problems of public access." pp.33-34.

"The section 2 will focus on the Pragmatists’ conception of experience as something broader and richer than cognition—because, in turn, cognition is understood as a specific phase within experience, responding to the needs and problems emerging from qualitative experience and ultimately returning to it. In this approach, perception through the senses and pure sense data are reframed within the context of inquiry, as features that are pointed out, discriminated, and isolated from a more holistic field of experience according to an
idea, namely, the anticipation of the possible consequences of an action or a certain assumption." pp.37-38.

Not sure why, but at one point, reading prompted consideration of: 'lived experience' and the role of peer support workers?

Starting the book, Dreon is (naturally) laying out the scope and structure of the book. Not just a preface but first chapter, and it looks like - the second. As I get more accustomed to Dreon's style (I'm a nurse remember) there are valuable lessons in laying out arguments, with more reward to follow I trust. I have a sense of a wall, not an impenetrable one, but one that is well argued - the blocks shifting into place - even if I cannot grasp their true significance to specialists in this field.

More to follow.

Dreon R. (2022) Human landscapes. Contributions to a pragmatist anthropology. Suny Press, Albany.

Many thanks to Roberta and Suny Press for my copy (confession to follow).

Allport's Scale of Prejudice - 1 to 5

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

?

?

?

Antilocution: Antilocution occurs when an in-group freely purports negative images of an out-group. Hate speech is included in this stage. Although antilocution itself may not be harmful, it could set the stage for more severe outlets for prejudice (see also ethnic joke). Avoidance: Members of the in-group actively avoid people in the out-group. No direct harm may be intended, but psychological harm often results through isolation (see also social exclusion). Discrimination: The out-group is discriminated against by denying them opportunities and services, putting prejudice into action. Behaviors have the intention of disadvantaging the out-group by preventing them from achieving goals, getting education or jobs, etc. Examples include Jim Crow laws in the US, the Statute of Kilkenny in British Ireland, Apartheid in South Africa, the Nuremberg Laws in 1930's Germany and antisemitic laws in the Middle East. Physical Attack: The in-group vandalizes, burns, or otherwise destroys out-group property and carries out violent attacks on individuals or groups. Physical harm is done to members of the out-group. Examples include pogroms against Jews in Europe, the lynchings of blacks and Italians in the US, ongoing violence against Hindus in Pakistan and Muslims in India. Extermination: The in-group seeks extermination or removal of the out-group. They attempt to eliminate either the entirety or a large fraction of the undesired group of people. Examples include the Cambodian genocide, the Final Solution in Nazi Germany, the Rwandan genocide, the Armenian Genocide, the Genocide of the Hellenes and ethnic cleansing in the Bosnian War.  Source: https://en.wikipedia.org/wiki/Allport%27s_Scale

 

Gravells, A., Simpson, S. (2009) Equality and Diversity in the Lifelong Learning Sector, Exeter: Learning Matters Ltd. pp.65-66.

See also: 

IMPACT: Prejudice and Discrimination i

Allport, Gordon (1954). The Nature of Prejudice. Cambridge, Mass. Addison-Wesley.

IMPACT: Prejudice and Discrimination i

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

PREJUDICE thoughts	DISCRIMINATION actions
DISCRIMINATION actions	DISCRIMINATION actions

 

IMPACT - it's not just a font.

 Prejudice - beware amplification by the media

Gravells, A., Simpson, S. (2009) Equality and Diversity in the Lifelong Learning Sector, Exeter: Learning Matters Ltd. p.50.

Post enigma 2008 ADLS

I've found back in 2008 there is reference to a non-existent post. I'm not sure what happened, but do remember considering this:

https://hodges-model.blogspot.com/2008/09/holistic-care-what-is-holistic.html

Creature of habit and habitat that I am, I also appear to have used the same 'strategy' of mapping concepts to the domains of Hodges' model.

In this case the focus was activities of (daily) living. It is this strategy that is employed in a draft paper still to be revised but on the Sustainable Development Goals. This exercise is not just reflective, there is a reflexive quality to it. The fact that asymmetry is revealed should not be surprising. In this post the clue is in the word 'activities' and ADLs and what is often deemed primary in theory, practice and common-sense.

To be revised ...

Threshold Concepts Special Edition - Int. Journal of Practice-Based Learning in Health and Social Care

Dear Members

We thought you would want to know about the Threshold Concepts Special Edition Journal which has just been published in the International Journal of Practice-Based Learning in Health and Social Care.

 

The Journal is free-to-read. The articles explore:

• Ways in which threshold concepts can inform understanding about how students become practitioners in their chosen profession.
• Thresholds associated with practice placements and practice-based learning.
• Ways in which the threshold concepts framework may inform development of curricula in healthcare disciplines.

They are all available on http://e-learning.coventry.ac.uk/ojs/index.php/pblh/issue/view/31

 

Please share the link with anyone else who may be interested.

 

Best wishes

 

Hilary and Linda

                                 

 

Website:  www.plymouth.ac.uk/peninsula    We hold an Athena SWAN Silver award from the Equality Challenge Unit

My source:
Threshold Concepts in Health and Social Care special interest group

Paper: IJIC - Building Competencies for Integrated Care: Defining the Landscape c/o Miller & Stein

individual

|

INTERPERSONAL : SCIENCES

humanistic ---------------- Integrated Care --------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

"Transformation does not only involve gaining new knowledge and skills but a more fundamental* shift in our conceptual paradigms about our roles, responsibilities and relationships." [RRR] Clinical integration (mental health) through person-centred care of someone's health and wellbeing	building blocks 1. Electronic health records, Functional integration (data, information) Uni-professional education   Clinical integration (physical health) through person-centred care of someone's health and wellbeing
through the active engagement of service users as partners in care    Act-ions - Practice [RRR] social change [ My obs.: Health literacy - need for a generic framework - for health education arbitration - as there is a sociopolitical dispute] Professional	through the active engagement of service users as partners in care 2. Budgetary processes, 3. Governance structures [RRR] political change (inc. policies, professional bodies...) Organisational & Systemic integration integration Normative integration

*There's that word again...

Q. Reflect upon the following using the above model - not only the text but the model itself:

"To achieve the transformation required by integrated care, this means three things: we need to include the principles of integrated working into our formal education and training systems; we need to recognize that learning continues in our workplaces; and accept that we ourselves will be informal educators throughout our careers."

The following dimensions are listed in the editorial and above :

• Dimension 1. Person-centred care (i.e. the improvement of someone’s health and wellbeing through the active engagement of service users as partners in care)
• Dimension 2. Clinical integration (i.e. care services are coordinated and/or organised around the needs of service users)
• Dimension 3. Professional integration (i.e. existence and promotion of partnerships between care professionals that enable them to work together)
• Dimension 4. Organisational integration (i.e. the ability of different providers to come together to enable joined-up service delivery)
• Dimension 5. Systemic integration (i.e. the ability of the care system in providing an enabling platform for integrated care, such as through the alignment of key systemic factors like financing and regulation)
• Dimension 6. Functional integration (i.e. the capacity to communicate data and information effectively within an integrated care system)
• Dimension 7. Normative integration (i.e. the extent to which different partners in care have developed a common frame of reference of vision, norms, and values on care integration)

Miller R, Stein KV. Building Competencies for Integrated Care: Defining the Landscape. International Journal of Integrated Care. 2018;17(6):6. DOI: http://doi.org/10.5334/ijic.3946
 

Vision and Memory Re-ordering

H2CM₄

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

memory POST-TRAUMATIC STRESS DISORDER	pre-traumatic stress disorder CH4 PERMAFROST
Eye Movement Desensitization and Reprocessing (EMDR)	Averted vision or focussed action?

Image source: https://commons.wikimedia.org/wiki/File:Methan_Lewis.svg

Quantum existence and experience...

"Such a picture of man in the universe is clearly presented in the language of the Wintu Indians of California. Here the primary verbal stem refers to a world, a universe, that neither exists nor does not exist. We might say that it refers to the nature of things, a nature which is not realized because the things themselves do not exist, the situations have not come to be and may never come to be. Only at the instant when man experiences these do they come into existence, into history. The experiential or existential stem of the verb is derivative from this other stem. When man speaks with the aid of this stem, he asserts existence through his own experience of it. And it is only through his doing, through, probably, his decisive act or his act of will, that the world to which the primary stem refers can have concrete existence. This dialogue between the idea of the universe or the potential of the universe, and man's experience, runs through the entire linguistic structure." p.115.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group-population

Lee, D. (1961). Autonomous Motivation. In. Anthropology and education. Series: Martin G. Brumbaugh lectures in education., Series 5. Gruber, Frederick C. (Ed.). Philadelphia: University of Pennsylvania Press. pp. 103-123.

Empty Construction: A prelude to person-centred care

Grid Design: The architecture of care? c/o Brinson (2007)

The context of Brinson's (2007) thesis is graphic design, but there are many insights, overlaps and references in a study that ...

"explores the logical integration of conceptual meaning into the grid structure" (p.61). 

 “All innovation and most design is the result of connections—the link between experience and action, between deductive logic and inductive insight, between the analysis of a problem and the verification of its solution”1 (p.2) 

“The important thing to remember is that while a grid can help to generate a sense of unity and continuity in a design, it is within itself creative. In the hands of unskilled designers, grids can become straightjackets that inhibit creative concepts.”4 (p.5)

 “Ostensibly, the best grids are based on a general evaluation of content and reflect the particular character and presentational requirements of that content.”78 (p.105)

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group-population

While analysis is to the fore in the thesis there is less emphasis on synthesis amid talk of deconstruction. Hodges' model can (I believe) be used for conceptual analysis and synthesis. A tool to deconstruct, to identify the parts and integrate the whole. As a representational frame Hodges' model could also represent change through time.

Brinson, Valorie Michelle, "An evolution in grid structures: a study for conceptual grid structure design" (2007). Retrospective Theses and Dissertations. Paper 14805.

Editorial: Assuring the Capture of Standardized Nursing Data... Ponte, Somerville & Adams (2016)

In their editorial Ponte, Somerville and Adams (2016) focus on the US nursing care situation and contrast with the UK experience from the outset:

As the U.S. health system moves toward value-based care, chief nursing officers (CNOs) are pressured as never before to demonstrate nursing’s contributions to improving the cost, quality, and efficiency of care, key elements of the value equation. The shift from fee-for-service to value-based care and reimbursement has been made possible through the implementation of electronic health records (EHRs), and the emergence of Big Data analytics, in which payers and healthcare organizations mine the streams of data produced by clinical and administrative systems to understand and evaluate care inputs, processes, and outcomes (Westra, Clancy, et al., 2015).

The contrast is implicit and is not the purpose of the editorial: Assuring the Capture of Standardized Nursing Data: A Call to Action for Chief Nursing Officers. From a still summery Lancashire the above really does seem a continent away, if not a world. It should not be this way. Questions of value for money, the quality of nursing care and outcomes are also central here and digital aspirations are ongoing: NHS Digital.

Perhaps Hodges' model lacks appeal not just because of its historical (mid-1980s) qualities, but a 4x4 checkbox appearance that seeks to standardize care concepts and the nurse's approach? Not only that but maybe the model dictates where they should be placed? The push for data to 'let the light in' and make nursing visible, can also seem a major, externally driven and intrusive distraction from nursing care. That is, doing the job, being a nurse, nursing delivery, caring ...

That Assuring in the title is important. It is the kernel of recursion, the crucial check that is governance and engaged management. Not remote via a screen - dashboard, but in-process - in-situ assuring that the nursing role can and is delivering. In the dash to data vision can become blurred. Socio-technical perspectives are skewed, what might be termed holistic bandwidth is constrained as per the system.

Ensuring that standardized, encoded nursing data are captured in EHRs is critical if nursing is to realize the potential of big data analytics. Having nursing data available for analysis will allow us to gain a better understanding of nursing practice, demonstrate nursing’s contributions to patient care and outcomes, and facilitate evidence-based practice and nursing research. Indeed, we will no longer be driving blind. Rather, we will be driving smart.

Somewhere in this big data lies person centered, holistic and integrated care. This needs to be transformed to self-care. Can these incremental positive changes be captured (once debated and defined)? Will nurses be empowered with access to this data: the big, little and what lies between? Where are the analysts? Who makes the decisions based on this data? Is transparency assured?

As technology advances we have much to do in the UK, lest we nurses find ourselves sat in what has suddenly become a self-driving vehicle that is bound who knows where....


Ponte, P. R., Somerville, J. G., & Adams, J. M. (2016). Assuring the Capture of Standardized Nursing Data: A Call to Action for Chief Nursing Officers. International Journal of Nursing Knowledge, 27(3), 127.

Human Capital & backseat passengers

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group-population

"The average employed person had a "human capital stock" of £471,000 at the end of last year..." The average wealth per person rose by £87,000 to £135,000."	Picture taken August 17, 2016. REUTERS/Mahmoud Rslan
"The value of the UK's  human capital increased by £890 billion to £19.2 trillion  last year."	Knock! Knock! ... ... ... ... Knock!! Knock!! ... ... ... ... What do you want! "Oh... hello. Is this the domain for justice? "NO, you won't find justice here" ?

Office for National Statistics: Human capital estimates Articles

Knowles, T. (2016). Get ready to push the boat out - you're worth £135,000. The Times, 19 August, p.33.

Photograph source:  The Peninsula Qatar
Five-year-old Omran Daqneesh, with bloodied face, sits with his sister inside an ambulance after they were rescued following an airstrike in the rebel-held al-Qaterji neighbourhood of Aleppo, Syria August 17, 2016. Picture taken August 17, 2016. REUTERS/Mahmoud Rslan
http://www.thepeninsulaqatar.com/news/middle-east/389598/syria-photographer-captures-image-of-dazed-bloodied-boy

Evaluation: The Development of RUFDATA c/o Saunders (2000)

Evaluation (activity)

The Development of RUFDATA

"Approaches that are high in ‘fidelity’ are not appropriate for complex, dispersed organizations. In other words, an approach which depends heavily on the precise specification and performance of its various components in order for it to work at local level will be subverted, understood as a necessary evil or even resented as a tool of surveillance and control. What is required is an approach that is low in fidelity. The metaphor of a ‘framework’ is therefore apt. A framework should provide a generic context for action in which some recognizable shaping characteristics are evident but within the shape a wide range of actions is possible (p.15). ...

RUFDATA is an acronym for the procedural decisions that would shape evaluation activity. The letters of the acronym stand for the following:

reasons and purposes; 

uses; 

focus; 

data and evidence; 

audience; 

timing; 

agency." (p.15)

Saunders, M. (2000). Beginning an Evaluation with RUFDATA: Theorizing a Practical Approach to Evaluation Planning. Evaluation, 6(1), 7-21.

Ack: Dr B. Bligh.

Meaning machines - existence (c/o BBC Radio 4)

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

Self's Search for Meaning BBC Radio 4 purpose thought - belief - reason faith Why? meaning	What, When, Where sciences machines
FAITH	FAITH

Self-care - Self-efficacy

relies on a litany of literacies

How they are realized is another question....

Listening with Lines - Force lin-ear

individual
|
INTERPERSONAL : SCIENCES
humanistic ---------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group

	"The line is a force whose activities are comparable to those of all the natural forces."  Henry Van de Velde
Trzebiechklatka

Henry Van de Velde (Wikipedia)

Henry Van de Velde (.pl) (some broken links)
See - The nursing house Trzebiechów

Photo: Wikipedia "Trzebiechklatka" by No machine-readable author provided. Mohylek assumed (based on copyright claims). Licensed under Public Domain via Commons - https://commons.wikimedia.org/wiki/File:Trzebiechklatka.jpg#/media/File:Trzebiechklatka.jpg

"Shooting Into the Corner" Ack: Anish Kapoor (politics policy trigger ricochet)

individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL
|

group

	Shooting into the Corner

Image:
eflux.com