Hodges' model: A tool for Curation

CURATION

"Curation helps solve the problems of today and tomorrow. It's the mass sourcing of the expertise needed to navigate and comprehend the saturated, complex markets* of the twenty-first century." p.166.

Bhaskar also lists (and briefly introduces) the principles of curation:

• Saving time
• Freeing cognitive resources
• Sparing us anxiety
• Maximising utility
• Cutting down complexity
• Finding quality
• Overcoming information overload
• Creating contrast 
• Redefining creativity
• Channeling attention
• Providing context
• Beating overproduction (pp.167-168).

*To markets above, I would add disciplines and professions.

By definition an aide-mémoire should save us time. 

The structure of Hodges' model provides a conceptual scaffold, a substrate affording us cognitive economy.

Through selection (self guided discovery) we are assuring data, information gathering, properly supervised this should spare us anxiety.

We are trying to ensure the effective use of our time, and efficiently zero-in on the concepts that are salient.

By reducing complexity, we increase the relevance and value of what is noted, recorded, acted upon. Data, facts, observations that are not redundant can be dismissed.

Contrast is co-confirmed by using innate oppositions, polarities and dichotomies with attention on the other and the middle.

When needed, Hodges' model can explode subject headings, concepts assisting exploration and creativity, potentially assisting at a transdisciplinary level.

Context rationalisation by testing and filtering a situation, helps to focus attention.

Duplication and repetition do not foster sustainable services, but there should always be scope for verification and person-centredness.

"As the eighteenth-century English painter Joshua Reynolds put it, 'Simplicity is an exact medium between too little and too much.' Curation helps ensure that exact medium." p.159. 

Bhaskar. M. (2016) Curation: The power of selection in a world of excess. London: Piatkus.

Book image: Waterstones.

See also: Is Hodges' model a selection machine?

Dialectics in therapy, case formulation, h2cm and a tree

Kuyken et al. (2009) propose three dialectics that are useful in an evaluation of their model for case conceptualization, these are:

Released today - 28th Jan 2013

nomothetic – idiopathic; 
simple – complex; 
and subjective – objective.

This act of identifying polarities can be described as a diagrammatic formulation in itself.

These dialectics and many others can be readily incorporated into h2cm: for example;

socio – technical,
macro – micro.
...

Kuyken, W., Padesky, C., Dudley, R. (2009). Collaborative case conceptualization. New York, The Guilford Press.

Reflections [II] Conceptual Spaces At Work: Lund University, Sweden, May 2012

[See also Reflections I CSaW2012]

Among many things Dessalles - From Conceptual Spaces to Predicates - told us that meaning is essentially two-fold: analogue and symbolic.

An evocative summary was provided:

(Topo)logical thinking = Conceptual spaces + Contrast

Concepts do not exist as permanent structures.
Predicates are ephemeral.
Questions included: Is there a contrast logic?

You can find Dessalles online and there is a specific book Why We Talk (2007) (some of the chapters look particularly interesting - information).

Also to investigate are there being no locality principle and the danger of holism, and a point about structural matching as part of problems with traditional approaches to meaning that involve interfaces and relationship structures (pardon the ramble - the paper has not appeared yet).

Geuder's Manner Modification and the Representation of Event Concepts found me tweeting - see below. A biomotion demo was tied to the theme emphasizing perceptual cues, manner and meaning.

Off at a tangent the title had me musing on the importance of 'manner modification' in nursing. Sometimes fleetness of attitudinal, objective and emotional foot is needed to deal with a care situation. Tangent aside, there are clearly some serious considerations around health care processes, these are the bread and butter of healthcare records and information systems.

I've just copied my tweets (clinical examples arose in several sessions):

Gardenfors & Warglien ref new paper?* subspaces corres to a division into domains - event concepts

Manner modification eg. "slowly". (Manner central in health nursing) +mention of forgetting + absentmindedness denotes? PTSD?

A representation of a stage structure is needed - further e.g. "carefully" He cleaned the wound...  filled by context (as ever)

Geuder still, now on emotional state predicates - "sadly" Three possible ways to proceed - close now

* The following may be the new paper:

Peter Gärdenfors and Massimo Warglien Using Conceptual Spaces to Model Actions and Events. J of Semantics first published online April 17, 2012 doi:10.1093/jos/ffs007

Visual means: Patient Status at a Glance (PSAG)

A recent HSJ came with a CHKS supported document on Top Hospitals. Page 14 considers Worldwide comparison and learning from others with three items on Patient Status at a Glance (PSAG) Boards; Developing a safety culture; and Reducing readmissions.

All are related (communication, safety, outcomes, multidisciplinary collaboration), but PSAG stands out to me for obvious reasons as it acknowledges the value of visual management, a quick heads-up overview of status. On PSAG four brief sentences note that South Tees Hospital NHS Foundation Trust in the UK has applied experience from Virginia Mason Medical Center in Seattle to develop PSAG in surgery.

Of course this application is focussed, being quite specific in the value of fewer nursing interruptions and a daily update for bed managers. This now contributes to making many wards more productive.

Hodges' model is a 'PSAG' of sorts, but it is more general, global in scope, summative. Perhaps it could act as a precursor to discharge?

Like the astronomer's blink comparator it could provide a before:after visual cue.

So, I wonder if Hodges' model could provide not only Patient Status upon Reflection, but Care Status upon Collective Reflection. This is vital at a time when we also need the patient and carers to be more productive in terms of supporting and sustaining their own care.