Hodges' Model: Welcome to the QUAD: debates

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 ...

Showing posts with label debates. Show all posts
Showing posts with label debates. Show all posts

Wednesday, May 20, 2026

#RCN26 RCN Congress - Nurse Education

If you think hard-enough all the debates at RCN Congress connect to 'education', but two are laser-focussed:

Protecting nurse education

Resolution submitted by the Education Forum
That this meeting of RCN Congress asks RCN Council to lobby UK governments to protect nurse education from university sector economic pressures.

Quality of clinical placements

Matter for discussion submitted by the Students Committee
That this meeting of RCN Congress discusses ways in which the quality of clinical placements can be ensured and consistent across all 4 countries.

For more senior colleagues, you may momentarily think back - all rose-tinted - to the pre-undergraduate Schools of Nursing, but you also realise change was needed and inevitable. A new millennium was fast approaching.

Now, however it seems within the university ecosystem, nursing is a threatened subject and discipline. Nurse education is exposed and itself vulnerable. In the 21st century fitness-stakes - finance wins:


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


mental fitness


physical fitness


SOCIAL VALUE 
& VALUES

FINANCIAL FITNESS

 

At RCN Congress, the status of nursing as a profession in the USA, was raised. Looking online, I found the following at the U.S. Department of Education: Myth vs. Fact: The Definition of Professional Degrees.

In January 2025 I posted about the situation at Cardiff University. At Congress the matter of the quality of clinical placements, became a resolution. The protection of nurse education provoked an impassioned and emotional debate. Student nurses seeing what is happening to nurse faculty. Nurse faculty seeing the years of experience 'walk' be-pushed out through the door. It seems there is no collective noun for a group, or collection of redundancies. Mass comes to mind, especially in this instance. A 'rash' seems appropriate. But, the condition is more serious and bears further investigation:

As a Google search demonstrates - https://share.google/SViFPWuJovKWhErEE

IT doesn't stop there ...

How many of us (nurses, and other 'professionals') are seeing job offers(?) such as:

Remote
Contract

$35/hr - $80/hr (this is lower than others ...)

About the job

Nursing Informatics Specialist (AI Training)

About The Role

Your clinical knowledge is more valuable than you think — beyond the bedside. We're looking for experienced nursing professionals to help train and evaluate AI systems built for healthcare. As a Nursing Informatics Specialist at Alignerr, you'll apply your frontline expertise to ensure AI understands real-world clinical workflows, EHR systems, and nursing documentation the way actual nurses do.

This is a unique opportunity to work at the intersection of nursing practice and cutting-edge AI — on your own schedule, from anywhere.

  • Organization: ---------
  • Type: Hourly Contract
  • Location: Remote
  • Commitment: 10–40 hours/week

What You'll Do

  • Evaluate AI-generated clinical content for accuracy, safety, and alignment with real nursing workflows
  • Review and annotate EHR documentation scenarios, flagging errors or gaps in clinical reasoning
  • Translate nursing practice knowledge into structured feedback that improves AI model outputs
  • Assess how well AI systems reflect clinical informatics best practices across areas like documentation, data integrity, and care coordination
  • Provide expert insight on health IT tools, including EHR platforms such as Epic or Cerner
  • Work independently and asynchronously on task-based assignments

Who You Are

  • Registered Nurse (RN) or equivalent clinical background with hands-on experience in a healthcare setting
  • Familiar with EHR systems and clinical documentation workflows
  • Able to analyze clinical scenarios and communicate clear, structured feedback
  • Detail-oriented with strong written communication skills
  • Self-motivated and comfortable working independently in a remote environment
  • No prior AI experience required — your clinical expertise is what matters

Nice to Have

  • Experience in clinical informatics, health IT, or nursing informatics roles
  • Familiarity with data annotation, quality review, or evaluation processes
  • Background in quality improvement, patient safety, or clinical education
  • Exposure to health data standards (e.g., HL7, FHIR, SNOMED)

Why Join Us

  • Work on cutting-edge AI projects with leading research labs and AI teams
  • Fully remote and flexible — set your own hours and work at your own pace
  • Freelance perks: autonomy, variety, and global collaboration
  • Apply your nursing expertise in a completely new and impactful way
  • Contribute to AI that could meaningfully improve how healthcare technology serves patients and clinicians
  • Potential for ongoing work and contract extension

You might think (no pun intended!): 

'Well this all about informatics. Don't worry - it will all work out fine!'

But, please notice, the clinical and nursing requirement:

"Registered Nurse (RN) or equivalent clinical background with hands-on experience in a healthcare setting."

Not exactly, Hodges' model is it? Even if specific to this role, what does it say:

  • about :: the title of 'Registered Nurse'
  • about :: Nurses and Nursing as a Profession
  • and :: to search engines and agentic AI?

So be aware, and concerned (worried even!) for nursing and nurse education ... 
for the humanity of healthcare:


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

de-humanisation

BIG TECH


"Where has everyone gone?"
Social values
Social justice

What about research, debate, evidence..?
 


Nursing Faculty
Universities as Institutions that reflect Society
Why is there an echo in here?
It's been hollowed out.

P.S. I am not a technophobe. Previously: 'AI' : 'SOCIO-technical'

Tuesday, May 19, 2026

RCN Congress: Ebola, privacy and 'care bundles'

The first discussion at RCN Congress #RCN26 on Nursing as a STEM profession, or STEAM, with the arts added, became a resolution:

https://www.rcn.org.uk/congress/congress-events/nursing-as-a-stem-profession-2026

This was marvellous as it touched so many aspects that Hodges' model readily encompasses.

There is scope for the addition of emergency items:

https://www.rcn.org.uk/congress/Submit-an-emergency-agenda-item

Yesterday I wondered about the latest ebola outbreak, national and international aid^. Plus, privacy, having noticed a stream on twitter regards the NHS and a contract with Palantir. Yes, 'X' as a source is a problem, but concerns about access to confidential clinical information is found in the quality press. What does the Information Commissioner's Office say? Well, it seems there is a history:

https://icosearch.ico.org.uk/s/search.html?collection=ico%7Esp-search&query=PALANTIR&profile=_default

While searching for 'care bundles' I came across this:

 'The scope and force of medical privacy is further supported by a secondary layer of protections based in sectoral and other forms of regulation. Anti-discrimination laws, disability rights, and employment law, for example, all recognize and operate to preserve medical privacy by restrictions of use of medical information outside of the medical setting. 

 These intersecting normative strands of medical privacy, derived from different sources, together form a set of norms designed to protect a bundle of interests that is essential to the maintenance of an effective healthcare system that encourages and protects appropriate care-seeking and treatment. Whether and how technological changes in the collection, storage, and processing of data affect the construct of medical privacy is a pressing question. Just as a bell cannot be unrung, erosion of the sphere of medical privacy is unlikely to be restored.' p.330.

I realised over the past twenty years or so I've paid less attention to the fact that sections of a population, those often most in need of healthcare will not engage, be care-seeking - if they have no faith and trust in how their information is managed and protected. Minority groups, the digitally excluded (whether by choice, or literacy, economics) the influence of media are all vulnerable. Protection of data and the integrity of health services and systems is surely a matter of professional import both clinically and informaticians? As a registrant, I've always put it to student nurses that they should be aware of what happens to the data they as a registered nurse, enter in the electronic health record.

Pierce, R. (2018). Medical Privacy: Where Deontology and Consequentialism Meet. In B. van der Sloot & A. de Groot (Eds.), The Handbook of Privacy Studies: An Interdisciplinary Introduction (pp. 327–332). Amsterdam University Press. https://doi.org/10.2307/j.ctvcmxpmp.17
 
^What, only one sentence? Yes, but I'm still worried; geography - distance now matters little. While, on the other-hand: care-seeking...?
 
Previous posts: 'ebola' : #RCN26

Monday, November 29, 2021

Michel Serres in "A planetary art beyond the human"

Individual
|

INTERPERSONAL : SCIENCES
humanistic ------------------------------------------ mechanistic
SOCIOLOGY : POLITICAL
|
Group


"In the mid- 1990s, Michel Serres was already registering the devastating impact of ‘dense tectonic plates of humanity’ on a hitherto ‘mute world’.1 Our excesses, he writes, have awoken the ‘mute, passive, obscure things’ around us that had ‘obediently slumbered’, but will now respond to us with violence.2 In such discourse we recognize the now common tropes of thresholds and tipping points, often deployed by climate scientists and echoed by scholars who assert that humans are now truly ‘geological agents’ in their impact on the planet.3 ...

... Getting to grips with the consequences of human activity for the Earth’s systems is unarguably an essential step in forging policies to mitigate the damage. But in the political urgency that shapes many debates about climate change, there is a risk, as Dipesh Chakrabarty points out, that ‘humans emerge as the subject of the drama of the Anthropocene’ while geological time fades from view.4 An emphasis on human agency may simply lead us full circle, back to the anthropocentric conception of a docile Earth made up of inert matter, only stirred by our own excesses, and waiting to be saved or destroyed by its human inhabitants." p.31.

 

Page, J. (2021). A planetary art beyond the human. In Decolonizing Science in Latin American Art (pp. 31–65). UCL Press. https://doi.org/10.2307/j.ctv18kc0mw.6
 
Joanna Page is Reader in Latin American Literature and Visual Culture at the University of Cambridge. 

See also:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Michel Serres on W2tQ

Consider also - 'deep' within Hodges' model:

DEEP space, time, ecology, links, design ... DEEP CARE.