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 ...
Can you share in your network this information. Thanks for your help
Sincerely
[HIFA profile: Eric Comte is Executive Director, Geneva Health Forum, External Affairs Directorate, Geneva University Hospitals. eric.comte AT unige.ch ]
Geneva Health Forum 2025 (#GHF2025) is approaching quickly!
Bringing together global health leaders, researchers, frontline practitioners, and policymakers, the annual Geneva Health Forum event serves as a unique platform to exchange knowledge, present innovations, and advance equitable and sustainable solutions to the world’s most pressing health challenges.
We are present every year during the week of the World Health Assembly, at the end of May, to enable academic and civil society players to make their voices heard during the World Health Assembly.
This 2025 edition will focus on four thematic priorities: • Malnutrition • Climate Change and Health • Migration, Health, and Equity • Digital Health
Each theme will be addressed through evidence-based dialogue, multi-sector collaboration, and a strong emphasis on real-world practices with the potential for broader application and impact.
Please note: registration is free but required individually for each session or event. To secure your participation, visit the dedicated page for the event(s) of interest and click on the “Register” button.
Investing in Nursing and Midwifery for Health Security
Dear
friends and colleagues and distinguished member of Global Network of
WHO Collaborating Centres for Nursing & Midwifery,
This
might be the first time I have written in the last few years. However,
have been actively following your news and rich engagement. It has been
an honor to work
as part of WHO CCs for NM and also shaped initially the GANM.
To
day I am writing to invite you to my beloved country Bahrain where we
held the First WHO Global WHO Network for Nursing and Midwifery
Conference in 1996. This
time to invite you to join the Bahrain Nursing Society first international nursing and midwifery conference entitled: Investing in Nursing and Midwifery for Health Security
from 21 to 23 December 2022, including pre-conference workshops on 21 December.
This
Conference will be one of the most exciting opportunities for nurses
and midwives in Bahrain and the Region to present their achievements
and contributions to both professions in meeting the Sustainable
Development Goals and achieving universal health coverage respecting
health security.
Abstracts can be submitted under the following sub-themes:
Nursing and Midwifery governance and leadership
Evidence-based practice and knowledge dissemination
Digitalization, technology, artificial intelligence and innovation in nursing & midwifery
Advanced care practice and public health
Sustainable development goals and health security amidst COVID-19 Pandemic
Transformation of nursing and midwifery education
Three
Keynote speakers will address the conference: the International Council
of Nurses, the World Health Organization and the International Honor
Society of Nursing. Main speakers from the GCC, Eastern Mediterranean
Region, and Africa have also been invited.
Bahrain Nursing Society looks
forward to receiving your abstracts for concurrent sessions and for your participation at the conference this coming December 2022
Dr. Naeema Al Gasseer World Health organization Representative in Egypt & Head of Mission
"The NHS is to trial the use of smart goggles that will be
worn by community nurses on home visits in order to free up time with
patients.
Providing that the patient consents, the virtual reality style
headset can transcribe the appointment directly to electronic records,
reducing time-consuming admin for nurses.
Staff will have the ability to share live footage directly with
hospital colleagues to get a second opinion, avoiding the need for
further appointments or hospital admission."
Call for Papers: FOCUS The Digital Movement in Nursing
Focus Edition Guest Editor
Prof. Camille Cronin, Director of Research and Impact, School of Health and Social Care, University of Essex, UK
The Journal of Research in Nursing (JRN) is a leading peer-reviewed journal that underpins good research with current policy and aims to publish papers that will influence nursing practice and health- and social-care policy.
Over the last two years we have seen an unparalleled digital-technological response to the COVID-19 pandemic that has re-shaped the way health- and social-care functions, for better or worse. This change has been fast and relatively unevaluated, with little time or opportunity made available for the involvement of nurses, critical discussions or reflections. What did this do to the nursing world? JRN is commissioning this focussed edition to find out more.
We are seeking papers that showcase, describe, and highlight the impact of new digital technology and innovation on digital health related to nursing. These might include:
showing how nurses are leading the development of such technologies or digital solutions; or
how service users were involved in developing a digital resource using participatory practices; or
the impact these innovations have had on nurses, and patients and their families – e.g. on accessing health care, on delivering and evaluating care; or
what do we expect for the future and how do we enable the future health-care workforce to keep pace with such change?
Papers can be built around different research designs, case-studies, evaluations, or service improvement initiatives and may address any of these issues in relation to digital health:
improving the quality of health-care and health, access, and safety through digital health;
using digital health data to improve health- and social-care services;
improving recruitment, deployment and retention of health- or social-care workers using digital technology;
developing innovative technology and digital health strategies to improve care;
developing or using technology;
demonstrating initiatives that use technology to promote health and/or wellbeing; and
what, if any, are the consequences of the rapid insurgence of digital health technology?
As JRN’s mission is to contribute knowledge to nursing practice, research and local, national and international health and social policy, the contribution of the paper to, or implications for, both nursing practice and health and social-care policy must be made explicit.
Authors interested in contributing to this edition of JRN should submit by 1 JANUARY 2023.
We just wanted to alert you to two policy initiatives related to Digital and eHealth.
1.
The Digital Nursing programme in England is seeking feedback on their
consultation on having a Standard for Nursing Documentation. The draft
standard and form to give feedback [by 21st July] are available on the NHS futures
website
(https://future.nhs.uk/DigitalNursesNetwork/view?objectID=36339504).
2. NHS England has
just released their plan for Digital health and social care
(https://www.gov.uk/government/publications/a-plan-for-digital-health-and-social-care/a-plan-for-digital-health-and-social-care).
— The Queen's Nursing Institute (@TheQNI) June 24, 2022
[and my source]
Nursing In the Digital Age 2022 (2)
"Smart New World was published by the QNI in 2012 and again in 2016. Ten years later we think it is time to assess the level of progress and development in digital technology you use at work since the report was published. We are particularly interested in any effect (positive or negative) it has had on workloads.
We have created a survey to inform this work. It has 31 questions and should take around 8 minutes. Your contribution would be greatly appreciated. It contains no identifying information.
Please address any queries to Alison Leary (alisonleary AT yahoo.com) or Dave Bushe dave.bushe AT qni.org.uk
Thank you!
SurveyMonkey is a third party provider. Please do not enter any patient identifiable or personal data other than your email address if you wish to share it with us at the end of the survey."
I’m
working with the South-West AHSN to put on a Future of Care
distinguished address in January featuring Health Futurist Dr. Shafi
Ahmed talking about how VR and other
technologies will impact the future of NHS service delivery; it should
get Universities thinking about how our teaching and learning needs to
develop. I’m hoping it will be a really inspiring event for colleagues
as well as our students at the University.
It will be an online as well as on campus event, although given the way Omicron is going could well be just online.
The event is planned for Thursday January 20th 2022, 7-8pm.
I wondered if it would be possible to promote this within your organisations for colleagues to sign up to if interested.
The deadline for applications is 1pm on 13 October 2020.
This year, the recruitment process will be conducted virtually, to
allow for social distancing. You may be invited to have a follow-up
call, as part of the application process, and these will take place
between 30 November 2020 and the 9 December 2020.
You will be notified of the outcome of your application in January 2021.
To find out more about applying, please join one of our webinars:
This issue features a special theme that provides a vibrant illustration of a sample of the multi-disciplinary research activities which underpin the upcoming revolution of digital health.
Guest editors: Sara Colantonio (ISTI-CNR) and Nicholas Ayache (Inria).
This issue is also available for download in pdf and ePub.
Thank you for your interest in ERCIM News. Feel free to forward this message to anyone who might be interested.
"“Work ability” has been developed as an important multi-factorial concept that can be used to identify workers at risk of an imbalance between health, personal resources and work demands[2]. An individual’s work ability is determined by his or her perception of the demands at work and their ability to cope with them. The current challenge in using the concept is to establish adequate tools to evaluate and measure work ability continuously, in order to capture the changing and evolving functional and cognitive capacities of the worker in various contexts. ... The holistic approach for work ability modelling captures the attitudes and abilities of the ageing worker and enables decision support for personalised interventions for maintenance/improvement of work abilities. ...
The modelling of work ability will consider:
• generic user models (groups ofusers),
• personalised patient models,
• personalised emotion and stress models of the office worker,
• personalised cognitive models,
• contextual work tasks modelling,
• work motivation and values." p.35-36.
"The WellCo European H2020 project (2017-2021), delivers a radical new information and communication technologies (ICT) based solution in the pro-vision of personalised advice, guidance,and follow-up for its users. Its goal is to encourage people to adopt healthier habits that help them maintain or improve their physical, cognitive, mental, and social well-being for as long as possible. Advice is given through behaviour change interventions tailored explicitly to each user. These interventions range from setting social goals to recommending activities around the seven areas defined in WellCo: cognitive stimulation, leisure and entertainment, supporting groups, physical activity, health status, nutrition, and tips (Figure 1). The behaviour change concept leverages the Behaviour Change Wheel model [2]." p.37.
I greatly enjoyed Convenzis's Congress in Manchester at etc.venues. The early train journey (as 'us' Northerner's know very well) was not pleasant. Upon arrival I worried I might behave like a sardine in the lift up to the 8th floor. The venue is very convenient near Oxford Road and Piccadilly (I got off early at O. Rd). Manchester and Liverpool are well served for conference venues.
The journey was quickly forgotten, with a welcome coffee and breakfast. Networking started immediately thanks to a 'clear' twitter profile picture and some 'homework' with tweets the night before. Despite breakfast the exhibitor stands whetted the appetite for information at the breaks to follow.
These events are not just a help keep up-to-date #HealthIT #DigitalHealth wise, but a way to try to maintain some sense of balance as things are read while not experienced first-hand. Digital health is diverse and a reference during the day to juggling and its architecture was quite apt.The balance comes in countering the social media bubbles that (as users) we inhabit and are influenced by.
I'm not going to do a blow-by-blow account but Richard Price set the digital tone referring to technology development through the course of NHS's history:
- and The Topol Review (February 2019) and the digital future through Dr Eric Topol and a video:
As a scholar of literacy in its many forms I appreciated Richard's slide on the digital form. (Is this the same as 'information', or informatics' even?) This is interesting in being person-centred which at an individual level is not necessarily the same thing. Hopefully any e-careplan is formulated and constructed based on this, with time for data entry and practitioner-patient(person) engagement?
My thoughts or social media concerns here are based on tweets I have read which are often politicised and tied to related policy and the NHS Long Terms Plan. Health and Healthcare IS political, as previous posts have indicated. In contrast days like this and technical evangelism are a great experience for the optimism, technology, skills, problems solved and ongoing progress.
There was a question at the end of the day about AI artificial intelligence and how perhaps its role can be proven in less clinically applications. I was going to reply with the case of 'robotic process automation' which is gathering pace in other 'industries' such as insurance, recruitment and document management. Having experienced in the past new starters from universities have to retro-learn old applications and operating systems I was surprised to hear mention of 'Windows XP'. History - future all rolled up together.
In March I noticed a tweet andwell before I attended RCN Congress for the first time:
1 in 40 doctors participating in research compared to 1in 1, 000 nurses says Lord Willis @councilofdeans @JessicaCorner @KingsNursing @theRCN what can we do /enhance access and participation?
Also on twitter I've wondered about wards, clinical teams having a 'research question' sitting on the shelf, if not a 'live' research project. Perhaps a ward could have three proposed questions that are revisited and even picked up by students. This could be part of the introduction to the placement and help raise awareness on several levels. At this event I spoke to InPhase and within the 'single assurance system' which was demonstrated to me there would be scope to incorporate such an initiative. Beyond this though ward managers, matrons and senior managers can have the tools such that 'data' about wards and even individual practitioners is available. While crucial (think CQC), this data turned into information and intelligence should not just be inspection fodder. There must be a clinical and research dividend to routine records. Also noted previously is the need for practitioners to manage their cases, their caseload.
A representative for Checkware explained their approach of patient involvement through self-reporting, self-management and long-distance follow-up. In terms of low-hanging fruit for computerisation this has long been one of them. The original box-ticking exercise that now seems to define the success or otherwise (mere completion?) of activities that it really shouldn't. After discussing copyright, patient engagement and the company's background I thought of Hodges' model (of course). I wanted to ask "What is the most general assessment tool you have?" There are many possible responses, but I didn't.
As a registered nurse I've always been defensive about patient data and what happens to it (IT). Consequently I've paid interest to data protection and public initiatives for e-records over the decades. It may be me, but I picked up a sense that a consensus within the public may be emerging? It's not even that the public were represented as such, just a sense from what was said. I may be wrong... and any optimism regards the maturity of the public's attitude to health e-record, does not equate to the maturity of the technology?
Hadleigh Stollar from NHSDigital explained the progress and plans of the National Record Locator Service, it’s success so far and benefits! This is pivotal for the experience of people with mental health problems in crisis and ambulance services. This is just the start. There was a phrase, LHCRE (which became 'lycra') that's "Local Health Care Records Exemplar" sites. There was a lot more with the Personal Health Record, a key example, as the event website indicates. The offerings of PureAV go far beyond the prompt for me to use video. Clinical Emergency Medicine Books - CEMbooks brought back some nursing memories. This was a very well organised, clearly well-planned Congress, informative, practical, with time for the exhibition and networking. Leaving at 1610 I even had a much better return journey.
Help shape the future of innovative technologies for mental health
We
hope you will join us as a guest of Lancaster University, for a special
workshop and networking opportunity exploring interactive mental health
technologies being developed here in Lancaster. This is a first of a
kind opportunity for professionals and public to engage with new
prototypes being developed as part of the AffecTech network – a major
international research project developing personal technologies for
affective health.
Where: Reading and Writing Room, Storey Arts Centre, in Lancaster City Centre
(Next to Lancaster Railway Station)
When: Tuesday May 14th 2019, 9.00 am to 13.30 pm
Why: Learn about personal technologies for
affective health, and help shape a major initiative dedicated to
delivering self-help technologies to help sufferers of affective health
conditions such as depression, anxiety and bipolar disorder.
(States of) Mind
Identity
Basic (and greater) Education
Knowledge and Skills - Health Literacy
Cognitive access - understanding
Motivation, Attitude
Personal ethics, personal values
Self-esteem, Self-image
Personal philosophy, beliefs, expectations
Emotional - mental well-being
Resilience, coping strategies
Balanced Life experiences
Formative experiences
Upbringing, memory, character
Stress and Vulnerability
Self-advocacy
Risk taking: substance (mis-)use
(States of) Matter
Knowledge of physical fitness
Daily exercise
Presence of medical conditions, patient education: self- monitoring, treatment, recording, reporting
Body image, diet, nutrition
Treatments, Research - Antibiotics
Technology
Physical infrastructure:
Built environment,
Rural, Transport.
Lifecycle
Physical access
Environment, climate change,
Eco-systems, Sustainability
Care, Compassion, Love
Family
Friends
Culture
Lifestyle
Social network (actual / virtual)
Relationships
Community infrastructure
Stigma
Carer support
Global Eco-nomies
Citizenship
Financial knowledge, access to banking
Health Service provision - Systems
Public Mental Health Programmes
Professionals, Global Health
Government policies
Welfare funding
Employment opportunities
Health, SDGs
Food industry
Advertising
Tomorrow November 12th is the launch of self care week Europe. Jaqueline Bowman will be representing the platform SCiE at EU Health Policy Platform in Brussels. #selfcareweek @Self_Care_EU
As posted last September I enjoyed an evening at the launch of AffecTech at Lancaster. This post is prompted by a tweet:
AffecTech Design Workshop: Discussion on Cross-disciplinary Methods for Depression Treatment: https://t.co/7xVinrvmWf #wearables #tech #innovation #research #digitalhealth #mentalhealth #depression
— AffecTech (@Affec_Tech) February 16, 2018
I should add that this post is not intended to represent an endorsement by AffecTech but there is an opportunity to reflect and show how Hodges' model can be used. I contacted the researchers who - in the spirit just mentioned - kindly forwarded higher resolution images. Of course, not being present at the workshop a lot of information is lost. The reference to art is interesting in itself. It is difficult to capture the context of the whole workshop but - as per the tweet - a short article sets the scene:
I have provided two examples of Hodges' model mapping the contents of the workshop. The first, covers Figure 1: Concept maps of depression causes and symptoms. I don't have a key so there may be the thoughts of several individuals - as per the colours and codes on the flipcharts. Some terms are immediately not only cross-disciplinary but multicontextual in terms of their everyday meaning, for example, darkness, falling, stuck-ness, negative spiral (thoughts, actions), imprisonment mentally, physically, and politically due to dependency, financial constraints.
Internalising rage Suppressed emotions
Anger Not being listened to Darkness
Pain
Im-mobility
Physical decline Weight
Stuck
Chained/Locked
to go
energy
imprisonment
Darkness
Imprisonment – Social Isolation
No support
Hiding
Loneliness
Imprisonment – Powerlessness?
Loss of control
Next, I have examined the text immediately following and mapped this [my emphasis] to the model.
individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------- THE SYSTEM --------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
Identified, general state of lack of interest as a main symptom of depression (lack of energy, negative spiral), and as one of the obstacles for technology-based treatment of it.
Therapist input: the emotion regulation component of the system should be suggestion-based (promoting novelty in the patient daily routine). system should be able to continuously monitor* (and predict) the user mood
should have an appealing and trust-worthy interface from which it can communicate with the user and modifying his/her immediate context.
If depressed - the agent engages the user in a discussion in which a range of emotion regulation techniques is proposed to him/her.
Includes: (i) modifying environment (light changes, playing music); (ii) recommending activities; (iii) proposing mindfulness exercises; (iv) engaging the user in a discussion; or (v) recommending the user to look for the support of a friend.
Further, at the end of each day the user and the agent discuss progress made over recent days, and define small steps that could be taken in the near future.
Requirement for a pro-active intervention system, and engage the user as soon as (or better just a bit before) a critical situation is detected.
System should: *real time - 'always on'? provide daily feed-back to the user (giving a sense of incrementally overcoming problems).
Low-fidelity prototype of a system that meet these requirements. Composed of two components: (i) wrist-band device worn by the user that monitors the user mood; and (ii) an assistive agent that is responsible for the emotion regulation system component.
Working principle of system - wrist-band devices communicates to the agent when the user is in a depressed mood (- use of biosensors)
Should strive to connect the user with his/her close friends.
Emotion regulation techniques - (v) recommending the user to look for the support of a friend (see above).
The above is provided as a 'pause for thought'. I'm no expert on NLP, but I am acutely aware of the power of the words we use. And how what is said to patients, carers can be returned as a sizzling hot potato that may reveal: great foresight in what you have missed; a major lack of understanding of a situation and treatment plan; and (then) as follows a need for urgent educational intervention. In applications such as this - care needs to be taken in when and were particular words are used. 'Treatment' is in the title, but can be a loaded term as understood by the patient, client, carer, or user. People will say, "No it isn't - this is a 'balanced' approach." but herein risks lie.
Services should be non-ageist and yet culturally if you survey treatment and related terms - from a decennial perspective I wonder what you would find? I have patients who refer to Dr Google and will challenge and ask about their care and if not satified seek further opinions - a fresh pair of eyes; and others who are quite institutionalized in respect of passively accepting what is 'prescribed'. This may be reflected in the length of their mental 'health career' and their previous mental health history. Please note the inclusion of THE SYSTEM above in the axes and domains of Hodges' model. This is non-trivial.
At the end of the day (and the start of the night - for someone with depression?) what is the system? I'm not being awkward, but the 'system' in research can become a lay-by. As a compound term it is shorthand, but obviously we need to focus on the elements, constituents and what glues the system together: coherence. As an example, how often in IT project are 'Requirements' the sought after token that signifies "We are on the right track!"? The focus from the above is laudable being clearly person- patient-centred. Is there more that can be said about the system and requirements in the social and political domains? Is there a way also for the agent to figure higher up the design ecosystem (hierarchy)? This is no doubt were the hard work matters - theory, practice - the thesis! Given the complexity of the (design, care, technical, global...) problems we face I do believe that Hodges' model may serve a purpose in helping to sustain, or ‘recover’ the context – of a situation. This is the purpose of stories of course. The aim of AffecTech's project here is no less than detecting a critical situation. Perhaps this is the truth of 'integrated health records' from wrist device, to agent, patient's record and health services'? It is brilliant to see such initiatives getting underway they are the future....
(I may add to this post in coming days - weeks.)
With thanks to Alan Cole and Andrea Patane of AffecTech at Lancaster University.
We hope you will join us for a special evening at Lancaster’s beautiful Ashton Memorial Hall to celebrate the launch of AffecTech, a prestigious digital health research initiative.
Where: Ashton Memorial Hall, Williamson Park, Lancaster
When: Monday September 18th 2017, 7pm-9.30pm
Why: AffecTech is a Marie Curie Innovative Training Network funded by the European Commission, dedicated to delivering effective low cost self-help technologies to help sufferers of affective health conditions such as depression, anxiety and bipolar disorders. Coordinated by Lancaster University, and benefiting from leading European and global partners including the UK’s NHS, Oxford University and technology giant Philips, the goals, scale and expertise of AffecTech is unique, integrating the latest innovations in personal tech for mental health, with the most influential clinical psychology insights into emotion regulation.
This event is organised by the School of Computing and Communications at Lancaster University and will be an exclusive opportunity to network with leading partners from the digital health sector, and learn more about innovations in wearable technologies for mental health.
There will be complementary drinks and canapés, music and a full bar.
Please confirm your participation by signing up on Eventbrite (password: AffecTech):
Re. Charles Leadbeater's State of Loneliness, The Guardian, Society, 01.07.09
The cover of this weeks Society Guardian immediately caught my eye with its picture (I wonder which corner of which care domain this lady is sat in?):
The text initially passed me by; then yesterday I caught up, it seems the business model quest in one sector is having a domino effect with new models needed elsewhere including health and social care.
Leadbeater's piece reminded me of Lean thinking the improvement process with its drive to identify value, reduce waste and repetition. ... His text points out that:
More efficient services quickly move in and out of people's lives, but they don't really change how people live. That is one reason why we have not made deep inroads into the most deprived communities, the most troubled families, the most intractable social problems. Services manage and process people and problems, but only rarely allow people to change their lives. Service solutions are ill-suited to the emerging challenges of the rise of long-term health conditions, diseases linked to lifestyle and diet, ageing or climate change. You cannot deliver a solution to an epidemic of diabetes the way that DHL delivers a parcel.
So any model, method that is primarily process centered may find itself compromised - providing just one cylinder's worth of power in a four cylinder engine. In Hodges' model I have identified the 4Ps. PROCESS, PURPOSE, POLICY, and PURPOSE (to which we must now add PROBITY). It will be interesting to see how value is defined across service forms of engagement, intervention (including signposting) and the new set of outcome measures to follow whether local, national, service-reported or patient reported outcome measures. Leadbeater continues:
The key will be to redesign services to enable more mutual self-help, so that people can create and sustain their own solutions. The best way to do more with less is to enable people to do more for themselves and not need an expensive, professionalised public service. Enabling people to come together to find their own, local solutions should become one of the main goals of public services. Services do a better job when they leave behind stronger, supportive relationships for people to draw on and so not need a service.
So Jo(e) Public needs to reflect, compare, evaluate, learn, collaborate and make informed decisions in order to stay well amongst many other things. They need to be engaged holistically.
The Wall Street Journal has something to add here The Doctor Will Text You Now and relating to my earlier posts on 'Beware Reflex Moves'. Relationships matter, but if nurses are out there assessing, assessing, assessing who is doing the education, dividend added therapy outcome focused?
If e-health is going to make a real contribution in augmenting and freeing high value care resources then this in turn depends on the value invested in relationships.
Louis Petrillo, 57, a psychologist in Westfield, N.J., says he regularly turns to his family’s doctor, Robert Eidus, for online advice about his frail 90-year-old mother, who finds office visits difficult. His son who is away at college also used an online visit when he had sinus problems. “I can get into his virtual office anytime,” says Dr. Petrillo. He feels the online care works well largely because Dr. Eidus knows his family members’ regular health complaints.
If older adults move home and need new primary care services, what are most probably(?) well established patient - doctor (patient - primary care team!) relationships are not just undermined they are undone! A person's sense of community is fractured. ...
Yes. Accessibility is critical, but given its age, and presentation of Hodges' model as a 2x2 table, this blog is best viewed on a tablet, laptop, or PC.
If I can assist with your use of Hodges' model please contact me: h2cmng AT yahoo.co.uk. Assistance in further study of the model, would also be welcome. Thank you.
Hodges' model also known as 'Hodges' Health Career Model' H2CM
A person's health career is impacted by their life chances.
Total Pageviews
Hodges' Health Career - Care Domains - Model
'Care Domains' was added to the model's title as some people thought the model only applied to employment, work, and jobs.
Born in Liverpool, UK. Community Mental Health Nurse NHS, Part-time Lecturer, Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General Community Psychiatric Nursing (Cert.) MMU PG Cert. Ed. BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man. MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise. Comments are disabled. If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
* IO Magazine
Source:
Reveal Digital , 01-01-1988
Contributed by: Charles Stein; Don Byrd; A.S. Yessenin-Volpin; Christer Hennix; Henry
Flynt; Henry Flynt; George Quasha; Charles Stein; Christer Hennix; Luitzen Egbertus Jan
Brouwer; L.E.J. Brouwer; L.E.J. Brouwer; Charles Stein
Stable URL: https://www.jstor.org/stable/community.28038534
Hodges' model was created by Brian E. Hodges [Senior Lecturer, Retired] in the mid-1980s at what is now Manchester Metropolitan University.
Peter Jones, author / editor of this blog has championed Hodges' model as a personal initiative online since 1998, but discovered the model on the CPN(Cert.) course 1988. The driver is recognition of the increasing relevance - decade-by-decade - of Hodges' model as a primary resource for local, national, global and glocal (virtual) health and education.
Visitors to this blog, individuals and organisations, are invited to consider use of Hodges' model.
Hodges' model is provided as an open educational resource (OER).
"Open Educational Resources are teaching and learning materials that you may freely use and reuse, without charge. OER often have a Creative Commons or GNU license that state specifically how the material may be used, reused, adapted, and shared." [Google, 8 Feb 2016]
CC CREATIVE COMMONS:
Hodges' model is assigned Attribution-ShareAlike 3.0 Unported (CC BY-SA 3.0):
OER is important for teaching, learning, and collaboration generally. Hodges' model is an ideal tool to span individual and global health care. Peter Jones encourages and will try to respond to support users interested in exploring how Hodges' model can support their work.
Post-publication I have learnt of new papers that have cited, or even used Hodges' model. This is very welcome news. If you are contemplating using h2cm, I'd be pleased to help. The aim is to see h2cm applied, especially in the real world, across disciplines and to help squeeze all the conceptual juice out of the model as per your context.
Nodes & Edges: Structure Content distinct
BIBLIOGRAPHY & Citations for Hodges' model
Please note the website - p-jones.demon.co.uk listed in many papers below is no longer active and maintained. 'Demon' ceased operating as an internet provider in 2015.
April 23 2025: There is a link to the archived POLITICAL links page, listed under 'External links': https://en.wikipedia.org/wiki/Outline_of_political_science Which is itself a useful page.
A new site for introductory materials and Brian Hodges' original notes will follow (one day!?) ...
Hodges, B.E. (1989) The Health Career Model, IN, Hinchcliffe, S.M. (et al.) 1989 Nursing Practice and Health Care, 1st Edition only, London, Edward Arnold.
Adams, T. (1987) Dementia is a family affair. Community Outlook, Feb, 7-8.
Jones, P. (1999) It's time to master the latest tools and Hodges' Health Career Model, IT in Nursing, 11.2.
Jones, P. (2004) Viewpoint: Can informatics and holistic multidisciplinary care be harmonised? British Journal of Healthcare Computing & Information Management, 21, 6, 17-18.
Jones, P. (2004) The Four Care Domains: Situations Worthy of Research. Conference: Building & Bridging Community Networks: Knowledge, Innovation & Diversity through Communication, Brighton, UK.
Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.
Kernohan, G. (2010) Theoretical review of public engagement in Nursing. Proc 1st Public Engagement Colloquium, Kells, Co Antrim, 22 April.
Merritt MK, Procter N. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemp Nurse. 2010 Feb-Mar;34(2):158-66. doi: 10.5172/conu.2010.34.2.158. PMID: 20509800.
Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care.International Journal of Older People Nursing. 7, 75–80.
Jones P. (2014) Using a conceptual framework to explore the dimensions of recovery and their relationship to service user choice and self-determination. International Journal of Person Centered Medicine. Vol 3, No 4, (2013) pp.305-311.
Bom, J. (2015) Geboeid signaleren. De Verpleegkundig Specialist. 10. 14-15. 10.1007/s40884-015-0051-z.
Jones P. Exploring the relationship of threshold concepts and Hodges’ model of care from the individual to populations and global health. Rev Cuid. 2017; 8(3): 1697-720. http://dx.doi.org/10.15649/cuidarte.v8i3.464
Maffissoni, André & Vendruscolo, Carine & De Lima Trindade, Letícia & Zocche, Denise. (2018). Redes de atenção à saúde na formação em enfermagem: interpretações a partir da atenção primária à saúde. Revista Cuidarte. 9. 1-13.
Holmes, D. Perron, A. Jacob, J.D. Paradis-Gagné, É. & Gratton, S (2018). Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire, (Practice in forensic psychiatry: A proposed interdisciplinary model). Recherche en soins infirmiers, 134, 33-43. DOI: 10.3917/rsi.134.0033
Ashiquer Rahman, S.K. (2019) Mobilizing ePLANETe.Blue knowledge mediation portal to deal with new challenges of sustainable development in Higher Education and Research Etablishments (HERE) from a perspective of Knowledge Economy.
Thèse de doctorat de l'Université Paris-Saclay
préparée à l’Université de Versailles-Saint-Quentin-en-Yvelines. École doctorale n°578 Sciences de l’homme et de la societé Spécialité de doctorat : Sciences Économiques.
Kennedy, Harry G. (2019). National Forensic Mental Health Service (NFMHS) Model of Care. 10.13140/RG.2.2.30103.59041.
Hayward, B.A. (2020), Mental health nursing in bushfire‐affected communities: An autoethnographic insight. Int J Mental Health Nurs. doi:10.1111/inm.12765
Iris Lohja, Yves Demazeau, Christine Verdier. A multi-agent system approach to dynamic ridesharing for older people: State-of-the-art work and preliminary design. 18èmes Rencontres des Jeunes Chercheurs en Intelligence Artificielle, RJCIA’20, Jun 2020, Angers, France. pp.52-59. ⟨hal-02897446⟩
Byrt R. Forensic Mental Health Nursing in Secure Hospitals and the Criminal Justice System. Nurs Health Care Int J. 2019, 3(2): 000176.
Hamilton EAA, Dornan L, Sinclair M, McCoy J, Hanna-Trainor L, Kernohan WG. A scoping review protocol: Mapping the range of policy-related evidence influencing maternal health outcomes in a fragile, low-income country. J Adv Nurs. 2021 Jul 20. doi: 10.1111/jan.14956. Epub ahead of print. PMID: 34288043.
Elien G Neimeijer (2021) "CLOSE(D) CARE: Group climate in a secure forensic setting for individuals with mild intellectual disability." Radboud University, ISBN: 978-94-6416-713-9
https://www.trajectum.nl/sites/default/files/proefschrift_e._neimeijer_pdf.pdf
Fryer, Jon. “Information Literacies – Learning, to Thrive in a Digital Age” IRMS Bulletin 230 (2022): 16-21.
Kistler KB, Tyndall DE. Application of the Threshold Concept Framework in Nursing: An Integrative Review. Nurse Educ. 2022 Mar-Apr 01;47(2):91-95. doi: 10.1097/NNE.0000000000001041. PMID: 34033613.
Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;5:doi: 10.1136/bmjnph-2021-000254
Kernohan, W. G., & Jones, P. (2023). Hodges’ Health Care Model as a Framework for Quality. Paper presented
at Interprofessional work: developing oral care and the health workforce for the future, Brescia, Italy. https://pure.ulster.ac.uk/en/publications/hodges-health-care-model-as-a-framework-for-quality
Above paper cited by:
Leung, T.C.H., You, C.SX. (2023). Environmental, Social, and Governance (ESG) Promotion to Different Stakeholder Groups. In: Environmental, Social and Governance and Sustainable Development in Healthcare. Sustainable Development Goals Series. Springer, Singapore. https://doi.org/10.1007/978-981-99-1564-4_6
Yadav, V. S., & Singh, B. (2023). Evaluating the Human Rights Perspective on Sustainable Development Goals Accessible Health Coverage. Journal of Law and Sustainable Development, 11(6), e1254. https://doi.org/10.55908/sdgs.v11i6.1254
Kernohan, WG, Dornan, L & Jones, P 2023, 'A reflection on Hodges' Health Career Model for integration of health innovation', Trinity Health and Education International Research Conference 2023, Dublin, Ireland, 7/03/23 - 9/03/23.
McLaughlin, P., Brady, P., Carabellese, F., Carabellese, F., Parente, L., Uhrskov Sorensen, L., . . . Kennedy, H. (2023). Excellence in forensic psychiatry services: International survey of qualities and correlates. BJPsych Open, 9(6), E193. doi:10.1192/bjo.2023.578
Kainat Asmat (2024). Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia: Nursing Practice without Theory. International Journal of Practice-based Learning in Health and Social Care. 12. 125-131. 10.18552/ijpblhsc.v12i2.1068.
Güner, Y., Delibalta, B., Üçüncüoğlu, M., Paslı, S. (2025). Challenges encountered by emergency nurses in forensic case management: A qualitative study, Journal of Forensic and Legal Medicine, Volume 109, 102807, ISSN 1752-928X,
https://doi.org/10.1016/j.jflm.2025.102807.
Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085
Ardenny Ardenny, Le Hoang Nam, Pham Anh Tu (2025). Sustainable Health Model: Increasing Universal Access to Health Services in Remote Areas. Journal of World Future Medicine, Health and Nursing. 3. DOI: 10.70177/health.v3i1.1907
Jones, P. (2025), A Generic Model and Conceptual Framework to Prime Curiosity Across Health and Social Care Disciplines to Facilitate Lifelong Learning. Journal of Evaluation in Clinical Practice, 31: e70252. https://doi.org/10.1111/jep.70252
Wirnitzer KC, Motevalli M, Tanous DR, Drenowatz C, Moser M, Cramer H, Rosemann T, Wagner K-H, Michalsen A, Knechtle B, Fras Z, Ritskes-Hoitinga M, Marques A, Mis NF, Stanford FC, Schubert C, Goswami N, Leitzmann C, Fredriksen PM, Ruedl G, Wilflingseder D, Lima RA, Kessler C, Jeitler M, Khan NA, Joulaei H, Fatemi M, Knight A, Kratky KW, Palmer KK, Haditsch B, Jakse B, Kofler W, Pfeiffer T, Cordova-Pozo K, Tortella P, Straub S, Lynch H, Schätzer M, Krishnan A, Fathima A. S, Gatterer L, Kriwan F, Abhishek M, Nandgaonkar H, Nandgaonkar S, Adedara AO, Haro JM, Gericke C, Neumann G, Akhtar A, Rashidlamir A, Thangavelu M, Ngoumou GB, Perpék É, Klaper M, Bhattacharya B, Kirschner W, Bessems KMHH, Jones P, Peoples G, Bescos R, Duftner C, Seifert G (2025). Toward a roadmap for addressing today's health dilemma–The 101-statement consensus report., Volume 12:1676080. doi: 10.3389/fnut.2025.1676080. https://doi.org/10.3389/fnut.2025.1676080.
Short form: Wirnitzer, KC. et al. (2025) Toward a roadmap for addressing today's health dilemma – The 101-statement consensus report. Frontiers in Nutrition. Volume 12.
https://frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1676080 DOI:10.3389/fnut.2025.1676080
S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034.
Simms, V., Jacobs, N., Magee, J., De Ornellas, K., Mollik, E., Kernohan, W. G., Leacock, J., Akter, J., Sempey, C., Beech, S. E., Naz Asif, R., Yap, L. K., & Miller, K. (2026, Jan 16). Ulster University Open Research Conference 2026: Conference Speaker Abstracts. Ulster University. Advance online publication. https://doi.org/10.21251/0d7780ce-ce97-468f-b5d5-69201ca90b20
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[ For Dr Wirnitzer's work please see:
The NURMI-Study (NURMI – Nutrition and Running high Mileage) https://www.facebook.com/nurmistudy
Editorial: Situational Awareness, Psychoses, Cardiovascular Nursing, Research Methods and Hodges' model.
Hodges' model and the use of Diagrams in Case Formulation
Recognising the Value of Hodges’ model as a Known - Unknown in the time of COVID and Information Disorder.
Hughes (1958) is clearly dated, and as reflected in the title. Brian Hodges referenced Hughes to define ‘health career’ the idea of life chances.
Hughes, E. (1958) Men and their work. New York: Free Press.
A paper in 1977 refers to "Health career model", this is not Hodges' model, but we can match the paper's econometric context as follows: 'health career' equates with 'life chances' and so draws upon the model's INDIVIDUAL domains. While in the paper "Life-cycle and Quality of Life" can be matched with the COLLECTIVE domains of Hodges' model, namely, SOCIOLOGICAL and POLITICAL. Of course, Quality of Life is also an individual, subjective, phenomenological experience. The paper however preempts the ongoing focus upon SOCIAL DETERMINANTS, and more generally, the current state of our Social and Political contracts. Now the further differentiation of political, commercial, geopolitical determinants (where we are born, what 'papers' we possess, or not; are we State/Stateless) is an opportunity for Hodges' model. The ability of Hodges' model to encompass and switch contexts provides evidence of the model's potential and power, a result of its structure and situated content. In health and social care, Quality of Life (clearly) remains an individual AND collective matter, from individual assessment tools, to weighing the ethics, benefits and costs of interventions in collective - aggregated terms (QALY).
"900: Welfare Programs; Consumer Economics; Urban and Regional Economics." (1977). Journal of Economic Literature, 15(4), 1451–1457. http://www.jstor.org/stable/2723014
The two papers below pre-date the first website [1998-2015 webarchived], but show how I have subsequently stressed the role of information, informatics and the socio-technical within Hodges model as a unifying concept. I have copious notes to revisit this subject, on: post-COVID and dis- mis- malinformation; and nursing's legacy issues.
Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.
Finally some software publications from the microcomputer era.
Jones, P. (1986) Computing in Nursing NEWS. Computerised Patient Assessment. Nursing Times. 85: 5. Sep 3-9;82(36):63-5. PMID: 3532039 (Describes 'CAPA', a BBC microcomputer program for student nurses.)
Jones, P. (1989) Computers in Nursing NEWS. Creating a Program. Nursing Times. Feb 1-7;85(5):66-8. PMID: 2648342 (Describes 'HAEM', a BBC microcomputer program for student nurses on blood and blood groups.)
Please contact me if you have a paper referencing Hodges' model, or you have a project in mind, but need some advice, more information to help you use the model. Thank you.
21th Annual STS Conference Graz 2023:
online: "Critical Issues in Science, Technology and Society Studies" 8th - 10th May 2023
https://stsconf.tugraz.at/
Information & Records Management Society: IRMS22 - Resilience, Recovery, Renewal
Glasgow - DoubleTree by Hilton, May 15-17 2022
8th Biennial Threshold Concepts Conferences
Online, 7–9 July 2021
Global Remote and Rural Healthcare
(Virtual) 17-18th November 2020
ATTENDED:
Systems: Transition to a Sustainable World 15th September 2023, Richmond Building, University of Portsmouth
RCGP’s 7th Health and Justice Summit: Journeys Through Justice – Leadership and Transformation
Bristol, 25-26 November 2019
Participant: Re-envisaging
Infection Practice Ecologies in Nursing through Arts and Humanities Approaches
Spring 2018 - October 2019
Threshold Concepts in Action, University of Dundee: 27th-28th June 2019
Friday 28th June 2019: Threshold Concepts in Health Special Interest Group meeting. Morning: papers/discussion with virtual access for members at a distance; Afternoon: research/writing workshop; sharing advice and ideas
Presented at UKSS Conference 2018
UK Systems Society: Can systemic thinking reshape health services?
Presented at 4th Int. Nursing Conference Jordan The Tipping Point: Creative Solutions to Health and Nursing Challenges
"نقطة التحول: حلول خلاقة للتحديات الصحية والتمريضية"
Is there interest in an open, accessible conceptual framework not only for self-care and health care but for planetary health too? I believe there is ...
THE WORLD NEEDS 2020 VISION
June '26: The previous global counter stopped suddenly, hence reset. Thank you for your time and interest.
orcid.org/0000-0002-0192-8965
