Nothing new under the Sun ...

 ... unless you're a 'health' service, or gathering dust on a shelf

January. Is the time of Janus: we look forward and back.

In April, this blog 'Hodges' model: Welcome to the QUAD - W2tQ' will be twenty years young. A blog post will follow with some metrics and statistics, although the 'analytics' that accompany many websites is not the main objective here. Preceding W2tQ and that first post, was the now archived website:

https://web.archive.org/web/20150316193042/http://www.p-jones.demon.co.uk/index.htm

Running from 1998-2015, the site's emergence ran as per:

Taught and applied Hodges' model on
 Community Psychiatric Nursing Certificate course 1987-1988.
Using the model in my practice and sharing with colleagues.
Gaining online access 1997.
Finding the Nursing Theory Development Site - NTDS  (no longer available)
which was at https://www.ualberta.ca/en/index.html 
Meeting Brian Hodges at Manchester Met. University in May 1997.
Publishing the website in 1998.

Listed at the NTDS was a broad range of models of nursing and nursing theories. Brian's model, as anticipated was missing. I asked about Brian Hodges's model being added as a resource. Back then I thought, and still do, that Brian's work deserves recognition and more importantly, actually being used by practitioners and learners. It was a shame I thought, that such a person-centered and integrative model should be sat on a shelf (like other great ideas) gathering dust?

Still limping along in theme, functionality and accessibility, at least W2tQ has outlived the original website.

Academia and professional bodies across healthcare disciplines stress the need for research in practice. As a consequence, I've wondered about the pool of research questions that a healthcare, nursing, community nurse might have in mind? Ready and waiting, for those instances when specific funding materialises for a project. How many of these questions might feature as recurring characters? Once articulated, there for a new team member, are several starter-questions, a primer, to encourage exploration and critical thought. (Of course, a researcher needs to frame the question themselves; even if they do not 'own' them - public, patient engagement in research?).

With sustainability still on the political agenda (whatever the media suggests), is there a plan gathering dust, for the redesign, no less, of the National Health Service? Having squandered the demographic dividend of the 1950-1980s, how do we create concurrent health caring and preventive/educational services and systems?

Now, there is a project that Hodges' model could assist with! Better check the shelves (floppy disks!) and blow the dust-off real quick!

Out of hand ...

This blog is a pain, as is twitter.

I've known for ages -

H2CM new website - A short-form project brief

Twitter on hold: Blog a trickle ... 

Dries! I promise ...  (Sorry!)

I've known since the start of W2tQ back in April 2006. The web - software is change.

 

Blogging and twitter are a distraction.

 

The blog has helped to frame ideas. I can see now though (hindsight eh!), how unprepared I was in 2014 for a PhD, not just financially (self-funded), but having a question. I've had a project since 1988, but what's the Question?

 

People get in touch (SPAM reaches the inbox) with web design, SEO service offers. They point to how 'ill' my website / blog is. No website/blog are specified, no business address, details, there's a personal/business name that doesn't reflect the email signature.

I know that 'analysis' of the blog reveals a pile of errors, missed opportunities. And, yes; there is a much better online solution to drive income ...?

So, after the past year and especially last month, 2023 will be much much quieter on W2tQ. What will be posted?

• Book 'reviews'
• Quotes, insights from books I'm clearing as relates to Hodges' model
• Occasional timely insights from press / media*
• Conferences, Calls for papers, Journal news
• Q&A with other people about h2cm; critique of the model (well you never know!)
• Update on draft papers, and new citations

So, yes similar threads but the volume must be much, much less.

Twitter will likewise be less, but that doesn't mean - like many - I'm running elsewhere.

I'll be reading, writing, drawing 👍, following webinars and specific YouTube sessions ... studying and will pick up Drupal, github and Pharo. There's a hosting account to put to work, or at least experiment with. Over the past year my thinking about Hodges' model has (imho) progressed. I'm quite excited about what might follow. I'm also daunted, by the dual challenges of the 'development stack' (Drupal is at version 10 and counting...) on the one hand, and logic - relational analysis on the other.

Many thanks for your interest thus far.

HAPPY NEW YEAR TO ALL.

 

*Oh gee! I replied to a thread on #HIFA yesterday and tweeted this a.m.. It would be remiss of me not to pick this up, so post to follow soon.

Update on draft papers ;-)

Please excuse the intended irony, as need for an - 'update' could refer to far more than papers.*

Across the life of W2tQ (since April 2006...) there are many posts about papers by other people, papers planned and less frequently work published. 

A paper that started in 2017 has finally been accepted and we (not the Royal variety - which is a critical joy) await the proof. 

I'm really grateful to my co-author who stayed the course on what has been an utter roller-coaster and with COVID too. I look forward to sharing details and hence news of their ongoing research elsewhere - in Europe.

Another paper conceived in March has progressed more rapidly. With the initial draft well received, I'm addressing some revisions from editors, which are straightforward. 

I still need to 'see' these two birds in my hands, to believe: it will be worth it (I think?) to add these to the bibliography, as:

• SDGs are fundamental in global health and reveal the scope and relevance of h2cm;
  
• nutrition is critical in public (mental) health, policy and sustainability;
• there is more to follow from the 'mapping' that is exercised on W2tQ [2x2 HTML tables thus far], in these, and other papers;
• the psychoses constitute a severe mental health condition that can also illustrate the impact on individuals, friends, family and society;
• in health (and social) care we must address parity of esteem in and across theory, practice, management, policy, and research;
  
• how do (research) methods figure in Hodges' model (a mapping approach);
• what does a similar mapping of cardiovascular medicine and nursing reveal?
  

These bibliographical additions may help researchers in health, social care, and other fields find the model. While it is disappointing to find out about papers that reference h2cm 'after the writing' this still counts. It is a reference, not a collaboration! This is very welcome and a key purpose of the blog, and presence - @h2cm - on twitter. 

It would be validating, so 'me' [massaging ego] but it would also be contradictory. 

Hodges' model is simple, isn't it? 

In its basic form, blank and template - it presents virgin territory for the user(s) to overlay with their map according to context.

I'll post again about three remaining drafts papers, one dates back to 2012 (I was full-time then) and one that is in two parts. I've learnt a lot (again) with the two 'nearbies' and will post and list details when able. 

If I can help you, your project - I'd be pleased to do so.

*a website for example!

See also: the blog's bibliography in the sidebar, plus -

'New' citation: "Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire."

Book: ii "Making Research Matter" ... to varied audiences ...

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

Patient Carer Lifelong learner purpose	Researchers* Scientists* Lecturers Student (Scholar) Project managers process
Public Community Leaders - Groups Ethnographers Social policy makers practice	Managers Leaders Policy Makers Curriculum Developers Activists Change agents policy

Noting Tara Lamont's book and the intended audiences, I was reminded of the diverse potential user base for Hodges' model, with a few additions.

This was represented using four images on the old homepage of the now archived website (1998-2015):

https://www.webarchive.org.uk/wayback/en/archive/20141008034649/http://www.p-jones.demon.co.uk/index.htm

'Lifelong learner' should apply across all the domains of the model, but it is primarily about intrinsic motivation, a personal and voluntary initiative.

There is no 'evidence-based' explanation for the above, other than praxis. It has arisen over time,  associated with the care domains of Hodges' model. The situation is similar for the 4Ps in the model (italicised).

See also:

Book: i "Making Research Matter - Steps to Impact for Health and Care Researchers" Open Access

*independent roles also.

Networked Learning Conference 2016 leads to Barcelona which means...?

After the ICIC 2016 in Barcelona this past week I'm still reflecting on Lancaster and the Network Learning Conference. It has been a busy month. I'll write about Barcelona (again) soon, but with the ICIC presentation done (thanks to all 30+ who attended the session and engaged afterwards) I can catch up a little. Despite the stress this implies this is all positive as the challenge lies in the opportunities and tensions between nursing-healthcare, education and technology.

In Lancaster, Fran Tracy (Liverpool John Moores University) and Jesper Jensen (University of Southern Denmark) held a symposium - Designs for learning with the Semantic Web. Three papers were presented followed by discussion on:

1) the emergent nature of semantic web technologies, 2) how participatory research practices like DBR are affected during the development of semantic web technologies and 3) how both of these concepts may find a new place as we move forward into increasingly complex and changeable educational environments.

By means of introduction there were several useful pointers and reminders, including Stahl with a definition of emergence and a definition of design based learning (and DB Research). It was the combination of semantic web, DBR and networked learning which made this an immediate must-go-to session for me. My research proposal is seeking to combine these aspects plus situated learning.

I probably won't be following DBR by-the-letter(s) as defined by some advocates. My application will to some extent be emergent. There will, as I envisage it, be several invitations for users to contribute to DBR but being asynchronous this needs to be factored in. All learners - users could contribute to successive iterations, but this is unlikely and once the numbers get beyond 10-15 it would become complex and difficult to make a sense of. Poll-based reconciliation might work? As per #2 above my plan would be that a number of subjects (web users) would provide views on their experience with the model and the future site. So it is DBR on a scale that befits a small-scale evaluation study. Tracey also mentioned Wang and Hannafin (2005) and their definition of DBR:

a systematic but flexible methodology aimed to improve educational practices through iterative analysis, design, development, and implementation, based on collaboration among researchers and practitioners in real-world settings, and leading to contextually-sensitive design principles and theories. (p. 7)

The context sensitive is were I see a role for situated learning. There are a couple of hierarchies that result. Situated learning brings in the community (- of practice), but Hodges' is firstly about the student, the care situation and their learning with the model, reflection and developing reflective practice. There are few examples of technology mediated group reflection, but the technical challenges of the group form make the individual starting point more realistic?

Simonson also cites the above and notes how DBR is pragmatic. My approach is pragmatic (that's why it's taking so long).

In Hodges' model I've written before how the interpersonal care domain, combines the INTRA (an individual's metacognition - their thinking about thinking) and the INTERpersonal (how they relate to the other). The NL conference and this past week at #ICIC2016 have helped me realise that this project may also possess this property*. As an intraproject and interproject (?) subjects (students) may engage at any of the following levels:

• Not engage in design questions at all / Read the intro materials on Hodges' model
• Read the intro materials / use the site for their case study purposes

Drupal can (I believe and have seen demonstrated) provide a great deal of web analytics from logs and reports. There is the prospect of taking this further using web analytics to inform the specific site locations subjects have visited. (For Hodges' model visual tracking would be an excellent measure but that is beyond me). There is a potential escalator of sorts here:

• Use the site for their case study purposes / comment on the usability of h2cm and the site
• Comment on the usability of h2cm and the site / See their web analytics data and my conclusions about this 
• See their web analytics data and my (other student's!) conclusions about this / Use their experience, knowledge and this feedback to respond to design questions

These design questions would then socio-technically span their nursing care learning and TEL. The project as a whole represents at its core the intra, its about the student's reflection and being reflexive. It could be that the project can progress to group and community. As posted previously I have highlighted the functionality of Drupal with respect to the semantic web. I mentioned Drupal in the discussion. The conceptual (and semantic) dimension that can be found within Hodges' model, the curriculum, the learner's vocabulary and development might facilitate that transition from individual to group? Since 2008 I've followed the development of RDF, semantic web in Drupal and the longevity of contributed modules and Drupal projects that have used them. Framing these observations with an emergent lens is fascinating in terms of the challenges, opportunities and tensions in nurse education, TEL and furthering Hodges' model.

I added the asterisk above as what follows from that point seems a long winded description of what is basically an experiment, with the attendant risks... I need to forget about the INTER and concentrate on the INTRA and yet both clamour for attention. Whatever follows must deliver something tangible for subjects^# to mitigate the risk and translate experiment into (some resemblance of) workflow? It can't be quod cum fit, however long 'after' may be...

(The terms intra-project and inter-project are not novel, see for example: http://eprints.qut.edu.au/31946/ )

The symposium paper

Simonson, M. (2006). DESIGN-BASED RESEARCH Applications for Distance Education. The Quarterly Review of Distance Education, 7(1), pp. vii–viii.

Wang, F. & Hannafin, M. (2005). Design-based research and technology-enhanced learning environments. Educational Technology Research and Development, 53(4), 5-23.

# students, subjects, users - all these terms may be applicable.

Papers, *actual* post-grad studies and a visit to Brian Hodges

Early last month I posted about planned trips to Sheffield and Lancaster Universities.

On the 4th I visited Paula Procter at Sheffield Hallam University, spending two hours there. Paula and I have known each other through informatics conferences since the late 1980s or early 90s and the British Computer Society Nursing Specialist Group. (Sadly this group and its publications are not as active as they used to be.) I really appreciate Paula's time and her key conclusion that rather than thinking about Hodges' model I need to apply my knowledge and experience with the model and DO something with it. In doing something with the model in a certain community - most likely residential care and nursing homes - I would also have a potential community of users for the new website. This was quite something to hear as I'm at that stage of my career when, shall we say - other possibilities beckon.

In the afternoon I travelled the short distance to meet Brian Hodges at his home. It was great to meet with Brian again and his wife. It was a lovely sunny afternoon as per the welcome and some cake! We reflected on the respective changes over the past five years and current events. Hot-off-the-press of course was my sharing the discussion with Paula and the planned visit to Lancaster University.

We agreed to meet again and not leave it so long next time. Brian has a desire to write again and and a prospective topic in dependence - independence. I hope this is something Brian can do and forward a photo for the (still) promised site. Brian now has copies of the most recent papers and the latest draft on recovery in mental health and the model.

On the Wednesday, after work I drove to Lancaster to discuss their PhD E-Research and Technology Enhanced Learning (thesis and coursework) distance learning.

At the start of last week a reserve place - for January 2015 became an offer of a place next month.

So, as of next month I will make a start. There is a residential week to look forward to at the end of March. Three second hand books from the reading list are ordered. There is a recommended video link too that invites repeat viewing, Etienne Wenger on Communities of Practice:

http://www.239productions.co.uk/wenger/

- and in the Nursing Informatics book I'm reading for review, on page 189 box 11.1 is on the same topic and referenced source Wenger, E..

I predicted quite some time ago about the post count decreasing here ... now I have an excuse and I plan on this including Drupal.

Critical Thinking - Gaining knowledge: Beginners + Experts = audience?

Clearing through books last month with several bound for the charity shops I came across Critical Thinking in Nursing: An Interactive Approach, by Rubenfeld & Sheffer, with the following table (p.30):

	BEGINNERS	EXPERTS
Ways of:
Gaining Knowledge	Assigned readings and asking authorities	Multiple written and verbal sources, and experience
Thinking	Dualistic	Relativistic
Using rules	Context free	Situation dependent
Looking at situations	Narrow	Broad

The table is not remarkable in its theme, but it is a useful prompt for Hodges' model and future studies. The concepts listed might help illustrate how Hodges' model can support learning. In addition to having an individual focus the model can consider any situation, hence the claim that the model is 'situated'. As stated previously person centeredness is not a given. It does not follow, nor is it achieved just because 'person centered' features several times in care philosophies and policies. The person must be put at the center of the model and then each of the domains considered together with the spiritual dimensions.

I'm also reading a nursing informatics book (posts and review to follow) that discusses casuistic ethics, that is case-based reasoning. While the utility of casuistry is debated in nursing, the need to consider the individual is always paramount. A prime example of the focus on the individual is the programme Inside the Ethics Committee on BBC Radio 4. Central to ethics are the frequent dilemmas that arise in health and social care, the difficult moral choices and dichotomies that must be faced. The model can be used in a context free way, that is considering rules in general; and also employed in specific contexts, such as a best interest meeting for a person recently moved into a residential care facility and distressed by the experience.

There are many dichotomies that can be identified in the basic model, and to a certain extent they reflect the dualistic thinking of the beginner as they build an understanding of particular fields of health care. As learners progress they integrate the concepts they encounter and are then able to associate these and relate them to prior learning, the current case and generate hypotheses that may also be predictive. Hodges’ model can frame and help represent student encounters be they narrow or broadening (recognising patterns). Gaining knowledge may need particular attention by the student (mentor and lecturer) in terms of the student's strategies for creating and protecting opportunities as a beginner and competent practitioner.

As a sign-off mentor I’ve become acutely aware – as required - of a learner’s level of skills and knowledge. What is their level of competence? What is their level of situational awareness? How are they progressing through their learning according to previous mentors and their own goals, learning objectives and evaluation? The concept of emotional intelligence is not new and still has the attention of researchers. Perhaps this could also inform questions for research into Hodges’ model as students elaborate their initial representations of nursing care, skills and knowledge through their course and ongoing as experts. Is emotional intelligence central to compassion in nursing? Encompassing all of these ‘ways’ in the table is reflection. This is not just for reflective practice but an ability to critique one's own practice and that of others.

The table is also helpful at this time considering future content and content types and the potential audience of a new website. The challenge is to emulate the table above in the way it reduces, simplifies very complex educational matters. Yesterday afternoon I was able to attend a very helpful two hour research clinic in Lancaster, following this I must (still) reduce the above questions and also recognise my own biases.

Rubenfeld & Sheffer (1994) Critical Thinking in Nursing: An Interactive Approach. 1st Edition, Lippincott Williams and Wilkins.

H2CM new website - A short-form project brief

In Dani Nordin’s Drupal for Designers, chapter 4 is includes a short-form project brief.

As I pack for Prague and another Drupalcon (my 6th!) and with PHPNW conference fast approaching it's time I re-visited my project brief:

1 Identify the Project Goals

According to Nordin a good list of project goals should be no more than about three bullet points.

1. To provide a new archive for Brian Hodges’ lecture notes and make these accessible and multilingual
2. To share / signpost papers to date and invite others to collaborate and share work
3. To highlight why Hodges’ model matters

Then Dani moved to personas and here I'll extend the above goals.

2 Identify the Audience

I am looking for student nurses, that is under graduates and post grad, indeed life-long learners within the field of health and social care. In seeking students the natural progression of this is to connect if possible with lecturers and faculty. Nordin lists several ways to characterise the personas through common aspects:

• Who they are
• What will win them
• What I need them to know
• Content focus

So immediately I can broadly identify and develop two personas:

Learners

Who they are: Student nurses, social work students including medicine and other health and social care disciplines. They will be seeking evidence in theory and practice, with sources and resources to apply to assigned work. They will also be open to ideas and techniques that can help them to structure and recall their learning.
What will win them: Make it easy for them to see what is offered, find what they seek, Brian Hodges' lecture notes, provide feedback on learning if students are willing to register and invest their time. Provide a responsive contact form to answer questions promptly. Link the content to evidence if, or as soon as possible. Make content relevant by allowing users to contribute to website's development and direction.
What I need them to know: I want to convey to them an understanding of Hodges’ model its purposes, structure, content and how the model might be applied in theory and practice.
Content focus: Lecture notes text and video; Quiz; Test; Certificate; h2cm grid; Case study template; Presentations; FAQ; Registration; Contact form; Polls; Bibliography; Biographies; Timeline; Photos.

Lecturers

Who are they: Health and social care related faculty, teaching on nursing, social work, learning disability and other programmes. A diverse range of subjects and disciplines could be included from mental health, acute care, community and across the life course.
What will win them: Illustrate the ways h2cm can facilitate learning the aspects of (for example) nursing, not only reinforcing the key concepts of nursing (care) but why they care.
What I need them to know: Understanding how h2cm fits within their respective curriculum. Gaining awareness of how can the model can potentially stimulate and challenge their students and complement assignments. Why Hodges' model is relevant at this particular time.
Content focus: Brian Hodges' lecture notes; Outstanding questions; Research directions; Blog; Contact form; Registration; h2cm examples.

On the old website I possibly over-egged the pudding in terms of 'audiences'. There is an introductory page for -

• students and lecturer; 
• patients and carers;
• the public (citizens);
• and managers with policy makers.

Nordin has a persona for The Sharer. There are people for whom this is their forte. Here though I would try to include sharing tools that might be utilised by specific audiences. So for lecturers ways sharing might be Academia.edu, ResearchGate and LinkedIn. Likewise there are student (social media oriented) communities.The content of the old was fixed - by me. This needs to change, so polls and discussion may help define what the students / lecturers would like to see, hear ...

3 Focus on Information Architecture and Content Strategy

Nordin is describing a website re-design and so am I with some simplifications. Taking step 3 literally and from reading having an information architecture is very important to me. Its importance is not just in earning a scout badge, but it may need to vary slightly across the site. Nordin's step three seems to emphasize content. I'm wondering about headings, subtitles and other structural and aesthetic points. How might these work and hopefully cohere across the archive and rest of the site? It is also the case of separating (in my head) information architecture and styling.

As to content strategy I've played and doodled with this on several occasions. There's even an A, B, C, ... about it if you check above.

4 Identify New Features or Technologies You Want to Include

Responsive design is as Nordin also indicates a must have for me. In successive Drupalcon keynotes Dries Buytaert has stressed the rise of mobile devices. It would be a major gain to have the archive readable by mobile and tablet users.

Thus far I've not made full use of video, Skype and even audio for delivering content. At Drupalcon Prague there's a session media management and the Scald module. I'm hardly a radio or TV station but as people say DO consider those things that you are not skilled at, or naturally drawn to. Slides and presentations both existing and contributions (or links) would also be a key content feature.

If a community can emerge this might also be that as Nordin suggests users can share internally within the site using (unconsciously) specific structures within Drupal. The latest means of classifying and searching a site will also be essential. Seeking to share h2cm with the world I've scheduled some sessions on leveraging the multilingual capabilities of Drupal 8.

Accessibility is another essential feature.

5 Upgrade, or Start from Scratch

This, thankfully, is not an upgrade. To the list in #4 I could have added database - a dynamic website because this is the primary need, the enabler. With that though comes complexity and responsibility. Website management then demands data be protected, secure, backed up, and this involves migration and upgrades. So, starting from scratch - yes, but with an eye to upgrading.

The NW Drupal meetings in Manchester and Drupalcon Prague program bring the news of the many new tools and changes in Drupal 8:

• Views in core;
• New configurable fields e.g. entity reference, date, e-mail and others;
• Multilingual changes;
• Blocks & Layouts;
• Responsive images and breakpoints.
  
  From Drupalcon Prague "Drupal 8 for Site Builders" session

In addition there is Symfony, the loss of some hooks, Twig a templating engine.

6 Figure Out Theming and CSS Issues

If .Net and Web Designer magazines inform us of two things it's the pace of change in tools and the range of tools. It's helpful then when those choices are reduced. This may be the case with CSS within Drupal and adopting a grid system, a point made by Todd Nienkerk (p.79).

There are some excellent themes and sub-themes within Drupal 7. Drupal 8 extends this potential. I posted previously about Omega.

To conclude:
I think there is an interesting project here, but thinking alone isn't going to get this done!

Hodges' model - Website, Blog and the UK Web Archive

Early this morning the blog threw a wobbly, at least on Firefox. The sidebar was being displayed below the main content. I take this as a sign that it's time to move on digitally. This evening the problem seems to have corrected itself.

Returning from holiday there was another sign, a tap on the shoulder. This was positive in that as I left for Italy (minus laptop) I had submitted the old website, first published online in 1998 to the UK web archive.

Well, they have accepted the proposal and would like to archive the website. I really appreciate this. I've to fill in a form and will also use this as an opportunity to do some Northerly autumnal cleaning. There may be some broken links and other edits to make.

This is quite apt then given the long winter of the website and this blog, especially as I prepare for Drupalcon Prague on the 22 September. As I've written here before one of the first 'menu options' of any new site will be to provide a new archive for Brian Hodges' original lecture notes.

If you are new to nursing, health and social care and reflection and are interested in using Hodges' model please let me know. There are contact options in that sidebar - if it's behaving itself...

Papers in process, book reviews and volcanoes

There are three papers currently in process. There is some good and bad news; plus some similarity with volcanoes. This is in the sense of active, dormant and extinct.

The papers are - with no prizes for guessing the common feature:

1. The Scope of Nursing and Hodges' model
2. Case Formulation (Conceptualization), Diagrams and Hodges' model
3. Recovery and Hodges' model

Two papers are active, that's Case Formulation and Recovery. On the stove is Recovery and it's cookin. I've two co-authors providing invaluable input.

I've just read Terry Marks-Tarlow's Clinical Intuition in Psychotherapy The Neurobiology of Embodied Response and a review will follow my recommending this book right now.

There's a review copy of another book in the post that I believe can inform the recovery paper:

Values-Based Commissioning of Health and Social Care (thanks CUP)

I'm sure the concept of values-based commissioning is a gift to Hodges' model and the recovery paper. A theme to return to on W2tQ. The paper includes the Recovery STAR and relates this to Hodges' model.

The case formulation effort is with my co-author, and after a meeting in Manchester one early evening may incorporate risk formulation too.

The good news is none of these projects are extinct. The first nursing scope paper was rejected. The nursing scope paper is dormant, but is stirring following the symposium on person centredness in nursing early in May 2013.

There are two other books to get to grips with and a project that is in danger of extinction. The sight of Vesuvius next month may help: shift matters.

Slides from IPH Conference Belfast 11 Oct 2012

Here are the slides from the IPH Open Conference in Belfast. There were several very helpful questions from the floor. With fifteen minutes for the presentation and ten for questions, the 23 slides were ambitious but they were delivered in the allotted time. Many aspects could be developed further and emphasized. In particular the way that public health policy and practice has switched from needs based approaches to assets. This also reflects the trend in self-care and the recovery model in mental health. (I have added needs-assets to one slide.)

If any public health - public mental health practitioners are interested in exploring the possibilities then please get in touch. After several presentations the issue here is to extend this work so as to be able to test and apply existing and found knowledge to say something new... 

A Framework to facilitate Integrated Public Health from Peter Jones

I greatly appreciate the votes received for the abstract, the organisers for what was a free event to attendees, and the support and hospitality of Prof. Kernohan. 

Additional link: The Health Well

Hello? University of Northumbria at Newcastle - and others ..

Although school terms and university semesters vary especially between the northern and southern hemispheres, I can often tell when a new academic year is upon us again. Not only that, but possibly a new cohort of nursing or other health care related students.

The signal is the visitors to the old website. The past week or so there's been a lot of traffic from University of Northumbria at Newcastle. Only the institution is listed, not individuals. And don't get excited about the numbers: we are talking 10s here not 100s and 1000s.

Those tens (still greatly appreciated!) could be even more significant if I could connect with someone. So if you are revisiting this blog and from UoN or any other institution please get in touch: h2cmng at yahoo.co.uk

I would really help to hear your views on:

What prompted your visit?
Who are you - what's your role, course and stage of learning?
How are you using the site and model (if at all) is it:

• as part of an exercise merely identifying models of nursing, aspects of nursing theory...?
• as part of a piece of (reflective) written work?
• applying the model to a specific context, case study, nursing (or other) discipline?
• as a critical nursing or informatics exercise?
• as an initial exercise to help assure holistic care?
• some other discipline and purpose perhaps?

What would you expect to find, what is missing?
What is useful and should be archived?
What sucks!
Is there something that you could add to a future site?
Do you have work on h2cm that I could highlight here on W2tQ?

There are many rich seams to dig here and if we can work together we might find some light.

There is someone at UoN I will approach if they are still there: quite possibly!

ICN Congress in Australia 2013: a symposium - you, me and another nursing colleague?

I posted previously about the aspiration of visiting Australia and presenting at the International Council of Nursing 25th Quadrennial Congress next May.


Instead of opting for a 15 minute concurrent session I am wondering about the possibility of collaborating with two other speakers to prepare a symposium session of 80 minutes. Copied below is a *draft* abstract that could be adapted to include and reflect other speaker’s motivations and interests. The word limit is 250 including title and author details. It would be marvellous not only to present h2cm at the ICN, but sharing the challenge to produce a presentation that is coherent and informs nursing theory and practice today and tomorrow.

The deadline for abstracts is 14th September so if this is going to happen it needs to be very soon; otherwise I will submit an abstract for a 15 minute session.

If you are interested please get in touch. There may be points I have missed, for example I plan on staying for three weeks. If you have a place I can stay with a teaching opportunity I'd be very grateful for your support and the teaching/learning opportunity. Please spread the word...

I know this approach is unorthodox, but this is 2012. If this does not happen next year there may be other opportunities. Thanks for listening...

Draft abstract:

A global health care model for the challenges of twenty-first century care and self-efficacy

You?, me & presenter three?

Nursing is a discipline and profession with global aspirations in terms of supporting health for all. Professional recognition of nursing has in part been gained through the development of nursing theory and models of nursing. This presentation argues the need for a global, generic conceptual framework that has relevance for all nurses and citizens. While there is a marked variation - often for good reason - in nursing curricula having a common framework can provide a foundational standard, a conceptual basis for nursing that can serve as a common currency for dialogue.

Hodges' model, a conceptual framework created in the mid 1980s is the focus. This symposium is presented in three parts. Firstly, the characteristics of the model including its structure, content and original purposes are explained. Secondly, the model is demonstrated by mapping the themes of this congress. This exercise utilises the model’s knowledge domains, namely sciences, sociology, politics, interpersonal and spiritual. Finally, a critique is provided. As I seek to listen to patients, why should you listen? What does a 1980s model of nursing offer to professionals in the 20th century? Where do the values of nursing reside in what is yet another model of care, and how can this model affirm the positive aspects of nursing, global health care, well-being and self efficacy? What directions are there for further research? Additional resources will be signposted.

Image source: http://www.ausbird.com/

25th Int. Council of Nurses (ICN) 25th Quadrennial Congress: Equity and access to health care (seeking co-presenters & sponsors)

Copied below is news about the 2013 International Council of Nursing Congress. There are lots of details to follow including the cost of registration. The call for abstracts invites submissions - in ONLY ONE of the following categories:

• Concurrent session: A paper 15 minutes in length.
• Symposium: An 80 minute session with a minimum of three speakers presenting on a single theme from different perspectives. Speakers presenting a symposium must submit a single joint abstract.
• Poster: A visual presentation for display on a poster board.

I plan to submit an abstract but wonder if anyone reading this would be interested in a symposium presentation?

We would each cover our own expenses and so to this end I am now saving, seeking prospective financial support and sponsorship! I would of course be pleased to work with co-presenters in applying h2cm to their work and would relish the opportunity of learning from others.

As per the single joint abstract, the symposium would demonstrate Hodges' model in three nursing disciplines / care contexts, each related to the Congress theme:

Equity and access to health care

If you are interested in this possible adventure please get in touch h2cmng at yahoo.co.uk and then we can explore this further. I am especially interested to work with a student nurse and nursing colleagues working / teaching in a development context.

In February 2011 on the visit to Colombia I came my closest ever - within five degrees - of the equator. Australia would be an amazing journey not only because I have family there, but if in addition to furthering knowledge of Hodges' model I can share the experience with readers.

[This submission was unsuccessful.]

Many thanks
Peter J. @h2cm

Online abstract submission now open for the

2013 ICN Congress

Geneva, Switzerland, 16 April 2012 - The International Council of Nurses (ICN) is pleased to announce the opening of online abstract submission for its 25th Quadrennial Congress and CNR in Melbourne, Australia. Equity and access to health care is the theme of the conference, which will take place from 18-23 May 2013. Instructions for the submission of abstracts and details on the themes to be addressed can be accessed at .... ICN invites nurses and others around the world to share their ideas, research and expertise by submitting abstracts for the scientific programme. The deadline for abstract submission is

14 September 2012.

ICN is in the final stages of developing a rich four-day scientific programme, offering four plenary sessions, including a debate, and 18 main sessions with 54 international speakers confirmed to date. Key subjects for plenary and main sessions include gender equity, the epidemic of non-communicable diseases, the tension between personal and societal responsibility for health, wellness and prevention, the nursing workforce, ethics/human rights, clinical care and patient safety. The Council of National Representatives, ICN’s global governing body, will also convene in Melbourne just prior to the Congress, from 16-19 May 2013.

Key dates for the ICN 25^th Quadrennial Congress and CNR

•      16 April 2012 - Online submission of abstracts opens
•      14 September 2012 - Online abstract submission closes (midnight CET)
•      14 September 2012 - Registration opens
•      1 December 2012 – Notification of abstract acceptance
•      11 January 2013 – Registration deadline for abstract presenters
•      14 February 2013 - Early bird registration closes (midnight CET).

To keep up with all the latest information on the Congress programme and related events, visit the Congress website ...

Mental health follow-up II: Drupal ScienceCamp Cambridge 20-21st Jan 2012

After the birds of a feather (BoF) session in Cambridge last month I spent an hour chatting to Beatrice and Matthew Taylor who share my interest in mental health and Drupal.

Since that Sunday morning I've exchanged emails with them both and am sharing some points here raised by Matthew. ...

Matthew:
There are lots of things that I'd like to talk to you about. I've been browsing your pages on the Hodges' Model and I'm really impressed. You've done a huge amount of work.

PJ:
Thanks for that! A lot of the content in the website is quite dated and the HTML & styling reflects this, but positive feedback is always very welcome and I also greatly appreciate your bringing the repeated paragraph in the Michel Serres paper to my attention (corrected now).

Matthew:
It seems to me, on first reading, that you're looking at things from within an institutional setting and that I'm on the outside. However, I can see that there are ways in which the two perspectives could overlap and that the technology now exists that can facilitate the testing of the fit between different health models (and their creation in the first place).

PJ:
Yes, I'm looking at things from an institutional setting in terms of working within the NHS (with regular social care contact), being on the service side of the nurse education system, and working amid a mechanistic medical system that also seeks to be (psycho-)social in orientation. H2cm - Hodges' model however, helps to provide flexibility in the perspectives we can adopt.

In that respect I left the 'institution' in 1985 to work in the community. Your point Matthew is a very useful reminder about not taking things for granted and to what extent is 'community care' free of the institution? What has the institution (of old) become?

I suppose the other side to this is that you are not on the outside. Instead of pushed into the nooks and recesses of individual minds, we need positive mental health to be pushed into the open. The community, the commons, society. We need an infusion of insight to combat stigma and a misalignment - holistic asymmetry - in physical and mental health education and delivery.

Matthew:
As you probably gathered, the direction that I'm coming from is that of personally managed mental health care records. Here are some of the websites that I'm using as guides:

http://indivohealth.org/
http://ontology.buffalo.edu/smith/

PJ:
These website are well worth knowing about - thanks very much. I'll explore them in more depth. Making enquiries (seeking guidance) on my research aims it was suggested to me just before Christmas (c/o Wolverhampton University) that my work seems to be more about ontology than a literature search. I've realised this for quite a while. Key attractions of Drupal include its RDF functionality and the examples provided by specific modules such as Neologism.

Matthew:
I'm currently building an ontology for mental health (from a virtual world perspective) using OBO edit http://oboedit.org . My objective is to embed the ontology in a Drupal website http://www.playsthething.org.uk/ that also exists to promote a conference on well-being.

PJ:
I'm clear that I'm not about to create a mental health record system, truly fascinating a project as that may be (especially in some sectors). There are proprietary and open source solutions out there. I'm also aware of problems with the uptake of Google's, the NHS's and Microsoft's respective attempts to engage with the self-maintained and managed e-record. Drupal's appeal for me also lies in e-learning and using Drupal educationally.

If you've a specific objective in mind Matthew then that immediately cuts through my concerns and that's excellent. I'm lost in my own bag of potential users and requirements. The thought of embedding a health ontology into Drupal is an exciting prospect. I wonder if there is a basic ontology that could fit with h2cm (as one or more conceptual spaces)?

Matthew:
I've been asked to guest edit a section of ArtsProfessional magazine, coming out in May, that will be focused on arts and well-being. I'm going to use it as the opportunity for launching the 'Moonshot for Mental Health' that I touched on at the Cambridge Drupal conference.

If you'd like to write something for the magazine/website on the theme of arts and well-being (and why we need a moonshot for mental health) then just let me know. I can let you know more if you'd like to follow this up.

PJ:
I really would like to contribute, so although I work full-time please do f/w more details.

Last summer in Warrington at Disability Awareness Day (DAD) (July 15 for 2012) I came across (the magazine) Reflections. Specific examples of art were also displayed at this event at Walton Park by 5 Boroughs Partnership NHS Foundation Trust and others. There is so much more that the arts can offer in mental health and the residential care / nursing home sector.

Matthew:
I'd be delighted if you were able to promote a Drupal/MH meeting. I'll start putting something together. Let me know if you have any ideas.

PJ:
I will and would be pleased to assist. There may be scope for a venue in the NW - I could make enquiries at least. There is always Munich and the European Drupalcon this summer!

Thanks for getting in touch Matthew. Lovely to share and talk shop with you and Beatrice also. I hope we can meet again.

Matthew Taylor

...

1st Int. Congress of Nursing Models and Theories: Colombia 24th-25th Feb. 2011

I am delighted to report the news that the

Health Care Domains Model

will feature at this International conference.

In November I received an invitation to be one of the main speakers from the Grupo Gics Investigacion Team; and so next month I will be heading south to Paipa, Boyacá, Colombia.

This prospect would not be possible without the support of the conference organisers - GICS and Prof. Wilson Canon Montanez, Nursing Faculty of the University of Santander UDES (Bucaramanga-Colombia) and my employer Lancashire Care NHS Foundation Trust.

Recently a group of Nursing Faculties of three major Universities in Colombia (Universidad de Santander UDES, Universidad Pedagogica y Tecnologica de Colombia UPTC y Universidad de los Llanos UNILLANOS) have come together to organize the First International Congress of Nursing Models and Theories.

This congress will be held in the city of Paipa-Colombia 24 and 25 of February, 2011:
http://www.uptc.edu.co/eventos/cong_enfermeria/index.html

I very much look forward to this trip for several reasons:

• New people to meet and things to learn.
• This invitation literally puts h2cm on the map (so I must deliver)!
• It is marvellous to see faculty and nurses in Colombia re-invigorating thought about models of nursing.
• I have never travelled this far south - how will Orion look?

This will be a great adventure, but before then - where's my checklist: presentation(s), jab, tabs, passport...

W2tQ: Wacky races - global health care and stereotypes

Since adding the clustermaps and flag counter I've been following the 'trends' of number of visitors. I'd hoped in summer 2009 I might in 6 months reach 500 daily readers of the feed for W2tQ. That total still eludes me. The flag counter is ongoing and 'scientific methods' aside it is interesting to reflect on progress there.

When I first thought of this post it was to be read to the tune and commentary of 'It's the Wacky Races!' This is not to cock a snoop at the participants, but the tongue-in-cheek nature of this post.

There are no surprises in the clear leader with the US way out in front. In terms of the target audience - everyone is very welcome as the message of this blog: is global. Within the flag counter there are some surprises. This may suggest the universality of English on the web and also the increasing effectiveness of translation tools. Or, people can see - and read - that there is a health, education and informatics currency in h2cm.

Here are the flag counter images from December 2009 (left) and January 2011 (right). In both the US, GB, Canada are out in front. India is right there as Germany puts on the gas. Despite being stuck in the sub 450 range with feedburner, it's great to see the global progress that W2tQ is making. I'm not sure what happened to the 'EU', it was there initially with '15'. It looks like they've punctured or something?

I wonder if to some extent there is the same stereotyping at work within the global health community as between the health and social care disciplines? Not just within some nations - but within local 'multidisciplinary teams'? How aware are we of what other disciplines do? How do they complement our role? How can we increase our combined impact?

Many of the developing countries are now represented as visitors to W2tQ. How well, from Lancashire, UK can I understand their daily ride? What problems are faced by health care workers in this range of nations? What resources do they have to call on - within and without their communities.

I hope this blog* can act as a springboard - not to a race, but to community building and collaboration. We all have much to learn from each other on our respective journeys. As you lean out of your car(e) window, I wonder what you see?

*Or more accurately the Drupal powered site that must follow!

Drupal musings 10: Archive & FAQ

There are now three archive pages more or less complete. I'm using HTML 5 and CCS3 (well trying) to mark and style the pages, with the addition of the new semantic tags:

article, aside, figure, footer, header, hgroup, menu, nav, section {display:block;}

(I'm not sure if these disappeared at one point in the editor, so everything is a work in progress.)

Next up - the FAQs. As a live document this will be styled differently. As yet I am not quite sure how, but I still need to sort the way to handle quotes. The method I found includes blockquote: hover: after in the style sheet, then combines blockquote, cite and p on the page. The problem is you can't copy and paste, something that visitors may wish to do. A related issue is how to display when the page was updated and accessed - an essential piece of page furniture. A search reveals many other examples and now is the time to experiment.

I also have to remember that I still don't know what the final theme and look for the site will be. So global settings, columns and such like need to be kept in-check for the moment. There may be Drupal modules to add page access / updated details, so time to check on this and accessibility. And all with just ten days more to work - then Drupalcon! :-)

The questions and answers are being be completely revised; so if you have any you would like to see please get in touch: h2cmng at yahoo.co.uk

Drupal musings 9: Copenhagen next month & the archive

With less than a month to go now until Drupalcon 2010 in Europe - Copenhagen; it's time to look at the program and the tracks available.

Already, the session choice is dizzying. In the mix is -

• Designing UI with Seven, Mark Boulton
• Semantic Taxonomies, Johannes Wehner
• Add a mobile version to your Drupal site, Martin Jørge
• Imaginary users can save your Drupal site, J-P Stace
• Writing Better CSS for Drupal, Maarten Verbaarscho

It will be worthwhile considering previous events and sessions attended and building on the content there. I must also check on the education app related sessions, birds of a feather.

I showed someone the styled archive pages - apparently they look old - good to hear! ;-)

Drupal musings 8: Styling the archive

I've been editing the basic html pages (as mentioned before on W2tQ) these include:

• Brian Hodges' introduction with a content listing and the scope of the model to help bridge theory and practice.
• My introduction to the model based on an interview with Brian conducted 28th May 1998 in Manchester, England.

I've been here before and lost the thread, working within Drupal. This time though editing the pages in Textmate, things are taking shape. Three headings, three fonts (currently) Georgia, Droid Serif, Tangerine; styled lists and striped tables. It might be basic, but there is a style sheet that is almost breathing as it INFLATES : deflates, the result of various experiments. The fonts look good except for the FOUT 'flash of unstyled text'. As the previous link shows there are some fixes for that - which I hope will follow in due course. That would be a distraction at this point though as there is much to focus upon. Although the archive will have a style of its own, other parts of the site must reflect its content. That said, there still needs to be some stylistic coherence. ...

Written in Padstow, Quayside Cottage listening to a children's show on the bandstand.