A Scope with the Big Picture in Mind

Coverage plans are ready for NASA’s Nancy Grace Roman Space Telescope prelaunch and launch activities. Roman is NASA’s next-generation observatory designed to explore some of the universe’s biggest mysteries, including dark energy. NASA and SpaceX are targeting Roman’s liftoff for no earlier than 7:26 a.m. EDT Sunday, Aug. 30, aboard a SpaceX Falcon Heavy rocket from Launch Complex 39A at the agency’s Kennedy Space Center in Florida. Launch coverage begins at 6:20 a.m. Live coverage of these events will stream through a variety of platforms. Learn where to watch online: 

https://www.nasa.gov/live ...

individual

|
INTERPERSONAL : SCIENCES             

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

SOCIOLOGY : POLITICAL   

|

group

education for ALL life chances Nancy Grace	STEMM Observation Scale
ROMAN Girls - Women in Science	Political investment in Science for Public and Planetary Good

See also:

Nancy Grace Roman

https://science.nasa.gov/mission/roman-space-telescope/

Previously: 'women' : 'astronomy' : 'big picture'

ii Book: 'Complexity in Health Care - A Paradigm Shift for Clinical Practice'

I didn't have time to finish reading Frankel et al. before WCCS26. This book has an index which was very useful, to efficiently check certain points. It is amazing the number of books without an index.

Chapter 1 is 'Guiding Principles' and links really well with the index. At two pages it is brief and yet also constitutes Part 1. 

Part II The Clinical Situation, continues an introductory thread. Chapter 2 The “Clinical Situation”: An Introduction to Its Structure and Complexity is what attracted me to the book. At five pages, there was more in this vein. I looked ahead and found that the chapters all seemed short. Checking the book's web page, 50 chapters in 270 pages, so just over 5 pages and well referenced too.

Initially, you might feel short-changed, of course, I didn't with a review copy. But don't worry. You are in patient- person-centred hands here. Sometimes content matters. The three authors work and are researchers in psychiatry. For me, the guiding principles and part II provide a handshake with the index. The person here then, is given a literary hug. Immediately, there is a link between the variables of care and the structure of a case (or caseness). 

'But importantly that "structure" is dynamic changing over time. We classify variables as "clinical" as they are brought into play for the purpose of treatment, i.e., the goal of healing.

The clinician is not just challenged to unravel this complicated situation but also to represent the patient accurately, including his or her "human" elements as represented by temperament and personal attitudes. What are the patient's essential needs. tolerances, preferences? Yet, there is even more to know about each patient. Does she have children? What is her financial status, her ethnicity? What are her attitudes about medical professionals. Does she believe in medicine, or even in science?

Beware! None of these factors are dispensable when trying to understand a patient. Just try to leave out a few and you are left with a gutted rendering of that person, not a living human being.' p.7. 

(and continued in fragmented form below ...)

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

'The result even when this level of detail, is available may still be an anemic version of the patient.    Traditionally a medical patient is subjected to an extensive workup that includes a mental status examination, in addition to a detailed past and present history, ...	... and an extensive "review of (organ) systems.
Now add the multiplicity of problems, psychiatric and systemic medical, from which the patient suffers. ...	Multiplicity may include systemic medical, psychiatric, social, financial, and lack of access to health providers.' p.7.

'From this description it seems logical that complex patients presenting with mixed medical-psychiatric disorders be managed with an ongoing collaborative approach delivered by a multispecialty team. Included may be a primary care physician, psychiatrist, and/or psychotherapists. One or more of the collaborating professionals may be a nurse practitioner and/or a physician's assistant.' p.7

I will return to the 'logical' in the final quoted paragraph above. The author's declare their intent from the outset, and by the literature-to-date they achieve this (may I please add? 'in spades!').

 

Over the years and as raised on W2tQ, several colleagues and contacts have asked "Where is the book on Hodges' model?" Not to sound weird, but this book asks that same question through some challenges to the usual 'medical' text. There are several lessons to take away here, even if only to keep a dream alive. While the physical size of a textbook, its practical appeal and stance makes it appear as something to pop in your top shirt/jacket pocket. A pocket guide: quite an impression just 10-20 pages in, and in this digital age.

 

As you would expect from mental health practitioners - psychiatrists - psychotherapists, interpersonal, subjective-objective and intersubjective factors are integral to how complexity is defined and measured. In Chapter 2, pp.11-12 there is mention and reference to the Value-Based Integrated Case Management Complexity Assessment Grid:

Specker, S., Andrew, R., Drexler, E., Koithan, E., Thurber, S., & Frankel, S. (2026). Development of the Self-Administered Health Complexity Screening Instrument. Professional case management, 31(2), 81–89. https://doi.org/10.1097/NCM.0000000000000845

I will check this instrument as I complete this review. As noted on April 9th this book was published in 2023, so I remain grateful to Daniela and colleagues at SpringerNature for the review copy (which also enjoyed WCCS!).

Previously: 'complex' : 'holistic bandwidth' : 'mental health' : 'person(-centred)'

More to follow ...

Steven A. Frankel, Steven D. Thurber, James A. Bourgeois (2023) Complexity in Health Care: A Paradigm Shift for Clinical Practice. Cham. Switzerland: Springer. ISBN: 978303114948.

Is there such a thing as the holistic bandwidth of 'resilience'?

In preparing my presentation for World Conference on Complex Systems 2026 (WCCS26) next month^, I am reading:

Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience

ABSTRACT. We pursued the following three interconnected points: (1) there are unexplored opportunities for resilience scholars from different disciplines to cross-inspire and inform, (2) a systems perspective may enhance understanding of human resilience in health and social settings, and (3) resilience is often considered to be fractal, i.e., a phenomenon with recognizable or recurring features at a variety of scales. Following a consideration of resilience from a systems perspective, we explain how resilience can, for analytic purposes, be constructed at four scales: micro, meso, macro, and cross-scale. Adding to the cross-scale perspective of the social-ecological field, we have suggested an analytical framework for resilience studies of the health field, which incorporates holism and complexity by embracing an ecological model of cognition, something supported by empirical studies of organizations in crisis situations at various spatial as well as temporal scales.  

Key Words: human resilience; organizational resilience; resilience; resilience engineering; societal resilience 

Since the turn of the millennium, it appears 'resilience' has exploded across the media, and literature. As a result, it has also been viewed negatively by mental health service advocates, and activists as they decry the run-down state of formal services. The 'recovery model', undoubtedly closely associated with personal resilience is not the only answer.

This paper is helpful, in several respects but specifically to illustrate the idea of how Hodges' model can frame holistic bandwidth, across its care / knowledge domains.

INDIVIDUAL

|

    INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

individual - emotional - mental resilience	resilience engineering
human & societal resilience	organizational resilience

 

I think the answer is yes. 

But, what do you think (h2cmng AT yahoo.co.uk)?

Bergström, J., & Dekker, S. W. A. (2014). Bridging the Macro and the Micro by Considering the Meso: Reflections on the Fractal Nature of Resilience. Ecology and Society, 19(4), art22.
https://doi.org/10.5751/ES-06956-190422

 

See also:

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.  

 

Previously: 'complexity' : 'resilience' : 'holistic bandwidth' : 'fractal'

^Fingers x'd!

Optimism - Pessimism c/o Baggini & Macaro

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

Cognitive flaws, or psychological adaptations? 'Van der Lugt: "reality confound" ... Optimists believe they have more control over what happens than they actually do.'   Dunning-Kruger Effect:  people tend to overestimate their own expertise. Baumeister:  "The negativity effect"   Norem: "defensive pessimism"	Optimism and Pessimism are independent scales. 'Age also makes a difference, for the simple reason that life and its potential future vary accordingly.' 'Designated Cassandra'^ Rotation of role. 'When your prospects are bleak, a gloomy outlook is realism, not pessimism.'
'... how optimistic we feel depends not just on us, but on our life circumstances.  Think about how race, class and social inequality have real impacts on life chances.'	'In western culture, optimism is valorised more than pessimism.' 'To suggest that people struggling in an unequal system should simply adopt a more positive attitude is to turn social and economic problems into psychological ones.'

^With apologies.

Source: J. Baggini, A. Macaro. In defence of pessimism. Or. why optimism is not quite a prerequisite for achieving a valued goal. FT Weekend Magazine, 1131: June 28, 2025, pp.18-20.
https://www.julianbaggini.com/in-defence-of-pessimism/

Books noted in the above article:

Sharot, T. (2011). The optimism bias: A tour of the irrationally positive brain. Pantheon/Random House.

Tierney, J., & Baumeister, R.F. (2019). The power of bad: How the negativity effect rules us — and how we can rule it. New York: Penguin.

Van der Lugt, M. (2025). Hopeful Pessimism. Princeton University Press. https://doi.org/10.2307/jj.17707125

See also:

Baumeister, R. F., Bratslavsky, E., Finkenauer, C., & Vohs, K. D. (2001). Bad is stronger than good. Review of General Psychology, 5(4), 323–370. https://doi.org/10.1037/1089-2680.5.4.323

Nurses - Ask 5 complimentary questions

I received an email from RCNi subject heading - 'Q. What questions are nurses asking?'

An invitation to sign-up and ask five free questions: https://rcni.com/ask 

Question 1

Is there a model of care, or nursing that encompasses the sciences, mental health, sociology and political domains of care?

Several models of care and nursing frameworks integrate diverse domains beyond purely biological aspects, encompassing scientific, mental health, sociological, and even political dimensions. These models emphasise a holistic approach to patient well-being, recognising the complex interplay of various factors in health outcomes.

• Social Model of Health: This model focuses on salutogenesis, examining what contributes to health rather than just illness, by considering broad social, economic, environmental, and cultural influences on an individual's well-being .
• Person-Centred Nursing Framework: This framework extends beyond individual biological health to include the person's intricate cultural context, family, spirituality, and life experiences, defining health as encompassing intellectual, social, and spiritual dimensions .
• Biopsychosocial Model of Care: This approach integrates biological, psychological, and social factors to address a patient's holistic needs, moving beyond the biomedical model's sole focus on physical illness .
• Dual Registration Degrees: Educational programmes for nurses and social workers combine life sciences with social work principles, law, and policy, preparing professionals to understand factors influencing health, social justice, structural inequalities, and anti-discriminatory practises .
• Multidisciplinary Team (MDT) Care Model: While not a nursing model itself, the MDT approach enhances patient care by integrating expertise from various professionals, including specialist doctors, nurses, psychology counsellors, dietitians, and pharmacists, to deliver individualised treatment plans and coordinate care .

Modern healthcare increasingly recognises the necessity of comprehensive care models that extend beyond traditional medical approaches. These integrated frameworks, including the social model of health, person-centred nursing, and the biopsychosocial model, provide a foundation for understanding and addressing the multifaceted nature of health, incorporating scientific, mental health, sociological, and policy-related aspects to improve patient outcomes. [Five references provided - hence poor formatting in transfer.]

Question 2

What model of care has the conceptual scope to critique parity of esteem in mental health nursing?

Critiquing the concept of parity of esteem in mental health nursing requires models that move beyond a purely biomedical focus to embrace holistic, person-centred, and culturally sensitive approaches. These models emphasise equality, social justice, and comprehensive care, addressing the historical imbalance between physical and mental health provision.

• Biopsychosocial Model: This model offers a conceptual framework to critique parity of esteem by considering biological, psychological, and social factors in a patient's health, aiming for holistic needs rather than just biological ones . It contrasts with the biomedical model, which has historically led to paternalistic decision-making in healthcare .
• Culturally Sensitive and Competent Care: Essential for critiquing parity of esteem, culturally sensitive care requires nurses to appreciate diverse cultures and adopt personalised, flexible approaches to mental health support . Culturally competent care, underpinned by equality and diversity principles, involves behaviours and attitudes that value patients' diverse backgrounds, improving satisfaction and outcomes .
• Person Centred Care: This approach is crucial for addressing the historical paternalism in healthcare, ensuring patients participate in decisions about their care and re viewed as individuals with unique experiences rather than just labels or symptoms . Recent mental health reforms, such as the Mental Health Bill 2025, aim to embed person-centred and equitable care further .
• Holistic Care: The Nursing and Midwifery Council (2024) emphasises assessing spiritual needs to provide effective holistic care, recognising that "seeing the whole person supports better care" . This aligns with the biopsychosocial model's aim to meet holistic needs and challenges the organisational and practice divisions between mental and physical healthcare .

Effective critique of parity of esteem in mental health nursing necessitates a shift towards models that integrate biopsychosocial, culturally sensitive, and person-centred approaches. These frameworks are vital for fostering equality, social justice, and comprehensive care, moving beyond traditional biomedical limitations to address the full spectrum of patient needs. [Eight references.]

I'll leave it there. I think. PJ

<>

My emphasis: In the spring I tried to engage and see if I could write a short article about Hodges' model for RCNi. After an online chat and following up by email, Hodges' model isn't for them apparently. It was kindly suggested that I try another journal.

I must improve my prompt writing.

I must improve my prompt writing.

I must improve my prompt writing.

I must improve my prompt writing.

Nurse, you must improve your prompt writing ...

Seeking Alpha?

OK. I admit it. I submit!

Despite many posts tagged economics, references to capitalism, the recent reading of Prof. Borras's 'Health and Health Care Inequities', it looks like the search for 'alpha' has won out.

Health, healthcare, health systems and health services, universal health coverage, universal access, planetary health, social care and more SDG3 are playing catch-up. This is inevitable. That is clear, as and in the lives we live.

We shouldn't be ashamed. 

As curricula (by and large), medicine, and academia keep telling us:

health care is bio-medical, or at best bio-psycho-social.

Business, commerce, neoclassical economics, in short - Capitalism holds sway within the political domain. It influences policy, sustains the existing ill-health care system paradigm. Without which, we must acknowledge of course, COVID, and other threats, the ageing populations in many nations ... society as we know it would be in serious trouble, if not at risk of collapse.

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

psycho-	bio-medical
-social	"What Is Alpha? Alpha (α) is a term used in investing to describe an investment strategy’s ability to beat the market, or its “edge.” Alpha is thus also often referred to as excess return or the abnormal rate of return in relation to a benchmark, when adjusted for risk."

The literature in the past has identified the risks of free-ranging reflection. Two sources are referenced in the paper published this month:

61. L. Platt, “The ‘Wicked Problem’ of Reflective Practice: A Critical Literature Review,” Innovations in Practice 9, no. 1 (2014): 44–53. 

62. A. de la Croix and M. Veen, “The Reflective Zombie: Problematizing the Conceptual Framework of Reflection in Medical Education,” Perspectives on Medical Education 7 (2018): 394–400.

There is a truth here, however. It looks to me like the economists, politicians, and policymakers are engaged in navel-gazing.

To fully apprehend health, healthcare, and prevention in the 21st century we must reflect upon and think critically biopsychosociopolitically.

Then collectively the disciplines, embedded in the spiritual 

ALPHA CARE 

is presented to us.

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

What is Alpha? - https://www.investopedia.com/terms/a/alpha.asp

Image: https://iconscout.com/icons/alpha

Reflective equilibrium and equipoise

I can't believe, or don't want to, that it's nearly 15 years since I posted - 

h2cm and clinical equipoise in 2010. 

The post didn't try to be 'technical', but perhaps demonstrates the journey here.

In a post to follow, in London 4-7th July I came across a book by Edouard Machery and upon return up north, found a paper which refers to reflective equilibrium. This, one again technical or not, is a purpose of Hodges' model.

Machery, Edouard, Philosophy Within Its Proper Bounds (Oxford, 2017; online edn, Oxford Academic, 24 Aug. 2017), https://doi.org/10.1093/oso/9780198807520.001.0001, accessed 24 June 2025.

Reflective equilibrium has an entry in the The Stanford Encyclopedia of Philosophy:

'If you believe that conduct in some case is right or wrong, you have a moral judgment or intuition. Perhaps you have many such judgments about different cases. You might, nevertheless, consider that judgments alone do not justify the moral views they express. You and your moral interlocutors might be concerned that “what we actually accept is fraught with idiosyncrasy and vulnerable to vagaries of history and personality” (Elgin 1996: 108) or displays “irregularities and distortions” (Rawls 1971: 48).

John Rawls proposed to address these concerns through the method of reflective equilibrium.We first ensure that our judgments are considered, being made in circumstances appropriate for moral deliberation. We are then to consider general principles that might accommodate our set of considered judgments—and more than that, explain and extend them. On the standard wide reflective equilibrium, we are to consider

all possible descriptions to which one might plausibly conform one’s judgments together with all relevant philosophical arguments for them. (Rawls 1971: 49)

This requires that we reflect on a wide range of principles, arguments, and theories. Equilibrium is reached where principles and judgments have been revised such that they agree with each other. In short, the method of reflective equilibrium is the mutual adjustment of principles and judgments in the light of relevant argument and theory.'

The encyclopaedia entry is informative for studies here. I will revisit clinical equipoise in the near future; and bring in the idea of 'holistic bandwidth'.

Knight, Carl, "Reflective Equilibrium", The Stanford Encyclopedia of Philosophy (Spring 2025 Edition), Edward N. Zalta & Uri Nodelman (eds.), URL = <https://plato.stanford.edu/archives/spr2025/entries/reflective-equilibrium/>.

Rawls, John, 1971, A Theory of Justice, Cambridge, MA: Belknap Press of Harvard University Press.

Reflection = 'navel gazing'?

Individual and Collective reflection ...

THE NEED FOR HOLISTIC BANDWIDTH

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

Reflection Critique of reflective practice Risk of navel gazing
	"GLOBAL BRITAIN" 'Rules-based order' in the 21st C? Government - Governance Preoccupation with COVID-19, Brexit ... "We have not had enough bandwidth to deal with International issues to use our position on the security council and in the G7 ..." Jeremy Bowen Risk of navel gazing*

BBC Radio 4, Today, 25 October 2022 c.0816. Jeremy Bowen, International Editor.

Related:

Horta, H., Veloso, F., & Grediaga, R. (2010). Navel gazing: Academic inbreeding and scientific productivity. Management Science, 56(3), 41.

Ronald J. Pelias. (2009). Pledging Personal Allegiance to Qualitative Inquiry. International Review of Qualitative Research, 2(3), 351–356. http://www.jstor.org/stable/10.1525/irqr.2009.2.3.351

*A constant consideration here.

 

Mathesis Universalis - Caresis Universalis ..?

Frontispiece of Operum Mathematicorum Pars Prima (1657)
by John Wallis, the first volume of Opera Mathematica
including a chapter entitled Mathesis Universalis

 

 

 

"Mathesis universalis (from Greek: μάθησις, mathesis "science or learning", and Latin: universalis "universal") is a hypothetical universal science modelled on mathematics envisaged by Descartes and Leibniz, among a number of other 16th- and 17th-century philosophers and mathematicians. For Leibniz, it would be supported by a calculus ratiocinator. John Wallis invokes the name as title in his Opera Mathematica, a textbook on arithmetic, algebra, and Cartesian geometry"

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

progress?	progress?
progress?	[PROGRESS?]

Also from: https://en.wikipedia.org/wiki/Mathesis_universalis

René Descartes

In Descartes' corpus the term mathesis universalis appears only in the Rules for the Direction of the Mind.^[1] In the discussion of Rule Four, Descartes' provides his clearest description of mathesis universalis:

Rule Four

We need a method if we are to investigate the truth of things.

[...] I began my investigation by inquiring what exactly is generally meant by the term 'mathematics' and why it is that, in addition to arithmetic and geometry, sciences such as astronomy, music, optics, mechanics, among others, are called branches of mathematics. [...] This made me realize that there must be a general science which explains all the points that can be raised concerning order and measure irrespective of the subject-matter, and that this science should be termed mathesis universalis — a venerable term with a well-established meaning — for it covers everything that entitles these other sciences to be called branches of mathematics. [...]

— René Descartes, Rules for the Direction of the Mind; translated by John Cottingham^[4]

Carvalho - "The Paths to Narrow Identities" 2021

"The Dasgupta-Goyal Model of Narrow Identities"

Seeking the logic(s) in the 'health career' model

  

 

 Self - Individual - Person
|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

Community - Group - Population

"DG recognize that narrow identities form through social interactions and that groups play an important role in this process. This is a major advance. Because narrow identities are an equilibrium phenomenon they cannot be undone through individual will and right thinking alone. Specifically, DG’s model consists of a finite population of individuals, N, and two groups, A and B. Individuals and groups are ex ante identical. Individuals can choose to join one or both of the groups. Only the extensive margin (membership) is considered, not the time or effort devoted to each group. The payoff from joining group k ∈{A, B} is increasing in the size of group k and is also a function of the size of the other group k′ ≠ k. An individual i is said to have a narrow identity if i joins only one of the groups. Society can be said to have narrow identities when each individual i ∈ N joins exactly one group. Note that narrow identities can exist in a monomorphic equilibrium (where all individuals join one group) or a polymorphic equilibrium (where different individuals join different groups)." p.79.

 

Jean-Paul Carvalho. The Paths to Narrow Identities. Erasmus Journal for Philosophy and Economics,Volume 14, Issue 2,Winter 2021, pp. 77–86. https://doi.org/10.23941/ejpe.v14i2.615 

The above paper is part of an "ARTICLE SYMPOSIUM on “Narrow Identities”.

'health career' - life chances. 

My source: @PhilosL @LiverpoolPhilos

 

meta - Care

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

meta^	care
Care	Meta*

 ^{^} meta: parity of esteem in care - mental life and well-being

^* © 2021 Meta

Hodges' Health Career - Care Domains - Model = 'meta-care'.

Post Tokyo Olympics 2021: Yes 'Shun' fits, Gaia knows ...

MOST individual

   patient / client  PERSON student / practitioner
|

INTERPERSONAL : SCIENCES

MOST humanistic ------------------------------------- MOST mechanistic  

SOCIOLOGY : POLITICAL

|

society - community of practice - profession

 MOST group

"There's this wonderful Japanese word shun, which is when something is full of its life force," says Pearson. "In that peak, when the meadows are flourishing, everything is reaching for the solstice, and you can feel the energy pouring from it. It's quite overwhelming - you're aware of this special time slipping through your fingers and you can't take it all in because it's so alive."p.36.

On second reading, maybe not? And, not for the fact that the next solstice is mid-winter here in the Northern hemisphere.

'Glances'

Visiting McDonalds for a coffee (only) at the end of 2020, I noticed one of the merchandising screens was displaying an error message. The message referred to glances, which I read as the content that changes after several seconds in succession. I meant to take a photo for a post such as this, and back in the area, I'll take my chance if spied again. [Success!]  I did speak to a member of staff but they couldn't help. The take away (you could say!) is of a 'glance' as the content of a single care domain. This isn't very accessible, emphasizing the visual nature of Hodges' model, but I'm kicking ideas around...

Media - marketing screen

Reading the above I thought of 'holistic bandwidth' in Hodges' model. If the model was fully populated with care concepts and, no doubt, some annotations, key relationships then I thought shun might be appropriate. By holistic bandwidth I mean the semantic distance between care concepts. This is what 'MOST' suggests above. Beyond these concepts we are in the realm of the spiritual: do they join up in some way? Obviously, 'complete' in fulfilling the purpose of assessment, care planning, intervention, evaluation whether clinical or learning activity. But then shun as a celebration of nature seems inappropriate in many clinical contexts, especially palliative and end-of-life care. Yes, time for second thoughts here too.

The role of nature in healthcare, the value of green spaces, for recovery or a peaceful ending is well documented. Then again, the shun as experienced in 2021 by a person, do they really see how it is diminished, how it has changed, is changing? The point was made recently, of the different experiences of the Seasons, the weather, now across generations: diminishing 'norms' birds, bees ...?

Perhaps, after all, shun can signify a complete care matrix. If we carry on as we are then Nature will act, is acting now. Gaia knows.

Coulson, C. Double Act, Work, rest and weed: Dan Pearson and his partner Huw Morgan share their garden vision, HTSI, FTWeekend, April 2021,  pp.36-39. 

https://www.ft.com/content/74061538-d1ef-4922-a821-09ed5484e7ec

Photos added 8/9/21.

 

Hodges' model - the pros ...

Having posted the cons, here are the pros with part of the initial twitter thread once again:

If it is not too confusing, by another - Peter Jones @innov8tor3

4 #h2cm can be a generic conceptual framework for all disciplines: health, education,
contexts: development, edtech, socio-tech*
So scope *global* (utopic?) – more pragmatically - a utility across communities of practice.
*Plus other domain 'bridges': https://t.co/SqzQQnYuKz

— Peter Jones (@h2cm) February 14, 2021

A further query followed:

"can be", but is it?

What would you say has stopped that from happening?

— Peter Jones (@innov8tor3) February 15, 2021

The short answer is clearly that Hodges' model isn't the generic conceptual framework, it follows that is not global either. The reasons why are many and I've posted about several over the years, indirectly and more recently in a more direct manner:

My Moon Mission? "The Stack"

Hodges' model and trial by vampires ... 

Continuing the post on 'cons' here are the 'pros' outlined again along the INDIVIDUAL - GROUP axis (some re-ordering may be needed). To state from the outset that research on Hodges' model is limited, but there is hope for a basic resource for all:

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

GROUP - COMMUNITY - POPULATION

h2cm complements mind-mapping 1. - a cognitive tool: the model has individual utility - formulating the - h2cm provides learners with a scaffold - h2cm can help integrate, understand forms of (health, reflective) literacy/informatics - overvalued? h2cm can encompass value & values - seek pilot study res care / student well-being - ownership: use 'health career model'? - reflection and critical thinking still vital - generation of ideas/associations IS the idea - situation/context bounds model use and scope of inferences - h2cm can be used for lifelong learning - h2cm's application changes with user's vocabulary - Peter's ready to pass this 'baton' - Yes, Nurse 1st -

- h2cm is easy to explain, best via workshop - there is a small bibliography [sidebar] - - 2020 two new independent papers (2. below) - research question is ongoing [ dhyb 3.] - there are ideas/theories h2cm can draw upon - invented here: NW could celebrate - literature still reflects on reflection - student nurses do 'hear of' models & theory - h2cm: as simple/complicated as needed? - - measure of holism, integration ...? - - can encompass all 'spaces' - h2cm remains a response to legacy issues - - person-centred care - - holistic care/ ['holistic bandwidth'] - - integrated care - 'exposure' to Drupal ongoing - learning+ - - Drupal distributions also an option? - 'Peter' is in 'Persistence' (Go Perseverance!)*

h2cm can assist in 1-1 collaboration - care planning - - case formulation - - and small group work - - re. ownership: more 'cost of adoption' not high - there is interest - Yes, time to stop blogging/tweeting - we need a tool to bridge lifespan, healthspan, health career, career span - many dialogues remain contested, patiency, recovery: try this 'space?' - h2cm can help represent the 'hidden' value of labour social, relationships, psychological -

- Safety via Assurance role? - - Spans Quality::Quantity of Care - sense of ownership - make it 'yours' - COVID-19 reveals need & role for h2cm - the model is CC [power to your elbow?] - funding for research would be a bonus - - partnership / studies always welcome - carry the model f/w to 'LeaveNoOneBehind' - - address SDGs at 'home' too - h2cm can also outline the scope of a discipline - an original purpose was in curriculum design - h2cm useful in evaluation/regulation - still seeking benefits: [yes] policy instrument? - reflection/r. practice stressed for nurse re-validation

Further additions / revisions may follow and to the cons post.

To expand on Drupal: the question of its appropriateness to build a new website/platform is not an omission. Drupal 9.0 - 10.0... appear to make the update process and overall experience for non-developers much more user-friendly. I'm looking f/w to a virtual DrupalCon North America in April.

A co-authored paper is on its third journal transfer. Then to address the two-part draft well advanced, related to a conference in July.

1. 

https://hodges-model.blogspot.com/search?q=mind-mapping

2.

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⟩ 

3. Don't hold your breath!

*... and yes, at times my head hurts. 

⁺ ... I think and yes to be demonstrated. If not, I do have a 'requirement' and there may be value in that..?

Hodges' model - the cons ...

Following a thread on twitter:

4 #h2cm can be a generic conceptual framework for all disciplines: health, education,
contexts: development, edtech, socio-tech*
So scope *global* (utopic?) – more pragmatically - a utility across communities of practice.
*Plus other domain 'bridges': https://t.co/SqzQQnYuKz

— Peter Jones (@h2cm) February 14, 2021

A further query followed:

"can be", but is it?

What would you say has stopped that from happening?

— Peter Jones (@innov8tor3) February 15, 2021

The short answer is clearly that Hodges' model isn't the generic conceptual framework, it follows that it is not global either. The reasons why are many and I've posted about several over the years, indirectly and more recently in a more direct manner:

My Moon Mission? "The Stack"

Hodges' model and trial by vampires ... 

I thought it might be useful to outline the reasons here along the INDIVIDUAL - GROUP axis. 

 

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

GROUP - COMMUNITY - POPULATION

(Peter) overthinking - h2cm is an overvalued idea - formulating the - too much thought not enough action - sense of ownership (Hodges') not my model - too many ideas spoils the broth - is Peter holding on to this...? - evidence of a personal initiative ? - - Peter needs a mentor - calls for reflection/crit. thinking seem rhetorical - nurse 1st -

- SAFETY: - - where is the data, evidence, theory, proof? - 1980s - it is archaic - research question - not invented here: city, region, geography - academia has moved on (models out of fashion) - it is too simplistic - it is too complicated - where's the 'new' website/platform - how long does it take [former site 1998-2015*]? - a means to facilitate parity of esteem is missed - the project's Petered out!

sense of ownership - not our [CoP] model - not invented here: culturally non-neutral - rename the domains they're too 'academic' no interest, partners, collaborators - Jones needs to stop blogging/tweeting - it is a waste of time ... RT - not endorsement :: or even interest -

- sense of ownership - not our model - not invented here (inst./nationalism/political) - copyright? It's CC - Oh we see ... - funding for research / studies - - (MRES 2017 self-funded) - what are the benefits (across the model and spiritually)? - this approach smells of a tick-box approach, a means to a universal multidisciplinary worker? - Wigan Pier does not have a Jet d'Eau

 CoP - Community of Practice 

*Former website: (Web.archive: https://web.archive.org/web/20110903000318/http://www.p-jones.demon.co.uk/index.htm )