Presentation: 'An example of open research sharing Hodges’ Health Career Model'

From: Ulster University Open Research Conference 2026 

Simms, V., Jacobs, N., Magee, J., De Ornellas, K., Mollik, E., Kernohan, W. G., Leacock, J., Akter, J., Sempey, C., Beech, S. E., Naz Asif, R., Yap, L. K., & Miller, K. (2026, Jan 16). Ulster University Open Research Conference 2026: Conference Speaker Abstracts. Ulster University. Advance online publication. https://doi.org/10.21251/0d7780ce-ce97-468f-b5d5-69201ca90b20

Speaker: Professor George Kernohan 

School or Department: School of Nursing and Paramedic Science Ulster University 

Email: wg.kernohan AT ulster.ac.uk 

The area(s) of open research talk relates to: 
  Practice as research; Open data/ Open code 

Talk Title: An example of open research sharing Hodges’ Health Career Model 

Abstract: 

This paper examines a blog post [see below, pj], “Thinking about a comprehensive framework for dementia,” as a case study illustrating the integration of open research practices within dementia palliative care research. The post introduces the Hodges’ Health Career Model— a four-domain conceptual framework encompassing biomedical, psychological, social, and policy perspectives— to articulate the multidimensional nature of dementia and inform care planning. As an openly accessible research communication, the blog contributes to transparent and inclusive knowledge exchange beyond traditional academic channels. 

The blog exemplifies practice-as-research, translating conceptual development from theory into a form of scholarly exposition that invites engagement from practitioners, policymakers, carers, and people living with dementia. It forms part of a wider programme of work in which the research team openly documents methods, emerging findings, and reflections across scoping reviews, surveys, and service case studies hosted on the same platform. These materials complement peer-reviewed open access outputs, including open publications. 

The project demonstrates alignment with open research principles through prospective protocol registration: the scoping review protocol is publicly available on PROSPERO. The team’s prior work on blogging as a mechanism for knowledge mobilisation strengthens the methodological coherence of using this medium to disseminate conceptual frameworks and preliminary insights.

Although the blog does not itself provide underlying datasets or analytic code, it outlines methodological approaches that could facilitate future open data practices, particularly in qualitative and mixed-methods research. Overall, the case illustrates a pragmatic and pluralistic adoption of open research methods across dissemination, protocol transparency, and public engagement, offering a model for enhancing accessibility and reproducibility in dementia palliative care research.

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Title: “Thinking about a comprehensive framework for dementia”

Author: Professor George Kernohan

Date: 7 November 2019

Link: https://pallcare4dementia.com/thinking-about-a-comprehensive-framework-for-dementia/

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[video no longer available]

'change' in Hodges' model

The NHS and people's health is more than 

a machine, more than a mechanistic thing 

that if broken can be fixed.

By definition you cannot be 'inclusive'
if you do not achieve balance
with the humanistic; and the
values of humanity and
 the spiritual as per context.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

purposes person-centredness personalised care experiences continuity mental state; mental health attitudes - mindset expectations (public education) my health literacy (all of them: education)	processes (care inc. 'writing' records, 'gates' access) demographically-driven care  define 'success' - metrics - data utilise evidence peak CO2 peak obesity physical health: chronological age - pathological age encourage self-care to support sustainability
social care social attitudes child support - support for families proven practices that delivers community as resource community: homes for living in - not profiting from Public involvement:  #NHSCHANGE #CHANGENHS Protect / Create green spaces for outdoor play	funding, finance, budgets, economics POLICY: FROM: National ill-Health Service TO: National Health Service  long-termism E3^ for all the literacies address: food quality,  air, water, noise, litter SOCIO-tech approach to applied technology Teach Hodges' model to teens, and prisoners as part of PSHE and rehab programmes

E3^ education, education, education - by literacies we include: information, emotional, media, finance, spiritual, cultural, scientific, religious, climate...

'delivers' includes: improved care experiences, integrated care (related to all the domains), patient, carer, public safety, cost effectiveness, research questions, accurate - valid reporting.

All health disciplines / professionals, social care, and APPGs ... share a common model - a conceptual framework for critical thinking and reflective practice.

Distance: Shoulders and ships that pass ...

Lovelock in 2005: Wikipedia

Over the past 10-20 years I've become more aware of the distance from scholars and people whose work is relevant to Hodges' model. Distance in the sense of their concomitant 'celebrity', hence the issue of how to make contact; and the stage of their career and my discovery of their relevance. Three people come to mind ... 

I've long admired the work of James Lovelock, and when writing on ecological themes in -

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

- I wondered about trying to contact Dr Lovelock. As the majority of people are aware his thought and books, especially the Gaia hypothesis with Lynn Margulis caught the public's imagination from first publication and through the 1970s. Was there a Horizon TV programme? James Lovelock's influence was not just in ecology, but also earth (planetary) sciences through work for NASA. In early 2021 I thought I would reach out, through his most recent book and publisher/agent. I passed a message, which was forwarded but I never heard anything more.

As a nurse - with experience in older adult community mental health, I was acutely aware that this senior gentleman - in every sense of the word - may not want to be mithered by a scouser*, now living near Wigan Pier. I stressed not wanting to disturb the Dr. I also thought, given Dr Lovelock being of independent mind - a maverick, he might on the contrary love to be disturbed. 

Sadly, I was too late, hearing the news of Dr Lovelock's death in 2022. Of course, I was seeking validation (and still am) for the project here. I can't help thinking though, that Dr Lovelock really would have 'got' Hodges' model.

James Lovelock: BBC Radio 4 The Life Scientific

<>

Philosophy has long been an interest B.A.(Joint Hons.) Comp./Phil.. In a way you have no choice as a nurse, especially trained in mental health and general nursing: the theory and practice invariably touch reality, consciousness, perception, subjectivity, objectivity, knowledge, being, perception, data, information, time and so on.

Once acquainted with Hodges' model, scale is the dimension that asserts itself. I wrote about this and referenced Mario Bunge in about 1998, on the old, now archived website:

https://web.archive.org/web/20100329050839/http://www.p-jones.demon.co.uk/infintro.htm

Scale is a constant and multicontextual focus, but interest was piqued once again as I try to look at Hodges' model mathematically (yes, who am I trying to kid!) - as an object and relationally. I was reminded of Prof. Bunge's work noting a paper that included 'isomorphic-ism':

Bunge, M. (1969). Corrections to “Foundations of Physics”: Correct and Incorrect. Synthese, 19(3/4), 443–452. http://www.jstor.org/stable/20114653

https://link.springer.com/article/10.1007/s10838-021-09553-7

Mahner, M. Mario Bunge (1919–2020): Conjoining Philosophy of Science and Scientific Philosophy. J Gen Philos Sci 52, 3–23 (2021). https://doi.org/10.1007/s10838-021-09553-7

There may be a brief email exchange with Prof. Bunge, a request for a paper or two. Any emails are now stored (CD-ROM and portable drive) in a Turnpike folder, an old email client. Last year I was disappointed again, to learn of Dr Bunge's passing in 2020. His focus on science, philosophy, and systems - hard / soft is also very informative.

<>

More recently, I came across the fascinating work of David Sallach, one paper (a conference from 2012) includes:

Sallach, D.L. Categorical Social Science: Theory, Methodology and Design. September 2012
Conference: Fourth World Congress on Social Simulation. Taipei, Taiwan.

https://www2.econ.iastate.edu/tesfatsi/Sallach2012CategoricalSoSci4.WCSS-SS.pdf

Plus, developed further in table 2:

If time permits as an exercise, please consider Sallach's table 3 below. It may be interesting to map this to the domains of Hodges' model(?) [template]:

:

If you can see the potential utility of Hodges' model, you may also appreciate why Sallach's paper  resonates. Having emailed Dr Sallach, without reply, I did some checking. More sad news followed.

I, and no doubt many people will continue to discover and appreciate the legacy left behind by the above and many other pioneers. 

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I must acknowledge - Enid Mumford - whose work on socio-technical systems continues to inform my study and application of Hodges' model. This includes recognition of the many x-disciplinary bridges (or, barricades?) that can be found within Hodges' model. 

Clearly, much reading still to do.

<>

Returning to Hodges' model as a mathematical object, the 'distance' above is suddenly interstellar (and yes, sudden, as in faster than light!). I'm following videos, papers, and specific work-streams by  universities (I won't mention presently...) seeking to apply category theory to the social sciences. This suggests, at least, I'm not (completely!) wasting my time. If you have thoughts yourself on Hodges' model, the journey from Sallach's tables 1 - 2 not just 3, I'd be delighted to hear from you. 

There is another approach I will share this (N) spring. This author - researcher I have been able to contact.

*Scouser - https://en.wikipedia.org/wiki/Scouse
(Re. Liverpool - further post to follow).

James Lovelock image:  Bruno Comby, CC BY-SA 1.0, via Wikimedia Commons.