NHS Corridor Care – Urgent and Emergency Care Daily Situation Reports

If politicians & policymakers regularly 'walked'
 all the corridors of Hodges' model -
 they would see the false economy 
of their combined incremental works.

Incremental? Yes, in first being a 'temporary measure', then having a deleterious impact as the duration per patient and number of patients on corridors increased.

Now to the situation when the standard of care is unsafe, sub-standard, and denigrates the NHS as a social institution.

The fact of insufficient beds and its effect on care (pathways) and patient (and family) experiences severely affects staff morale, as they recognise subtle abuse, a precursor to structural and attitudinal changes that foster, encourage and establish institutionalised harm.

Staff also realise that they risk being de-skilled, 're-educated' -
becoming less compassionate ... (a 'lesser Nurse') as corridor care 
and its consequences are normalised.

Ignoring demographic trends and without an alternative concerted 
preventive/health education and health promoting plan, this is the result 
of the health and social care funding and policy
of successive governments, enacted by NHS management.

NHS England: Corridor Care – Urgent and Emergency Care Daily Situation Reports
https://www.england.nhs.uk/statistics/statistical-work-areas/corridor-care-urgent-and-emergency-care-daily-situation-reports/

Progress? In the age of uncertainty

INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

	The Age of
	Uncertainty

'Over a relaxed weekend, a distinguished international gathering at John Kenneth Galbraith's Vermont farm offer their views on the themes outlined in the series and on other major anxieties facing the modern world.' 

BBC iPlayer
https://www.bbc.co.uk/iplayer/episode/m002l708/the-age-of-uncertainty-series-1-13-13-weekend-in-vermont

'Nurses and Nursing's Issues' ...

1975 .. plus ça change, plus c'est la même chose .. 2025

"The question I ask myself all the time is not can we close the gaps in practice and administration, but, more importantly, can we develop a nursing system, not the profession of nursing, but a nursing system which will weave together all practitioners with what-ever skills they bring to the system" Jessie Scott, p.1854. 

 
Nurses and Nursing's Issues. The American Journal of Nursing, Vol. 75, No. 10, 75th Anniversary Issue (Oct.,1975), pp. 1848-1859. Stable URL: https://www.jstor.org/stable/3423579

Now, in 2025 we can make an impression - not just on the nursing profession, but in how all the health professions work, learn and relate to each other and social care colleagues too.

https://en.wikipedia.org/wiki/Jessie_M._Scott

https://en.wiktionary.org/wiki/plus_%C3%A7a_change,_plus_c%27est_la_m%C3%AAme_chose

Infracare - Hodges' Health Career - Care Domains - Model

Trying to sort papers again, I'd saved the article by Floridi (below) the title having caught my attention.

If Hodges' model has a meta-function, there is also a role in the infrastructure of care.

There is an opportunity for me to do the proverbial '360' exercise, visit each of the care domains in turn and literally throw in the kitchen sink:

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

I see you! Who you are.  person-centred  care  IDENTITY (identities) A model of care - A theory of (health) communication Information theoretic, information disorder   and relational studies	person-centred care  I see you! Who you are. identity - (IDENTITIES) - addressing Parity of Esteem in - - Practice & Research Information theoretic, information disorder   and relational studies
NHS and Social  Care Community Care as a resource Self care education and health promotion built in to education system Value Social Capital	Law and Justice to protect and secure Peoples & Populations Policy - National & Global that supports health and health promotion Declared integrated care care philosophy Adopted generic model for self, national and global and planetary health

Infraethics, Luciano Floridi. January 2013. The Philosophers Magazine. DOI: 10.5840/tpm20136010

Seeking UK Healthcare Workers: online pilot study on daily communications

C/o Olga Lainidi @LainidiO

Post Graduate Researcher and Teaching Fellow in Psychology @ University of Leeds

'I’m looking for UK Healthcare Workers to help me pilot an online study on daily communications in healthcare. Please fill in the expression of interest form if you want to find out more.'

Introduction to the study plans below from:

https://forms.office.com/e/5H84WqqTtT


UK Healthcare Staff - Daily Communications & Wellbeing at work

Thank you for your interest in this research study, which is part of a PhD project at the University of Leeds. The study explores how healthcare workers communicate about things that matter at work on a day-to-day basis, and how these decisions relate to their wellbeing. If you're a UK-based healthcare worker and would like to receive more information or take part in the study, please complete the short form below. This form helps us check eligibility and ensure we include a range of roles and experiences. It takes less than 2 minutes to complete. Completing this form does not commit you to participating - it simply lets us know you're interested and happy to be contacted. All information will be kept confidential and stored securely. Thank you for your time and interest!

The study has received ethical approval by the School of Psychology Ethics Committe, University of Leeds (2841 - 28/04/2025)

https://forms.office.com/e/5H84WqqTtT

My source:

https://x.com/LainidiO/status/1931414872840970470

I look f/w to learning of future findings and outputs.

RCN Congress 2025 iv - AI & quality improvement

Discussion: Artificial intelligence in nurse education &

Discussion: The role of nursing staff in quality improvement

We'll cover two agenda items in this post. First, resistance is futile in the apparent rise and ubiquity of artificial intelligence.

Discussion: Artificial intelligence in nurse education

Here is, another thing 'we need to get right'. Without checking, I'm sure I posted/tweeted about 'essay factories'. Now Generative AI has put the automated generation of academic essays on steroids. If a student is not motivated to learn, enthusiastic about their seemingly chosen course of study and the professional reward to be earned, then we are in trouble. Public and patient safety are at risk. AI, is however is here to stay - change and help us prosper(?). AI and GenAI are tools, just another step forward, an advance on finger tips, palms, stick, chalk, pencil, and pen. The brief for the discussion includes, with specific points emboldened:

'... Additionally, AI-driven simulations and virtual reality scenarios can provide hands-on experience in a controlled environment, enabling students to practice and refine their skills with greater confidence. 

Creating an engaging and supportive learning environment is key to helping nursing students embrace AI. HEIs can introduce AI concepts early in the curriculum and provide ongoing training and resources. Encouraging collaboration and open discussions about the benefits and challenges of AI can further enhance students' confidence in using these tools.

By taking these steps, nursing education can seamlessly integrate AI, ensuring future nurses are equipped to excel in an evolving health care landscape.

To effectively integrate AI into nursing education, RCN Wales, for example, advocates for higher education institutions (HEIs) to equip students with the skills to continually enhance their digital and biotechnological literacy, ensuring they meet their programme outcomes.

HEIs can incorporate regular assessments and feedback mechanisms to monitor a student’s progress and determine where AI tools add the most value.' . . .

Computer-aided learning has matured greatly since the 1980s and 1990s. AI and GenAI mark the seeming leap in progress over the past two years, with governments, professional bodies and society having to adjust and quickly. We need to watch how simulation, and virtual reality and other approaches to learning are applied, to assure the quality, safety and learning experience provided to students. There appears to be a risk in mental health nursing curricula being 'diminished'. Interpersonal skills are critical in psychiatric and psychological care. This might afford the advocates of technically-laden solutions to side-step the nuances of face-to-face human interaction. Amid the pursuit of what is mechanistic, let us value the humanistic also.

The biotechnical, is one a several literacies to keep sight of. AI, is of course bound up in bio-political concerns, that are still emerging. The 'health care landscape' is plural too: consider the patient's home, a ward, out-patient department, e-consultation, e-learning intervention, brief psychotherapy, occupational health, carceral care, and field hospital, veterans, migrant - refugee health and the homeless.

There's more, and references and a reading list are also provided on the above link.

Discussion: The role of nursing staff in quality improvement

'Quality improvement is about making a difference to patients by improving safety, effectiveness, and experience of care.

All nursing staff should have the abilities and support to become involved in addressing health care pressures, utilising their expertise in the profession as leaders, not only in care delivery, but also within the system. However, the work of nursing staff to deliver quality improvement is often limited to opportunities that are dependent on staffing, seniority and availability. 

Nurses’ willingness to attend training is often superseded by patient demand making attendance impossible. Other health care colleagues undertake work on research and service improvement alongside their role and as a requirement for their revalidation, this is not the case for nursing staff who don’t get these opportunities.

Consider the benefits of the nursing workforce undertaking quality improvement, conducting local research, reorganising working environments, translating or updating patient materials, trialling novel approaches to care or addressing health inequalities. These skills would not only improve the quality of care we provide but also prepare the nurse to influence and change systems throughout their career.

This is relevant UK-wide. Scotland's 2030 vision for nurses, states an intention to equip nurses with quality improvement tools and support, but only nurses in non-hands-on roles. NHS Wales offers quality improvement training through e-learning  via the ESR to health care professionals, in Wales. In Northern Ireland training is available, but only for Band 7 and above.'

What is the role of all nurses to get involved in quality improvement?'

There is a point with IT security that if it was 100% assured with all the prospective log-ins of an average user, would we ever get any 'real' work done? Does the same apply to research? I have heard this as an argument in practice; and a response to a drive for quality improvement too. Data takes time to collect, especially to answer new questions. Such arguments were also fielded when models of nursing were spoke of with eye-rolls and sighs of experience. Quality improvement is a fight, opportunities and resources can be found, especially if a culture of research is nurtured and sustained. What questions does a ward, unit, team have currently? What queries might new starters, newly qualified, students, and placement candidates provoke? If my reference to fighting seems strong; the fight is for time. The raw truth is in the NHS that quality improvement, research and supervision (in its various forms) are in competition, in the absence of coherent integration.

In bold above, the discussion includes:

'trialling novel approaches to care or addressing health inequalities'.

I wonder what that springs to mind? More seriously, we need be aware of what happens to 'quality'; in whatever educational form it is encountered and experienced. 

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

interpersonal skills informal / formal education QUALITY lifelong learning	biotechnical landscape quality improvement - clinical supervision?
inequity social preparedness for AI/GenAI	inequality management supervision?

RCN Congress 2025 ii - Losing direct nursing skills

No longer an issue for me, but in the mix of careers: health, education, work - professional; employees often find that they are pulled away from what originally brought them to their chosen career. "I want to help people, care for them, make them better." Especially, if they are ambitious, seek better pay and prospects, for themselves and (a) their family. 

This was an issue and tension for discussion at the RCN Congress:

'Climbing the ladder often means leaving the “bedside”, this is something that can leave mixed emotions for the individual. As a result, we are losing years of clinical experience and expertise which could impact on the future training and on-the-job development for early career or inexperienced colleagues.

The secondary issue that arises with nurses leaving the bedside is skill decay, where a person loses the skills developed in the clinical area through lack of everyday practice. This is being increasingly acknowledged in health care literature (Maehle, 2017). However, the biggest barrier is the resulting lack of confidence in personal skills and ability, particularly where someone is now seen as a senior colleague by those at the bedside.' cont. ...

Discussion - Losing direct nursing skills

I didn't make notes but reflected on how your 'basic training' (for me ...) registered mental nurse (RMN) and state registered nurse (SRN) provides the foundation for professional (and lifelong?) learning? This is, after all, what continuing professional development and post-registration refer to. I did realise that in returning to mental health nursing after qualifying as a SRN, I would surrender much learning - instead of consolidating.

Lecture 101, sets in train the scope of your theory and practice. This is why, and where I see Hodges' model having a role at this point in our professional education, whatever the discipline, or profession. Congress included a resolution for debate: Physician associates. 

We really do need to get this right. Get it wrong, and the quality of care and safety of the public are threatened. If existing standards and professional relationships are perturbed, the effects can be long-lasting and (grossly) injurious. Especially at a time of increasing demographic pressures globally for health systems and services.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

1. Is the divide represented by parity of esteem in healthcare MIND :: BODY associated with the fact that in mental illness patients do not ordinarily need to be nursed, cared for in bed?	png image from pngtree.com
2. But, wait! What does history, medical sociology have to say?	3. Is the 'bed' the signifier of instititionalised care? It appears to be. The pejorative term 'big bins' seems to epitomise the mechanisation of care. In prisons do they throw away the key?

Previously: 'RCN' : 'skills' : 'beds'.

Also at Congress was the RCN Northwest Multicultural Group, which may be of interest if you are UK based (and not just in the NW). The following is edited from an email ...

Dear All,

I would like to congratulate everyone for an amazing Congress 2025 and take this opportunity to welcome the new members. It was really lovely to meet all of you in person.

Please see below the link to the webpage of multicultural group:

https://www.rcn.org.uk/northwest/Get-Involved/NW-Multicultural-Group

I will be sharing the details of the next meeting and other information via the group and email.

Kind regards,

Olanike Babalola (She/Her/Hers)
Chair/Cofounder RCN Northwest Multicultural Group
Email: olanike.babalola AT reps.rcn.org.uk

In 'health' can health itself be treated as aPOLITICAL?

That is, across medicine, nursing, social work, psychology, allied health professionals, public health . . . in theory, practice, management, policy and education ...?

- with all the talk of the biomedical model,

the bio-psycho-social model -

you do do you wonder?

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

INTRA- INTERPERSONAL	SCIENCES
SOCIOLOGY	freedom the science of snowflakes coherence unilateral power POLITICAL

World Drowning Prevention Day 25th July 2024

Every year, an estimated 236,000 people drown, making drowning a major public health problem worldwide. Drowning is one of the leading causes of death globally for children and young people aged 1-24 years. Drowning is the 3rd leading cause of unintentional injury death, accounting for 7% of all injury-related deaths.

The global burden of death from drowning is felt in all economies and regions, however:

• low- and middle-income countries account for over 90% of unintentional drowning deaths; 
• over half of the world's drowning occurs in the WHO Western Pacific Region and WHO South-East Asia Region; 
• drowning death rates are highest in the WHO Western Pacific Region, and are 27-32 times higher than those seen in the United Kingdom or Germany, respectively.

World Drowning Prevention Day

World Drowning Prevention Day, declared in April 2021 by General Assembly resolution A/RES/75/273 <https://undocs.org/en/A/RES/75/273>, is held annually on 25 July. This global advocacy event serves as an opportunity to highlight the tragic and profound impact of drowning on families and communities and to offer life-saving solutions to prevent it.

Find more information in the following link: 

https://www.un.org/en/observances/drowning-prevention-day 

In your country, are there any initiatives to prevent drowning?

Here are some of the measures shared at the United Nations web site.

• installing barriers controlling access to water;
• providing safe places away from water such as crèches for pre-school children with capable childcare;
• teaching swimming, water safety and safe rescue skills;
• training bystanders in safe rescue and resuscitation;
• setting and enforcing safe boating, shipping and ferry regulations;
• improving flood risk management.

My source (with video added above and Hodges' model below):

Jackeline. HIFA-Spanish Moderator

HIFA profile: Jackeline Alger, MD, PhD, is a parasitologist associated to the Department of Clinical Laboratory of the University Hospital; Executive Director of the Antonio Vidal Institute for Infectious Diseases and Parasitology; Tegucigalpa, Honduras. HIFA Country Representative of the Year for the years 2015 and 2018. Email jackelinealger AT gmail.com

The bullet points above mapped to Hodges' model, with additions (italics).

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

teaching swimming, water safety and safe rescue skills training bystanders in safe rescue and resuscitation awareness of risk situations confidence to learn to swim	installing barriers controlling access to water providing safe places away from water such as crèches for pre-school children with capable childcare improving flood risk management
teaching swimming, water safety and safe rescue skills training bystanders in safe rescue and resuscitation family and community impacts SOCIO-	funding - prioritisation setting and enforcing safe boating, shipping and ferry regulations improving flood risk management facilities for safe & effective teaching -ECONOMIC   LMICs

Previously 2022

Book: "The Unaccountability Machine: Why Big Systems Make Terrible Decisions - and How The World Lost its Mind"

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

mind . . . - and there was I ... I always thought heat rises?	'heat sinks' minima - maxima 'accountability ... ...  ... ... ... sinks'
	The Unaccountability Machine

Felix Martin (2024) Computer says no, Life&Arts, FTWeekend, 6-7 April 2024, p.9.

Four* care domains - revisited ...

 INDIVIDUAL
  |

     INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

My source: https://x.com/LeanneHPatrick/status/1731311359554371938?s=20

*Hodges' model can be embedded within the spiritual as per the situation - context.

Recognition of Nursing's contribution to life quality of patients

"Maria Isabel Razquin, Director of the University where all the pre and post registration nursing education is undertaken and the medical staff trained, gave a key note speech. ... She spoke of the conceptual discipline in nursing, and of how the market economy was affecting health services. This theme was extended into world health information and the storage of data; the development of nursing informatics and how nursing practice should lead to validating and developing minimum datasets using an understandable language. She then alluded to NANDA and the 4 thesaurus' which holds medical and nursing terms that can be cross referenced with new information and knowledge. All the terms we commonly use in the UK were mentioned: multi-disciplinary, updated, accurate, efficient and research and knowledge based.

She went on to say that it has been difficult to quantify the life quality of a patient; it has been tried and it has failed, not showing the significance of nursing. Conceptualisation is a foundation for nursing and it was suggested it could be used with research, with the scientific focus and practical sources being the future body of knowledge. Nurses, she said, should have a clear identity of the care given in multidisciplinary teams, while combining facts and data with nurse training, recognised nursing disciplines and leaders of research would enable competence in complicated fields. Skilful and relevant collection of data, she concluded, would facilitate education and change management training for encompassing computerising with conceptualisation." p.19. 

Sampson, H.E. (2000). International Symposium of Nursing Diagnosis - Pamplona, Spain - May 2000. ITIN, British Computer Society, Nursing Specialist Group. Volume 12: Issue 3. Sept. 2000. pp.19-21. ISSN 0956-5159.

NANDA - https://nanda.org/

ITIN - Information Technology in Nursing

An 'updated' title(?):

"Recognition of Nursing's contribution to Sustain and Enhance the People's Life Chances."

ERCIM News No. 133 Special theme: "Data Infrastructures and Management"

Dear ERCIM News reader,

ERCIM News No. 133 has just been published. This special theme of this issue highlights the advancements made in the field of data infrastructures and management through exploration of novel research and technologies.  

This special theme was coordinated by our guest editors Manolis Terrovitis (ATHENA RC) and Dominik Ślęzak (University of Warsaw).

Thank you for your interest in ERCIM News. Please forward this message to anyone who might be interested. We also appreciate you following us and talking about us on Twitter @ercim_news and other social media.

Includes:

p.11 The Data Portal of the European Plate Observing System – A New Tool for the Solid-earth Sciences in Europe
by Vasco Avramo (EPOS-ERIC), Daniele Bailo (EPOS-ERIC, INGV) and Rossana Paciello (EPOS-ERIC, INGV)

p.24 CyberSec4Europe - Securing and Preserving Privacy Sharing Health Data
by Raquel Cortés Carreras, Juan Carlos Pérez Baún and
Miryam Villegas Jimenez (Atos Spain S.A.)

p.44 Survival Skills in the Digital Era: Helping Teachers to Develop Digital Competences
by Angela Fessl and Katharina Maitz (TU Graz), Monica Divitini (NTNU)

Next issue:
No. 134,  July 2023
Special Theme: "Explainable AI". Submissions are welcome! See call for contributions.

Announcements in this issue:

---

Call for Proposals: Dagstuhl Seminars and Perspectives Workshops Schloss Dagstuhl – Leibniz-Zentrum für Informatik is accepting proposals for scientific seminars/workshops in all areas of computer science.

---

ERCIM "Alain Bensoussan" Fellowship Programme - postdoctoral fellowships available at leading European research institutions.
Simple application procedure. Next application deadlines: 30 April and 30 September 2022

---

ERCIM News is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics. With the printed and online edition, ERCIM News reaches more than 10000 readers.
All issues published to date are available online. The previous four issues focuse on:

- Fighting Cybercrime

- Assistive Technologies

- Ethical Software Engineering

- Cognitive AI & Cobots

---

Advertise in ERCIM News

About ERCIM

ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.

https://www.ercim.eu/
https://twitter.com/ercim_news
ERCIM LinkedIn Group

Subscribe to the ERCIM News quarterly alert

Peter Kunz*                      	
ERCIM Office
2004, Route des Lucioles
BP93
F-06902 Sophia Antipolis Cedex

*My source.

ICT and Brexit Change Survey – Extended deadline

Date:    Fri, 10 Mar 2023 09:16:49 +0000

From:    e.lomas AT UCL.AC.UK

Subject: ICT and Brexit change survey – extended deadline

Apologies for cross posting

We have been asked to extend this survey (https://opinio.ucl.ac.uk/s?s=80453) for a further month in line with the time previous surveys ran. It will therefore close on Tuesday 11th April straight after Easter. This is because a lot of people are part way through and in addition a number of people had not seen the save button which appears at the bottom of each survey page. We would further note that the survey is intended to be neither remain or leave in its questioning – both sides have queried this. We are keen to understand perspectives of the ICT/information sectors following Brexit. We appreciate everyone’s time and perspectives on this. Below is the original text when posted with an update on timeframes…

Brexit has been a significant change for the UK and EU, including in the contexts of  the ICT sector and those who manage information, whether in the public or private sectors. At the three-year departure point we are seeking the views of information professionals on the shifting opportunities and threats for the ICT/information sector in the light of Brexit. Whilst Brexit was a UK decision, it has had potentially global ramifications and therefore we are looking to draw in perspectives from across the globe. We understand that there will be differing views both negative and positive – we want to hear all these perspectives.

We would be so grateful if you would respond to this survey at  - it will take 10-20 minutes to complete depending on if you just check the multiple-choice boxes or if you wish to share further written comments. All questions are optional. The survey is anonymous and no IP addresses are being collected. We know that you are busy and appreciate your time. The survey will close on 11th April 2023.

Please do forward on this email so that we can reach as many people as possible and tweet:

Please complete survey on information/ICT professionals’ views on Brexit and  change https://opinio.ucl.ac.uk/s?s=80453 #Brexit #ICT

The results of this survey will be published in an open access form. Please note this survey follows four earlier surveys charting change through the Brexit process, the first immediately after the Referendum (written up at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186452), one at a mid-point which was accompanied by workshops (written up at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227089) and the others from the transition points onwards. Whether or not you have completed any earlier surveys, we would appreciate your input now. This is likely to be the last survey we publish tracing the changes.

The research is a partnership between the iSchools at UCL (Dr Elizabeth Lomas) and Northumbria University (Emerita Professor Julie McLeod). The survey is being facilitated by Dr Elizabeth Lomas (mailto:e.lomas AT ucl.ac.uk).

Thank you for your help.

Elizabeth and Julie

Dr Elizabeth Lomas

University College London

Email: e.lomas AT ucl.ac.uk

Emerita Professor Julie McLeod

Northumbria University

Email: julie.mcleod AT northumbria.ac.uk

My source:
www.jiscmail.ac.uk/FREEDOM-OF-INFORMATION
a mailing list hosted by www.jiscmail.ac.uk

Because we are (still) living in a post-Project 2000 World ...

Hodges' model #h2cm is history ...

Ack. Walsh, M. (1991). Models in clinical nursing: The way forward. London: Bailliere Tindall.

"The emphasis of Project 2000 on community care also has implications for curriculum design, since the way nursing is taught must at least in part be applicable to the non-hospital situation. p.144.

"The power and autonomy of nursing have been under continual attack since 1985 with the Griffiths Report and the introduction of general management." p.148.

"Models act as broad organizing concepts, as philosophies or frameworks of care, and in that sense operate at the large-scale or macro-theory level." p.149.

"Models, therefore, are essential in defining nursing. Only by saying that 'This is nursing' and that only a trained qualified nurse can do whatever nursing consists of will be able to hang on to the domain of nursing. Once that is lost an army of low-paid health care assistants (HCAs) acting as 'basic carers' and 'physician's assistants' can be employed to take over."  p.150.

Figure 1 (p.155)
Sorry about the image quality (will try again)
but hopefully the meaning is conveyed.

" ... we can say that at the macro level of theory different models place differing emphases on areas of the patient for the nurse to explore. Each model also has its own unique philosophy of care. At the micro level, nursing theory remains an independent body of knowledge, applicable under any model of nursing, but which may be implemented in different ways, subject to the approach of that model."
p.150.

"British nursing has been talking for too long about models; it is time to see whether they can be made to work!" p.152.

See Figure 1 - "Perhaps nursing models may be best thought of as subjective views of nursing which by virtue of widespread discussion become generally accepted by nurses, leading to a series of coherent frameworks which have consistent value systems applicable to the delivery of care." p.154.

"The Sir Humphreys of the nursing world are quick to point out that nobody has shown that implementing a model of nursing has improved nursing care. This is true, although nobody has shown that a model makes care any worse either!" p.153.

... it is now and the future too ... [PJ]

Walsh, M. (1991). Models in clinical nursing: The way forward. London: Bailliere Tindall.

Context:

https://www.google.com/search?client=firefox-b-d&q=nursing+project+2000

https://en.wikipedia.org/wiki/Humphrey_Appleby

"healthcare finance" - September 2022

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

	NHS Supply Chains - (Procurement, Logistics, Sustainability...) Virtual Reality - Virtual Wards Patient-level cost data Standardised finance systems
	Healthcare Finance - September 2022

Whole Theory - The Bigger Picture - Holistic Approach?

Together health and social care professionals orchestrate* person-centred, integrated care with constant regard to patient and public safety and quality. We cannot do this without effective administrative, management and financial support and resources.	"The Bigger Picture"
	Contents: Patient-level cost data Standardised finance systems PFI liability revaluation Reclaiming VAT on welfare services Population Health Previously on W2tQ: Value, Values-Based Commissioning

*Khine, Myint & Saleh, Issa & Dillenbourg, Pierre & Jermann, Patrick. (2010). Technology for Classroom Orchestration. New Science of Learning: Cognition, Computers and Collaboration in Education. 10.1007/978-1-4419-5716-0_26. 

Source: @HFMA_UK

Webinar: WHO Classification of Self-Care Interventions for Health - Feb 14th

Webinar to present the WHO Classification of self-care interventions 

 09:00 Washington / 15:00 Geneva

This classification aligns with a people-centred approach to health and well-being outlined in the WHO global Guideline on Self-Care Interventions for Health and Well-being. This classification has a health system focus and aims to promote an accessible and bridging language for researchers, policymakers, donors and health programme managers working on self-care. 

Please register here:

https://attendee.gotowebinar.com/register/7796921047088796688

WHO resources on self-care interventions: 

 https://www.who.int/health-topics/self-care#tab=tab_1

WHO Classification of self-care interventions: 

https://www.who.int/publications/i/item/9789240039469

We look forward to your participation! 

Ados V. May, MPA | WHO/IBP Network

Senior Technical Advisor

email: ados.may AT phi.org

 

  Self - Individual - Person
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Community - Group - Population

Classification of Self-Care Interventions for Health	Classification of Self-Care Interventions for Health
Service planning and development Public engagement Informal carers Social care Care Givers Accountability Value for Money Population Health Users Patient - Self - Citizen Research?	Health For All Human Rights Health Services Reporting, Statistics and Planning, Standards Information Systems Infrastructure Governance, Regulation Population Health Finance, Value for Money Outcomes - Policy: National - International Sustainability

 

My source: IBP Network

The Filing Cabinet: A Vertical History of Information

individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group

	-TECHNICAL
SOCIO-

 

Don't forget the horizontal history and better prepare for the future too?

 

The Filing Cabinet: A Vertical History of Information. Craig Robertson. University of Minnesota Press. 2021.

My source: Peter Kurilecz, RECORDS-MANAGEMENT-UK mail list

https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK 

Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

Capabilities for advanced clinical practice in England: The Four Pillars

Individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Population

Education	Research
Clinical Practice	Leadership and Management

England HE. Multi-professional framework for advanced clinical practice in England. London: Health Education England, 2017.

Evans C, Poku B, Pearce R, et al. Characterising the evidence base for advanced clinical practice in the UK: a scoping review protocol. BMJ Open2020;10:e036192. doi:10.1136/bmjopen-2019-036192

Lawler, J., Maclaine, K. & Leary, A. Workforce experience of the implementation of an advanced clinical practice framework in England: a mixed methods evaluation. Hum Resour Health 18, 96 (2020). https://doi.org/10.1186/s12960-020-00539-y

 

Care by the Quarter*

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

	"A review of almost 1,000 audits by a professional accounting body has found that about a quarter were substandard."

 

*5ths really - the spiritual and never an after-thought...

When we talk of achieving 'balance', 'leverage', being 'on message' and other c-speak, this is clearly never straightforward.

Source:

Louisa Clarence-Smith, Inspectors find a quarter of audits are substandard, The Times, September 29, 2020, p.42.

See also:

Bloomfield, B. P., & Danieli, A. (1995). THE ROLE OF MANAGEMENT CONSULTANTS IN THE DEVELOPMENT OF INFORMATION TECHNOLOGY: THE INDISSOLUBLE NATURE OF SOCIO-POLITICAL AND TECHNICAL SKILLS*. Journal of Management Studies, 32(1), 23–46. https://doi.org/10.1111/j.1467-6486.1995.tb00644.x 

Leys, C. (1999). Intellectual Mercenaries and the Public Interest: Management consultancies and the NHS. Policy & Politics, 27(4), 447–465. https://doi.org/10.1332/030557399782218353

Oliver, D. (2014). Stop wasting taxpayers’ money on management consultancy for the NHS. BMJ: British Medical Journal, 349. Retrieved October 9, 2020, from https://www.jstor.org/stable/26519046

Kirkpatrick, I., Sturdy, A J, Alvarado, N, Blanco-Oliver, A and Veronesi, G. ‘The impact of management consultants on public service efficiency’ Policy & Politics: doi.org/10.1332/030557318X15167881150799. 

http://www.bristol.ac.uk/media-library/sites/policybristol/PolicyBristol_Briefing_54_2018_management_consultancy_inefficiency_in_the_NHS.pdf

Begley, P., & Sheard, S. (2019). McKinsey and the ‘Tripartite Monster’: The Role of Management Consultants in the 1974 NHS Reorganisation. Medical History, 63(4), 390-410. doi:10.1017/mdh.2019.41

https://twitter.com/barry_halverson/status/1314255088874127360?s=20