Writing - next project - parts 1 & 2 in search of titles

Currently, I'm pulling together what have become two drafts, that consider Hodges' model as a mathematical object. Part 1, put-down in the new year, and picked-up now; a good start as there is more than I thought. There's a cost of that, of course? Part 2 is a gathering of tatters. Well, it is an effort.

As I don't work in academia where connections may more readily follow, can I claim that Hodges' model also does work? That the model can help in finding potential collaborators and co-authors? Once the fundamentals are understood, and again - it's not rocket science - for some people thankfully, something clicks. It clicks absolutely where it is should.

The model can be quite addictive in a positive way, as one of many among the vast array of assessment, evaluation and other tools. It is complementary.

So, with much needed support to follow, including from previous publication (please see the bibliography in the sidebar), plus April's WCCS26 conference, I'm working away to share them in 12 days or so. Then the work really begins as I benefit from collegial input, new perspectives, views, critique and the reward of constructive debate, experience and knowledge of others. I hope the drafts reward the curiosity that's been displayed. It is still quite exciting. Hoping too that students and early career researchers might pick this up ...

Leapspace ii - References

Of the references listed by LEAPSPACE #6 stood out:

Merritt, M.K., Procter, N. (2010) Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemporary Nurse. https://doi.org/10.5172/conu.2010.34.2.158 

Had I missed this? When I hear (read) of new citation for Hodges' model, it is added to the blog's bibliography. So, what about this one?

I could not access the full-paper initially, but did so at:

https://lmscontent.embanet.com/MVU/NURS600/Readings/W3_Peplau.pdf

I can see that Merrit and Proctor reference the following [#16 of 1-46]:

Jones, P. (1998). Hodges’ health career – Care domains – Model, nursing – Art or science? Retrieved October 4, 2009, from http://www.pjones.demon.co.uk/holsci.html

This additional cognitive and motivational nourishment is welcome. They are spot on with '1998', the year the former website (p-jones.demon.co.uk) went live. 

Pre-2015 and indicative of (what will increasingly follow) from AI, LLMs, agentic ai - LEAPSPACE found a page on the now archived website:

https://web.archive.org/web/20150409004111/http://www.p-jones.demon.co.uk/index.htm

While a positive, perhaps (again) we should worry about regurgitation? Although on another level perhaps the definition of 'grey literature' is also being (has been) redefined?

There is a positive in the author's acknowledgement of Hodges' model on several counts, being associated with:

• Highlighting the need for inclusion of mental health/illness (parity of esteem);
• Peplau's seminal work;
• A search to link mental health with other specialities (emergency, liaison, burns);
• Recognition of the inverse (psychological care within medicine); 
• The fact of being listed with Phil Barker (Tidal Model). 

Negatively, on the archived homepage (above) many links to content may not work:

The (rather short but referenced) page Merrit and Proctor list is available here:

https://web.archive.org/web/20111018204743/http://www.p-jones.demon.co.uk/holsci.html

I will insert this paper in the bibliographical listing; and revisit this.

Leapspace? Why not ...?

Referred to a paper in an email: https://doi.org/10.1016/j.jclinepi.2026.112401.

- I noticed an invitation to try Leapspace. 

So I leapt (with much editing - for formatting here). ...

 

Copilot steps

Creating a plan to respond to your query

Performing search for foundational documents
Performing keyword search
Using data from Scopus
("Hodges' model" OR "Hodges model" OR "Hodges' health career model" OR "health career model" OR "care domains model") AND (nursing OR healthcare OR "health care" OR education) AND (domain* OR component* OR framework OR concept* OR definition*)

Performing natural language search
Using data from Scopus
What are the conceptual definitions, domains, and components of Hodges' model in nursing and healthcare education?

Performing keyword search
Using data from Full text
("Hodges' model" OR "Hodges model" OR "care domains") AND (diagram* OR figure* OR visual* OR schema) AND (teach* OR education OR curriculum OR learning) AND (critique OR adaptation* OR application*) AND (method* OR framework OR discussion)

Performing natural language search
Using data from Full text
How is Hodges' model represented, taught, and adapted in nursing or healthcare education, including diagrams and critiques?

Performing keyword search
Using data from Scopus
("Hodges' model" OR "Hodges model" OR "care domains framework") AND (application* OR use OR implementation OR practice) AND (critique* OR limitation* OR adaptation* OR evaluation*) AND (nursing OR healthcare OR "health care")

Performing natural language search
Using data from Scopus
What applications and critiques of Hodges' care domains framework have been reported in nursing and healthcare practice?

Done

Generated by LeapSpace, Thu Jul 09 2026

Hodges' health career - care domains - model

Hodges’ Health Career – Care Domains – Model is a generic, practice-based conceptual framework for health and social care that organizes thinking into four knowledge/care domains: science, political, sociology, and interpersonal. It is presented as broadly applicable across healthcare contexts and is used to structure reflection, critical thinking, and care planning. [1] [2] [3]

Core domains

Domain	What it covers	How it is used
Science	Cause and effect, evidence, costs, benefits, and trade-offs	Helps frame the “hard” evidence side of care and service decisions. [1]
Political	Policy, systems, and structural influences on care	Helps connect care to wider health and social policy contexts. [1] [4]
Sociology	Social context, culture, stigma, and relationships	Helps explain how social factors shape health and illness experiences. [1] [5]
Interpersonal	Therapeutic relationships, patient/carer engagement, and human interaction	Supports person-centred and relational practice. [1] [2] [6]

What the model is for

• It is described as universal in structure and adaptable to many healthcare settings, including informatics, dementia/palliative care, forensic mental health, and oral health. [2] [3] [4] [7] [8]

• It helps practitioners map concepts into domains, build a mind-map-like structure, and support reflective practice and critical thinking. [3] [9]

• In forensic mental health nursing, it is proposed as a way to guide assessment, decision-making, and recovery-oriented practice. [2]

Bottom line

Hodges’ model is best understood as a four-domain lens for integrating clinical evidence, policy, social context, and relationships into one framework for care and reflection. Its main value is not in prescribing a single care process, but in helping users think more holistically and systematically about health problems and care systems. [1] [2] [3]

Confidence level: High — multiple sources consistently describe the model’s four domains, generic structure, and broad healthcare applications.

References

1. Fox, Siobhán, FitzGerald, Carol, Harrison Dening, Karen, (...), Timmons, Suzanne (2017) Better palliative care for people with a dementia: summary of interdisciplinary workshop highlighting current gaps and recommendations for future research. BMC Palliative Care. https://doi.org/10.1186/s12904-017-0221-0

2. Doyle, M., Jones, P. (2013) Hodges' Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/j.1365-2850.2012.01961.x

3. Jones, P., Wirnitzer, K. (2022) Hodges' model: The Sustainable Development Goals and public health - Universal health coverage demands a universal framework. BMJ Nutrition, Prevention and Health. https://doi.org/10.1136/bmjnph-2021-000254

4. Bettiol, S., Jones, P., Onyedikachi, H.A., Kernohan, W.G. (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model. Journal of Public Health Dentistry. https://doi.org/10.1111/jphd.70034

5. Jones, P. (2008) Exploring serres' atlas, Hodges' knowledge domains and the fusion of informatics and cultural horizons. Social Information Technology: Connecting Society and Cultural Issues. https://doi.org/10.4018/978-1-59904-774-4.ch007

6. Merritt, M.K., Procter, N. (2010) Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemporary Nurse. https://doi.org/10.5172/conu.2010.34.2.158

7. Jones, P. (2009) Socio-technical structures, 4Ps and hodges' model. Nursing and Clinical Informatics: Socio-Technical Approaches. https://doi.org/10.4018/978-1-60566-234-3.ch011

8. Jones, P. (2011) Socio-technical structures, 4Ps and hodges' model. Clinical Technologies: Concepts, Methodologies, Tools and Applications. https://doi.org/10.4018/978-1-60960-561-2.ch215

9. Jones, P. (2025) A Generic Model and Conceptual Framework to Prime Curiosity Across Health and Social Care Disciplines to Facilitate Lifelong Learning. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.70252

Follow-up Suggestions 

What are the key components of Hodges' health career care domains model?

How does Hodges' model apply to interdisciplinary health care practices?

What are the implications of Hodges' health career care domains model for patient-centered care?

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

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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 ...

Paper: "A generic model and conceptual framework to prime curiosity across health and social care disciplines to facilitate lifelong learning"

 What seems a long time ago now (a decade!) I started writing a paper on:

• Threshold concepts
• Deprivation of Liberty Safeguards (DoLS)
• and Hodges' model

This ended up as a two part work, which after review ended up as two separate papers:

One appeared in April:

Jones, P. (2025). A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts. Journal of Evaluation in Clinical Practice, 31: e70085. https://doi.org/10.1111/jep.70085

The other should be published soon - same journal. I appreciate the editor's patience and team's support:

"A generic model and conceptual framework to prime curiosity across health and social care disciplines to facilitate lifelong learning"

Unfortunately, I've no funds to pay for open access. I will bear this in mind, as I resurrect another project - with two versions of 13,000 and 6,000 words. This is on (and began during) COVID-19, society, information and technology.

News on two papers: Deprivation of Liberty Safeguards & Threshold Concepts

 - plus of course Hodges' model

While I could find out (here on W2tQ!?), I can't remember exactly when I started a writing project about threshold concepts, deprivation of liberty safeguards in the context of residential care and nursing homes. It was at least 2013, and may date back to 2011. Well, whenever it was: what a palaver! 

One paper, rejected, the advice was to split the work and create two. The two papers were then also rejected. My writing is always off-piste as it were, on-off too; and then ironically COVID-19 may have helped too? Afterwards, I started to pick it up again - the same title but parts 1 & 2. I never heard from one journal, so quickly moved on. Each time, the work improved thanks to two reviewers and their feedback. All the time my thought about Hodges' model has itself changed: I like to think progressed. With further revision, I finally had two standalone papers.

The important thing is the news received this week: Re. ...

'"A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care using Hodges’ Model and Threshold Concepts". I am pleased to be able to tell you that has been accepted for publication in Journal of Evaluation in Clinical Practice.'

A further paper (part 1 originally) same journal, to be referenced in the above, needs some minor revisions.

I am worried about another paper, with a similar history, that I can now turn my attention to (this itself speaks volumes!). I can see I need to alter the emphasis, balance of Hodges' model, diagrams, psychological therapies and case formulation. A co-author would help, but of course everyone's busy.

So if you're writing and struggling: do keep going!

New citation for Hodges' model

It was a struggle obtaining a copy, as the paper is not open access, but more good news with Doyle & Jones (2013) being cited in:

Yasemin Güner, Bilge Delibalta, Melek Üçüncüoğlu, Sinan Paslı, Challenges encountered by emergency nurses in forensic case management: A qualitative study, Journal of Forensic and Legal Medicine, Volume 109, 2025, 102807, ISSN 1752-928X, https://doi.org/10.1016/j.jflm.2025.102807.(https://www.sciencedirect.com/science/article/pii/S1752928X25000083)

The above has been added to the blog's bibliography. 

The abstract reads:

Purpose/Aims: This study aimed to reveal the opinions of emergency room nurses regarding crime victims and the challenges they experience.
Design: This study was a qualitative descriptive study.
Methods: A convenience sampling method was used in the study. Data were collected through individual in-depth interviews using semi-structured questions lasting approximately 45 min. The interviews were audio recorded. In total, nine nurses individual interviews were held.
Results: The study was completed with nine nurses with approximately twelve years of experience in the emergency department. Four themes were identified: duties and responsibilities of nurses in crime victims management; maintaining well-being in challenging crime victims; education needs of emergency nurses for crime victims; and challenges experienced by nurses in crime victims management.
Conclusions: When contextualizing the findings of our study within forensic nursing theory, it becomes evident that nurses play a pivotal role in continuously informing, influencing, and advancing forensic nursing care to improve patient health, forensic evidence collection, and criminal justice outcomes. A key finding of our study was the impact of interaction with crime victims in the emergency department on nurses’ well-being. In this regard, implementing institution-supported education policies, establishing units dedicated to supporting wellbeing, and fostering a supportive organizational culture are essential measures to promote the resilience and effectiveness of nurses in this critical field.

I will read again, and reflect later in the month.

New citations - Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia

It is always welcome news when I learn of a paper (Asmat, 2024) recognising and citing Hodges' model from the nursing and wider literature. In this case an educational journal, focussed upon health and social care:

Kainat Asmat (2024). Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia: Nursing Practice without Theory. International Journal of Practice-based Learning in Health and Social Care. 12. 125-131. 10.18552/ijpblhsc.v12i2.1068. 

I have quoted at length, but it is good to have a different 'excuse' (not just extending the tail of a relevant book, or paper). ... 

'Similarly, Hodges' Health Career Model exemplifies its use as a tool for reflection during clinical assessments, care planning, and decision-making processes (Doyle & Jones, 2013). The model encourages nurses to reflect on their practice through multiple lenses, ensuring a comprehensive understanding of patient needs and care strategies. The Interpersonal domain emphasizes the relational aspects of nursing, including communication and empathy. The Sociological domain highlights the impact of societal factors and social determinants on health. The Scientific domain focuses on evidence-based practice and the integration of scientific knowledge into care. Finally, the Political domain addresses the influence of healthcare policies and organizational structures on contemporary nursing practice. In contemporary nursing practice, a nurse might use Hodges’ model to provide holistic and personalized care by considering the patient's social background, the scientific basis of their care, interpersonal dynamics, and relevant political or policy-related factors. According to Jones (2017), using conceptual models like Hodges' can greatly enhance nurses' critical thinking, fostering a reflective and engaged nursing workforce.' p.126.

'Collectively, nursing theory remains a cornerstone of contemporary nursing practice, providing an essential framework that guides clinical decision-making, promotes critical thinking, and supports reflective practice. Peter Jones, in his seminal works, underscores the critical role of theoretical models in enhancing nursing practice. His insights provide compelling evidence for the continued relevance of theory in contemporary practice. In "Humans, Information, and Science", Jones (1996a), articulates the interrelationship between human factors, informational processes, and scientific principles in healthcare. He argues that nursing, as a discipline, uniquely integrates these elements to form a comprehensive approach to patient care. This integration is fundamental in moving beyond task-oriented care towards a practice that is reflective and evidence-based. Jones emphasizes that without a theoretical foundation, contemporary nursing practice risks becoming fragmented and superficial, lacking the depth required for truly effective patient care. Similarly, in "An Overarching Theory of Health Communication",  Jones (1996b) explores the necessity of robust communication theories in healthcare. He posits that effective communication is not merely a skill but a complex process grounded in theoretical understanding. This perspective is particularly relevant to nursing, where communication is pivotal in patient interactions, interdisciplinary collaboration, and health education. Jones’ work illustrates that theoretical frameworks in communication enhance nurses' ability to engage with patients and colleagues thoughtfully and effectively, fostering better health outcomes and professional practice. Jones’ analyses reinforce the argument that nursing theory is indispensable in contemporary practice. Likewise, McEwen and Wills (2021) also highlight that nursing theory is integral to the development of nursing as a discipline. They assert that without the theoretical underpinnings, nursing risks regressing to a technical occupation devoid of critical thinking and judgment that characterize nursing professional practice. Thus, the survival and progression of nursing as a distinct profession depend on the continued integration and application of theory in contemporary nursing practice.' p.127.

In addition, the short conclusion is supportive and encouraging for ongoing efforts. As with all discovered citations thus far, I'm not sure of how Kainat Asmat located the publications on Hodges' model? A literature search - no doubt, or perhaps the blog's sidebar listing? The selection made, fits the author's purpose. 

Over the years, I've tried to indicate the scope and scale that Hodges' model can 'reach'. Especially in self-care, family, local, global and planetary health. Now, c/o Asmat (2024), Hodges' model has a much valued connection with South Asia. The required scope of Hodges' model (its inter- and transdisciplinary potential^) is also conceptual, referred to previously as holistic bandwidth. Hence the model's relevance and potential in theory and practice.

Many thanks to Kainat Asmat and the journal's editorial team.*

I will read again and return to the paper in our New Year.

Listed in the bibliography:

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

Jones, P. (1996a) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598. https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1996.23321.x

Jones, P. (1996b) An overarching theory of health communication? Health Informatics Journal,2,1,28-34.

Where I have now added this paper.

^Still on the agenda as a paper; as with 'revisiting' 1996a. Happy to support others in referencing, or writing more specifically about Hodges' model (a case study, mapping exercise?); especially student nurses, carers and personnel in social care and early career researchers. To which, I'd better add later career nurses, allied disciplines, nurses returning to practice (surely a UK and global policy focus?) and proof of reading (your choice of course on the paper, chapter, book...); and reflection for continuing professional development (CPD). If you're still unsure, it was a relief to put the 'pen' down, well writing is still a major challenge (and pain) here. 

*And, of course - Brian E. Hodges RIP - too.
https://hodges-model.blogspot.com/2023/08/brian-e-hodges-r-i-p.html

Towards isomorphisms in Hodges' model

"The concept that best captures the process of homogenization is isomorphism. In Hawley's (1968) description, isomorphism is a constraining process that forces one unit in a population to resemble other units that face the same set of environmental conditions. At the population level, such an approach suggests that organizational characteristics are modified in the direction of increasing comparability with environmental characteristics; the number of organizations in a population is a function of environmental carrying capacity; and the diversity of organizational forms is isomorphic to environmental diversity." p.149.

"We identify three mechanisms through which institutional isomorphic change occurs, each with its own antecedents: 1) coercive isomorphism that stems from political influence and the problem of legitimacy; 2) mimetic isomorphism resulting from standard responses to uncertainty; and 3) normative isomorphism, associated with professionalization. This typology is an analytic one: the types are not always empirically distinct." p.150.

DiMaggio, P. J., & Powell, W. W. (1983). The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields. American Sociological Review, 48(2), 147–160. https://doi.org/10.2307/2095101

"Some of them went further, using approaches based in political economy, world systems theory, and theories of neocolonialism and underdevelopment to show that economic imperatives on a global scale were a major force in shaping education worldwide. Others interpreted such change through an institutional lens, arguing that the convergence toward accepted models of modernity has resulted in a process of educational isomorphism within and across countries." p.1.

Carnoy, M., & Rhoten, D. (2002). What Does Globalization Mean for Educational Change? A Comparative Approach. Comparative Education Review, 46(1), 1–9. https://doi.org/10.1086/324053

"The movement is inspired by Rudolf Virchow (1821-1902), who coined the term zoonosis, arguing that there should be no dividing lines between animal and human medicine. This position has been gathering momentum in the last fifteen years. The One Health Initiative is a rather daring interdisciplinary alliance that unites physicians, osteopaths, veterinarians, dentists, nurses, and other scientific-health and environmentally related disciplines, on the basis of a simple hypothesis, which is the isomorphism of structures between humans and animals in immunology, bacteriology, and vaccine developments. This means that humans are both exposed and vulnerable to new diseases, like bird flu and other epidemics, which they share with animal species." p.16.

Rosi Braidotti. (2015). Yes, There Is No Crisis. Working Towards the Posthumanities. DiGeSt. Journal of Diversity and Gender Studies, 2(1–2), 9–20. https://doi.org/10.11116/jdivegendstud.2.1-2.0009

"The chapter begins by developing the logic of strategic voting in a single- member district system, thus won by whichever party or candidate gets the most votes (first past the post, or FPTP). This represents the simplest and easiest case for the logic of strategic voting, and similarities (and sometimes theoretical isomorphism) exist between strategic voting— sometimes called instrumental voting (or voting as an investment)— and expected- utility maximization." p.3.

Aldrich, J. H., Blais, A., & Stephenson, L. B. (2018). Strategic Voting and Political Institutions. In J. H. Aldrich, A. Blais, & L. B. Stephenson (Eds.), The Many Faces of Strategic Voting: Tactical Behavior in Electoral Systems Around the World (pp. 1–27). University of Michigan Press. http://www.jstor.org/stable/j.ctvh4zhzr.4 

"Let us take a closer look at this important topic: what might be termed the isomorphism between the realm of care and the realm of perception/oikeiôsis-allotriôsis." p.57.

Joaquim Braga & Mário Santiago de Carvalho (eds.) (2021). Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy. Cham: Springer Verlag.
https://link.springer.com/book/10.1007/978-3-030-75478-5

- will add here ... suggestions welcome h2cmng AT yahoo.co.uk

New citation: "Evaluating the Human Rights Perspective on Sustainable Development Goals Accessible Health Coverage"

Just as I write about writing, this morning news of a further citation for Hodges' model via ResearchGate:

"The SDGs, aiming to establish sustainable health coverage systems and uniform condition coverage, can improve by utilizing a universal, generic assessment and evaluation strategy with sufficient theoretical breadth and application [7]."

[7] Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;0:e000254. doi:10.1136/bmjnph-2021-000254

In - 

Evaluating the Human Rights Perspective on

Sustainable Development Goals Accessible Health Coverage

Vijay Shankar Yadav, Brijmohan Singh

ABSTRACT

Objective: Human Rights Law (HRL) relates to effects investing, that strives to produce helpful social and environmental losses with financial gains. The businesses and organizational managers are exploring innovative economic resources and strategies to increase awareness of the global investment markets' ability to support Sustainable Development Goals (SDGs). Health coverage is essential for prospective human development due to that provides either an inherent human right or a necessary source of societal, economic progress. Widening income disparities, food insecurity, climate change, global financial crises, corruption and mismanagement of public funds, violent conflicts, rising unemployment, and various other difficulties point to a collective failure to achieve the right to development.

Method: Hence, HRL-SDGs has been designed for health coverage, including financial risk protection, access to excellent necessary healthcare services, and essential drugs and immunizations that are safe, effective, high quality, and cost-efficient. SDGs are established to be progress that satisfies their demands of the people with jeopardizing future generations'potential to achieve the identical.

Result: SDGs are promoted is a strategy for better satisfying the demands of society, the environment, and the economy. The process is performed through gradually integrating and realizing core human rights and essential economic responsibilities. Human rights and sustainable development improvement humans are interrelated and positively reinforcing ideas.

Conclusion: Human rights-based processes aim to help analyze discriminatory behaviors and imbalanced allocations of strength that establish results in development limitations.

Keywords: human rights law, sustainable development goals, health coverage, economic

Yadav, V. S., & Singh, B. (2023). Evaluating the Human Rights Perspective on Sustainable Development Goals Accessible Health Coverage. Journal of Law and Sustainable Development, 11(6), e1254. https://doi.org/10.55908/sdgs.v11i6.1254

(Checked: https://predatoryreports.org/news/f/predatory-journals-list-2023 ).*

To the authors - thank you. Your paper is listed in the blog's bibliography - sidebar.

*Predatory journals - authors - don't even think about it (Hodges' model has you covered!).

Award: h2cm #1 Framework ... #2 and #3?

"Elden and Levin (1991) suggest distinguishing between insider and outsider frameworks. A framework is described as a way of understanding. Insiders are the project workers or programme staff who have first-hand experience of the situation. They have their views about programme goals and problem solutions. The outsiders are the external researchers, the social scientists, who bring a battery of research skills and a wealth of theoretical ideas: 'The richness and quality of the research depends on the ability of the insiders to play their different frameworks and expertise against each other to create a new, third explanatory framework." (1991: 132). p.28.

 INDIVIDUAL

|

 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

outsider new insider	outsider new insider
insider new outsider	insider new outsider

Nurses, and nursing encompass all three, but (should - must) realise they are also part of the 'system', together with their colleagues in the multidisciplinary team. 

In grounded theory, participatory - ethnological and other qualitative approaches, we need to ensure the 'ground' to inhabit is sufficiently accessible. Hodges' model can assist in scoping a project; what is the perspective, standpoint, or positioning? While the health, or social care staff are the insider's and conceptually at the center of the model, the aim is to place the patient, carer at the center, with the situation we collectively encounter. The model's subjective - objective duality can also act as a regulator to assure overall balance.

Elden, M., & Levin, M. (1991). Cogenerative Learning. Bringing Participation Interaction Research. In W. F. Whyte (Ed.), Participatory Action Research (pp. 127-142). Newbury Park, CA: Sage Publications.

Clarke, A. (1999). Evaluation research. SAGE Publications Ltd,
https://dx.doi.org/10.4135/9781849209113 

[Clarke, again: p.174]

"Carol Weiss (1988a), one of the foremost writers on the impact research findings on policy, describes four ways in which evaluation information is used in the decision-making process. First, the information provided by evaluators can serve as a warning that that something is going wrong. For example, if early research findings suggest that some groups are not receiving the designated services, or intermediate outcome measures are not being achieved, then corrective action can be taken before the situation worsens. Second, evaluation findings can provide guidance for improving a programme. ... A third contribution evaluation can make is by way of offering a new way of looking at a familiar problem; Weiss refers to this as 'reconceptualization'. Finally, evaluation can be used to mobilize support for a project or programme." p.174.

Weiss, C.H. (1988a) 'Evaluation for decisions: Is anybody there? Does anybody care?', Evaluation Practice, 9 (1):5-19.

n.b. When on the PhD programme [MRes], I looked at evaluation and design-based research as potential research methods.

Update on draft papers ii

The draft paper on cardiovascular nursing, first episode psychosis, research methods and Hodges' model is just about finalised; at 4700 words, 4 figures (one illustration of the model, plus three 2x2 tables) and 42 references.

One of the oldest drafts is c. 2013; in mitigation I completed an MRES in-between. This is on case formulations, diagrams and Hodges' model and is quite near completion. Although now of course the references and literature need to be re-examined. There's a new rationale to pick this up - and it connects with work below.

Another effort morphed into two papers, following an initial inquiry with a journal (lost in the email archive). The focus is Threshold concepts, Liberty Protection Safeguards - a change from DoLS, the care context is nursing homes and the residential sector applying Hodges' model.

This draft has served a purpose, forming the basis of a presentation to the virtual Threshold Concepts Conference last year. News will follow soon regards next year:

9th Biennial Threshold Concepts Conference (I really miss the Specialist Group on TCs in Health, but also appreciate the time such a commitment takes.)

Last summer, seduced by reference to 'advanced studies' (and a call that presented a broad door, sufficient to get h2cm through) I responded to a call on technology, and society. Liaising with the editor, we added - COVID-19 and Hodges' model. Before I knew it, I'd amassed more than 12,000 words in six weeks. The comments even when far from final draft, were poor. No encouragement at all. Contact was lost, blanked in fact: the paper slept. 

Months later, picking it up again, I can see why. It was poor.

I've taken some -ve critique previously. Welcome it in fact: so the Earth-bound vacuum was rude.

When working on the Michel Serres paper:

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.

- some rather negative feedback proved the spur to the final work - that I think (and been told) is coherent, engages and 'delivers'(?).

This will be the result again, but the chain reaction has to be tempered and channeled.
Clear the desk - clear the desk! I am my own worst enemy...!

The latest paper, and its being co-authored has proved an enormous help, in time management, discipline and focus (despite COVID intervening):

Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;0:e000254. doi:10.1136/bmjnph-2021-000254

Out of the technology, society text, a structured work - maybe two - will materialise.

Swiss army knife

 

After wittering on about legacy problems in nursing, and health care for quite a while, I've wondered about an original purpose Hodges' model - that of curriculum design, planning, development. As ever, it is just one tool in the toolkit, but regards nursing curricula, mental health nursing, the general Vs specialist distinction Hodges' model can be the ubiquitous Swiss army knife:

Boyer's model, Hodges' model, scholarship, future website and Drupal

 

Noting and replying to threads on twitter, Hodges' model can help articulate the arguments for the future of mental health nursing as a distinct pathway of study, discipline, and profession.*

So if you're struggling to complete a paper, keep going!

That mention, back in 2009 of a 'future website' is embarrassing though.

*A post re. the BBC Panorama TV expose will follow in the future.

SDG paper published: "Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework"

It has taken an age ... 2017, an invitation to write about Hodges' model, then COVID, transfer from one journal to another, a new invaluable co-author in Dr Katharina Wirnitzer without whom this paper would not have been completed. Many, many thanks are in order!

Dr Wirnitzer also provided the theme of nutrition helping to unify the discussion on the SDGs mapped to Hodges' model.

Dr Wirnitzer's work, projects and colleagues include:

From Science 2 School: Sustainably healthy – active & veggy

https://www.science2.school/

The reference has been added to the blog's bibliography in the sidebar.

I am hoping for news soon on another paper concerned with psychosis, early intervention, psychosocial intervention, research methods and h2cm.

Thanks also to the referees,

Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;0:e000254. doi:10.1136/bmjnph-2021-000254

Reference [ii] "Practice in forensic psychiatry: A proposed interdisciplinary model"

Practice in forensic psychiatry:
A proposed interdisciplinary model

Expanding on the post about a further reference for Hodges' model:

Holmes, D. Perron, A. Jacob, J.D. Paradis-Gagné, É. & Gratton, S (2018). Pratique en milieu de psychiatrie légale: proposition d’un modèle interdisciplinaire. Recherche en soins infirmiers, (Practice in forensic psychiatry: A proposed interdisciplinary model). 134, 33-43. DOI: 10.3917/rsi.134.0033

Here, and on twitter I have sought to stress the limitations of the biopsychosocial model in healthcare, and I value Holmes et al. recognition of Hodges' model as politico-biopsychosocial. 

The authors also identify the structural nature of the model.

 

In comparing 'models of care' there is the question of whether Hodges' model is a model of care. As a generic conceptual framework Hodges' model can of course be used in the health care (as per its original design and creation) but it can be used to compare models of care.

Below, translated by Google are the models used in the paper.

I have altered the listing bringing the Tidal and Recovery model s together. Some I've 'mapped' in pairs, using formatting to indicate the differences.

Tidal Model

"The Tidal Model is a humanistic nursing model of recovery developed by Barker (12) with the premise that the person with mental disorder has strengths, abilities, personal priorities and a future ahead (13). This model of care, popular in forensic psychiatry circles, recognizes certain deficits of the hospitalized patient but it is especially interested in the meaning that the latter attributes to them. The sick person is the expert in his life and is therefore the one who contributes the most to his own recovery. This nursing perspective is therefore centered on the phenomenological experience (lived experience) of the patient and on the role of the staff, which is to allow healing and restore hope (12,14)."  

Recovery Model

"A popular model in mental health care, the recovery model is increasingly gaining ground in psychiatric care settings (28). The postulates of this humanistic model state that anyone, including those suffering from mental disorders, can aspire to a fulfilling future, participate in rewarding and inspiring activities, self-determination and finally, be able to live in an environment free of stigma and discrimination (29). The peculiarity of this model lies in the fact that recovery is part of a process where the person with mental illness can continue to show symptoms while being able to adapt to their condition (often chronic) and pursue their goals. life (30)."

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

recovery strengths, abilities, personal priorities deficits healing and hope phenomenological - (lived experience) personal responsibility fulfillment - life goals patient as expert personal adaptation living with x,y,z... coping strategies	place as context my future deficits signs - symptoms chronicity Institutional settings clinical - hospital
humanistic - human qualities social expectations social contribution participation - social inclusion free from stigma deficits	Institutional settings politics of recovery free from discrimination forensic deficits

<>

Integrated Practice Model

"This model was developed by Virginia Lynch, a pioneer in forensic psychiatry, and it guides the role of practicing staff in this care setting (15). There are three main theoretical foundations: 1) the fields of expertise involved (nursing, criminal justice and forensic science), 2) the health system (victim and offender, health care and forensic nursing ) and 3) the social impact (social sanction, human behavior, crime and violence) (16). According to this model, patients should be cared for using an interdisciplinary and holistic approach (15)."

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

nursing forensic psychiatry 2. health system interdisciplinary holistic OFFENDER	nursing theoretical foundations forensic science 1. fields of expertise 2. health system interdisciplinary holistic
VICTIM role of practitioners 2. health system 3. social impact (social sanction, human behavior, crime and violence)	criminal justice 2. health system

<>

Model of Nursing Interaction

"This model of care includes six categories of forensic nursing interaction with the goal of establishing a relationship with the patient: establishing and maintaining a relationship (relationship based on honesty, respect and trust), encouraging and support interactions (help the patient to recognize his qualities and use his resources), the learning of social skills (encourage the patient to do social activities and talk to others), reality orientation (help the patient patient to be aware of his way of being and of acting), reflective interactions (the perception of the patient and his problems) and the learning of practical skills (encouraging the patient to develop good lifestyle habits) ( 17,18)."

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

patient qualities, resources reflective interaction self-perception of problems reality orientation awareness of way of being and of acting	practical skills develop lifestyle skills
reality orientation learn social skills develop lifestyle skills encourage social activities talk to others	encourage and support interactions reality orientation perception of patient and problems

<>

Healthy Living Program

"This model was developed in response to metabolic syndrome and physical illnesses that may develop in people with severe mental illness (19). It includes programs related to health promotion activities such as weight reduction, smoking cessation, physical exercise, etc. It is a voluntary approach that not only improves physical health, but also independence and recovery. For the program to work in the institution and to fit into its organizational culture, the approach must be flexible and systematically maintained by the entire interdisciplinary team."

[ PARITY OF ESTEEM ] 

mental health - metabolic syndrome physical illnesses

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

independence recovery voluntary approach	(physical) health promotion activities such as weight reduction, smoking cessation, physical exercise,
independence recovery	voluntary approach for program to work in the institution and to fit into its organizational culture, the approach must be flexible and systematically maintained by the entire interdisciplinary team

<>

Holistic Model

"This model is used in forensic care in the assessment, health care and psychotherapy of patients with personality disorder (22). Holistic care includes the physical (diet and exercise), cultural, spiritual, and psychosocial needs of the patient. This model is based on problem solving, anger management and decision making. Caring is a central concept in the holistic model and is actualized in an emotional, psychosocial, constant and authentic caring response (23). It is for caregivers to be present for the patient, to respect his situation, to understand his experience and to demonstrate a desire to help."

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

holistic care personality disorder [mental] health care psychotherapy assessment emotion problem solving, anger management decision making actualized psycho-	holistic care 'caring' assessment diet, exercise health care 'being present'
-social culture holistic care 'being present' constant and authentic caring understand person's experience respect person's situation desire to help	forensic care holistic care desire to help (also exemplified in the organisation?)

<>

Good Lives Model

"This model focuses on the offense committed by the mentally disordered offender, his recovery, the promotion of personal goals, the reduction of the risk of reoffending, and the treatment of mental illness (24,25, 26). The model favors an approach based on the strengths of the patient. In addition, mechanisms of change are present, that is to say that behaviors judged to be poorly adapted are replaced by adapted behaviors when the patient is equipped with the skills, resources and support provided by the nursing staff. This model contextualizes the offense, focuses on the symptoms of mental illness while conceptualizing both as inappropriate behaviors.This model helps to better understand the relationship between mental illness and crime in order to create an individualized plan of care."

Risk-Need-Responsivity Model

"This model (27) imported from the correctional environment was adapted to the psycho-legal context by the addition of the “mental illness” dimension. It was developed primarily to reduce the risk of recurrence. Care interventions are geared towards the identification and treatment of criminogenic factors. This model is based on three major principles: the risk principle (granting the highest level of resources to the group most at risk of crime), the needs principle (identifying dynamic criminogenic risk factors and targeting them in treatment) and the principle of receptivity (adjusting programs according to the characteristics of the person: learning style, motivation, strengths, etc.) (24,25)."

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

mentally disordered (diagnosis) recovery characteristics of the person learning style (evidence?) motivation, strengths 3. principle of receptivity treatment: skills, resilience personal goals “mental illness” <-> crime recurrence individualized plan of care	1. risk principle -> resource allocation recurrence treatment 2. dynamic criminogenic risk factors  support of nursing staff
treatment [social determinants?] mechanisms of change adapted behaviours inappropriate behaviours recurrence	offense reoffending correctional environment contextualise the offence treatment principles [policy] recurrence

<>

Hodges' Health Career Model

"This model has a politico-biopsychosocial structure which is consistent with contemporary interdisciplinary practice (20); that is, it relies on a multidimensional critical approach, incorporating writings in sociology and politics, in order to understand the person in context. It is based on four objectives: measuring learning, providing holistic care, supporting reflective practice and closing the gap between theory and practice (21). This model is applicable in various clinical situations in a psycho-legal context. When this model is used as a frame of reference, it emphasizes the role of caregivers who must meet the patient's needs and focus on their problems. It also serves as a guide to assess and provide assistance to the patient vis-à-vis their physical, psychological and social needs as well as with the justice system in order to promote their recovery. The theoretical foundations call on four sources of knowledge: interpersonal, scientific, sociological and political (21)."

The PERSON in Context 

(situated)

Individual
|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

Group

INTRAPERSONAL INTERPERSONAL reflective practice conceptual structure psychological needs measure of learning psycho-	SCIENTIFIC physical needs theory-practice gap
SOCIOLOGICAL reflective practice (develop self-awareness) social needs practice-theory gap	POLITICAL justice system (needs) -legal

[ all embedded within the SPIRITUAL ]

Not just 'problems' Hodges' model can incorporate any desired stance, perspective or philosophical approach - strengths, disease, skills, weaknesses or deficits, psychosocial for example.

I am not sure about explicitly 'measuring learning, but the model can be used by learners and teaching staff / mentors to demonstrate their understanding and justify their output - formulation.

There is an instrumental potential in Hodges' model as a whole. Hodges' model can illustrate the degree of holistic intent - whether this is realised could also be indicated using the model.

Once again I am grateful to the authors for their inclusion of Hodges' model. The reference is listed in the blog's bibliography (please see the sidebar for others) which includes:

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

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.

See also on W2tQ (with overlap):

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

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

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