Geneva Health Forum 2025 (May 20-23) - Register Now!

Dear HIFA team

Can you share in your network this information. Thanks for your help

Sincerely

[HIFA profile: Eric Comte is Executive Director, Geneva Health Forum, External Affairs Directorate, Geneva University Hospitals. eric.comte AT unige.ch ]

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Geneva Health Forum 2025 (#GHF2025) is approaching quickly!

Bringing together global health leaders, researchers, frontline practitioners, and policymakers, the annual Geneva Health Forum event serves as a unique platform to exchange knowledge, present innovations, and advance equitable and sustainable solutions to the world’s most pressing health challenges.

We are present every year during the week of the World Health Assembly, at the end of May, to enable academic and civil society players to make their voices heard during the World Health Assembly.

This 2025 edition will focus on four thematic priorities: • Malnutrition • Climate Change and Health • Migration, Health, and Equity • Digital Health

Each theme will be addressed through evidence-based dialogue, multi-sector collaboration, and a strong emphasis on real-world practices with the potential for broader application and impact.

Please note: registration is free but required individually for each session or event. To secure your participation, visit the dedicated page for the event(s) of interest and click on the “Register” button.

To see the program and to register click on this link : https://conference2025.genevahealthforum.com/

We invite you to secure your spot for this important event by registering today!

We look forward to welcoming you to Geneva very soon!

If you have a question, contact us : contact AT genevahealthforum.com

My source: HIFA

Survey: Identifying and Fixing Undesirable Behaviors Across Software Versions

Hello,

As part of my PhD at the University of Lille, I am currently conducting a study on how developers handle certain bug scenarios. 

The goal is to better understand current practices, the tools used, and developers' needs regarding debugging in a specific scenario. 

You can find the survey at the following address:

https://sondages.inria.fr/index.php/462191?lang=en

Your participation in this short questionnaire (5 - 10 minutes) would greatly help us analyze existing methods and identify potential gaps in the available solutions. 

This survey will be open for 6 weeks (until May 15th, 2025). The responses will be analyzed and included in a scientific publication. The results will be available here.

If you can, please feel free to share this questionnaire with other developers who might be interested. 

Every response counts and will contribute to a better understanding of the community's practices! 

A big thank you for your help and time. 

Best regards, 

Rémi Dufloer

PhD Student, University of Lille 

---------------------------------------------------------------------------------------------------------------------------

Bonjour,

Dans le cadre de ma thèse à l’Université de Lille, je mène actuellement une étude sur la manière dont les développeurs gèrent certains scénarios de bugs.
L’objectif est de mieux comprendre les pratiques actuelles, les outils utilisés et les besoins des développeurs en matière de debugging sur un scénario précis.

Voici le lien du questionnaire:

https://sondages.inria.fr/index.php/462191?lang=en

Votre participation à ce court questionnaire (5 - 10 minutes) nous aiderait énormément à analyser les méthodes existantes et à identifier les éventuelles lacunes dans les solutions disponibles.
Ce survey est ouvert durant 6 semaines (fermeture le15 mai 2025).Les réponses obtenues seront analysées et feront l'objet d'une publication scientifique.Les résultats seront publiésici.

Si vous le pouvez, n’hésitez pas à partager ce questionnaire avec d’autres développeurs susceptibles d’être intéressés.
Chaque réponse compte et contribuera à une meilleure compréhension des pratiques de la communauté !

Un grand merci pour votre aide et votre temps.

Bien cordialement,

Dufloer Rémi
Doctorant, Université de Lille

________________
My source: Esug-list mailing list & checking with Rémi.

Alliance for Responsible Citizenship

Last month on two occasions, I came across the Alliance for Responsible Citizenship (which is a registered company). 

In the Sunday Times, "Philippa Stroud: ‘Everyone’s moaning — I think humanity can sort things out’":

https://www.thetimes.com/uk/politics/article/philippa-stroud-alliance-responsible-citizenship-km8z26b8b

and Financial Times "'Part megachurch, part political rally: inside London’s ‘rightwing Davos’".

https://www.ft.com/content/7ff1614c-38a2-4b5c-81d3-80cea1196dad 

Apparently, a right wing, conservative movement with a three-day conference, one commentary suggested it has struggled to define itself, which is understandable given the ongoing (increasing?) prompts for its creation.

You recognise early on in your nursing career and not just as a student (pre-Project 2000 UK), but as a Nursing Assistant that character is a key element in your professional development. By the time you qualify, you more accurately see that without a doubt it is your formative education that is a critical factor. That and your 'home' circumstances - and not necessarily the two-parents good, one bad formulation. This is why with students excluded from school, society is taking a wrong turn. There is obviously a problem but what is the 'correct' approach?

An 'alliance' already suggests a given level of organisation. By definition 'grassroots movements' must struggle to establish and retain their identity.

This is a project Hodges' model can help address - with a balanced but not necessarily a neutral output.

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

identity personality attitude aptitude character faith individual beliefs religious engagement courage hope threshold concepts my destiny well-being trust	future physical thresholds  waste climate change circular economy AI truth - information disorder science technology PAST - work - FUTURE our future destiny - (what does the clock say?) future generations?
grassroots social movement arts family community culture - diversity social - cultural identity society - support social change social capital social contract social values our shared destiny our children's children welfare - living wage employment - leisure quality of life	power political systems past policy UK: 'Troubled Families' economics organisations, institutions corporations political (manifest! - colonialism ) destiny policy systems political engagement health of leaders trust international law - justice control of fraud, corruption, crime human rights political thresholds

Geneva Health Forum and AXA Launch €50,000 Grand Jet d’Or de Genève Award to Address Pollution's Impact on Human Health

Since 2006, the Geneva Health Forum (GHF) has been uniting stakeholders to address critical global health issues every two years. By amplifying the voices of field experts and facilitating connections with influential policymakers, the forum provides a platform for showcasing innovative, accessible, and sustainable practices, as well as significant initiatives. Through its editions, the GHF has emerged as a pivotal event in addressing global health challenges.

For its 10th edition, from May 27 – 29, 2024, the GHF will address crucial issues for our future under the theme “Health, A Common Good!” The GHF transcends the boundaries of the healthcare system, considering the social and environmental determinants of health, with a specific focus on how environmental degradation is profoundly impacting human health.

As part of its mission to advance academic research on key societal challenges and contribute to human progress, the AXA Research Fund (https://axa-research.org/) AXA Group’s global science philanthropy launched in 2008, is teaming up with the GHF in this endeavor.

In light of this collaboration, the Geneva Health Forum (GHF) is introducing a new call for the Grand Jet d’Or de Genève Award, in partnership with the AXA Research Fund: Health & medical solutions to address the adverse effects of pollution on humans.

The World Health Organization estimates that exposure to air pollution is responsible for about 7 million premature deaths worldwide each year. Addressing pollution-related health issues is crucial, as underscored on May 24, 2023, by the World Health Assembly's resolution “WHA76.17 - The impacts of chemicals, waste, and pollution on human health.” The resolution calls upon Member States to work on human health impacts associated with plastics, act on linkages between chemicals, waste, pollution and other health priorities, as well as to prepare a proposal for a science-policy panel to contribute to the sound management of chemicals and waste.

Pollution is a major global health issue, affecting human health by causing respiratory diseases, heart problems, and cancer due to exposure to pollutants in the air, water, and soil. Specific attention has been given to pollutants such as per- and polyfluoroalkyl substances (PFAS), which are linked to cancer, thyroid disease, and developmental issues. Other pollutants such as heavy metals, volatile organic compounds (VOCs), particulate matter, persistent organic pollutants (POPs), and indoor air pollutants, present serious health risks, including neurological damage, reproductive disorders, and respiratory illnesses, highlighting the broad impact of pollution on human wellbeing.

Building on this international momentum, the Grand Jet d’Or de Genève 2024 will focus on the nexus of pollution and its health impacts.

The objective of the Grand Jet d’Or de Genève Award is to support an research team engaged in researching or implementing research-based projects with a focus on health treatment, measurements, use of data, and community involvement in addressing pollution-related health issues. The proposed projects must demonstrate their potential to change health practices and improve health outcomes in relation to pollution of air, water and soil, including but not limited to PFAS. Multidisciplinary teams exploring innovative practices or tools will be favoured.

The projects should not only focus on preventive measures to reduce pollution in the environment, but also encompass a broader scope, including assessing existing pollution, removing pollutants from the body and environment, developing medical solutions for pollution-related diseases, and finding ways to enhance health despite existing pollution.

The call will be open from March 11 to April 21, 2024, midnight (CET). Applications must be submitted online in English.

The Scientific Committee will select the top seven applications, which will then be submitted to the Programme Committee for the final selection of the winner. The award- winning research group will be announced on Tuesday, May 27, 2024, after the first day of the Geneva Health Forum, in the presence of the winning team.

The Grand Jet d’Or de Genève Award carries a prize of €50,000, awarded by the AXA Research Fund.

To prepare your proposal, you can view the complete proposal form:
https://grandjetdor2024form.genevahealthforum.com

If you need more information: contact AT genevahealthforum.com

HIFA* Profile: Eric Comte is Executive Director, Geneva Health Forum, External Affairs Directorate, Geneva University Hospitals. Email: eric.comte AT unige.ch

*My source.

Book: "The Unintended Consequences of Technology" - UCOT

Solutions, Breakthroughs, and the Restart We Need

 INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

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GROUP

"The Unintended Consequences of Technology" UCOT	here ... [or, full-steam ahead?] UCOT
... here ...	... and here?

Book cover: c/o Wiley

ii This post reflects the two-sides of technology:

Territories of Belief, Community, Nature and Technology i

More posts to follow over coming months on this theme ...

Call for Papers: The Digital Movement in Nursing

Call for Papers: FOCUS The Digital Movement in Nursing

Focus Edition Guest Editor

Prof. Camille Cronin, Director of Research and Impact, School of Health and Social Care, University of Essex, UK

The Journal of Research in Nursing (JRN) is a leading peer-reviewed journal that underpins good research with current policy and aims to publish papers that will influence nursing practice and health- and social-care policy.

Over the last two years we have seen an unparalleled digital-technological response to the COVID-19 pandemic that has re-shaped the way health- and social-care functions, for better or worse. This change has been fast and relatively unevaluated, with little time or opportunity made available for the involvement of nurses, critical discussions or reflections. What did this do to the nursing world? JRN is commissioning this focussed edition to find out more.

We are seeking papers that showcase, describe, and highlight the impact of new digital technology and innovation on digital health related to nursing. These might include:

• showing how nurses are leading the development of such technologies or digital solutions; or
• how service users were involved in developing a digital resource using participatory practices; or
• the impact these innovations have had on nurses, and patients and their families – e.g. on accessing health care, on delivering and evaluating care; or
• what do we expect for the future and how do we enable the future health-care workforce to keep pace with such change?

Papers can be built around different research designs, case-studies, evaluations, or service improvement initiatives and may address any of these issues in relation to digital health:

• improving the quality of health-care and health, access, and safety through digital health;
• using digital health data to improve health- and social-care services;
• improving recruitment, deployment and retention of health- or social-care workers using digital technology;
• developing innovative technology and digital health strategies to improve care;
• developing or using technology;
• demonstrating initiatives that use technology to promote health and/or wellbeing; and
• what, if any, are the consequences of the rapid insurgence of digital health technology?

As JRN’s mission is to contribute knowledge to nursing practice, research and local, national and international health and social policy, the contribution of the paper to, or implications for, both nursing practice and health and social-care policy must be made explicit.

Authors interested in contributing to this edition of JRN should submit by 1 JANUARY 2023.

More details ...

Hot carbon air

INDIVIDUAL

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 INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

	Carbon Capture c/o CNN
	HOT air?*

Climate Change 2022: Mitigation of Climate Change, IPCC, 2022.

 

 

*We hope not ...

 

Learning for quality health services: A new thematic discussion on HIFA

The WHO Global Learning Laboratory (GLL) for Quality UHC and Healthcare Information For All (HIFA.org) are delighted to announce a new thematic discussion on HIFA: Learning for quality health services. The discussion starts on 28 June and will continue through to 20 August.

Quality of health services is critical to achieving universal health coverage (UHC): Between 5.7 and 8.4 million deaths are attributed to poor quality care each year in low- and middle-income countries, accounting for up to 15% of overall deaths in these countries. Improving access to health services must go hand in hand with improving the quality of these services. There is an urgent need to place quality at the centre of national-, district- and facility-level actions in order to progress towards UHC.

The discussion will explore in depth the following questions:

- What does quality of care mean to you, in your particular context? Why is it important to make the case for quality of care?

- From your experience, what might work best to enhance national commitment to quality of care? Have you seen any practical solutions that should be shared wider?

- From your experience, what are the biggest challenges for district health managers in tackling quality of care issues? Have you seen any practical solutions that should be shared wider?

- From your experience, what are the biggest challenges for improving quality of care at the facility level? Have you seen any practical solutions that should be shared wider?

Please forward this message to your contacts and networks and invite everyone to join us!

https://www.hifa.org/news/learning-quality-health-services-new-thematic-discussion-hifa

www.hifa.org/joinhifa

We have more than 60 HIFA members volunteering for this project. Also, we are introducing for the first time the concept of HIFA Catalysts, whose role is to stimulate comment and debate. We look forward to a rich discussion!

HIFA profile: Neil Pakenham-Walsh, HIFA Coordinator, neil AT hifa.org www.hifa.org

 <>

Mapping some points to Hodges' model:

individual
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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

SAFETY cognitive access QUALITY of CARE quantity of CARE health literacy mental health	SAFETY faculty - facilities physical access QUANTITY of CARE quality of CARE distance rural : urban Between 5.7 and 8.4 million deaths are attributed to poor quality care each year ... accounting for up to 15% of overall deaths in these countries
PRACTICAL SOLUTIONS	low- and middle-income countries national commitment to quality of care Universal Health Coverage

TEDxNHS #1 – Why teaching a man how to fish won’t solve food poverty

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

Friedrich	1845
Engels  “social murder ...	... meeting too early a death."

My source:

Friedrich Engels described “social murder” in 1845 as meeting too early a death. We have reached the widened inequality tipping point & life expectancy in the UK is falling. Are we ok with food banks? complicit to social murder? Join us tonight @TEDxNHS to examine solutions. pic.twitter.com/a4ivC0LKoy

— Jemma Gilbert 🏳️‍🌈 🏳️‍⚧️ (she/her) (@Jemima_G) March 23, 2021

https://www.tedxnhs.com/tedxnhs-unlocked/

Hodges' model: What is the Question? (ii)

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

What is the basis for meta-cognitive and meta-conceptual claims for Hodges' model? Does Hodges' model have a role in secondary education and if so, what is it? If Hodges' model facilitates reflection and is reflexive how is this achieved and demonstrated? Is Hodges' model a meta-semantic framework and if so, is this what provides genericity? What is the foundation of the axes in Hodges' model and what characteristics can be described?

Is Hodges' model safe? "Cold, Warm, Hot, Hotter!" nearer to 'navel gazing' than 'reflective practice'? Are 'concepts' sufficient to explain the structure of Hodges' model, and account for its claimed role(s) in assessment, planning, evaluation and assurance? Is Hodges' model a constant: as the contemporary model? Are 'individual', 'group', 'humanistic', and 'mechanistic' sufficient as conceptual anchors; and if so are they sufficient to give rise to the two continua that then invoke four knowledge (care) domains?

Can Hodges' model simultaneously preserve, protect and assure 'patiency' whilst also facilitating self-care? What forms of literacy are encountered by users of Hodges' model and are they accessible to the public, patients and carers? Hodges' model: Show me the praxis. What does Hodges' model say about holism (and consequently reductivism) and why should anyone listen?

Is there such a thing as a generic 'model of care' in a multidisciplinary world? Is there a 'logic' to the seemingly diametric opposition of 'power' as exercised here and the two individual domains in Hodges' model? If claims for Hodges' model of universality, genericity and global scope are 'true' is this also a risk for healthcare professions and specialisation, as it supports the 'universal worker' and automated processes?

 

Hodges' model: What is the Question? (i)

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

Can Hodges' model assist student nurses in assessment and  evaluation of their well-being through their course of study? What sort of 'spaces' do we find in Hodges' model and do they matter or meta?	What is Hodges' model? Is there a theory implicit in Hodges' model? What theories might underpin this 'model'? The Demarcation problem: Hodges' model - is this science or non-science?
Does Hodges' model display consistency when used within a specific cohort of students and across disciplinary student groups? What is a 'span' and 'career' in the 21st century, and why do they matter to the individual and group?	Created in the 1980s is there a political need for Hodges' model in the 2020s? What are 'legacy' problems in healthcare and nursing, and how can Hodges' model characterise them?

 

Prompted by post-graduate study and avoiding reference to methods and/or methodology, plus:

How come so many researchers can't clearly specify the questions they are trying to answer? How come so many people are happy to bandy methods and sample sizes around in research bids without ACTUALLY STATING THE QUESTIONS THEY ARE TRYING TO ANSWER? Drives me absolutely 🥜🥜🥜🥜

— Nicky Cullum 🇪🇺 (@nicolacullum) December 15, 2020

 

Over many years, many questions have arisen.

Resnik, David B. A pragmatic approach to the demarcation problem. Stud. Hist. Phil. Sci., 2000, 31: 2, 249-267.

RA of Eng - Healthcare challenges needing engineering expertise

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - population

The Royal Academy of Engineering is keen to help identify potential solutions and facilitate useful contacts across its national and international engineering networks that could help our governments address problems and assist the public health response. We would like to hear from frontline medics and policymakers who are encountering critical issues, so that we can convene expert teams of engineers to help solve these problems.

Social Care: in the round and square c/o King's Fund

Simon Bottery's Long Read -

What’s your problem, social care? The eight key areas for reform

- and listed below, have been mapped to Hodges' model. The full article and comments are well worth reading and may help readers discern the relationships between the key areas identified.

1. Means testing: it’s not like the NHS 
2. Catastrophic costs: selling homes to pay for care 
3. Unmet need: people going without the care and support they need 
4. Quality of care: 15-minute care visits and neglect 
5. Workforce pay and conditions: underpaid, overworked staff 
6. Market fragility: care home companies going out of business 
7. Disjointed care: delayed transfers of care and lack of integration with health 
8. The postcode lottery: unwarranted variation in access and performance

I have associated each with the respective knowledge (care) domain in which they are placed:

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group - population

1. Parity of Esteem in Means Testing 2. (Catastrophic) Cost to me, anxiety, depression, stress 3. Unmet need (mental health, counselling ...) 4. Quality of Care (Mental Health, Well-Being..) 5. Workforce (values, person-centred, self-esteem, job-well-done, BE the Difference?) 6. Market fragility (attractiveness as career pathway, having a leader) 7. Disjointed care (number of carers, lived experience...) 8. Postcode (I thought this had been addressed?) (postcode? - a remote 'thing' outside through the window and (summer) garden]

1. Parity of Esteem in Means Testing 2. (Catastrophic) Cost to NHS - innovation, change, prevention, transformation 3. Unmet need (physical, access ...) 4. Quality of Care (Time, Logistics) 5. Workforce (tasks, scheduling, physically reasonable?) 6. Market fragility (scale, bed occupancy, local demographics...) 7. Disjointed care (geography, transfers, A&E admissions...) 8. Postcode ('literally') North, West, East, South, Regions, London, Urban, Rural ...

1. What is your Parity across 2. (Catastrophic) Cost to my family. 3. Unmet need (socialising, access, carer ..) 4. Quality of Care (Relationships, Belonging, Communication, Family Groups..) 5. Workforce (job satisfaction, status, social worth ..) 6. Market fragility (Public perception, marketing, negativity bias - local news, time for outreach, intergenerational engagement...) 7. Disjointed care (input of family, local provisions, self-funding - budgets...) 8. Postcode (pre-social care, pre-lottery?)

Means (let's Test that.) here too?  2. (Catastrophic) Cost to the State? 3. Unmet need (my choices, informal carer ...)  4. Quality of Care (Value for £, Measures, Inspection, safety..) 5. Workforce (pay and conditions, minimum wage?, Unions, contracts, training, BREXIT ..) 6. Market fragility (FUNDING settlements, estate, investment, staff turnover, Qualified staff, commercial history, profit, governance..) 7. Disjointed care (commissioning, ...) 8. Postcode (local policy, funding, protocols ..)

The Art & Science of Health: [conceptual scraps iii]

In clinical administration and informatics the question of 'ownership of information' is one of what I've described as legacy problems. Here's a stab at a definition:

A legacy problem is characterised by being:

An aspiration that presents as a problem due to its scale, complexity, and the fact that they are passed-on from one generation of professionals to another. As such legacy problems are common across disciplinary and professional groups. They are embedded within professional education, teaching, learning, practice, management and are expressed in successive  policy developments and within public and media discourse. In scale legacy problems are inherited by new learners and governments.

This is admittedly a broad brush treatment - and a work in progress (I focus upon and list the characteristics). Here, I'm not concerned with the whys and wherefores, or the minutiae. (Perhaps this post is a result of not burn-out(!?) but professional and organisational exposure otherwise known as experience?)

Clinically then legacy problems include:

• integrated care;

- across physical, mental health and social care
- between disciplines (location, co-working - teams)
- as experienced by the patient, carer (as proxy)
- financially

• holistic care;
• person centred care;
• reflective practice;
• critical thinking;

To these we can add:

• the electronic health record
• and as mentioned above 'ownership' of the record (as a whole and the data within).

The question is - are the above being miscategorised? Are they problems or features of healthcare that no matter how much you might wish you cannot dodge them?

Records are critical to the definitions of being a professional and professionalism - public safety, care planning and delivery, accountability, responsibility, research... Perhaps though the existence and consequent longevity of the above are bound to give rise to their analogues and not just their solution, but how they are framed?

Comprehensive record anyone and is that a computer before me...?

What are your thoughts - h2cmng@yahoo.co.uk I'd be pleased to hear from you. Can you add to the list?

To be continued ... [ and there's the legacy conundrum that is the National Health Service? ]

See also:

Daniel Bayley: The problem with Patient Online and the NHS App
Related posts i & ii:

The Art & Science of Health: [conceptual scraps i]

The Art & Science of Health: [conceptual scraps ii]

Barefoot Thinking

As Leadbeater described through Illich in the previous post we need a transformation from healthcare supplied as a service to individual personal responsibility for health and wellbeing. How can this be brought about though?

The power of grassroots, social movements is well established, even if since 2009 the idealism of the Internet as a force for positive change and democracy has been somewhat undermined.

As a force for positive change and exposing the thinking and skills of the poor, Leadbeater also highlights the creation of the Barefoot College by Bunker Roy and barefoot thinking. The poor do have skills and knowledge that can effect change and community growth.

Situated and capable across all contexts, Hodges' model can help facilitate personal responsibility and self-care. In addition to supporting the learning of health and social care professionals, Hodges' model can also provide a conceptual scaffold as barefoot thinkers redefine professionalism.

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group

My source: Leadbeater, C. (2009) WE-THINK. 2nd ed., London: Profile Books.
(Now in the book pile destined for Hay-on-Wye)

Paper: Wang and Nickerson (2017). A literature review on individual creativity support systems

Hodges' model can lay claim to being a creativity support system [CSS]. While I do not have evidence, the model presents a diversity of stimuli in its structure and the care - knowledge - domains. It follows then that from the outset it is a motivational primer on both affective and achievement counts. Immediately, there is the motivation provided by the blank space, viewed as one or four conceptual spaces to find an initial starting concept. Affective as users gravitate towards their chosen reflective and creative journey, and achievement priming as having a goal that is prompted by professional, interpersonal and educational goals. If there is a case of 'creativity block' then perhaps a group approach can be adopted? Hodges' model then becomes a collaborative creativity support system. With Hodges' model and no doubt the proposed CSSs the collaborative agents add their own affective and achievement priming, whether student-student; patient-student (supervised); or mentor-student.

With the important caveat that the studies identified do not include healthcare but many papers are general. The authors provoke many questions: "Creativity support systems, like other information systems, are most effective when they instantiate underlying theories..." (p.140). I have already posed this question - which is (as ever) compound. As per the review's general domain papers, is there an underlying theory for all of Hodges' model; or is there a need for a theory per care domain?

"The literature on individual creativity support systems has drawn from theories about design, human computer interaction, information systems, and creativity.. " (p.140). 

If 'design' can be complex, what of 'care design'? That is what we are about. This in turn impacts upon the other sources of theory above.

There is much to draw upon in Wang and Nickerson (2017) but finally on page 145:

"the authors did a survey to verify the notion that creative self-efficacy, individual knowledge and IT support affect individual creativity through mediating variables: individual absorptive capacity, exploration and exploitation." 

Creativity must contribute to literacy, Wang and Nickerson allude to a relationship, referring to self-efficacy above. This is what we are seeking in health literacy and self-care. An ability to explore and exploit available resources being a sign of autonomy and efficacy.

Table 3
A framework for designing individual creativity support systems.

Aspects	Components	Features to Support the Component
Motivation	Motivational priming	Affective priming Achievement priming
Creative Process	Process completeness Process control	Modules to support each step in a complete creative process Allowing iteration and selection of steps
Divergent thinking	Stimuli Long term memory Working memory Creativity techniques	Providing different levels of stimuli, Providing stimuli dynamically External long term memory, such as knowledge base and case library; Facilitating search Supporting association, Visualization, Random combination Facilitating the use of creativity techniques; Computational creativity techniques
Convergent thinking	Comprehension Decision	Labeling, classification, simulation Criteria based comparison, Decision support

Table 4
The steps in a complete creative process.

Process Stage	The Divergent Step	The Convergent Step
Problem finding	Formulating problem presentations in various ways	Selecting the best ways to present the problem
Information finding	Collecting potentially relevant information	Selecting the most relevant information
Idea finding	Generating many ideas	Selecting the best ideas
Solution finding	Improving the selected ideas	Selecting the improved ideas and integrating them into a solution

Reference:
Wang, K., & Nickerson, J. (2017). A literature review on individual creativity support systems. Computers In Human Behavior, 74, 139-151. (tables p.145).
http://dx.doi.org/10.1016/j.chb.2017.04.035

Money and Mental Health [ii] OVERSTRETCHED, OVERDRAWN, UNDERSERVED

Following on from - Money and Mental Health [i] Impact of Mass Unemployment Events (MUEs)

I have been familiar with the relationship between mental health and finance since student days in the late 1970s. Debt was and remains a profound and common problem. This can exacerbate existing mental health problems or it be the trigger - the straw that breaks the camel's back. From the report:

One in four people with a mental health problem is also in problem debt, and half of people in financial difficulties have a mental health problem (p. 13).

Finance still has this impact whether it is a lack of basic financial skills (literacy), life chances and opportunity or attributed to bad luck. Speaking of 'luck': I have frequently felt angry and frustrated with government policy. It is common sense and statistically inevitable that within the population there will be people who are vulnerable to addiction of many sorts. Why make it easier for those who are vulnerable to potentially loose everything? Not only that but money impacts all those in vulnerable groups, not just people in work. When we talk of health inequality what is the biggest factor? I've come across instances of elderly people receiving scam mail and not just the 'odd' post. While within Hodges' model below I have family as a resource, sadly this can also be part of a problem.

'Productivity' looms large in the report and draws a rueful smile here. In the NHS productivity and its increase is a constant requirement. In the general economy UK productivity is low and seemingly stuck. Successive governments have failed and now with Brexit productivity is still on life-support.

In the report 'financial fragility' is a very useful construct (as with circumstantial, rather than careless overspending). The public sector is also highlighted in this regard:

Forecasts suggest that 5.4 million public sector workers, one in six of the UK workforce, will be worse off in 2020 than they were in 2010 (p.16).

Before you view the report itself and the small conceptual sampling in Hodges' model, the report refers to the hidden epidemic that this report seeks to highlight and represent. This government and successive, nationally and globally need to get to grips - somehow - with the hidden economy - parts of which are blatantly obvious in the subterfuge around tax avoidance. This is another relationship that operates upon us all - employed, unemployed, young and aged - and which Hodges' model can also help illuminate.


Evans, K., Holkar, M., Murray, N. (2017) OVERSTRETCHED,OVERDRAWN, UNDERSERVED: financial difficulty and mental health at work, The Money and Mental Health Policy Institute, May 2017.

What follows is drawn from the report above - with a couple of additions:

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

[May THE KNOWLEDGE ECONOMY]  (including nursing) MENTAL HEALTH hidden epidemic ... over two thirds (67%) of employees who are struggling financially report at least one sign of poor mental health that could affect their ability to function at work loss of sleep, poor concentration, reduced motivation, preoccupation Increased risk taking (impact - occupation...?) Guilt/shame Anxiety Low self-esteem Anger Frustration Fear Low mood Self-harm Suicidal ideation Insomnia Panic attacks Depression, Lethargy/apathy Substance misuse [... starts here!]

PRODUCTIVITY Physical effects of anxiety, stress, alcohol, smoking (increase, relapse), other substance misuse physical fragility (lack of resilience) Nearly half (45%) of all working days lost to ill health were a result of stress in 2015/16 – adding up to 11.7 million days across the economy. work access to:   "on-site exercise facilities, healthy  food and rest spaces" hidden morbidity

Influence of individual mental health on colleagues, team morale and cohesiveness fear of bailiffs - seen by others at my door pressure on relationships conflict at work family breakdown shame, guilt, stigma social support, friends, family, colleagues

WORK THE ECONOMY "Money and Mental Health will set out the case for employers to provide practical support to employees experiencing financial difficulty, and how this could boost the mental health, wellbeing and resilience of their workforce." "financial fragility" Creditor action poor performance, punctuality, reliability disciplinary action OCCUPATION HEALTH services - counselling / advice Individual's awareness of Rights the hidden economy

Thanks and Acknowledgement to The Money and Mental Health Policy Institute

Problem Solving, Creativity and h2cm - or P.S. Sedbergh is a book-town ;-)

Yesterday in Sedbergh I visited a couple of bookshops. I came away with four (second-hand) titles, one was Corwin Bennett's Spaces for People: Human Factors In Design, 1977, Prentice-Hall. It's a small paperback that shows how long 'human factors' research has been around - the text mentions 'computers' but not 'PCs'.

In chapter 10 on Creativity and Problem Solving (p. 163) there is a very simplistic figure which I have copied at left. I think the next paper (if there is another in me) must really tackle what Hodges' model is beyond the 'conceptual framework'?

Problems have always figured in my nursing and informatics career. As a human being thank goodness for the ongoing marriage between creativity and our problem solving proclivity (we are going to need it) .

Scanning the book shelves (the architecture section in this case) at £4 this book was a bargain.

Bennett's translation from creativity to problem solving invites discussion of:

1. the overall complexity within (and without!) health and social care disciplines;
2. the complexity of care pathways in theory, practice and policy;
3. the need to re-appraise our information gathering and recording (pre & post ICT implementation);
4. and how Hodges' model (see below) might concurrently represent and possibly disseminate care states:
• statically as snapshots;
• or dynamically (anyone for a challenge?).

I will try to expand on the above as things (hopefully) fall into place and mention those other books...

It is the NW England Drupal meeting tomorrow night.