Is Hodges' Model anathema to 'Extant Nursing Theories' ?

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	Nursing Science Quarterly

"Are the extant nursing theories endangered species? Some nurse leaders think so. A cursory review of major nursing journals reveals the conspicuous absence of articles using nursing theories as guides to research and practice. These articles are often written by seasoned scholars and doctoral students in nursing, yet nursing science is absent. How can this be when PhD students are being prepared to be knowledge builders for the discipline and their teachers are the seasoned scholars?

This question took center stage in a recent international gathering of nurse researchers and theoreticians."

Parse RR. Are the Extant Nursing Theories Endangered Species? Nursing Science Quarterly. 2023;36(2):109-109. doi:10.1177/08943184221150254

 

 

Hodges' Model is a stranger in a strange land; and as usual I am writing from Wigan Pier - so vastly differing contexts and experiences acknowledged.

 

Whatever its status as a model of nursing, model of care, conceptual framework, nursing theory (level 'x'); as the editorial indicates, if the model were to have a 'home' it might be the USA with its nursing science PhD programmes. 

 

Clearly, this is not the case.

 

Unsuccessful in trying to learn of the international event mentioned, I can take encouragement from Hodges' model being 'stateless' and as such, being global, local and glocal in scope. There is succour in having an origin the model can call home here in the NW England (literal - person-centredness).

The medicalisation of nursing science may be an issue for PhD programmes in the USA, but the inter- multi- transdisciplinary potential of Hodges' model can encompass this - preserving and even assuring disciplinary identity as needed. An original purpose of the model was also curriculum design, and development.

"In all university systems it is the faculty and administrators of nursing programs who make curriculum decisions. These same faculty and administrators promulgate the use of theories from other disciplines to guide nursing research for PhD dissertations. What is wrong with this picture?"

I would suggest it is not 'big' - rich enough.

"What is the uniqueness of nursing as a discipline when medical science content has replaced the nursing theories and frameworks in PhD programs? The extant theories and frameworks concretized nursing as a unique discipline different from medicine in the 20^th century. Can nursing now be distinguished from medicine when the content of PhD programs is bereft of extant nursing theories and frameworks?"

Yes, nursing can and is being distinguished from medicine and all other disciplines: abstraction and scope of practice are key. 

So many 'literature searches' are incomplete (but I would say that).

It is actually a sad state of affairs should PhD programmes of study be the primary motivation for the development of nursing science. This is the 21st Century.

Nursing should be defined by the needs of national and global populations and associated national and global policy - especially ongoing gaps in those needs.

Tweetchat - "Inter-Field Learning" 3rd November 2022

"There are four fields of nursing:

1. adult nursing
2. children’s nursing
3. learning disabilities nursing
4. mental health nursing"
   
   

NMC - Standards for competence for registered nurses

Share your experiences and innovative ways of implementing our @nmcnews standards of proficiency for registered nurses across the four fields of nursing. @JulieDi26744550 @paulajaneholt https://t.co/b9l6rUvQsX

— Susan Lynn West (@SusanwestSusan) October 27, 2022

Includes the questions:
How do you develop curricula to embrace holistic care? What examples of best practice can you share?

[ Competencies ( All nurses (field of registration) ) ]

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professional values communication and...	decision making
...interpersonal skills nursing practice team working socialisation (professional values, identity...)	professional values leadership management

No endorsement of Hodges' model to be implied or intended.

More pennies - drop ... A personal note

*

Quite a while back on twitter, someone took exception as I replied to a tweet. The specifics aren't important, what is, is how much I take for granted here. 

The suggestion was that h2cm is, gives credence to, accentuates ... the 'general' at the expense of the specific, specialist, advanced. This [Hodges' model] is BAD.

As regards Hodges' model this is plain false, wrong.

Are specialists, advanced practitioners 'born' fully formed?

As I have always tried to remember my days as a Nursing Assistant, we must remember students and across disciplines.

Some comments, by new students on placement also on twitter suggest this is sadly, not the case.

I think I replied again in the thread, highlighting h2cm's open, situated, context driven potential.

In reality people on twitter are patient; I'm muted; the cliques, click away; whatever. As I churn out the same images and phrases.

What I need to do [yes, I know!], and will from now on, is qualify 'generic conceptual framework' (which on a Saturday night [UK] is probably a turn-off for many 😘).

As your knowledge grows, and is pruned by new learning, experience (and time) so your conceptual knowledge and vocabulary changes - expertise.

Hodges' model can reflect this.

So, if you are a specialist - and new here - WELCOME! 

Here are four pools, choose yours and by all means: DIVE IN.

Don't worry. IT IS SAFE.

At least, you won't hit the bottom, and you may not even find the sides. 😉

If your field is theology, the spiritual - well, well, you are in for a real treat.

*I love this journey^

^to follow ...

 

"...the most general and greatest concepts..."

But, although they
[i.e., the most general and greatest concepts]
may not have meaning,
they do make sense,
and it is very sensible
to awaken this sense from
time to time.

Robert Musil
Derr Mann ohne Eigenschaften - 'The Man without Qualities'
(first book), 1924
(translation by Jelke van der Pal)