Occam's razor (i)

"2. The virus of encyclopedism in definitions should be
recognized and resisted. There is a role and a place for
illustrative detail, but that role and place is not in a
definition. Social science is content to tolerate excep-
tions to its theories—it is satisfied with explanations
covering most cases, not each and every one. In the
definition of strategic concepts, more detail inevitably
promotes less clarity and therefore less understanding.
William of Occam should be regarded as the patron
saint of wordsmithing for strategic conceptualization.

3. Ideas matter: Concepts for theory have practical
consequences. The way in which we behave strategi-
cally is not dictated strictly by the way in which we
conceptualize its challenges and intellectually order
our possible responses, but our concepts educate our
perception and interpretation of events, and they find
expression in the doctrine that shapes our behavior.52
Of course, strategic behavior should be adaptable to
unanticipated events, but frequently it is not. Strategic
and military culture can and does change, but at any
one time it is going to help mold action now in ways
organized doctrinally in the light shed by authorita-
tive strategy concepts." (p.46).

 
Gray, C. S. (2012). CATEGORICAL CONFUSION?: THE STRATEGIC IMPLICATIONS OF RECOGNIZING CHALLENGES EITHER AS IRREGULAR OR TRADITIONAL. Strategic Studies Institute, US Army War College. http://www.jstor.org/stable/resrep11257

Healthcare & Nursing: A select sport

Ed Smith: ‘We can’t risk stars’ mental health by playing too much’

Gruelling summer proved to England selector that player welfare is critical

Apparently, cricket is a late arrival to team building around a strong core and leader and then using a selection strategy. According to Wilde (below*), cricket is playing catch up with baseball (1880) football (1990) and rugby in 2010s. Even with a squad and substitution some players can play too much with physical and mental impacts. Delivery of healthcare is no 'game' even though certain aspects are open to gamification. Everyone understands the need to stay 'fresh' and avoid injury (burnout too). Nurses are not the only professionals and team players to experience the paradox of a break. On the one hand it's like you've never been away; on the other it is great to pick up the threads of cases, caseloads, referrals old and new. Key here too is the cover provided by colleagues while you were temporarily 'off the field'.

"Eddie Jones was asked after England's quarter-final
win over Australia if he felt vindicated in his decision
 to drop George Ford. He said, we didn't drop him, we
changed his role - welcome to modern rugby."

In health, the appliance of sport's 'win ratio' is not in dispute. We can test this! What is the satisfaction rating of the patient and family? But, let's broaden things to include the tax-payer and the patient's recovering, staying that way and becoming self-caring as far as possible. What has to be considered is the context, for example, palliative, end-of-life care and the aims of care.

Nurses have no choice but to 'play'. Sometimes an astute manager will recognise that a specific staff member is best suited to deal with a specific referral, or re-referral even.

As you guessed it, 'selection' does not end there. 

If Hodges' model is the compound field of play, then the selection of care concepts is the vital strategy to assure -

• person-centredness;
• integrated care;
• parity of esteem;
• reflective practice;
• critical thinking;
• a learning encounter;
• preventive approaches
• addressing health and other literacies ?
• teamwork ...

Yes, care assessment, evaluation can be a team effort. The significant care concepts (social determinants ... ), associations and priorities, risks and opportunities can be identified by an individual practitioner and also as a collective effort (group case discussion) and always with the patient / carer - guardian.

So, let Play commence  - and congratulations South Africa!

INDIVIDUAL

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INTRA- INTER-PERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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GROUP

Simon Wilde, Cricket correspondent, The Big Interview. ‘We can’t risk stars’ mental health by playing too much’. The Sunday Times. October 27 2019. p.9.

https://www.thetimes.co.uk/article/ed-smith-interview-risk-mental-health-cricket-brw2t8lxk