Hodges' Model: Welcome to the QUAD

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Tuesday, September 15, 2009

Nursing Variables and Constant Values

From the ancient days of BBC BASIC I am today still trying to pick up some PHP to help me grasp Drupal (and Ruby).

In declaring variables - a key element of computer programs - I thought about the following both as a VARIABLE -

$nursing_care = "variable"

- and as a CONSTANT.

Which made me wonder: when do we want nursing to be a 'variable' and when a 'constant'?

The answer is of course obvious.

Nursing care must be a VARIABLE when it reflects the care plans and objectives that relate to a person - a unique individual.

Alternately, what must be declared as CONSTANT are -

safety, values and good-high quality nursing care.

You may wish to consider what other aspects of nursing and your practice are either variable or constant in nature?

Tuesday, September 08, 2009

International Literacy Day - Literacy and Hodges' model: An umbilicus of meaning

Literacy has always been important - it pre-dates prehistory.

Nature is the hardest of all teachers.

Nature taught us to read ourselves, other people and things in the environment, the future and so on right through to our various forms of media and technology today.

Politicians, parents and educationalists constantly stress the state of the 3Rs for those in, leaving school and the general populace who whether willingly or not find themselves as lifelong learners. Now we are told times and the world are far more more complex. In addition to ability in Reading, wRiting, and aRithmatic - literacy comes in other forms that are increasingly essential to our individual connection with the world, and our collective capacity to solve major local and global issues.

The efforts of Gutenberg shame us when in the 21st century basic literacy evade so many:
Today one in five adults is still not literate and two-thirds of them are women while 75 million children are out of school.
Since its foundation in 1946, UNESCO has been at the forefront of global literacy efforts and is dedicated to keeping literacy high on national, regional and international agendas. However, with some 776 million adults lacking minimum literacy skills, literacy for all remains an elusive target.
UNESCO’s literacy programmes aim to create a literate world and promote literacy for all.
On the other hand Gutenberg reminds us of the need for stability if a people, a government is to provide the capacity and resources to support education and literacy for its peoples.

As mentioned above reading, writing and basic numeracy skills are now joined by other essential literacies. In the figure below I have (hurriedly) combined them with Hodges' model:


Here in the 3Rs we need to appreciate the child developmental factors that influence the acquisition, learning and refinement of basic literacy skills. The early detection of visual, hearing, and cognitive problems is crucial in ensuring everyone realises their full potential. The 3Rs span several of the care (knowledge) domains of Hodges' model. Children must be allowed to be children, hence the importance of play in emotional development and literacy.

As our societies become ever more visual to the extent of being described as visually polluted with excessive amounts of signage; spatial and visual forms of literacy come to fore. If the digital divide does not intervene then information, media literacy, and fluency in the use of computers, software, virtual interfaces and other digital devices represent the 21st century literacy?

Economic literacy extends beyond numeracy, not just a person being able to manage their own financial affairs and that of their family. This may also encompass - as the world has witnessed over the past two years - the economic management of whole communities, countries and the need for governance and accountability.

What then of political literacy in the figure above? In medicine and surgery great store is placed on informed consent before an operation or procedure is performed. Do people just 'vote' or should the electorate be informed as they grant permission to a political party to operate on their behalf?

When speaking to clients, carers and families a judgement must be made about the language used. Get this wrong either way - too jargonistic, technical or too simplistic and positive outcomes may be reduced.

In the future as populations continue to grow, cities are forced to flee rising tides and governments seek to relocate, spiritual literacy will assume an importance never seen before. That is why spiritual literacy surrounds Hodges' model.

Of course in health and social care encounters, of the many factors that are weighed the emphasis in professional caring and essential humanism is on acceptance and being non-judgemental.

Literacy must be judged.

It has to be judged if global health is to have any meaning.

Literacy and Health
- two vital pearls on the fragile thread called -
quality of life.

Monday, September 07, 2009

Evidence Hodges' model #1: Research in Nursing

Mind the gapWhen as a nurse (OT, physio, medic....) you are on a course, especially one about research you may be required to complete a study or more significant piece of research. Courses at graduate and post graduate level invariably include such demands and stress the hope that this course will spur you to continue the research effort in the work place. The ideal is of course to routinise research in clinical settings. Whatever the debate regarding the merits of evidence-based nursing, medicine and so on, this still needs to happen in part to help bridge the theory - practice gap.


In the same way all nurses have a professional responsibility to educate their student peers, (patients and carers...) there is an expectation that nurses are like embedded media commentators in a war zone. Part of your time in practice will be devoted to research, audit and governance.

While there are audit and governance teams there willing to help, many people multi-task in their work and nurses are seasoned practitioners. Many just want to do what they were trained for and nurse. They recognize this as they hear the expectations of the course leaders, lecturers and yet they are aware of the constraints. The scope for research is weighed against other commitments, notably:

  • direct(ing) patient care and safety
  • management and supervision
  • audit duties for management information
There are of course a host of psychosocial influences that come into play. What is my personal interest in research? Where do I prefer to be at work: office, ward, or home or retired? Cynical? No! Just being realistic. The information systems frequently in place can assist as a research tool, but their chief role is to provide management information through the collation of aggregated data. This is done by-and-large transparently in the background ('back-end'), and that is the problem. Nurses need to get their feet wet. The option must be there, and not just when on courses. Nurses need to immerse themselves in the data and information streams they help to create and source.

As the list above suggests nurses and not just senior nurses need direct access to the icon labelled 'reports'. There should be ways for nursing work to be captured in-situ, but how? Many clinical information system vendors have their solutions to this, but as regular readers know for a long time I've been wondering about -
  1. How can the balance between management data and intelligence needs and clinical needs be supported and bridged?*
  2. What is the evidence base to support Hodges' model in theory, practice, management and policy?
  3. What is the state, characteristics, access and usability of nursing terminology, taxonomy, classification systems in informatics - information and communication systems?
  4. If I am individually compelled (nuts!) to create a new website could I ally this aim with a course?
More to follow - including some of the sessions at Drupalcon Paris.....

*To this list we also need to add other stakeholders - members of the public.

Additional link:
https://www.icn.ch/what-we-do/projects/ehealth-icnp


Image sources:
Mind the gap: http://ci.coe.uni.edu/facstaff/zeitz/web/itag/mindthegap/
Report icon:
http://artistsvalley.deviantart.com/art/Free-Task-Icons-Reports-Icons-89509953

Thursday, September 03, 2009

Drupalcon Paris 2009 "big picture..." x 5 "holistic..." x 6

Today at Drupalcon my keyword count by the speakers of day 3 sessions I was privy to (assuming I was awake throughout) is something like:

"big picture" = 5
"holistic (+ or - thinking)" = 6

These were stressed repeatedly especially by keynote speaker Chris Heuer. Like last year in Hungary I have looked at the BOF (birds of a feather) board and wondered about sticking Hodges 'framework' up there. Why 'framework' and not 'model'? Well framework, product and service are amongst the other keywords at Drupalcons past, present and future no doubt.

Hodges' model is a framework to carry, represent and disseminate big pictures.

While it is very encouraging to me to hear these terms I get the impression this is window dressing. At the end of the day the 'big picture' is the paper around the fish and chips. Its value is quickly spent - especially in this most apparent recycled mode. Chris Heuer alluded to this in his very interesting talk.

There is more to see in the big picture than what seems to be there.


This is why Hodges' model is so readily passed over for its simplicity.

When we gather the constituent parts of the big picture they are invariably 'recycled materials'.

The converted can see the re-purposed value, the need to re-visit the frame and tinker with the contrast, horizon(s), sky and colour; but critically do those who really need to create, see and utilise the resource?

The thing about 'big pictures' is
they are not enoug
h in themselves,
it depends not only on how you fold them,
but on how hard you can throw them.



Image sources:

Fish and chips in paper: http://www.roadfood.com/Restaurants/SearchResults.aspx?st=photos&ob=RestaurantName&ps=1&s=XX
Paper plane: http://www.clker.com/clipart-4601.html

CfP E-Health: Accessing Knowledge for Global Health


Special Issue on:

“E-Health: Accessing Knowledge for Global Health”

Guest Editor: Patricia Abbott, PhD, RN: Johns Hopkins, USA

This special issue of the KM&EL international journal is dedicated to coverage of knowledge management and information dissemination for health in under served areas. Numerous studies have demonstrated the high cost, in both financial and humanistic terms, of a lack of access to current healthcare knowledge. Many international settings are using textbooks that are seriously outdated, and practicing in ways that have been proven to be ineffective and/or dangerous. At the same time, we are seeing an explosion of information and communication technologies (ICT) that are reaching even the most remote corners of the globe. As these two trends collide, we are seeing tremendous innovation and application of KM techniques and ICT utilization to “reach and teach” in remote communities around the world. Indeed, Deaton (2004) states that:

“The health and life expectancy of the vast majority of mankind, whether they live in rich or poor countries, depends on ideas, techniques, and therapies developed elsewhere, so that it is the spread of knowledge that is the fundamental determinant of population health.”
This issue is designed to elicit both theoretical and applied papers that describe efforts to reduce international asymmetries of health information by increasing access to health knowledge bases via ICT. We are interested in theoretical papers that posit the promise and possibilities global e-health, and applied research papers that provide results of knowledge access, knowledge management, and knowledge dissemination for international health. We are particularly interested in papers in this space that focus upon application in low resource areas and/or with the medically under served. Our goal is to stimulate interest in the issues across academia, practice, industry, research and policy. We welcome focused papers from all sectors.

The topics of interest include, but are not limited to:
  • Knowledge management in ICT-enabled, yet low resourced areas
  • Practical usage/application of ICT for evidence based practice in global e-health
  • E-health via ICT – Lessons Learned
  • M-health via cellular telephony and other mechanisms – New innovations for distributing health knowledge and best practices via mobile technologies
  • Managing and developing knowledge from under served areas; what can communities teach us?
  • Producing culturally sensitive, feasible, and distributable best practices for ICT-enabled delivery
  • Socio-cultural aspects of ICT enabled e-health
  • Infrastructure challenges in global e-health in the e-health/m-health domain
  • New developments, trends and approaches.
Important Dates
Submission due: 15th January, 2010
Notification of acceptance: 15th March, 2010
Publication schedule: Jun 2010 (Vol.2, No.2)

Submission Instructions
Papers must not have been published, accepted for publication, or presently be under consideration for publication elsewhere. A standard double-blind review process will be used for selecting papers to be published in this special issue. Authors should follow the instructions outlined in the KM&EL Website (see URL http://www.kmel-journal.org/ojs/index.php/online-publication/about/submissions#onlineSubmissions)

Guest Editor:
Patricia A. Abbott, PhD, RN
Director, Johns Hopkins School of Nursing, PAHO/WHO Collaborating Center for Knowledge Management;
Johns Hopkins Schools of Medicine and Nursing
Baltimore, MD USA

Electronic submission by email to Guest Editor is required.

pabbott2@son.jhmi.edu

For more information about the KM&EL, please visit the web site:
http://www.kmel-journal.org/ojs/index.php/online-publication

Reference:
Deaton, A. (2004). Health in an Age of Globalization. Available online at: https://muse.jhu.edu/journals/brookings_trade_forum/v2004/2004.1deaton.pdf

Knowledge Management & E-Learning: An International Journal (KM&EL) ISSN 2073-7904

Maintained and Developed by:
Laboratory of Knowledge Management & E-Learning
Faculty of Education, The University of Hong Kong

http://www.kmel-journal.org/ojs/index.php/online-publication/announcement/view/4

My source: GANM list

Wednesday, September 02, 2009

Care & Information Architecture in Drupal 7 and h2cm

At Drupalcon Paris this morning webchick provided an overview of Drupal 7. Amongst the feature laden slides was the way an information architecture emerged and was used to review the usability of version 6 and the soon to be released 7th version of Drupal. The list - comprising several contexts:

  • appearance
  • configuration
  • content
  • people
  • structure
- had me reaching for Hodges' model and the care (knowledge) domains. This is a very informal rendering of an information architecture and yet very useful. As explained elsewhere h2cm is a very high level tool and resource and I have often viewed Hodges' model as a care architecture. Placing the above list on to Hodges' model then -

content
appearance
structure


people

configuration

The rationale for this is fairly straight forward:

CONTENT: in creating content we are - as Dries stressed with Drupal - reaching out to a global audience, but content needs to fire in the mind of individual users. The site must have meaning for that person.

APPEARANCE: Style and design are physical in the sense that properties abound, even though appearance is subjective at the end of the day. Despite this there are guide lines and rules that help us avoid "what sucks".

STRUCTURE
: Again even if conceptual on paper, in menus, or database tables; our models and frameworks span the divide between physical and abstract or virtual as representations. They enable communication and interaction.

CONFIGURATION
: Well here the decisions are political. They may vary in the degree of left - right and centre, but they are nonetheless political.

PEOPLE
: Last, but not least is people - COMMUNITIES! Built around users and the practical implementation of things they want to do - their purposes.

When we think of people it reminds me of the way people sometimes confuse social inclusion and exclusion and in placing 'people' here we cannot ignore the constant interplay between the interpersonal and political domains with roles, permissions, policy, security and other related issues.

Hearing about Drupal 7 on the first full day of Drupalcon means that the winter and indeed 2010. ... sounds a busy and lucky time here! The plans for code freeze and move towards the final release were also outlined this morning. With the announcement of Drupalcon 2010 in San Francisco more to follow: including three days in Paris....

Tuesday, September 01, 2009

Drupalcon Paris 2009: my sessions plan

As followers of h2cm on Twitter will know at the moment I am in Paris attending the European Drupalcon for 2009. I can't believe that 12 months ago I was leaving Szeged after Drupalcon 2008. You on the other hand probably can't believe that there's still no new site for Hodges' model. Well I am in no real hurry and I am enjoying the journey - literally at present.

Today, for me and other 'non-coders' there is a drupalcamp with impromptu yet very interesting talks (e.g. Google Wave and a Ruby gem for Drupal!). Tomorrow things kick off proper and here are some of the sessions I plan to attend:

Dries - The State of Drupal

webchick - Drupal 7 Status Update and Next Steps

weitzman - Explore the glory of Drupal 7's improved render and theming systems

Crell - Views 2 for developers

Benjamin Melançon - Taxonomy Everywhere: D7 Core Overhaul and the Expanding Contrib Universe
or -
yoroy - Communicating design - Sketching your way to understanding

twom - Basics of making a mobile website with Drupal
or -
bjaspan - Intro to the Field API for Module Developers
or -
fago -Rules: How to leverage rule-based automation on your sites!

Just like other streamed conferences it is hard to decide what to follow and this is just one day!

Conceptual heavy lifting ...

Whether you are teacher, lecturer or a student we are all lifelong learners.

scrap grabAs the new academic year starts in the Northern hemisphere, students will have new concepts to learn. They must also integrate these concepts with previous learning and experiences. Remember that while concepts are:

floaty, airy, light, abstract

collect enough of them and they become weighty and a confused delight of several degrees of significance.

Then health and safety dictates three things:

1. No heavy lifting
2. Do not omit vital concepts
3. Those concepts you do have - weigh them - carefully.

So, how do you manage your conceptual loads?


Original image source:
Scrap grab http://www.lifting-world.co.uk/equipment.htm