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 ...

Friday, October 30, 2009

'Well-being' - a discipline unattached: enter 'informatics' the ubiquitous bed-partner

Informatics has been around for decades in many guises, associated with established academic disciplines and emerging fields as a consequence of the application of technology across society, education, work and more besides. As a result new schools of informatics emerge all the time.

The status, role, theory and practice of informatics is much debated within existing peer groups and professional associations. Prime examples include:

  • medical informatics
  • health informatics
  • nursing informatics
  • community informatics
  • urban informatics
  • citizen informatics
  • gender informatics
  • social informatics

The community informatics mail list and others have deliberated on the differences and boundaries of various schools (notably for the CI fraternity - community, urban and social informatics).

I have contributed to discussions and often thought about how to get a handle (map!) on the various schools. Inevitably I draw on Hodges' model and wonder if from the center there is a spectrum of informatics schools, something akin to a pattern made up of sectors encompassing the whole model.

Imagine my interest then when I noticed (and linked to) a workshop organized within CHI 2010 on -

Wellness Informatics (WI)

This is a great turn-of-phrase with an explanation behind it provided by Beki Grinter an organizer on her blog. Wellness and well-being are on the lips of us all at the moment. Informatics as we've seen is also quite a disciplinary bed-fellow.

I hope this workshop does take place and would love to attend. As for my thoughts and Hodges' model, I wonder when the circle will be closed?

Perhaps by that time 'informatics' will not be a discipline in which humans are the 'principal investigator'?

Thursday, October 29, 2009

h2cm: fixed or primary concepts the push and pull of nursing

When commentators, students and others write of the primary or core concepts of nursing what does this mean in terms of Hodges' model [h2cm]?

For quite some time I have been describing Hodges' model as a cognitive - conceptual space. This suggests that there are fixed concepts within the care domains. Yes, they may vary according to the context and over time, but if concepts were arrows and our aim is true then h2cm would provide the ideal target. It on this care matrix that we really could take aim and nail the kernels of knowledge that make up our care activities.

Is it a mistake to venture that for people to talk of basic nursing care, essential care needs, that there must be some fixed ideal out there; an ideal that nurses, society and policy makers can hang discussion and debate upon? And let's face it there is much to debate - mental health stigma, obesity, nutritionism, heart disease, dementia, unplanned pregnancies, funding, access, poverty. ...

Medical sociology has done and continues to do society at large a great service. It forces practitioners to look over their shoulder and take in the social and cultural forces that influence health. As a question for further deliberation within medical / clinical sociology we might ask: How are the concepts in Hodges' model fixed? There are several possible answers:

1. Someone determines that concepts a, b, c, d are in care domains 1, 2, 3, 4. The question of whether Hodges' model (or any other conceptual resource) is classed as evidence based depends on how that determination is made.

2. Alternately, the structure of the model provided by the axes, could act as a skeleton. This might serve as a boot strap breathing life into the empty spaces created by this structure. The first instances of concepts might then arise like some sort of quantum event - self, other, temperature, time, height, mood. ...

3. As (medical) sociology, philosophy and psychology continue to reveal, we also need to accept of course that society, culture and language are all inextricably linked and they pre-empt that empty space, predetermining what will be written (thought and reflected) there.

4. This external influence is a must if those working in the health and social care professions are to communicate with those 'outside' (public involvement can only run so far?). It is not so much a case of common ground, as common space and the freedom and opposition that this affords. this is essential for communication amid what is variously called - multidisciplinary working and integrated care. Here there must be a degree of latitude between different disciplines' usages of terms. This must provide common understanding or some close approximation and yet still be safe.

So rather than empty space the care domains are really full of care concepts all waiting on tenterhooks, to see whether they will get to aggrandise and become 'complex care needs'. Will the assessor / care evaluator pick them - from what is initially a virtual crowd? Go on make their day: care-fully!

Monday, October 26, 2009

A pantological links palette

The table below displays the existing link categories for all four care (knowledge) domains of Hodges' model:

The categories included on the links pages are intended to be suggestive rather than definitive of Hodges' model. Advice regards broken links is much appreciated (I am aware that health promotion is listed twice).

Psychology I
Psychology II
Mental Health
Therapies
Anatomy & Physiology
Care Theory & Practice
Evidence Based Practice
Quant.
Research
Philosophy
Creativity Ideas
Communication Studies
Theology / Transdisc
Coding, Classification
Health Informatics
Info Sources
Diagrams
Health Promotion
Study Skills
Education
A.I. Knowledge Man.
Visualization I
Visualization II
MarkupLangs
Ajax & XML
Human-Computer Interface
Accessibility
Creativity
Graphics
Environment
Virtual Reality
Science
Astronomy
Rest & Rec
Maths, Logic
Engineering
Programming
[Toolset]
7 Ages
Health Promotion
Patients & Carers
Practitioners
Development
Poverty
Democracy
Justice
Economics
Policy
Studies
Computer Supported Collab Working
Sociology I
Sociology II
Qual Research
Activism
Citizenry
Employment
Human
Rights
Anthropology
History
Art, Tech &CultureI
Art, Tech & Culture II
Info. Gov
Assurance
Standards
Open Source
Community Informatics

News
Software
Hardware
Search
Organisations
Commercial I - IV

Definitions: pantology

Friday, October 23, 2009

Web can help elderly surfers slow dementia: The Sunday Times

From The Sunday Times
October 18, 2009
Web can help elderly surfers slow dementia

Ivy Bean
Ivy Bean(Photo by Bob Collier)

Ivy Bean, who is 104 years old, is the UK's oldest Tweeter (IvyBean104) on the social networking site, Twitter.
Jonathan Leake, Science Editor

GOOGLING is good for grandparents. Internet use can boost the brain activity of the elderly, potentially slowing or even reversing the age-related declines that can end in dementia, researchers have found. Using brain scans, they found the internet stimulated the mind more strongly than reading, and the effects continued long after an internet session had ended.

“We found that for older people with minimal experience, performing internet searches for even a relatively short period of time can change brain activity patterns and enhance function,” said Gary Small, professor of neuroscience and human behaviour at University of California, Los Angeles (UCLA). In the research, Small and his colleagues worked with 24 men and women aged between 55 and 78. Half of them had used the internet a lot; the others had little experience.

At the start of the research, they were asked to conduct a series of internet searches while their brains were scanned using a technique known as functional magnetic resonance imaging (fMRI). This measures changes in blood flow around the brain to work out which parts are the most and least active. After the initial scan, participants went home and used the internet to carry out specified tasks for an hour a day at least seven times over the following fortnight. Then they had a second brain scan, again while searching the internet.

Small and his colleagues found the impacts began immediately, with the first scan demonstrating brain activity in regions controlling language, reading, memory and vision. By the time of the second scan, however, the activated areas had spread to include the frontal gyrus and inferior frontal gyrus, areas known to be important in working memory and decision-making. The researchers suggest internet searching stimulates brain cells and pathways, making them more active.

“Searching online may be a simple form of brain exercise that might be employed to enhance cognition in older adults,” said Teena Moody, a UCLA researcher who co-wrote the report with Small. Moody believes internet searching challenges the brain more than reading because people need to perform several tasks at once. These include holding important information in their own memory while simultaneously assessing the information on screen and extracting the parts they want from graphics and words.

The research will be presented tomorrow at the annual meeting of the Society for Neuroscience in Chicago, where the impacts of ageing on the brain are a big theme. It has long been known that as people age, their brain functions and abilities also change. In many respects these changes are beneficial — verbal and social skills tend to improve until at least late middle age, for example. In other areas there can be declines. One of the best known is mathematics, as shown by the number of mathematicians and physicists who do their best work early and then struggle to match their youthful performances.

It is only in recent years, however, that researchers have been able to use technologies such as fMRI to observe the brain in action and measure the changes that come with age. What they have found is that as people age, their brains undergo structural and functional changes, often including atrophy, reductions in cell activity and increases in deposits of insoluble protein. All of these can reduce cognitive function.

In Britain, for example, around 700,000 people suffer from dementia, a condition in which so much of the brain has died that function is severely impaired.

Small and Moody’s argument is that brains are similar to muscles, in that the more they are exercised, the healthier they become. So, activities such as internet use, reading and socialising can slow or reverse normal age-related declines. Small said: “Our most striking finding was that internet searching appears to engage a greater extent of neural circuitry that is not activated during reading.” Other neuroscientists support the idea of exercising the brain but question the benefit of spending too much time on the internet.

Original source: Community Informatics (Journal) list - thanks to Michael Gurstein.

Wednesday, October 21, 2009

Where is Hodges' model in the curriculum?

While Hodges' model provides an overarching conceptual framework that can be used by all disciplines, its position within education needs to be discussed and debated. The existing notes briefly explain the theory and practical use of the model, but much more detail and justification is needed.

h2cm can undoubtedly inform specific lessons either theoretically, practically or both. Clearly, the model cannot carry a course of its own, but h2cm can certainly contribute to several concurrent courses. All disciplines engage in their respective assessment, intervention, evaluation and review activities and these can all be considered in a cross curricula manner. Reflection, creativity and innovation are additional aspects of student activities that might be informed by exposure to Hodges' model. The decades since the model's creation (in the 1980s) and statement of its original purposes, provoke new challenges that bring further opportunities. So Hodges' model can now also flex its axes in public and carer engagement and involvement, health promotion and informatics.

Traditionally several definitions and types of 'curriculum' have been identified:

The curriculum on paperi.e. the statement of purpose, aims, content, experiences, materials etc
The curriculum in actioni.e. the way in which the curriculum in paper is put into practice
The curriculum learners experiencei.e. what learners do, how they study, what they believe they should be doing etc
The hidden curriculumi.e. the behaviours, knowledge and performances that the learner infers to be important.

inflatable icebergIn highlighting h2cm's place above the model was positioned and fixed in lessons, courses and in cross curricular approaches. For all its overarching size and scope perhaps the model can also be fleet footed, informal and furtive?

I would suggest that Hodges' model also has a role to play in influencing the hidden curriculum?




Image source: CubeMe

Monday, October 19, 2009

Nursing and the care 'event horizon'



The axes of Hodges' model as illustrated:

HUMANISTIC - MECHANISTIC
and
INDIVIDUAL - GROUP

- are quite straight forward to understand, hence the ready utility of the model.

Nursing care is often described in terms of care that is 'visible' and that which is 'invisible'.

Hodges' model then makes explicit the division between physical - task-based care (upper-right SCIENCES domain) and that which concerns mental health and emotional care (upper-left INTRA-INTERPERSONAL domain. Within Hodges' model what is considered the individual axis can be likened to the astrophysicist's 'event horizon'. An irrevocable barrier and division between two fundamental areas (quadrants) of care that we are still working to conjoin and integrate.

Saturday, October 17, 2009

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

Ack: This blog post draws on a brief but informative two page text by Marta Nibert, Educational Consultant for Occupational Therapy, University of Idaho.

Models abound of course (not only on catwalks where other career choices are displayed), but in nurse education and the sciences. The review of Curriculum Development In Nursing Education reminded me of Boyer's model of scholarship. I have maintained a link to this for many years, the book review prompted me to read more. Boyer is a gift for this scholar of Hodges' model and any others, a gift not just in that off-the-shelf sense, but in a constructive advisory sense.

The table below highlights Boyer's types of scholarship, purposes and measures of performance. The focus of Boyer's model is the quality of professorial activities, in the same way highly skilled and experiences nurses can be removed from the front-line, so to can specialist faculty be distanced from teaching.

Type of ScholarshipPurposeMeasures of Performance
DiscoveryBuild new knowledge through traditional research.• Publishing in peer-reviewed forums.
• Producing and/or performing creative work within established field.
• Creating infrastructure for future studies.
IntegrationInterpret the use of knowledge across disciplines.• Preparing a comprehensive literature review
• Writing a textbook for use in multiple disciplines.
• Collaborating with colleagues to design and deliver a core course.
ApplicationAid society and professions in addressing problems.• Serving industry or government as an external consultant.
• Assuming leadership roles in professional organizations.
• Advising student leaders, thereby fostering their professional growth.
TeachingStudy teaching models and practices to achieve optimal learning.• Advancing learning theory through classroom research.
• Developing and testing instructional materials
• Mentoring graduate students.
• Designing and implementing a program level assessment system.

What I will try to do here is briefly suggest how Boyer can inform consideration of scholarship in Hodges' model and a future website. This is not just a one-way dialogue I believe Hodges' model can also inform Boyer's model. For example according to Nibert, Boyer proposes using 'creativity contracts'. The creative utility of Hodges' model is surely demonstrated in the posts and archive on W2tQ spanning nursing, education and health care? Since the publication of Boyer's paper in 1997 it could be argued there are new forms of scholarship that cast light and shadows on traditional academia and forms of research. More specifically though we can take Boyer's measures of performance and apply them in turn to h2cm. Even though the purposes differ (I am neither quality faculty nor professor) the reflection is helpful:

DISCOVERY

Publishing in peer-reviewed forums.
  • There is a limited bibliography listed here on W2tQ.
Producing and/or performing creative work within established field.
  • The bibliography and website constitute a mixture of formal and rather ad-hoc creative works in nursing. Much more needs to be done.
Creating infrastructure for future studies.
  • As noted in the book review I am fascinated by this word infrastructure. I recognise the need for a 21st century home for Hodges' model; the limitations of a static website and the need to benefit from the stimulus and energy that a community of users would provide. Drupal is the future (for me), a means to provide an infrastructure out of which a community may grow and inform.
INTEGRATION

Preparing a comprehensive literature review.
  • Hodges' model deserves a comprehensive literature review, one that spans education, nursing, global health, informatics and cognitive science.
Writing a textbook for use in multiple disciplines.
  • 'Book' is an established content type within Drupal and this is a worthy objective, as Hodges' model is the ideal academic Swiss Army knife.
Collaborating with colleagues to design and deliver a core course.
  • This is so dependent upon infrastructure and it seems my actively engaging with academics in curricula design and course planning. Drupal is being adopted in education so the scope to engage from an external position is a possibility.

APPLICATION

Serving industry or government as an external consultant.
  • Is professorship a pre-requisite for consultancy work? No. Do we just leave this to the professors? No.
Assuming leadership roles in professional organizations.
  • Being in the North West of England, a full-time nurse and with many meetings down South this is a barrier to adopting such roles. For the future should there be any opportunities these must be tried - only that way can they be tested.
Advising student leaders, thereby fostering their professional growth.
  • As a mentor in clinical practice with the chance to develop local educational links there is scope here; and possibly others?
TEACHING

Advancing learning theory through classroom research.
  • As noted above it would be marvellous to be presented with the task of producing lesson plans to encourage research into Hodges' model.
Developing and testing instructional materials.
  • As far as the classroom is concerned this is very much a bullet point for the future. Using Drupal however a future site can incorporate some instructional materials.
Mentoring graduate students.
  • Ongoing, but would like to engage more in this - and whilst h2cm is on my agenda I do understand models represent a small part of student learning.
Designing and implementing a program level assessment system.
  • Another point for a future departure; how do you demonstrate competency in Hodges' model? There are means of assessment, which were applied in the 1980's, case studies, essays and discussion. ...
More to follow...

Additional link:
Instructional Design Review (ID Review) checklist at Schema Performs

Thursday, October 15, 2009

Blog Action Day: Imagine a generation taking nothing for granted from the start

Blog Action Day 2009:

"Climate change" - these words spoken in so many different languages may be the first uttered by the World's infants over the next decade. It really could happen! If these words are the constant they need to be, on the lips of all parents, teachers, leaders and all who 'know'.

That would be no bad thing for the (near) future.

Just imagine:
a generation taking nothing for granted from the start.


People respond best to change they see. In particular change in their environment. We are hard-wired to react to change that represents a threat. We respond with flight or fight. On island Earth, this rock we share, the options are becoming ever more limited, limite, limit, limi. ...

In order to respond now, we must rely on several forms of vision. We must take into account not just ourselves, but as is often highlighted:

  • future generations, our legacy - their inheritance (SOCIOLOGY)
  • other individuals - our brothers and sisters - and their situation (INTERPERSONAL)
  • the evidence for climate change and solutions (SCIENCES)
  • those in power and their translation of the agenda for positive change (POLITICAL)
  • the effect of climate change on flora and flora (SCIENCE, SOCIOLOGY and POLITICAL)
  • the physical health impact (SCIENCES)
  • the emotional and mental health impact (INTERPERSONAL)
  • the changes needed in policy and political change succession (POLITICAL)
  • the ethical values that are shared and debated - consumerism (business at any price $1, £1, €1 .... stores), Deep Ecology (INTERPERSONAL & POLITICAL).
Things, especially human 'things' are never that straight forward. The impact of climate change is writ large in that last word - change. Perhaps in erecting the faces the lesson of Easter Island is environmental dominoes. For us of course this means that as the climate changes so does the environment. For some the change is quickly evident if you live by the ocean, tundra or mountainous glaciated regions.

Change happens on local, regional, national and international levels.

From the Earth observing satellites above, to survey vessels on the oceans, and the research stations in the Antarctic and Arctic vision is everything in hearts and minds paving the way for action in classrooms, homes and eco-prise. ...

Additional links:
How psychology can help the planet stay cool, New Scientist

Maldives government takes a dive for climate change, NatGeo

Hodges' model SCIENCES links 'Environment, Sustainability, Ecology & Eco-system Health'


Image source: Easter Island photo -
http://www.fractalenlightenment.com/2007/08/easter-island-and-us.html