Hodges' Model: Welcome to the QUAD: Search results for gap

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 ...

Showing posts sorted by relevance for query gap. Sort by date Show all posts
Showing posts sorted by relevance for query gap. Sort by date Show all posts

Saturday, January 17, 2026

European Character and Virtue Association (ECVA) Conference 2026

Theme: Bridging the Knowledge – Action Gap in Character Development

Re: invitation to the ECVA 2026 conference: reminder ...

Established in 2022, the European Character and Virtue Association offers a forum for promoting research, training and networking in the field of character education. We bring together educational institutions in Europe and scholars from around the world, providing unrivalled opportunities for members to share best practices and shape European policies affecting higher education and research. 

The 2026 conference of ECVA will take place in Trnava University, Slovakia, in cooperation with the Jubilee Centre for Character and Virtues, University of Birmingham, the Private University College of Teacher Education of Christian Churches, and the Virtues and Values Education Center of Francisco de Vitoria University. 

The Executive Board of the European Character and Virtue Association (ECVA) cordially invites you to attend the 2026 ECVA Conference in Trnava, Slovakia. 

  • President: Prof. Dr. James Arthur (Harvard University)
  • Vice President: Prof. Dr. Verónica (Francisco de Vitoria University Madrid)
  • Secretary: Prof. Dr. Tom Harrison (Jubilee Centre for Character and Virtues, University of Birmingham)
  • Treasurer: Prof. Dr. Roland Bernhard (University of Teacher Education of Christian Churches Austria)

Conference Information Trnava, Slovakia, 2026, 24th to 26th of June 

We expect more than: 📍100+ researchers 🏫 40+ universities 🌍 20+ countries 🎤 60+ presentations & keynote addresses 

📝 Submit your abstract and find all conference details at the link below:

👉 https://ecva-character.org/ecva-conference-2026

Deadline for Abstract Submission: 31st of January, 2026.

All abstracts will undergo a review process over the course of the following month. Once your proposal has been accepted, you will receive detailed information about registration, conference fee (275,- EUR) processing, accommodation options, and other necessary information.

Notification of Acceptance: 1st of March 2026.

Contributions that demonstrate high quality and close relevance to the main theme of the conference will be accepted for review in preparation for the next scientific monograph produced by the ECVA.

Warm regards,

Dr. Martin Brestovanský
(Trnava University, Slovakia)

on behalf of the ECVA Steering Group

Prof. James Arthur (Harvard University)
Prof. Verónica Fernández (Universidad Francisco de Vitoria, Madrid)
Prof. Tom Harrison (Jubilee Centre for Character and Virtue, University of Birmingham)
Prof. Roland Bernhard (University of Teacher Education of Christian Churches, Vienna)
Prof. Claudia Navarini (Università degli Studi Europea di Roma)
Prof. Ines Weber (Paris Lodron Universität Salzburg)

Conference description 

Bridging the Knowledge – Action Gap in Character Development 

Moral education often assumes that ethical knowledge or cognitive competence alone will result in moral behaviour. Yet lived experience, philosophical reflection, and empirical research consistently show otherwise. A persistent gap exists between what individuals know is right and what they actually do—a phenomenon recognized since antiquity. 

Aristotle observed that “we reason here not to know what virtue is, but to become good” (Nicomachean Ethics, 1103b), highlighting that moral reasoning is directed toward formation, not just information. Immanuel Kant similarly acknowledged that a person may clearly understand moral duty and yet lack the will to act accordingly, pointing to the human struggle between reason and inclination. 

David Hume went further, arguing that “reason is, and ought only to be the slave of the passions,” insisting that moral knowledge without rightly ordered desires lacks the power to move us to action. And Martin Buber wittily adds: “The worst notorious liar in the classroom will write a brilliant treatise on the destructive power of falsehood”. 

This enduring challenge – now referred to as the knowledge–action gap – remains a pressing concern across education, psychology, and the social sciences. Scholars have described related phenomena in various conceptualizations, such as the reason–action gap, attitude–behaviour gap, intention–behaviour gap, or the knowledge–attitudes–practice (KAP) gap. Each term reflects a common concern: knowing what is right does not reliably lead to doing what is right. 

Bridging this divide is a complex task, compounded by the dynamic, deeply personal, and context-sensitive nature of character formation. Educational and behavioural sciences are increasingly turning to integrative approaches that go beyond cognitive instruction. Interventions such as moral sensitization, dramatization, habit training, and reflective practice are being explored to enhance the coherence between values and actions. 

There is growing consensus that this so-called “gappiness problem” cannot be resolved through one-size-fits-all solutions (e.g., moral emotions alone or identity-based interventions). Instead, promising “multi-component” models are emerging that draw on diverse disciplines and methodologies to address the challenge. 

Conference Goals 

By bringing together interdisciplinary perspectives and diverse methodologies, the ECVA 2026 conference aims to deepen our understanding of the knowledge–action gap and to promote innovative, research-informed strategies for strengthening moral coherence and character development in real-world settings. 

We look forward to welcoming those committed to advancing theory-informed practice and practice-informed theory in the service of ethical integrity and flourishing lives.

Previously: 'character

Tuesday, June 20, 2017

Pointing to the gap: Social Determinants of Health in Hodges' model

Recent discussion on a HIFA forum included mention of the Social Determinants of Health SDH and inequality. Revising the draft paper on h2cm and threshold concepts (abstract to follow soon) social determinants arose in references there also (Aronsson, 2016).

I realised that I have not stressed enough how readily (and obviously) Hodges' model facilitates reflection and critical thinking about SDH. Hodges' model can really come into its own in this particular application.

So, just in case I take Hodges' model for granted in its potential utility, below I have drawn on the following figure (the findings within will no doubt vary over time and with further research).

By Jsonin - Created this open source diagram for our research into standard human data elements Previously published: http://determinantsofhealth.org, CC BY 4.0, Link
I have mapped the main percentage items to Hodges' model below. Clearly there is great deal of overlap; what for example, is the effect of the physical environment upon individual behaviours? Medicine and medical care does not just rest upon several sciences, but it is inherently political and about power.

Throughout my career and many others I am sure, there is an accompanying gap. It follows us around from the initial educational encounters through to our very latest mandatory training and CPD exercises. Whilst educational in being the theory-practice gap, applying SDH to Hodges' model reveals a much greater gap that politically is still being fought over...

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population
38%
individual behaviour


7% 
physical environment
11%
medical care
21% 
genetics and biology

SOCIAL DETERMINANTS OF HEALTH

23%
social
circumstances



As if we needed to be 'told':

This space suggests that there really is 
still much more to do.

To those who would say: 
"We have done so much!" 
I would say: 
"But, we have only 
scratched the surface of 
the three 'easiest' care domains."



The 38% attributed to an individual's behaviour is a further source of evidence for Hodges' model as a resource for education and personal change.

Aronsson, J. (2016). Transformative sustainability learning within the undergraduate nursing curriculum. Community Practitioner, 89(1), 20-21.



Wednesday, February 12, 2025

Book review #3: Handbook on the Ethics of AI

I've started several 'gap' lists, including a draft post or two. Seeking to help bridge the theory-practice gap is an original purpose for Hodges' model.

Friedman's chapter 5 Responding to the (techno) Responsibility Gap(s). It is almost as if Friedman's title is parameterised. We could insert the domains of Hodges' model (plus, spiritual - safeguarding!) in there. Then there is the magic of languages, for responsibility substitute accountability and do a deep-dive applying Hodges' model in a specific domain. Friedman notes it is not entirely accurate to talk of a single "responsibility gap". Can this provide evidence for the situated potentiality of Hodges' model's and role in fostering situational awareness? Although there is an ongoing roll-back of CSR - corporate social responsibility, I scribbled in the margin:

INDIVIDUAL
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
GROUP
user
user
user
corporate

Of course, 'user' still applies in the political domain, as we are all citizens; users of the State (note also the socio-technical utility of keeping the 'user' in sight). There is also personal ethics, and the legal duty of care - as a nurse (in my case) and for a member of the public. Discussion on notions of responsibility, in light of AI, especially self-driving vehicles, and autonomous machines (weapons) is much needed. Regulatory gaps are recognised; amid current news of debate on the degree of regulation of national and international financial systems. Nyholm's four-fold formulation on responsibility is invaluable as examples are provided. There is a reference to nine notions of responsibility, and the link to accountability and retribution.  I like Friedman's  discussion of responses to responsibility gaps as; optimists - technological approach; human-centred and hybrid approaches; plus pessimists (4.3). The latter includes debate and campaigns to 'stop the killer robots'. Did this chapter, have a positive effect in extending thoughts about events in the middle east? There are two points here I will return to in the final post.

For students, Schwarz's chapter 6 takes readers back to a literally pivotal development in ethical thought and debate: Trolleyology, with the addition of algorithms and killer robots. What Searle's Chinese Room (noted p.276 here) argument is to AI; so trolley-based dilemmas are to ethics. A point made by Schwarz, referring to the development of subsequent variations. (Following on from #2, Brian Magee's interviews with John Searle on philosophy of language and Wittgenstein are also well worth a listen.) Schwarz's chapter (and the whole book) could be read in preparation for an undergraduate course: computing, law, policy, philosophy, and ethics, for example. The challenge of determining responsibility and accountability "the problem of many hands" (p.71), is not limited to AI. This is a global issue in achieving justice for many previously healthy, competent, quite 'ordinary' people.

The question posed above, applies "equally"(!) here too: 3. mathematical morality for war. Ever since reading of argumentation through the Open University and other sources, I'm sure this is applicable to Hodges' model (with its 'own' algebra)? I'm no mathematician but the book provoked excitement rather than anxiety as I read: 'Principle of Permissible Harm (PPH) and probabilistic reasoning - with formulae (pp.88-89). There are some important (imho) 'take-away' messages here, but I don't want to spoil things. Nurses need mathematical skills, in drug calculations and are assessed on the same. Statistics are used in research, of course but maths is hardly the primary motivation for entry into the care professions: 
'Designing technologies in a way that takes into account broader human-centric values is an important and laudable approach to responding to new and emerging technologies in any arena. It cannot, however, serve as a substitute for moral deliberation and the act of taking moral responsibility for harmful acts, especially when lives are at stake. Reducing this to a mathematical problem ignores everything that cannot be captured in discrete numerical terms or as data points. And in situations where people and their lives become nothing more than data points, non-computational aspects, such as relational or embodied dimensions of human life, are marginalized if not entirely obscured. The real world is not reducible to binary logic, it is rife with contested, contradictory, and clashing values that might all be equally relevant It is complex in ways that cannot always be neatly captured or mathematically modeled. In other words, ethics cannot be "solved."' p.91.
More to follow ...

Handbook on the Ethics of Artificial Intelligence. David J. Gunkel (ed.). Cheltenham, UK: Edward Elgar Publishing Ltd. ISBN: 978 1 80392 671 1245

https://www.e-elgar.com/shop/gbp/handbook-on-the-ethics-of-artificial-intelligence-9781803926711.html


Related previous posts: 'general + AI'

Friday, October 01, 2010

Caution! spanning the Theory - Practice Gap




As a new academic year begins and we endeavour to bridge the theory - practice gap we need to be cautious:


While we may not burn our bridges we need to be aware of which bridge spans are redundant and which are still active and serving their purpose.

As ever - standards, inspection, audit and governance are critical.

So in our efforts to bridge the theory - practice gap do we also maintain it?

Sunday, May 25, 2025

RCN Congress iii 2025 - Accountability for patients in ambulances

The resolution (with a reading list) on Accountability for patients in ambulances

- drew attention to language once again (yes, well there's a truism: what do you expect!). This time highlighting how corridor care is now variegated. In addition, politically you can circumvent addressing an issue, by referring to 'never events', and 'zero tolerance' as we read:

'This agenda item addresses the urgent issue of accountability, for both registered nurses and the organisations they work for, when patients are cared for in ambulances waiting to access emergency departments.

The resolution comes at a time when, across all four countries, there are unprecedented ambulance handover delays with patients left in vehicles which are neither appropriately staffed nor resourced outside overwhelmed emergency departments. Despite the prolific nature of this practice, there is no clear guidance on accountability. Who is responsible for the care and safety of those patients - the ambulance service, the hospital, the emergency department, or the individual registered nurse providing care?

These delays accessing care and the lack of guidance on who is accountable for the waiting patients, compromises the ability of health care staff to provide good quality care and risks patient safety. It also exposes registered nurses and other health care professionals to professionally, ethically and legally ambiguous situations. It could also contribute to the crisis in nursing wellbeing, raising issues such as moral distress and professional, emotional and physical burnout. It may, therefore, also impact the already perilous recruitment and retention.'

Student nurses, paramedics ... please take note: There is a paper to be written on Hodges' model and the gaps we encounter in health and social care. For Brian Hodges this started with the theory-practice gap; one of four original stimuli for the creation of the model. 

As the idealised standards, quality and safety of care being delivered are surrendered; this gap stands out as the virtual keystone.

individual
|
INTERPERSONAL : SCIENCES
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
individual - PURPOSES
patient safety - distress
nurse wellbeing
emotional burnout
moral distress
personal ethics
individual responsibilities

procedure
delivered care - observation
mattress, trolley .. ambulance design
instrumentation, noise
time - duration
logistics - PROCESSES - handover
physical resources - beds

communities of PRACTICE
team working - coherence
team experience - students
THE DAMAGE - that is 'BOOK-PASSING'
The public's - carer's experience
(wither friends and family)

law - guidance - ambiguity
POLICY
professional accountability
risk management
organisational responsibility
workforce
recruitment & retention



Previously: 'RCN' : 'gap' : 'accountability' : 4Ps

Sunday, June 29, 2008

H2CM: Some Reflections on Purposes

Of the purposes associated with h2cm:

  1. To produce a curriculum development tool.
  2. Help ensure holistic assessment and evaluation.
  3. To support reflective practice.
  4. To reduce the theory-practice gap.
(Source: Brian Hodges)

- the primary purpose must be to facilitate and support holistic practice. The reasoning for this runs (it is hoped) as follows:

Although reflection is often conducted with a particular task - frequently a question - and hence a set of associated experiences in mind; the individual should be encouraged to think universally. If in general reflection is constrained then perhaps the activity is no longer reflection?

If the curriculum developers intend to produce holistic practitioners* then once again holistic considerations should preempt and influence curriculum development.

Theory and practice are surely as 'holistic' as holistic is? This purpose though seeks to assist in closing the theory-practice gap and the existence of this gap suggests that there is something else – even if only space. This space means we must once again defer to holistic.

Or am I getting confused...? What do you think? h2cmng at yahoo.co.uk

*holistic in terms of the range of thought (holistic bandwidth) - not holistic new-age therapies.

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

Sunday, May 09, 2010

International Journal of User Driven Healthcare (IJUDH) CfP

Dear Mr. Jones

In view of your work in patient-centered care, I’d like to invite you and/or your colleagues to submit a paper to this Special Issue of the new journal described further below and via the web link provided. I think our global readers would be very interested in your thoughts (and projects) on innovative ways to get relevant healthcare information into the hands of ‘users’ (both patients and providers), within the user-driven EBM paradigm, per below.

Please also share this call for papers with your colleagues.

Thanks for your consideration,

Susan Ross, MD


International Journal of User Driven Healthcare (IJUDH) Call for Papers

Editor-in-Chief:
Rakesh Biswas,
Center for Scientific Research and Development (CSRD),
PCMS Campus, India

Published: Quarterly

Call for Papers - Special Issue:

Submission Due Date: July 1, 2010
Special Issue On User Driven Healthcare and Evidence-based Medicine


Guest Editors:
Susan Ross, MD, FRCPC


Introduction

User Driven Healthcare (UDH) is part consumer-driven healthcare, part narrative medicine, and part Health 2.0. It stems from a concept of participatory healthcare whereby all stakeholders, enabled by information, software, and cyber-community, focus on healthcare value. But where does Evidence-based Medicine (EBM) fit into this framework? It is sometimes forgotten that EBM is a three-legged stool, comprised of the triad of evidence +provider expertise + patient preferences. In this EBM framework, provider expertise is needed to bridge the inferential gap between population-based evidence and the individual patient. And each patient's values and preferences should narrow that inferential gap further. But since the introduction of EBM nearly two decades ago, the primary focus of EBM proponents has been on Evidence, at the expense of patient preferences and provider expertise. Perhaps this is why the promise of EBM to foster the most efficient and high quality healthcare has not yet been realized.

Objective of the Special Issue

This Special Issue will focus on the following questions: Is the recent emergence of User Driven Healthcare really a new, post-EBM paradigm for healthcare, or just an overdue consideration of the other two legs of the original EBM stool? How might this trend affect all stakeholders?

Recommended Topics

Topics to be discussed in this special issue include (but are not limited to) the following:

  • Developing valid patient-level evidence using the Web
  • Evidence generation—clinical research strategies using social media and mobile technologies
  • Examples of UDH to a) help formulate the right questions to ask in EBM; b) develop answers to those questions; c) disseminate the answers to patients and providers with a need to know; and d) test the impact of UDH-generated Evidence on patient outcomes
  • Helping online patients sift the ‘wheat’ from the ‘chaff’—information management for patients in an EBM world
  • How to incorporate patient preferences and values into ambulatory care decision-making (i.e., into the 10 minute visit)
  • Measuring the impact of UDH on patient outcomes
  • Patient-level decisions vs. population-level evidence (bridging the inferential gap)
  • Pharmaceutical communication strategies using social media—impact on healthcare quality and costs in an EBM framework
  • Place of social media in EBM—patient and physician online communities
  • Practice of UDH vs. EBM around the world
  • Regulatory issues of evidence dissemination by industry using social media in healthcare Statistical and other evaluative methods to assess the validity and reliability of evidence developed using social media and mobile technologies
  • Trends in N-of-1 studies, and their relevance to EBM and UDH
  • Use of collective intelligence to solve healthcare problems for individuals and communities
Submission

...

All submissions and inquiries should be directed to the attention of:
Susan Ross, MD
Guest Editor


Sunday, March 07, 2021

WHO: 1 in 4 people projected to have hearing problems by 2050

"When unaddressed, hearing loss impacts many aspects of life at individual level"

 and collective too.


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

"Communication and speech

Cognition  

Education and Employment: In developing countries, children with hearing loss and deafness often do not receive schooling. Adults with hearing loss also have a much higher unemployment rate. Among those who are employed, a higher percentage of people with hearing loss are in the lower grades of employment compared with the general workforce."


"Nearly 2.5 billion people worldwide ─ or 1 in 4 people ─ will be living with some degree of hearing loss by 2050, warns the World Health Organization’s (WHO) first World Report on Hearing, released today. At least 700 million of these people will require access to ear and hearing care and other rehabilitation services unless action is taken."


"But the most glaring gap in health system capacity is in human resources. Among low-income countries, about 78% have fewer than one ear, nose and throat (ENT) specialist per million population; 93% have fewer than one audiologist per million; only 17% have one or more speech therapist per million; and 50% have one or more teacher for the deaf per million. This gap can be closed through integration of ear and hearing care into primary health care through strategies such as task sharing and training, outlined in the report."

"Impact on society and economy

Years Lived with Disability (YDLs) and Disability Adjusted Life Years (DALYs)

WHO estimates that unaddressed hearing loss poses an annual global cost of US$ 980 billion. This includes health sector costs (excluding the cost of hearing devices), costs of educational support, loss of productivity, and societal costs. 57% of these costs are attributed to low- and middle-income countries."

Sources:

https://www.who.int/news/item/02-03-2021-who-1-in-4-people-projected-to-have-hearing-problems-by-2050

https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

 

Dear colleagues,

We have recently published an article that presents some insights from Canada 

(full-text available from ResearchGate https://www.researchgate.net/publication/343400636_Here's_to_sound_action_on_global_hearing_health_through_public_health_approaches )

Shroff, F.M. and Jung, D. (2020), "Here's to sound action on global hearing health through public health approaches", International Journal of Health Governance, Vol. 25 No. 3, pp. 235-244. https://doi.org/10.1108/IJHG-01-2020-0004 

Abstract Purpose – A global pandemic, non-occupational noise-induced hearing loss (NIHL) is a completely preventable public health problem, which receives limited air time. This study has dual purposes: to contribute to scholarly literature that puts non-occupational NIHL on the global priority map and to effect change in the City of Vancouver’s policies toward noise. 

Design/methodology/approach – Experts in public health and hearing health were contacted in addition to a scoping literature search on PubMed. Information pertaining to both developed and developing countries was obtained, and comparison was made to Canada where possible. The authors met with elected officials at the City of Vancouver to inform them of the win–win aspects of policies that promoted better hearing.

Findings – Non-occupational NIHL is an underappreciated issue in Canada and many other countries, as seen by the lack of epidemiological data and public health initiatives. Other countries, such as Australia, have more robust research and public health programs, but most of the world lags behind. Better hearing health is possible through targeted campaigns addressing root causes of non-occupational, recreational noise–positive associations with loud noise. By redefining social norms so that soft to moderate sounds are associated with positive values and loud sounds are negatively attributed, the societies will prevent leisure NIHL. The authors recommend widespread national all-age campaigns that benefit from successful public health campaigns of the past, such as smoking cessation, safety belts and others. Soft Sounds are Healthy (SSH) is a suggested name for a campaign that would take many years, ample resources and sophisticated understanding of behavior change to be effective.

Research limitations/implications – A gap exists in the collection of non-occupational NIHL data. Creating indicators and regularly collecting data is a high priority for most nations. Beyond data collection, prevention of non-occupational NIHL ought to be a high priority. Studies in each region would propel understanding, partly to discern the cultural factors that would predispose the general population to change favorable attitudes toward loud sounds to associations of moderate sounds with positivity. Evaluations of these campaigns would then follow.

Practical implications – Everyday life for many people around the world, particularly in cities, is loud. Traffic, construction, loudspeakers, music and other loud sounds abound. Many people have adapted to these loud soundscapes, and others suffer from the lack of peace and quiet. Changing cultural attitudes toward loud sound will improve human and animal health, lessen the burden on healthcare systems and positively impact the economy. Social implications–Industries that create loud technologies and machinery ought to be required to find ways to soften noise. Regulatory mechanisms that are enforced by law and fines ought to be in place. When governments take up the banner of hearing health, they will help to set a new tone toward loud sounds as undesirable, and this will partially address the root causes of the problem of non-occupational NIHL.

Thanks

Irina Ibragimova, PhD

Co-editor, International Journal of Health Governance

HIFA profile: Irina Ibraghimova is a medical librarian, based in Croatia, and works with health care professionals in the countries of the Former Soviet Union, Central and Eastern Europe, and Africa. Her interests include evidence-based practice (both in health care and in library/informatics field). She is a HIFA Country Representative for Croatia. https://www.hifa.org/support/members/irina www.lrcnetwork.org www.healthconnect-intl.org ibra AT zadar.net

Source:

HIFA https://www.hifa.org/

(Posted a little late...)

Sunday, June 11, 2023

Reflections: "Reimagining the nursing workload: Finding time to close the workforce gap"

Redesigning care models through intentional delegation and
potential tech enablement can free up nurses’ time.

I learned of this study through twitter (see below) and ongoing awareness of the work, contribution and debate regards management consultants over the years. The research study was conducted in USA and I have no work experience there. As stated many times on W2tQ: my context is UK-based and public sector - NHS. I have been seconded in the past to a project which engaged management consultancy companies, the work involving IT and communications. The latter was focussed upon (much needed) IT engagement and being 'on message'. 

If employed long enough in the UK public health sector, you will come across consultancy employees eventually (whoever is in government too). Through news, media, consultants (friendly, with wide experience, eager to engage and deliver) will be introduced to the team, on placement for several weeks to collect data through a series of meetings, and conduct a presentation about impending change. The management consultancy sector  often have a bad press, with ongoing critique and debate regards their role, across the Atlantic and globally. More on that to follow.
McKinsey: LinkedIn


A brief introduction to the study follows:
"We conducted a survey of 310 registered nurses across the United States from February 8 to March 22, 2023. Our goal was to understand nurses’ perception of time spent throughout the course of a shift and to identify existing and desired resources to help nurses provide high-quality care. Our sample focused on nurses in roles that predominantly provide direct patient care in the intensive-care unit, step-down, general medical surgical, or emergency department settings. Insights were weighted by length of shift (the minimum shift time included was six hours)." p.2.
To begin, I like 'reimaging' in the title. Healthcare should always be about imagination, envisioning, and action - on an individual and collective basis. Organisational reimaging is also what management consultancy is predicated upon. 'Care model' here, appears to refer to the care environment (and experience?) as found. Gap, also in the title is another positive. Gaps must be seen, to see how we might close, bridge and span them.
 
Over several decades a preoccupation with 'process' has been apparent: the nursing process and processes as events and sequential series in project management. But what is this? No 'process' but one instance of processes. While this was encouraging, as presented, emphasis is placed on activities and tech - both of which can engender reductive and task-based perspectives. Allied with tech, improved delegation is the stated aim of the study. 'What do you expect?' - might be the rejoinder. As per the twitter replies the study conforms to type, brief and 'message':
"Achieving this may require health systems to invest heavily in technology, change management, and workflow redesign.

Realizing these changes will require bold departures from healthcare organizations’ current state of processes. It will be critical for hospitals to bring both discipline and creativity to redesigning care delivery in order to effectively scale change and see meaningful time savings. Close collaboration beyond nursing is also paramount to ensure alignment across the care team and hospital functions including administration, IT, informatics, facilities, and operations." p.8.
Technology is often described as the catalyst, but the impact (and risks - safety?) are often missed - a case of 'wag the dog'?
 
There is a global shortfall in the nursing workforce. National governments take a local perspective tempered (we hope) with international agreements on overseas recruitment. From the shortage in the USA listed (below), to the potential time saving equivalence is a significant outcome:
"When we translate the net amount of time freed up to the projected amount of nursing time needed, we estimate the potential to close the workforce gap by up to 300,000 nurses." p.2.
I am a technology enthusiast outside of work, but a technology realist at work (I do enthuse with students and enjoy hearing their views and experiences - personally, at university, on placement). I've used two electronic health record systems in mental health over the past four years. It is usable, but - as ever - could be improved. Thoughts re. tech are currently clouded by the UK use of telecoms and IT as the access point for primary care. Unfortunately this acts as a 'gate'. More tech is not necessarily better. Can it be argued that the pace of technical change (hardware and software - cloud, devices, decision support ...) is so fast that it is constantly contested? New systems need to be re-evaluated for patient benefits, improvements in care, safety, fit for purpose and other desiderata. Many consultants and advisors point to the existence of disciplinary and (hence) knowledge silos. What is key, is how IT can disrupt existing practice through these silos, especially in the form of AI. 

To return to the study(!), it is primarily in-patient hence hospital based. Perhaps hospitals are the biggest silos of all? These management studies flow, forming a series, a work-stream that includes:

How ‘Care at Home’ ecosystems can reshape patient care
Virtual hospitals could offer respite to overwhelmed health systems
Nursing in 2023: How hospitals are confronting shortages
 
These are cross-referenced online, but what price integrated care - and person-centred care at home?

Prof Alison Leary's tweet highlights research that has demonstrated the improved patient outcomes when care is delivered by Registered Nurses. The importance of training, registration and need to study the 'work' of nurses and their workload is not new:

Robb, I. H. (1903). The Quality of Thoroughness in Nurses’ Work. The American Journal of Nursing, 4(3), 168–177. https://doi.org/10.2307/3401722
Plus, 

"One of the new applications for decision analysis derives from the realization that if physicians are to become effective advocates for quality health care delivery under the incentives engendered by the newer cost-containment strategies, a common language is required to permit communication between physicians, regulators, policy makers and patients relative to what comprises effective care and why physicians do what they do." Preface, v. (my emphasis)
Knoebel, S.B. (1986). Perspectives on Clinical Decision-Making. New York: Futura Publishing Co., Inc., Mt. Kisco.

Whether 'physician', 'doctor' is cited as the user - an electronic health record should cohere across disciplines including nurses - the multi-disciplinary team; even as disciplinary system use may have its own signature (subsets). We are still seeking a language. For me this remains SOCIO-technical.

Innovations are mentioned in the study, but the specifics are not stated in explicit nursing terms, but related to the role of technology, electronic health records (yes, a care record is critical), building on existing tools and reducing implementation risk. Sadly, the informational environment (body politic?) appears to place constraints on the nursing 'care models' referred to here.

On delegation, the following makes a lot of sense: "While nurses report wanting to spend more time overall on direct patient care, there are specific tasks that could be delegated both vertically and horizontally to ensure that the work nurses perform is at the top of their license and promotes professional satisfaction." p.5. (my emphasis)

INDIVIDUAL
|

INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
Nurses thinking of leaving - reasons include: "not feeling valued by their organization and not having a manageable workload." with additional settings inc. home care and long-term care facilities.

This is a common expressed wish by nurses: "spend more time with their patients" but how often is it qualified psycho-socially?

310 subjects - nurses

".. estimates still suggest a potential shortage of 200,000 to 450,000 nurses in the United States, with acute-care settings likely to be most affected."

Settings include: intensive-care unit, step-down, general medical surgical, or emergency department.



Direct patient care - relationship building, empathy and rapport?


effectiveness,
efficiency and equity*

The politics of health systems and health service delivery globally.




In the 1990s organisational hierarchies were flattened, middle management roles were reduced. Technology played its part, but there are many other factors:

https://www.nber.org/system/files/working_papers/w9633/w9633.pdf

At a time when applied AI is increasing, nursing is open to innovation, but synergy and assurance of high quality, safe, person-centred care is essential. 

Socially we also need to preserve forms of work that have a role in well-being and community health - care of older people. Hierarchies and the services they 'deliver' will be flattened further and rationalised - if as nurses we are sufficiently passive. Consider the thoughts of Prof. Acemoglu, Economist, MIT:
"He [Acemoglu] imagines a day when teachers could use AI to create individual lesson plans for every student, or nurses might be able to take on much greater roles in, for example, diagnosing disease. 'Why is it that nurses cannot prescribe medications? Why must everything go through this very hierarchical approach where you have to call a doctor [to do that]?' As it is today, the people who spend the most time with patients - nurses, not doctors - are those who are paid and valued the least." p.3.
Foroohar, R. 'When mistakes involve powerful technologies, you're going to have trouble', Lunch with the FT: Daron Acemoglu, FT Weekend, Life&Arts, 20-21 May, 2023, p.3.

There is most likely a 'corporate' signature common to these reports as there will be to the posts here (2006 ... ). For nursing's sake - vested in the sustainable development goals, the determinants of health, and climate change - we need to preserve 'models of / for care' defined, applied and refined by nurses, the profession and professionalism, registration and holistic bandwidth.

See also:

Moisoglou, I., Galanis, P., Meimeti, E., Dreliozi, A., Kolovos, P. and Prezerakos, P. (2019), "Nursing staff and patients’ length of stay", International Journal of Health Care Quality Assurance, Vol. 32 No. 6, pp. 1004-1012. https://doi.org/10.1108/IJHCQA-09-2018-0215 (I have accessed the abstract only).

Kim, J., Lee, J.Y., Lee, E. Risk factors for newly acquired pressure ulcer and the impact of nurse staffing on pressure ulcer incidence. J. Nurs Manag. 2022 Jul;30(5):O1-O9. doi: 10.1111/jonm.12928. Epub 2020 Feb 25. PMID: 31811735; PMCID: PMC9545092.

[ Thanks to Phil Wilson: https://twitter.com/ph_wilson1/status/1667869284305977346?s=20 ].


*Apply the 3Es across the domains of Hodges' model.

Reimagining the nursing workload: Finding time to close the workforce gap
https://www.mckinsey.com/industries/healthcare/our-insights/reimagining-the-nursing-workload-finding-time-to-close-the-workforce-gap
 

Friday, February 05, 2021

Book review: iv "Leave No One Behind" #LNOB

Chapter 6 on Leapfrogging is significant, addressing not just education but access to a 21st Century education. I'm also conscious that as per the reviews I tend to leapfrog all over the (cognitive) space. There's quite a choice of words in the opening sentence: in education having a crucial role in dealing with the burning problems the world faces. Winthrop and Ziegler provide music for my ears as "we need to embrace new mental models for rapidly accelerating .. leapfrogging - education progress (p.109). More than half of all school-age children (884 million) will not be on track to achieve secondary-level skills, that include critical thinking and problem solving (pp.109-110). A process often deployed in providing education is explained:

The context remains global. The USA and the contrast between rich and poor students at 40 points (PISA) is the largest in the world. Five countries could, by 2030, account for half of all children who do not complete primary schooling. As before, notes and links flow thick and fast:  

https://www.education-inequalities.org/

We know the robots are advancing but there is hope in education, with 69 million new teachers being needed to achieve SDG 4. Healthcare, medicine and nursing especially provides its own workforce opportunities. COVID is showing us that you can have rapid provision of 'Nightingale Hospitals' but without staff ...? In intensive care, person-centred, or at least very-focused [Sciences-Physical] care, relies on 1:1 nurse patient ratio or better; without this staff multitasking, you are burning a candle at both ends. In education many nations, as we read, need extra teachers to reduce class sizes. The leapfrog is needed due to a hundred-year gap in 21st century education (p.113). Again, again: the need for new ways to advance education, "characterised by new mental models..." (p.114) and "... without harnessing new models we will never succeed." 

Reading, I scream* "Hey, the model's over here!" as there is more:

"Fourth, [ :-) ] and perhaps most important, while many actors in the global education community might argue that the idea of embracing new models so all young people can get a twenty-first century education is simply too difficult or unrealistic, there is s strong demand from national governments to do just that." p.115.

I realise there are many models implied here, but Hodges' model can I am sure play a role.

Late in the chapter there is a definition of leapfrogging, which put this on a more serious footing (really). I often wonder if those who speak about holistic, person-centred, integrated care or whatever that they can recognise x,y,z at the end of the day. Here there are directions on recognition of leapfrogging and its elements.

Essentially, leapfrogging has the above steps running in parallel.

INDIVIDUAL
|
INTERPERSONAL : SCIENCES
HUMANISTIC----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
GROUP - COMMUNITY - POPULATION
cognitive ACCESS
student-centred, QUALITY
individualised learning
RELEVANCE
scaling up [conceptual framework!]
virtual leapfrog lab
physical ACCESS
places, QUALITY
technology and data

the ELEPHANT in the domain:
GEOGRAPHY

people & 'places' diverse
QUALITY
RELEVANCE
social access - gender equality

policy design
funding, RELEVANCE
QUALITY
ACCESS governance/assurance
'reading' the data - evaluation
political 'mind-set' shift

There are examples, describing the situation in several countries. 

Another scream rings forth*, as I read that most efforts "have focused on identifying and highlighting innovations," and for the authors, "putting forward a conceptual framework that identifies which innovations have the potential to leapfrog."p.124. 

I'm skipping chapter 7 not because of some problem, it is another pearl and concerning 'universal health coverage' it ties to a paper my co-author and I have just re-submitted. The challenge is time, posts i-iii to date and two further books, plus two other well advanced drafts.

Following community informatics for many years and other sources, a pivotal aspect of gender equality is finance: enter chapter 8 - No women excluded from financial services. Social and economic history, community mental health work in the UK demonstrates the need to target certain welfare (e.g. child) benefits - to women to ensure it is spent as intended. Also apparent are the changes c/o technology. This book does refer to the leapfrog phenomenon in telephony. Many African nations moving to mobile communications skipping a whole generation (or two ...) of telecom infrastructure. Similarly though there is the demise of cash. If people do not have a bank account they miss out and so does the national respective, whether a citizen, or not (recognised). 

For students, the lay reader ... again I can recommend the copious sources:

https://globalfindex.worldbank.org/ 

If the elephant in the SCIENCES - Physical - empirical knowledge domain is geography, in the POLITICAL domain since at least Stiglitz's 'Roaring 90s' it is not just poverty, but the quantitative comparisons that have been made for several decades between the ultrapoor and the ultrawealthy. I remember reading of how certain 'wealth managers' have moved further 'upmarket'. Along the lines of - £10 million? Don't bother us! The repercussions of the 2008 financial crisis are still unresolved, the damage ongoing on so many measures. A crisis not just exacerbated by COVID, but lacerated across all communities and nations; but where is ground zero in terms of the real impact (sorry!)? This chapter considers all the SDGs and gender-equitable financial inclusion (Table 8-1, p.151). There are studies, results, rationale for why having an account matters and a global perspective. As mentioned COVID has helped my regards the individual <-> group axis. Chapter 8 explains intranational and intra-community variations in terms of the gender gap in having an account with a financial institution or mobile service (p.158).

Chapter 9 gave me 'income floors' and the effectiveness of tax-funded transfers in Sub-Saharan Africa. The insights into research explained here by Lustig, Jellema and Pabon that 'D'evelopment is another future employment avenue with something of a 'humanistic moat' to protect it from algorithmic incursions. Although the book via the Brookings Institute points to the opportunities that AI can provide in this field. Again resources abound:

http://iresearch.worldbank.org/PovcalNet/povOnDemand.aspx

https://commitmentoequity.org/

Learning of  'income floors' I wonder about the (disciplinary) extent of these floors, especially as Lustig et al. bring in 'perfectly-targeted' with 'spending-neutral', 'poverty gap' and 'poverty line'. Tables and graphs support explanation of  methodology, with the results from specific countries. Contrast and comparison is a great way to learn, no less here with poverty, tax burden and alternative policy strategies (p.180). This might sound dry, but the book engages, provokes thought, if anything it makes you thirsty for more. 'Forthcoming' work is sign-posted, so this work, the figures, stats are very much dynamic and alive as befits Agenda2030. It has to be given identification of 'fiscal impoverishment' and VAT leaks.

PART III Places: Following informatics since  the 80s I have, from the  periphery, followed the development and deployment of geographic information systems. The opening of Chapter 10 on spatial targeting of poverty hotspots, returned to the concrete reality of geography with my note of children -  'life chances' and the 'health career' (p.209). There is reliance on the history (back to Roman times) and evidence of socio-economic development, the change from rural to urbanization. Unfortunately, if you are a lover of 'dark skies' a measure used is nightlights (p.213) with agriculture as a driver. Limitations in terms of conclusions is stated, data lacking for a subnational picture. The authors investigate the characteristics of poverty hotspots and why some places develop and others do not. Policy issues leads to discussion of human capital, the critical contribution of education and health. I've followed HIFA.org for many years - health information for all. The aim here is to ensure that geography does not dictate the destiny of large numbers of people in developing nations.

[There is a further astrophysical point when satellite imaging can determine the viability of crops, the type of shelters/housing in areas, picking out tin roofs for example. Contrast this with the increased population in low and high Earth orbit and need to 'tidy-up'.]

Chapter 11 provided another lesson the INDIVIDUAL-GROUP axis. The role of cities within the state and ongoing trauma experienced within fragile states, with their vulnerable populations. The difference between social and personal justice. I contrasted 'fragility' with 'frailty' in healthcare. The quality does not wane in the final chapters and there is a logical progression here as we'll see. 

Table 11.1 is a gift for Hodges' model: Drivers of Fragility.

"This overview and analysis of the numerous indicators of fragility brings nuance to the discussion on why defining fragility has been thus far inconclusive and inadequate in inspiring solutions to fragility in all contexts." (p.242).
'All contexts' - I wonder?

There are quite a few indices in the book; State Fragility Index here and the role of Foreign Direct Investment. There are phrases, no doubt common-place in the development lexicon, but they beg deeper understanding - large-scale conflict and low-level violence (empathy and solutions!). Interdisciplinary research is needed to understand the causal linkages at various levels. Table 11.2 'Current Approaches to Fragility', I would think is a great resource for students. 'Military-urbanism' is another characteristic of fragile states. If you think of hearing about global unrest in the world, where is it most likely located? There are several pages (with a table) explaining Matland's conflict-ambiguity model (p.269). The chapter also points to formal international declarations and agendas around which the global response can be coordinated and progress assessed. I'm really encouraged about the 'big picture' credentials of Hodges' model as although they may often be unfortunately concurrent, targeting of poverty hotspots has a companion in targeting fragile states.

All the contributors achieve quite a feat. Although the SDGs are on the book's cover, they are not the cacophony they could be. The history from the Millennium Development Goals does emerge, and from this how the SDGs stand out, in this instance SDG 11 (cities). I've maps of Calgary from 1979 and 1989, an education comparing. We nurses are motivated by being able (if enabled) to make a difference. I do envy those with career pathways to find / tread. What a difference city planners must make too. An impact that is also transdisciplinary. There is still some uncertainty, a need for agreement on the definition of 'urban'. I've approached a community informatics list for any thoughts.

Logical progression and organisation of the book is obvious, as chapter 12 deals with the importance of city leadership. References to events on 'Smart Cities' have been legion for many years, so hopefully technical solutions will not distract for the hybrid leadership skills that are now needed. The need for a ''holistic' picture of urban environments (p.284) is made, perhaps a piece  of the jig-saw, I saw comparing those maps 1979-1989. 

In so many cities there are vulnerable populations. The issue of financial and bank account access and having an address has already been made. Once again, here Pipa and Conroy raise the problem of lack of data. A solution is needed to leapfrog the usual  'household surveys' to provide data and information informing VNR Vulnerable Nation Reviews (p.285) presented to the UN. Allied with transdisciplinary is 'multisolving' (p.289) and perhaps 'humanics' also posted recently? Summing up "cities frame the global frontier in the fight for fairness" (p.292). Following the (real) news and media you inevitably read of cities on the coast and vulnerable to rising oceans. Some nations of seeking to move cities / capitals and build capitals anew. Clearly a space to watch in so any ways.

Finally, chapter 13 has a section all its own: 'On Politics' and as per post #1 underscored my need to read critically on feminism and intersectionality. The focus is feminist leadership. This is excellent material by Paul O'Brien, that begins with a quote:

 It's the combination of feminist leadership and typology of power that is liberating and potentially community affirming that I enjoyed. This is educational as it opens up the level of sophistication, depth of involvement and expertise of NGOs and charities, in this case Oxfam (with acknowledgement of recent history and the need for governance and accountability). So, how are your 'zero sum realities'? Just as the book addresses the SDGs continuously, but in an understated manner, there's a very important point made in the fact that the purpose of the SDGs is not redistributing power, but improving "well-being" or human "development" (p.304). The discussion on power, reminded me of the term 'non-rivalrous' from another (lengthy) book review:

http://hodges-model.blogspot.com/2009/01/book-review-gary-halls-digitize-this.html

Perhaps I missed it, but tax (p.312) does not appear in the otherwise comprehensive index. The preceding listing of the book's contributors is helpful. The closing critique of what LNOB represents is a key take-away, one of several, but significant as the calendar moves closer to 2030.

Many thanks to the publisher for my copy and to all involved in this book The world needs ER now. Agenda 2030 must not be derailed. This book is Essential Reading ... especially to help me achieve a holistic overview of development, the scope and specifics of the SDGs. (paper pending)

INDIVIDUAL
|
INTERPERSONAL : SCIENCES
HUMANISTIC----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
GROUP - COMMUNITY - POPULATION



Homi Kharas, John W. McArthur and Izumi Ohno, (Eds.) 2020. Leave No One Behind: Time for Specifics on the Sustainable Development Goals, Washington D.C.: Brookings Institution Press. 

*(mentally of course)

Saturday, May 12, 2012

[HIFA2015] International Nurses Day, May 12 "Closing the gap: From evidence to action"

Dear Colleagues / collaborators,

Nurses worldwide under the umbrella of the International Council of Nurses celebrates the International Nurses Day yearly on May 12. This is to pay tribute to the millions of men and women who put their lives to the service of humanity, in accordance with convention 149 of the ILO (Nursing Personnel Convention) passed in 1997. This celebration however has not yet gained the recognition it should, for how can one explain the fact that this day may even go by unnoticed in some countries, or are we therefore saying it is not worth it and why is this day not even a public holiday like for other professional groups.

I find it hard to believe that until now on this forum no one could think of it, when the celebration is due in barely 36 hours. I understand the delicate nature of health jobs, but this should not be an excuse for not paying tribute where is it due. I know this day should be meant for reflection among nurses and seeking for ways to improve nursing services. This will not happen in isolation, for nurses need the political will and inter sectoral collaboration to do their job effectively, shape a better future for the next generation of nurses consonant with current stakes.

This year, nurses are deliberating on the theme 'closing the gap: From evidence to action'. This topic is quite elaborate and needs lots of considerations both within and without the influence of nurses. Understanding evidence-based practice, seeking for sources of evidence, making the appropriate case for change and moving from evidence to action is the cycle in which nurses hope to reflect as they celebrate this year. Nurses will need new skills and expertise to deal with their clients in today's changing and challenging health environment. This is why this forum is of vital importance and I will continue to thank the team behind it. Nursing training programs may be subject to revision, expanding the legal and professional limits of practice while maintaining strict regulatory sanctions. This increased autonomy will enable nurses take up new functions within the confines of their practice and help in meeting the health needs of our population and not acting as physician substitutes or mini-doctors.

Therefore, I wish all nurses a happy celebration, calling on them to use the very rich celebration kit from the ICN, easily downloadable from their website, www.icn.ch, and share among themselves in all settings where nurses live and work. It is our day and we should be happy and honoured for the services we offer to the six billion people on earth, since nurses form the bulk of health care providers and work in remote areas in all countries.

In Cameroon, thousands of nurses from all the ten regions, shall be meeting in the economic capital Douala between June 14 to 16, to brainstorm on the activities. This event is usually opened by the Minister of Public health or his representative, various scientific presentations, round table conferences and other important activities grace the event and concluded by a closing ceremony during which important decisions taken are communicated to participants.

Tita Pale Isa Ndognjem, BSc, RN
Public Relation officer, Cameroon Nurses Association
2012 Fellow, Commonwealth Nurses Federation
paleisa AT yahoo.com 

Additional link:

C149 Nursing Personnel Convention, 1977
Convention concerning Employment and Conditions of Work and Life of Nursing Personnel (Note: Date of coming into force: 11:07:1979.) 
 
My source: HIFA2015

Friday, December 12, 2025

Sociology: Open access resources and course materials - BUP

As an introduction to our publishing in Sociology -

 https://bristoluniversitypressdigital.com/subject/SOC-Taster-Collection 
 
- we curated a collection of free and open access books and chapters that we think will contribute to your reading lists. Our growing list has a global outlook featuring high-quality research across emerging and established areas in the field, such as migration, gender, education, ageing, science and technology, death and culture, activism and organizing, race and ethnicity, decolonization, public sociology and children and families.

Highlights from the collection include:
Please feel free to share this collection with your network and your students. Chapters that are not perpetually open access will be free to download until end of March 2026

Our aim is to ensure that the vital work of our authors reaches the lecturers, researchers and policymakers who can use it to drive meaningful, real-world change.

You can request access to our full Sociology Collection
https://bristoluniversitypressdigital.com/subject/SOC-Collection?utm_source=listserv&utm_medium=email&utm_campaign=Sociology-2026 - via your institution’s library. 

We offer tiered pricing on our collections tailored to smaller organisations and their libraries. For more details, institutions can contact our team at bup-digital AT bristol.ac.uk.

Publish with us: If you are writing in this field, consider publishing your work with an ethical university press. To discuss your publishing projects, please contact our editor emily.ross AT bristol.ac.uk.

Looking forward to hearing your thoughts and please don’t hesitate to reach out if you have any questions.

Kind regards,
Bahar Celik Muller - Senior Marketing Executive
Bahar Muller - Senior Marketing Executive

New books

Liberation and Corruption: Why Freedom Movements Fail

Reckoning: Creating Positive Change Through Radical Empathy

Mind the Inclusion Gap: How Allies Can Bridge the Divide Between Talking Diversity and Taking Action

White Privilege: The myth of a post-racial society

 
My source: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=EUROPEAN-SOCIOLOGIST