Consultation: Community Mental Health Services [ UK Parliament ]

Source: Health and Social Care Committee, House of Commons, London, SW1A 0AA

'Community Mental Health Services

Inquiry

The Committee is undertaking an inquiry into community mental health services. The inquiry will examine what good looks like from the perspective of service users and their families/carers. The Committee would like the inquiry to shine a light on case studies of innovative practice and high-quality care across the country, and to undertake meaningful and impactful engagement with people accessing these services. 

The inquiry will consider how service users’ wider health and social needs can be addressed, including in employment and housing, and to understand what policy interventions are required to improve how these needs are met. As part of this inquiry, the Committee also wants to assess to what extent the Community Mental Health Framework is driving improvements in the delivery of more integrated, person-centred care. 

This inquiry is focussing on adults with severe mental health needs in particular, which includes but is not limited to people with bipolar disorder, schizophrenia and severe depression. The Committee recognises the scale of the challenge in children and young people’s mental health, and plans to do further work in this area in due course, building on its predecessor Committee’s 2021 inquiry. 

In line with the general practice of select committees, the Health and Social Care Committee is not able to take up individual cases or complaints. If you would like political support or advice you may wish to contact your local Member of Parliament.

This inquiry is currently accepting evidence

The committee wants to hear your views. We welcome submissions from anyone with answers to the questions in the call for evidence. You can submit evidence until Tuesday 4 February 2025.' 

Read the call for evidence before submitting:

https://committees.parliament.uk/work/8755/community-mental-health-services/

Further reading & review: 'Epistemic Care - Vulnerability, Inquiry, and Social Epistemology'

Epistemic Care

With the next book received for reading and review I must crack-on with Categories, which links my philosophy studies and healthcare theory and practice. The [N] time of year is right at least, for as close a reading as I can muster on both counts.

On the relational project, I'm simultaneously trying to look Hodges' model epistemologically and ontologically. Both texts will assist.

Many thanks to Alyvia Chiemingo - Customer Service Team Lead at Taylor & Francis Customer Services; and the 'Ethics of Argumentation' group for the tenth talk of 2026 by Casey Rebecca Johnson on “Care and Political Disagreement” (2nd October).

DESCRIPTION:

'This book uses the framework of care ethics to articulate a novel theory of our epistemic obligations to one another. It presents an original way to understand our epistemic vulnerabilities, our obligations in education, and our care duties toward others with whom we stand in epistemically vulnerable relationships.

As embodied and socially interdependent knowers, we have obligations to one another that are generated by our ability to care – that is, to meet each other’s epistemic vulnerabilities. The author begins the book by arguing that the same motivations that moved social epistemologists away from individualistic epistemology should motivate a move to a care-based theory. The following chapters outline our epistemic care duties to vulnerable agents, and offer criteria of epistemic goodness for communities of inquiry. Finally, the author discusses the tension between epistemic care and epistemic paternalism.

Epistemic Care will be of interest to scholars and advanced students working in social epistemology, ethics, feminist philosophy, and philosophy of education.'

Casey Rebecca Johnson (2023) Epistemic Care - Vulnerability, Inquiry, and Social Epistemology. 1st Edition. London: Routledge.

GRADE CERQual, Reflection, Mixed Methods and Threshold Concepts

On leave this week and as per a previous post I attended the GRADE CERQual workshop last  afternoon. It was a very helpful exercise, a presentation and some group work. ...

I've now 5000 exploratory words on Threshold Concepts with Hodges' model and bringing in prospective research methodologies. The final module of Part 1 beckons (reading, reading...) and this work will help and might be worthy of publication. I'm just adding some other points from the following sources:

Knight, S. (2015) Realising the benefits of reflective practice. Nursing Times; 111: 23/24, 17-19.

I can cite the above as reflection is never far away in theory, practice and students on placement. Is there is a role for Hodges' model? I believe there is and Collins et al further demonstrate the need as nurses evidence reflection on their professional reading for revalidation from April 2016. Collins writes (my emphasis):

Reflection should be undertaken using a recognised model as this adds structure and provides direction. The model used should be chosen by the individual and influenced by a number of factors such as ease of use, understanding and ease of flow when writing. Models without these elements will give the writer a negative experience of the reflection process (p.14).

Collins, G. et al (2015) Using reflection on reading for revalidation. Nursing Times; 111: 23/24, 14-16.

The final paper for now:

Evans, B., Coon, D., & Ume, E. (2011) Use of Theoretical Frameworks as a Pragmatic Guide for Mixed Methods Studies. Journal of Mixed Methods Research, 5(4), 276-292.
DOI: 10.1177/1558689811412972

- begins with a quotation:

A mixed methods way of thinking is an orientation toward social inquiry that actively invites us to participate in dialogue about multiple ways of seeing and hearing, multiple ways of making sense of the social world, and multiple standpoints on what is important and to be valued and cherished.

—Greene (2008, p. 20)

The paper refers to maps, conceptual and theoretical frameworks. H2cm is a map and a conceptual framework, but not a theoretical framework; unless theory is implied (instantiated) in its structure?

Evans, Coon, and Ume (2011) write:

Clearly, such frameworks could assist with navigation in mixed methods studies consisting of concurrent or sequential investigations, facilitate integration of methods in at least one phase of the inquiry, and provide a map for combining the what with the why to gain a multidimensional understanding of causal mechanisms. Utilization of such frameworks could, then, fit snugly into Tashakkori and Creswell’s (2007) recent definition of mixed methods: “Research in which the investigator collects and analyses the data, integrates the findings, and draws inferences using both qualitative and quantitative approaches or methods in a single study or program of inquiry” (p. 4). (Evans et al. p.278)

Researcher's are by definition forced to adopt a methodological position and argue it; defend it too! I'm not advocating for something else, but for Hodges' model this is akin to being pressed to hear the Song of the Sirens and suffer the consequences. This model does not want to be tied to the mast.

It is the mast and sail.

Hodges' is mixed methods incarnate - out of the box, in and between them:

Demand-Supply
Service Centered-Person Centered
Self-Other
Health-Well Being-Disease
Individual-Population

Qualitative-Quantitative

Objective-Subjective

Socio-Technical

Mind-Body

....

...

..
.

     Past-NOW-Future

Call for Papers: Bioethics and Philosophical Health - JECP

Submission Deadline: Thursday, 31 December 2026

Contemporary bioethics has developed sophisticated tools for ethical decision-making. Yet it often operates within assumptions that reduce life to physiological viability. Ethical questions are frequently treated as matters of procedure and consent. Meanwhile, patients and clinicians face questions that exceed these frameworks. What makes a life worth living? How does illness disrupt or reveal meaning? What forms of care support not just survival but existential coherence? These questions call for a deeper engagement between bioethics and the philosophy of existence.

Despite growing interest in person-centred care, conceptual tools for clinical evaluation remain limited. Frameworks for assessing philosophical sense-making and existential orientation are underdeveloped. The Philosophical Health perspective addresses this gap by going beyond physical and psychological health. It asks how we cultivate meaningful lives through bodily experience, self-understanding, relational belonging, engagement with possibility, purposeful action, and philosophical reflection. The concept draws on the ancient tradition of bios philosophikos. It proposes that healthcare should attend not only to pathology but to the philosophical dimensions of human existence.

This special issue creates space for exploring how philosophical health can deepen bioethical inquiry as an embodied ethics of the good life. It challenges reductive assumptions and fosters practices that support purpose and meaning in lives, even when disrupted by health challenges. We welcome transdisciplinary contributions from philosophers, bioethicists, clinicians, medical humanists, and social scientists. Topics include how philosophical frameworks enrich clinical practice, how healthcare shapes existential experience, how the 4E cognitive approach may inform bioethical theory, and how dialogical methodologies can be integrated into institutional contexts. The issue aims to rediscover bioethics as a genuinely philosophical and existential enterprise, that is as bios ethikos.

Topics of interest for this call for papers include but are not restricted to:

• Philosophical frameworks for enriching or transforming bioethical practice and clinical evaluation;
• Philosophical dimensions of clinical encounters: embodiment, selfhood, temporality, and meaning-making;
• Critiques of the reduction of ethical deliberation to procedure, regulation, or risk management;
• How healthcare practices shape or constrain the philosophical dimensions of human existence;
• The 4E cognitive approach (embodied, extended, enactive, embedded) applied to bioethical theory and practice;
• Integration of philosophical inquiry and dialogical methods into clinical or institutional contexts;
• Empirical and conceptual engagement with the Philosophical Health methodology, including SMILE_PH;
• Cross-cultural and planetary perspectives on philosophical health and the good life;
• Methodological innovations in clinical philosophy, philosophical counselling, and reflective practice.

More details here: https://onlinelibrary.wiley.com/page/journal/13652753/call-for-papers/si-2026-000772

_______

Dr Luis de Miranda

Associate Professor (Docent) in Bioethics, Uppsala University

Marie Skłodowska-Curie Fellow, Turku Institute for Advanced Studies
Associated Researcher, Centre for Research Ethics and Bioethics,

Department of Public Health and Caring Sciences, Uppsala University

https://www.luisdemiranda.com/

My source: Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ Messages to the list are archived at http://listserv.liv.ac.uk/archives/philos-l.html. Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos

NHS Contaminated Blood Scandal UK

UK  - World

Why we need always to acknowledge 

the political in health and health in politics

Individual

|

      INTERPERSONAL    :     SCIENCES               

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

 SOCIOLOGY  :    POLITICAL 

|

Group

"In an interim report, the inquiry chair, Sir Brian Langstaff, said 'wrongs were done at individual, collective and systemic levels'."	(UP) contaminated       blood                              blood            donors     'dying for  COVER
	UP   scandal            paid          justice'     (screening?)

My source: Various - over several decades.

Photograph: Daily Express

https://www.express.co.uk/news/politics/1795449/rishi-sunak-infected-blood-inquiry-heckled-booed

Global cost of silencing science BMJ ...

Editorials

Global cost of silencing science

BMJ 2025; 390 doi: https://doi.org/10.1136/bmj.r1370 (Published 10 July 2025)Cite this as: BMJ 2025;390:r1370

'Public trust in scientific integrity is eroded by the politicisation of institutions under Donald Trump’s US presidency. The implications extend far beyond American borders, striking at the core of how scientific knowledge is produced, disseminated, and trusted worldwide.

Recent directives seek to eliminate diversity, equity, and inclusion (DEI) initiatives, cut federal funding to critical health research agencies, and restrict references to gender, race, and climate science in official documentation. Scientific staff at federal agencies face mounting pressure to comply with politically motivated communication policies. Such institutional interference not only distorts scientific findings—it undermines the principles of transparency and editorial independence outlined in the International Committee of Medical Journal Editors (ICMJE) recommendations.1 As members of ICMJE we feel compelled to speak out.

The ICMJE underscores that “editors should preserve the integrity of the scientific record by critically evaluating manuscripts free from undue influence and without compromising scholarly values.”1 Yet, under the current administration, several US federal science agencies require pre-approval for external publications—a direct contravention of these editorial standards.2 This climate of control stifles open inquiry and discourages evidence based discourse, particularly when scientific conclusions diverge from political narratives.'
...

'Independent scientific communication is equally under threat. Increasing pressure on government researchers to avoid controversial topics or reframe findings to suit political narratives creates an institutional chilling effect. Self-censorship born of fear may be more damaging than overt censorship. Researchers, particularly early career scientists and those from under-represented backgrounds, may choose to abandon public communication or controversial areas of inquiry altogether. This trend further narrows the scope of scientific innovation, limits the range of perspectives reflected in research agendas, and ultimately harms health.'
...

'This is a call for science grounded in ethical principles and dedicated to the service of humanity. Scientific research, especially in medicine and public health, is inherently intertwined with social justice. Silencing DEI initiatives, censoring climate science, and delegitimising minority researchers is not neutrality—it is complicity in perpetuating harm.'
...

Footnotes

This article is being jointly published by The BMJ, Deutsches Ärtzeblatt, Journal of Korean Medical Science, Lancet, La Tunisie Médicale, Medwave, and New Zealand Medical Journal.

References

1. ↵
   International Committee of Medical Journal Editors. Recommendations. 2025. https://www.icmje.org/recommendations/
2. ↵
   Bush V. Science—the Endless Frontier. 75th anniversary edition. National Science Foundation, 1980. https://nsf-gov-resources.nsf.gov/2023-04/EndlessFrontier75th_w.pdf

https://doi.org/10.1136/bmj.r1370

My source: https://x.com/bmj_latest/status/1944478436489134350

Working title: 'Can Hodges’ model provide a foundation for a mathematically informed ...

... epistemology and relational ontology? Part 1'

Abstract

Aims: To begin a process of examining a ‘model of care’ and conceptual framework known as Hodges’ model as a mathematical object. This paper examines the structural elements of this model, its axes and domains through a formal, logical and mathematical lens. To establish the extent to which a combined relational understanding and mathematical approaches can provide avenues for further research.

Design: This study adopts the design of a two-part exploratory and descriptive paper, using an inquiry-based approach throughout.

Methods: The method is interdisciplinary, descriptive, and involves conceptual analysis. Rather than Hodges’ Model acting as a model of, and for care, here the model is used to investigate how health and social care can be better conceptualised. The question is: What is the result when Hodges’ Model is treated as a mathematical object? Here, Hodges’ model is used as an inquiry-based model with reflection and critique.

Results: Readers will see the development of ideas, driven by the structure of a model of care, existing taxonomy defined by nursing theory, associated with foundational mathematical concepts.

Conclusion: The questions introduced and deliberated here will identify avenues for further study. And highlight Hodges’ model to other researchers; less familiar with Hodges’ model, and yet more skilled – adept mathematically.

What does this paper contribute to the wider global clinical community?

Re-assert the importance of theory development in nursing and health disciplines.

Draw attention to the relational (and reflexive) potential of Hodges’ model and in healthcare to abstract the collective dimensions of healthcare, especially those that are political.

Given the problems faced in the century to follow, encourage researchers within and without healthcare to further develop these ideas.

Impact:

Extend the relevance and scope of mathematical abstraction, in healthcare disciplines and the humanities, beyond statistical analysis.

This paper confirms: the conceptual utility of Hodges’ model; the challenge of requisite mathematical skills; the need for interdisciplinary cooperation.

Theorists in health and social care, policy makers and researchers seeking to apply mathematical techniques, especially category theory in the social science may find this work helpful and encouraging.

Reporting Method: N/A

Patient or Public Involvement: This study did not include patient or public involvement in its design, conduct, or reporting.

Keywords: nursing, theory, relational ontology, health, Hodges’ model, mathematics

See also: Draft notes - 'Hodges' model - Locus of Care & Control?'

Human-Technology Lecture Series – 25 March

Dear Colleagues,

The BCS Sociotechnical Specialist Group and the STEIN-UX Research Group at UWL are launching the online Human-Technology Lecture Series, connecting critical perspectives on digital technologies and design with insights about people, organisations and society.

Our first lecture is:

Thinking Language, Fast and Slow: Speed, Data, and Decolonial Inquiry

📅 25 March 2026
🕛 12:00–13:00 (UK time)
💻 Online
🎟 Free to attend

Speaker: Dr. Lindsey DeWitt Prat, whose work explores how language, culture and technology intersect in the development of AI systems.

Talk Synopsis:

As language increasingly becomes training data for AI, timing begins to shape power. Decisions about datasets are made quickly, while their consequences unfold over much longer horizons. What does it mean to design responsibly with — rather than after — underserved language communities?

Drawing on industry work with African languages and large language models, alongside research examining how AI data is produced globally, the talk reflects on why anthropological, participatory and human-centred approaches need to be integrated early in technological development.

Register here:
https://www.eventbrite.co.uk/e/thinking-language-fast-and-slow-speed-data-and-decolonial-inquiry-tickets-1983958108108?aff=oddtdtcreator

Best wishes,
José

Professor José Abdelnour Nocera

School of Computing and Engineering

Head of Sociotechnical Innovation and User Experience Research Group

University of West London

St Mary’s Road, Ealing – London W5 5RF

https://www.uwl.ac.uk/stein-ux

... and my source via the SOCIOTECH list.

International Conference: the Concept of Attention - IEF

Filosofia na Agenda

international conference
the concept of attention

Theme and Objectives

Attention constitutes one of the most fundamental yet under-theorized dimensions of human experience. Despite its centrality to perception, cognition, action, and intersubjectivity, the philosophical investigation of attention as a concept in its own right remains surprisingly underdeveloped. This international conference represents the first major initiative of a four-year research program (2025-2029) dedicated to establishing the philosophy of attention as a major field of contemporary philosophical inquiry.

The philosophical engagement with attention has deep historical roots. Already in ancient Greek thought, we find attention implicitly at stake in the Socratic contrast between an 'examined' and an 'unexamined' life and in the dialectical reform of ordinary reason pursued throughout Plato's dialogues. Medieval philosophy anticipates later developments through its emphasis on representation and intentionality (intentio), particularly in the works of Augustin, Aquinas and Duns Scotus. Yet it is only with Descartes's Meditations that attention receives explicit philosophical treatment, emerging as the crucial mediating link between radical doubt and epistemic certainty. This Cartesian innovation opens a rich trajectory of reflection, pursued by thinkers as diverse as Malebranche, Berkeley, Locke, and Wolff.

The scope of philosophical inquiry into attention expands dramatically from the late 18th century onwards. No longer confined to epistemological questions, attention becomes central to investigating the fundamental structures of subjectivity itself. French spiritualism, phenomenology, and philosophies of existence explore how attention relates to apperception, sensation, emotion, and volition—a trajectory that runs from Maine de Biran and Bergson through the phenomenological movement, encompassing figures from Paul Ricoeur to Michel Henry. Meanwhile, William James's psychological and philosophical investigations, along with later thinkers like Merleau-Ponty, Simone Weil, and Iris Murdoch, demonstrate attention's significance across multiple philosophical domains.

Indeed, contemporary philosophy recognizes attention as fundamental to a remarkable range of inquiries. In ethics, attention emerges as an essential vehicle for exercising personal and collective virtues. Aesthetics invokes attention in debates about the nature of beauty and our engagement with works of art—their creation, appreciation, and critique. Social and political philosophy identifies attention as a central component of the modern media landscape, where it functions as a valuable and increasingly contested economic resource. Environmental philosophy calls upon attention to help conceptualize our evolving and often precarious relationship with the natural world. Across these diverse contexts, attention appears as a fundamental human capacity whose nature and quality largely determine the kinds of bonds we can establish with each other and our surrounding world.

This conference seeks to bring these rich historical engagements into systematic dialogue with contemporary philosophy. We welcome contributions from all philosophical traditions and approaches, including but not limited to: the reflexive tradition, hermeneutics, phenomenology, empiricist and analytic philosophy, philosophy of mind, cognitive science, pragmatism, and non-Western philosophical traditions. We aim to explore how different philosophical frameworks have conceptualized attention's structure, dynamics, and normative dimensions, and how these varied perspectives can illuminate both historical debates and current research.

Full details: international conference: the concept of attention

Image: https://www.wikiart.org/en/theo-van-doesburg/heroic-movement-1916

DSA Webinar: Gaining understanding by structuring inquiry: probing data with one right question after another

Dear colleagues,

 

You are warmly invited to an online webinar hosted by The Digital Statecraft Academy (DSA), which may be of interest to those working with data and evidence in social policy.

 

DSA Webinar: Gaining understanding by structuring inquiry:
probing data with one right question after another

 

Date: Thursday 8 October 2026

Time: 15:00 BST / 16:00 CEST

Register: https://events.teams.microsoft.com/event/c6b38f8d-8f6c-4324-8c98-a73eeb36af86@f8ff7417-c954-4bf8-ba5a-1c103f38279d

 

Good analysis on clean data can still give a poor answer if the question behind it is wrong. This session looks at how we move from questions to evidence, in two steps.

 

Dr Stefaan Verhulst (Co-Founder, The GovLab at New York University and The Data Tank; Co-Editor-in-Chief, Data & Policy) will look at where questions come from, which questions get asked, and how governance priorities and political context shape them long before anyone opens a dataset.

 

Professor David Hand (Emeritus Professor of Mathematics, Imperial College London) will look at the next step: turning a real-world question into a statistical one that data can answer, and how this step can go wrong.

 

The session will be chaired by Dr Zeynep Engin, Co-Founder and Director of The Digital Statecraft Academy.

 

The discussion draws on Professor Hand's new book, What is the Question? Deciding What You Really Want to Know (2026)

 

The webinar is open to all. Register via this form. Please feel free to share this invitation with colleagues who may be interested.

 

Best wishes,

The Digital Statecraft Academy

 

My source: JISC SocioTech list - https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=SOCIOTECH

Being Reflective and Reflexive

INDIVIDUAL

|

     INTERPERSONAL    :     SCIENCES               

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

SOCIOLOGY  :   POLITICAL 

|

GROUP

"Benner suggested five levels of practice, from the rule-bound novice or beginner who nurses literally 'by the book', following non-contextualised rule-governed procedures, to the expert who: 'with an enormous background of experience, now has an intuitive grasp of each situation and zeroes in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions.'" (Benner 1984) p.22. "A moral agent is any being who is capable of thinking, deciding, and acting in accordance with moral standards and rules. A moral agent may not always fulfill the requirements of a moral standard or rule; that is, he need not be morally perfect. But he must have the capacity to judge himself on the basis of such criterion and to use it as a guide to his choice and conduct." (Taylor 1975, p.6).

"When the practitioner reflects in action in  a case he perceives as unique, paying attention to the phenomena and surfacing his intuitive understanding of them, his experience is at once exploratory, move testing, and hypothesis testing. The three functions are fulfilled by the very same actions. And from this fact follows the distinctive character of experimenting in practice." (Schon 1987). p.27. "When someone reflects-in-action, he becomes a researcher in the practice context. He is not dependent on the categories of established theory and technique, but constructs a new theory of the unique case . . . because his experimenting is a kind of action, implementation is built into his inquiry."  (Schon 1983) p.28.

Transforming Nursing Through Reflective Practice

"This approach approach represents a new call for the: '.. integration of reason and emotion, the personal and the political, the public and the private. In moral theory ... this is part of a general effort to reverse the segregation of intellectual inquiry from personal experience in moral deliberation.'" (Lauritzen 1996,p.6) p.37. "Greene (1998) noted: 'To become [different] is not simply to will oneself to change. There is the question of being able to accomplish what one chooses to do. It is not only a matter of the capacity to choose; it is a matter of the power to act to attain one's purposes. We shall be concerned with intelligent choosing and, yes, humane choosing, as we shall be with the kinds of conditions necessary for empowering persons to act on what they choose." (p.3) p.52.

Johns, C. and Freshwater, D. (eds). (1998). Transforming Nursing Through Reflective Practice. London: Blackwell Science. [1st edition.]

Chapter 2 Rolfe. Reflective and Reflexive Nursing Practice. pp.21-31.

Chapter 3 Ferrell. Customary vs Reflective Morality. pp.32-42.

Chapter 5 Johns and Hardy. Voice as a Metaphor for Transformation. pp.51-61.

The Compartmentalisation of Grief and Tragedy: RIP

INDIVIDUAL

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

POPULATION

a person A LOVED ONE (timeframe: grief) (timeframe: Why) (timeframe: answers) to questions that should not need be asked  (again and again....) 'problem' Fear uncertainty advice flight OR fight values ethics morality PSYCHO-	a house a house . . . a house a house Fire a house fighting Fire a house fighting . . Fire a house fighting Fire a house fighting |||||||||||||||||| strength of towers cladding - facade material science introducing: dead space "probably" 'problem' property: transparency vs opaque (time-frame: risk, evidence) -PHYSICAL
SOCIO- a HOME a group of people family friends social housing a community the most terrible of good-byes Towers of Strength SPIRITUAL (timeframe: social justice) D.ANGER 'problem' introducing: a 'new' home	-POLITICAL property material evidence facade - cladding cost ££ value $$ Health & Safety Law Building regulations (timeframe: Public Inquiry) (timeframe: ACTION) GOV.UK 'problem' 'political correctness'? local-regional-national introducing: another Public Inquiry

Some reflections on the tragic event at Grenfell Tower, London, UK.

Personal note: In posting this, of course, I do not wish to trivialise the enormity of what has happened, the point is that even in disasters - across the world, tools are needed to reflect, think critically, to support learning in order to ultimately assure a safer future for all...

DSA & Q-Lab: 'In an Age of Answers, Questions Matter More Than Ever'

This afternoon I joined an online webinar organised by THE DIGITAL STATECRAFT ACADEMY:

'Gaining understanding by structuring inquiry: 
probing data with one right question after another is almost here'

The art, science, and practice of governing well in the algorithmic age

The Digital Statecraft Academy (DSA) is a global hub for cultivating visionary public leaders ready to navigate the complexities of data, AI, and digital governance. Backed by world-leading academic and policy institutions, DSA equips today’s leaders with the tools, knowledge, connections, and foresight to govern ethically, strategically, and resiliently in a rapidly evolving digital world.

 

There is a manifesto to read and endorse: and Ten Principles of Digital Statecraft

 

Also highlighted was Q-Lab 

About Q-Lab

Questions shape what becomes visible, what is investigated, what is funded, and ultimately what societies come to know. They are fundamental not only to scientific inquiry but to a wide range of sectors and practices—from education and journalism to policymaking, medicine, law, and business, among others.

Despite this foundational role, questions are seldom treated as objects of systematic study. Established fields examine intelligence, knowledge production, and decision-making, yet few, if any, take questions themselves as their subject.

How should we define a good question? Which questions are most likely to serve as stepping stones toward breakthrough insights? Who determines which questions matter most? In short, what do we actually know about questions?

Questions Lab (Q-Lab) is the first multidisciplinary initiative dedicated to establishing questions as a field of study and practice, understanding how questions emerge, how they evolve, which questions make the greatest impact, and how they shape the trajectory of knowledge across disciplines and generations, in order to help individuals and institutions navigate complexity, deliberate more thoughtfully, and set better priorities.

I look forward to more events in future.

 

Previously: Questions in eclipse : 'question'

New citations - Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia

It is always welcome news when I learn of a paper (Asmat, 2024) recognising and citing Hodges' model from the nursing and wider literature. In this case an educational journal, focussed upon health and social care:

Kainat Asmat (2024). Practice Without Theory: A Philosophical Inquiry into Contemporary Nursing in South Asia: Nursing Practice without Theory. International Journal of Practice-based Learning in Health and Social Care. 12. 125-131. 10.18552/ijpblhsc.v12i2.1068. 

I have quoted at length, but it is good to have a different 'excuse' (not just extending the tail of a relevant book, or paper). ... 

'Similarly, Hodges' Health Career Model exemplifies its use as a tool for reflection during clinical assessments, care planning, and decision-making processes (Doyle & Jones, 2013). The model encourages nurses to reflect on their practice through multiple lenses, ensuring a comprehensive understanding of patient needs and care strategies. The Interpersonal domain emphasizes the relational aspects of nursing, including communication and empathy. The Sociological domain highlights the impact of societal factors and social determinants on health. The Scientific domain focuses on evidence-based practice and the integration of scientific knowledge into care. Finally, the Political domain addresses the influence of healthcare policies and organizational structures on contemporary nursing practice. In contemporary nursing practice, a nurse might use Hodges’ model to provide holistic and personalized care by considering the patient's social background, the scientific basis of their care, interpersonal dynamics, and relevant political or policy-related factors. According to Jones (2017), using conceptual models like Hodges' can greatly enhance nurses' critical thinking, fostering a reflective and engaged nursing workforce.' p.126.

'Collectively, nursing theory remains a cornerstone of contemporary nursing practice, providing an essential framework that guides clinical decision-making, promotes critical thinking, and supports reflective practice. Peter Jones, in his seminal works, underscores the critical role of theoretical models in enhancing nursing practice. His insights provide compelling evidence for the continued relevance of theory in contemporary practice. In "Humans, Information, and Science", Jones (1996a), articulates the interrelationship between human factors, informational processes, and scientific principles in healthcare. He argues that nursing, as a discipline, uniquely integrates these elements to form a comprehensive approach to patient care. This integration is fundamental in moving beyond task-oriented care towards a practice that is reflective and evidence-based. Jones emphasizes that without a theoretical foundation, contemporary nursing practice risks becoming fragmented and superficial, lacking the depth required for truly effective patient care. Similarly, in "An Overarching Theory of Health Communication",  Jones (1996b) explores the necessity of robust communication theories in healthcare. He posits that effective communication is not merely a skill but a complex process grounded in theoretical understanding. This perspective is particularly relevant to nursing, where communication is pivotal in patient interactions, interdisciplinary collaboration, and health education. Jones’ work illustrates that theoretical frameworks in communication enhance nurses' ability to engage with patients and colleagues thoughtfully and effectively, fostering better health outcomes and professional practice. Jones’ analyses reinforce the argument that nursing theory is indispensable in contemporary practice. Likewise, McEwen and Wills (2021) also highlight that nursing theory is integral to the development of nursing as a discipline. They assert that without the theoretical underpinnings, nursing risks regressing to a technical occupation devoid of critical thinking and judgment that characterize nursing professional practice. Thus, the survival and progression of nursing as a distinct profession depend on the continued integration and application of theory in contemporary nursing practice.' p.127.

In addition, the short conclusion is supportive and encouraging for ongoing efforts. As with all discovered citations thus far, I'm not sure of how Kainat Asmat located the publications on Hodges' model? A literature search - no doubt, or perhaps the blog's sidebar listing? The selection made, fits the author's purpose. 

Over the years, I've tried to indicate the scope and scale that Hodges' model can 'reach'. Especially in self-care, family, local, global and planetary health. Now, c/o Asmat (2024), Hodges' model has a much valued connection with South Asia. The required scope of Hodges' model (its inter- and transdisciplinary potential^) is also conceptual, referred to previously as holistic bandwidth. Hence the model's relevance and potential in theory and practice.

Many thanks to Kainat Asmat and the journal's editorial team.*

I will read again and return to the paper in our New Year.

Listed in the bibliography:

Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

Jones, P. (1996a) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598. https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1996.23321.x

Jones, P. (1996b) An overarching theory of health communication? Health Informatics Journal,2,1,28-34.

Where I have now added this paper.

^Still on the agenda as a paper; as with 'revisiting' 1996a. Happy to support others in referencing, or writing more specifically about Hodges' model (a case study, mapping exercise?); especially student nurses, carers and personnel in social care and early career researchers. To which, I'd better add later career nurses, allied disciplines, nurses returning to practice (surely a UK and global policy focus?) and proof of reading (your choice of course on the paper, chapter, book...); and reflection for continuing professional development (CPD). If you're still unsure, it was a relief to put the 'pen' down, well writing is still a major challenge (and pain) here. 

*And, of course - Brian E. Hodges RIP - too.
https://hodges-model.blogspot.com/2023/08/brian-e-hodges-r-i-p.html