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

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

Friday, April 27, 2007

Hodges' model - How many interfaces are there?

If you were stood at the centre of Hodges' model - the nexus - where exactly is that 'place'? Looking out from there what would you see?

In a way from that vantage point our senses and imagination should encounter precisely whatever the model is capable of modelling?

One of the four reasons for the creation of the model was to assure an holistic approach. Well consider this a mind experiment, a test. So, what do you think?
Would you be at the heart of SOME-things, or the heart of ALL-things?

You would certainly be at the heart-of and part-of an interface.

This (possibly daft?) question needs to be asked. Why? Well, because an effective interface should be - at least - two-way.

So what interface(s) does Hodges' model need to handle? If h2cm provides the scaffold, what are we then able to build?

When Brian posed the initial questions when formulating the model he conducted a scoping exercise. The outcome determined the scope of the model, but what sort of scope? Is this scaffold sufficient to model the many situations, phenomena and issues encountered within health, social and pastoral care and without?

On the website I've identified six interfaces that I believe can be accommodated within Hodges' model:


  1. FACE 2 FACE [person - person]
  2. HUMAN 2 MACHINE [person - device]
  3. PERSON 2 EARTH
  4. INDIVIDUAL 2 GROUP
  5. PERSON 2 SPIRITUAL
  6. REASON 2 REALITY
Six interfaces



When you wrap up these interfaces, you've created quite a curriculum!

Looks like we are back where we started in previous posts - a house of ideas!
No surprise there then; and of course there aren't just one or two dice being thrown here. Time and information: the messengers between the interfaces changes our priorities constantly...

"Never a dull moment!" Of course no wonder, that's what makes health and social care so interesting!

Wednesday, January 10, 2007

Hodges model: What is it? [2] It’s an interface...

A further response to the “What is Hodges' model?” question is that the model is an interface. We tend to think of the word interface as a modern invention, referring to an information solution or computer system aspect that conjures up hopes of qualities like ‘user-friendly’, ‘open’, ‘accessible’ and ‘uncluttered’.

2001 A Space Odyssey - Ape bone toolsOf course technology is not new, interfaces have been around for several millions of years, as realised in Clarke’s 2001. More recently, someone recognised the need for a H.H.I.: human-horse interface and reins were born (or emerged).

Just like the courage, patience and skill needed to manage horses, the same applies to sociotechnical interfaces realised in software (and hardware). If you don't listen and whisper and get it wrong, the rider could have the whip out, someone might be thrown and even if you do reach the finish line you’ll be chasing dust (even worse than that the dust may have settled!).

In the 1980s writing some (very BASIC) educational software (see, a,b,c below) on the Sinclair ZX81 and BBC microcomputer, this word interface even then demanded your attention. Interfaces present many challenges; they should be fit-for-purpose, safe! (health, air-traffic control...), logical, structured and organised (usually), also self-explanatory or self-describing if possible. In short intuitive and many would now also demand some 'intelligence'.

Those four perspectives from the house of ideas I mentioned the other day, that were combined into the ship or yacht's sails is a powerful analogy for another reason. It's an example of economy of effort – otherwise why bother? Bringing those four disciplines together folds space and time. We can start to relate items in one disciplinary domain (perspective) with others. Previously disparate disciplines are suddenly more accessible. (I'm not sure if that last line is a sentence, but never mind isn't accessibility a feature of interfaces?)

This is NOT just about creating an overview. In interface speak it can be fairly easy to create a quick and aesthetically pleasing 'front end'. If that's what is needed fair enough, but Hodges' model - while simplistic in appearance - is much deeper than that.

globe & compassWith reins in hand and sails trimmed our forebears shaped history, with a compass in mind the possibilities for travel are endless.



# TITLE PUBLICATION YEAR ISSUE WORDS
a) CAPA: COMPUTER AIDED PATIENT ASSESSMENT Sinclair ZX81, advertised in Nursing Mirror c.1982
b) THE NURSING PROCESS - CAL program BBC Micro published by Open Software Limited (OSL) 1983
c) HAEM (see 4 below) BBC Micro - (OSL) 1984
1 CAPA: Computerised Patient Assessment Nursing Times (BBC micro program - OSL) 1986 82, 36 1500
2 Thunderbirds are Go? (Impact of technology in society - disasters, macro-engineering) Popular Computing Weekly 1988 500
3 Modems are Cheap, it's the phone bills that hurt Popular Computing Weekly 1989 500
4 HAEM: Computer Aided Learning: Creating A Program (Described production of a BBC micro program on blood and blood groups) Nursing Times 1989 85,5 1500
5 Information Technology is Good For You!
(Effects of information technology)
IT in Nursing, BCS-Nurs. Specialist Grp. 1989 1,1 2000
6 Creating a Community Mental Health IS (Creation of a community mental health resource centre - a
multidisciplinary research project)
IT in Nursing and Paper at BCS NSG Conference 1990 2,4 2000
7 The Ins and Outs of a small mental health IS (et al.) as per 6 HC91 Conference Paper 1991 2000
8 Nursing: All in the mind (and machine?)
(Models of nursing and computing)
British Computer Society -Nursing Specialist Group Conference Paper 1992 2000
9 Community Mental Health: IT in the Buffer Zone
(co-author: David Beckingham)
Healthcare Computing 92 Conference (Poster) 1992 500
10 Computerised Models of Nursing
(Data types in nursing - opportunities and problems)
HC93
Conference Paper
1993 2000
11 Using a Semantic Network to Represent Nursing Terminology
(project for B.A. (Hons).
Supervisor J Kirby - Medical Informatics Group)
BCS-NSG
Conference Paper
1993 2000
12 Nursing: All in the mind (and machine?) IT in
Nursing
1993 5,4 2000
13 An Enthusiast's View of CAL
(Problems in production of CAL - Simulation effects of Nuclear
Weapons - conversion of GWBASIC to BBC BASIC from BYTE (with original author's permission - J Fanchi))
IT in
Nursing
1994 6,2 2000

Tuesday, January 18, 2022

Call for Short Essays - Interfaces: Essays and Reviews in Computing and Culture

Dear Colleagues,

Interfaces hope some of you will consider publishing with us, please forward to others who might be interested.  Many thanks!

Interfaces; Essays and Review in Computing and Culture publishes short essay articles and essay reviews connecting the history of computing/IT studies with contemporary social, cultural, political, economic, or environmental issues. It seeks to be an interface between disciplines, and between academics and broader audiences. It is very much interdisciplinary and past essays published have been from scholars and doctoral students from sociology, media studies, communication, information studies, history, history of sci/tech, science and tech studies,etc.  Essays are generally 2,000 to 3,500 words (a few go up to 4,000 which is fine if you wanted a longer essay, but 2,000 to 3,000 or 3,500 the norm).

Some possibilities, but not limited to...
  • Think piece on some aspect of the sociology, geography, anthropology, history, or other social or cultural study of the digital world
  • addressing a contemporary issue that in part contextualizes looking back at change over time
  • An essay that provides a short, popular version that promotes a larger work (draws from and promotes a full-length article or a book, could announce pre-publication or point to post publication of larger work)
  • Reflections on a body of literature (including an essay review on two or more books, essay on digital exhibit on computing/digital world)
  • Other types of short essays on computing and culture

Essays go through editorial review (myself and my colleague Amanda Wick, co-editors), which is usually short and straightforward and leads to publication in about a month from original submission.

I hope you will consider submitting an essay to us! If I can answer any questions, please let me know.

Best, Jeff
"Injustice wears the same harsh face wherever it shows itself."-Ralph Ellison

Jeffrey R. Yost, Ph.D.
Director, Charles Babbage Institute
Research Professor, History of Science, Technology, and Medicine
222  21st Avenue South
University of Minnesota
Minneapolis, MN 55455
 
<>
 
Previously on W2tQ:
 
My source: SOCIOTECH list
https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=SOCIOTECH

Sunday, December 19, 2010

Call for Maps: Mapping Science Exhibit, 7th Iteration on "Science Maps as Visual Interfaces to Digital Libraries" (2011)

Background and Goals

The Places & Spaces: Mapping Science exhibit was created to inspire cross-disciplinary discussion on how to best track and communicate human activity and scientific progress on a global scale. It has two components: (1) physical exhibits enable the close inspection of high quality reproductions of maps for display at conferences and education centers and (2) the online counterpart (http://scimaps.org) provides links to a selected series of maps and their makers along with detailed explanations of how these maps work.

Places & Spaces is a 10-year effort. Each year, 10 new maps are added, which will result in 100 maps total in 2014. Each iteration of the exhibit attempts to learn from the best examples of visualization design. To accomplish this goal, each iteration compares and contrasts four existing maps with six new maps of science. Themes for the different iterations/years are:

  * 1st Iteration (2005): The Power of Maps
  * 2nd Iteration (2006): The Power of Reference Systems
  * 3rd Iteration (2007): The Power of Forecasts
  * 4th Iteration (2008): Science Maps for Economic Decision Makers
  * 5th Iteration (2009): Science Maps for Science Policy Makers
  * 6th Iteration (2010): Science Maps for Scholars
  * 7th Iteration (2011): Science Maps as Visual Interfaces to Digital Libraries
  * 8th Iteration (2012): Science Maps for Kids
  * 9th Iteration (2013): Science Maps for Daily Science Forecasts
  * 10th Iteration (2014): Telling Lies With Science Maps

Places & Spaces was first shown at the Annual Meeting of the Association of American Geographers in April 2005. Since then, the physical exhibit has been displayed at more than 175 venues in over 15 countries, including eleven in Europe, plus Japan, China, Brazil, Canada, and the United States. A schedule of all display locations can be found at http://scimaps.org/exhibitions

Submission Details

The 7th iteration of the Mapping Science exhibit is devoted to science maps that serve as visual interfaces to digital libraries. These maps might communicate the

  * quality and coverage of data sets,
  * the structure (ontology, taxonomy, classification hierarchy) of data sets,
  * (semantic) linkages between data sets,
  * the evolution of a data set, or
  * access and usage patterns of data sets.

They are intended to support the navigation, management, and utilization of mankind’s scholarly knowledge and to make it more readily available to researchers, educators, industry, policy makers and/or the general public.

We invite maps that show a visual rendering of a dataset together with a legend, textual description, and acknowledgements as required to interpret the map. Science map dimensions can be abstract, geographical, or feature-based, but are typically richer than simple x, y plots. Scientific knowledge can be used to generate a reference system over which other data, e.g., funding opportunities or job openings, are overlaid or be projected onto another reference system, e.g., a map of the world, but must be prominently featured.


Each initial entry must be submitted by Jan 30th, 2011 and needs to include:

  * Low resolution version of map
  * Title of work
  * Author(s) name, email address, affiliation, mailing address
  * Copyright holder (if different from authors)
  * Description of work: Scholarly needs addressed, data used, data analysis, visualization techniques applied, and main insights gained (100-300 words)
  * References to publications in which the map appeared
  * Links to related projects/works

Entries should be submitted via email to the curators of the exhibit: Katy Börne (katy at indiana.edu) and the exhibit designer Michael J. Stamper (mstamper at indiana.edu) using the email subject header “Mapping Science Entry”.

Please feel free to send any questions you might have regarding the judging process to Katy Börner (katy at indiana.edu). Please keep subject header (as used here).

This call - with additional details -  is also available at http://scimaps.org/call

Friday, October 16, 2020

Persistent or Global navigation: Hodges' model

Interfaces are hardly novel these days, even our acknowledging them is a moot point. An interface that is effective will be transparent to the 'user' who is able to get on with the task, the process that is their purpose. For web design, medical devices and

There are many posts on 'interfaces' here on 'Welcome to the QUAD' from 2007 to 2020:

Hodges model: What is it? [2] It’s an interface... 

(Contrast this view, perhaps, with recent posts on Hodges' model as a matrix.)

VerbAtlas 1.0 - Semantic Role Labeling and beyond! c/o Roberto Navigli 

Don't Make Me Think (2006)
- and the tag 'interfaces' (59).
 
Hodges' model remains an interface to me.
 
The homepage for the website 1998-2015 presents Hodges' model - as the interface - to the user (visitor).

In revisiting (before it visits the charity shop) Steve Krug's Don't Make Me Think (2006) reference to persistent navigation or global navigation (p.62) reinforces the fact that humanity needs an interface for health and care. Two qualities that such an interface needs include:
  1. Persistence in being Cognitive (isn't everything?) but in the sense here of being simple and so ready-to-mind.
  2. Being Global as in Global Health, plus Universal Health Coverage, generic, applicable to all persons, contexts and situations.

Tuesday, October 07, 2025

Short Placement Award for Research Collaboration (SPARC) (Cohort 12)

Dear CHAIN member,

We would like to draw your attention to the following funding opportunity offered by NIHR. Please pass on the information as appropriate. Thank you.

‘Short Placement Award for Research Collaboration (SPARC) (Cohort 12)

This award offers a unique opportunity to design and undertake a short, bespoke placement within a part of the NIHR. Tailored to your individual research training needs and background, the award aims to enhance your research career, skills, and professional network.

What are the priority themes for an NIHR SPARC?

  • Multiple Long Term Conditions - Morbidity (MLTC-M)
The NIHR SPARC welcomes applications centred around making connections important to your research and work, that may spark innovative new ways of working across MLTC research.
  • Links to industry and the commercial sectors
One of the aims of the NIHR is to increase the number of researchers equipped with the skills to work at the interfaces between:
  • academia
  • the NHS
  • wider health, public health and social care
  • industry
We work with a diverse range of industry sectors. The NIHR SPARC welcomes applications that undertake placements in other parts of the organisation that have developed partnerships and collaborations with industry partners. This opportunity should develop your skills and experience to have a successful working relationship with industry (including the life-sciences, med-tech, SMEs and the food industry) and encourage entrepreneurship.

Please note applicants wishing to plan and undertake placements that meet their own research training and career development needs will continue to be encouraged and welcomed; however for Cohort 12 of the NIHR SPARC we are particularly encouraging applicants to consider placements in the two areas outlined above.

Closing date: 20 November 2025 at 1:00 pm'

Find out more at: https://www.nihr.ac.uk/funding/short-placement-award-research-collaboration-sparc-cohort-12/2025334?source=chainmail

Kind regards,

Wendy Zhou
CHAIN Manager

 

If you wish to publicise information on the CHAIN Network please email your request to: enquiries AT chain-network.org.uk

 

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: www.chain-network.org.uk

 

Follow CHAIN on X: @CHAIN_Network ; Connect with CHAIN on LinkedIn


See also: 'long term' : 'academia' : 'interfaces' : 'industry' : 'social care'

Thursday, June 16, 2022

Review: A systematic review and mixed- methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm

The systematic review featured here was tweeted:

https://twitter.com/t_hewson/status/1533800510343499779

- and being mixed-methods caught my eye. 

Below, I have mapped some of the concepts, themes and findings of the review to Hodges' model, adding some italicised points of my own.

The relevance of Hodges' model, in carceral, forensic, health and justice contexts is marked. The vertical axis's distinction of individual and group and the need to protect the public from dangerous individuals stands out. As does an individual's physical and mental state to the State - in the political domain. This extends to the Sociological as to the public's expectations over 'law and order' and what - should, must - happen to wrong-doers.

Where the model can help reflection, scoping, critical thinking and problem solving is in the disciplinary bridges it provides between knowledge, or what can be 'silos'; and, the many interfaces that are found within our activities, health, educational or generally. There are several interfaces in this systematic review: Prison staff - prisoner; prisoner - prisoner; prisoner - family; and where the custody function, butts up against that of the health - and how physical and mental health needs are met - or in this environment (literally) negotiated. There is a related finding (page 6):

"In contrast, in one establishment with low rates of self-harm, staff felt that their roles of ‘carer’ and ‘security officer’ were well integrated."

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
SELF:
Prisoner / Prison Officer (and Other roles)

Prison staff - perceptions & attitudes
self harm (thoughts, motivation)
suicide (thoughts, motivation)

Staff confidence, skills:
Awareness - Prevention
Caring - empathy
'manipulative', 'attention seeking'
Insufficient training
expressed emotion
Staff member's wellbeing
Capacity to care
'deep acting'
emotional intelligence
'hope'


QUALITATIVE
SELF:
Adult Prisoner, Prison Staff

[repetitive] self harm (means, action)
suicide (means, action)

Carceral environment (PRISON)
self-harm - factors
Research: Methodology, [Mixed] methods
Systematic Review
self-report - non-validated questionairres
TIME [shift]: 'all the time', 'every time'
location, time
Staff member's wellbeing
Capacity to care
'surface acting'
Effect of COVID on self-harm: men/women
Assessment tools
ACCT - Assessment, Care in Custody and Teamwork processes
QUANTITATIVE
Prison - Staff Culture

male::female staff -> prisoner -> relatedness

Staff - Prisoner interactions
in self-harm management
Behavioural - learning/copying
role - models clarity

'shared/pervasive sense of hope'
'Life skills - literacies'
Social determinants of Health (Crime?)


Self-harm:
Policy
NICE guidelines
'Correction', Young Offender Inst.
control–support model
demands - resources model
Occupational stress

Staff Support
Training

Prison officer training 'Intro 101'?



The comments gleaned from staff are very informative. Also of interest here are ongoing developments in trauma-informed care and this can cover emotional trauma, as in abuse, plus head injury which is a key screening initiative. Achieving parity of esteem across physical and mental health, demands a more delicate balance in health and justice.

'Hope' is a concept subject to much analysis, for example, in the healthcare, sociological and philosophical literature. Incarceration, must bring its own 'trauma', which will vary in its signature across individual, age, first-offence, recidivism, offence, legal processes ... and its impact upon hope. From the challenge of the individual prisoner and their hope, there is the challenge for prison management and policy to instill, facilitate a shared, sense of hope. Amid the news on the state of prisons, there are no doubt examples where this can and is delivered.

Hewson, T., Gutridge, K., Bernard, Z., Kay, K., & Robinson, L. (2022). A systematic review and mixed-methods synthesis of the experiences, perceptions and attitudes of prison staff regarding adult prisoners who self-harm. BJPsych Open, 8(4), E102. doi:10.1192/bjo.2022.70
 

Tuesday, September 15, 2009

Sour grapes and 'holistic' academic publishing

Having been a student on several occasions, an independent scholar and online for the past decade (I was a late arrival) something is really getting on my pips.

When I see an Editorial entitled -

Theoretical Frameworks 
and Concept Development

in an established publication -


That states - 
There is a commitment within holistic nursing to explore and refine terminology and frameworks that will enhance the care of patients and provide understanding about the healing process. To accomplish this directive, manuscripts will be published that provide an in-depth analysis of existing, alternatives, or extensions of concepts, frameworks, or theories associated with holism and holistic health and nursing. Holistic nursing involves a complex view of the individual, family, and environment that is constantly being challenged by new and emerging paradigms and information that furthers the ability to understand humans as multidimensional and pandimensional beings.
I do wish someone else would recognize the
holistic value inherent in Hodges' model.
That value is not there by default it has to be found, learned and earned, but there are few frameworks that can simultaneously encompass holistic nursing, healing, touch, global health, informatics disciplines, the green agenda and human ecology. ....

So come on just a whisper - who Dares...?
 
Ref:
Diane Wind Wardell, Editorial, Theoretical Frameworks and Concept Development, Journal of Holistic Nursing, American Holistic Nurses Association, Volume 27, Number 3, September 2009 158.


Additional links:
How many interfaces are there? 
http://hodges-model.blogspot.com/2007/04/hodges-model-how-many-interfaces-are.html

Hodges model: What is it? [2] It’s an interface...

http://hodges-model.blogspot.com/2007/01/hodges-model-what-is-it-2-its-interface.html

Lonely model seeks ...
http://hodges-model.blogspot.com/2007/12/lonely-model-seeks.html

Tuesday, December 18, 2007

Two UK conferences 2008

Here are two conferences - flyers with the Health Service Journal:

Patient Safety Congress 2008

and

Integrating the Primary and Secondary Care Interface

Why bother to single (double!) these out? I've been fascinated for ages by the primary-secondary care interface at the level of mental health and the health of our notions of holistic care. Safety is ever paramount across the b-(B)oard.

It's well recognised that junctions, transitions, information interchange - INTERFACES in short - between people, technology (hard/soft) and organisations are an invitation for things to go awry. They are also an opportunity to learn.

How many axes are there in Hodges' model?

On paper the answer is two: INDIVIDUAL-GROUP and HUMANISTIC-MECHANISTIC
It could be argued there are four.

They meet at the centre of the model.

I believe there are many more.

Although simplistic and static in appearance the axes are dynamic and compound in the imagination. The situations you care to throw at Hodges' model stress the framework and so stress the axes. They partially give way. Stress fractures. Across the interfaces that result meaning can be found if we care to look and listen (with all our senses).

Learning heals people and organisations too.


Monday, October 18, 2010

Drupal musings 17: PHPNW 2010, HTML5, DrupalCamp Edinburgh


PHPNW 2010 on the w/e 9th - 10th October was well worth attending. Sessions for me after the keynote included:

Let your toolchain set you free

Debugging – Rules and Tools

The curious case of php|architect

Designing HTTP URLs and REST Interfaces

All the sessions where very informative, but the latter proved the most interesting. I noticed REST interfaces kept coming up at the Ruby conferences in '08 and '09 and also in reading about Ajax. So David Zuelke's session was very interesting both with his critique of how REST is applied (twitter) and his humour. I look f/w to the videos appearing.

A dinner date with friends meant I had to leave early and so I missed the prize draw. The past week started with a smile when Emma Parker, PHPNW10 Events Team emailed to say I'd won a book in the prize draw. Last Thursday the book arrived:

Pro HTML5 Programming

Magic! Thanks to the conference team and Apress.


I have just learned about DrupalCamp Edinburgh on the 30th and have registered.

Saturday, July 22, 2017

Bliss + Symbols = Language for Care?

As I have written before on W2tQ the initial attraction of Hodges' model was its relation to brainstorming, mind-mapping, diagrams and the possibility of iconic languages. In addition, in the 1980s graphical user interfaces GUIs were introduced on microcomputers and PCs. There followed a rapidly expanding literature on icons, visual languages and interfaces. I had also heard of a Charles Bliss [ Charles K. Bliss (1897-1985) ] and Bliss Symbolics. So, to brainstorming ... we can add ideographs and pictographs.

This past week BBC Radio 4 explored the life and work of Charles Bliss and the application of Bliss in literacy, care and special needs education. The programme presented by Michael Symmons Roberts is available for 4 weeks. For its 30 minutes length the programme introduces Bliss himself, his life, aims, the challenges he and his wife faced and the ongoing legacy of his work. It could be argued - and has been - that this is a step backwards to hieroglyphs; but the programme is broader in its reference to 'care'...

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

'bliss'


Wikipedia - Portal:Constructed languages


BBC Radio 4
The Symbols of Bliss

Ideal of
Universal - International
Languages


In the 1990s I received some copies of a journal devoted to 'Unish' a constructed language. The link to unish.net does not seem to work, but the Wikipedia site below includes some details.

Wednesday, May 06, 2009

Nursing Times: Safety ytefaS :semiT gnisruN

This weeks Nursing Times includes an article by Liz Owen 'Improving compliance with the C. difficile root cause analysis tool' (2009). The piece includes a section that highlights* the importance of reflection, which together with action planning underpins the concept of root cause analysis (p.16).

There are three references in particular cited: Murphy (2002) in relation to the infection and prevention team giving leadership to staff committed to reducing health care associated infections (HCAI) rather than accepting sole responsibility for HCAI. This also entails capturing the 'hearts and minds' of staff (Shapiro, 2003) completing the root cause analysis tool (p.16). Amongst many interesting points - it was found that there were unexpected benefits too (Glanfield, 2003) notably - strengthened relationships and improved attitudes.

This reminds me of affordances in human-machine interfaces and the use of technology more generally. As Owen and others show whatever we call these unexpected outcomes they are by definition unexpected, or not readily accessible to our initial perception and reasoning. Owen found that clinical engagement and leadership proved central in this project. Is there a way to foresee more of the 'unexpected' whether barriers or benefits?

Before being able to engage with others we need to be aware and able to -

reflect on our own hearts and minds.

A coherent team with the inevitable chaotic-creative outliers that (just 1 or 2....) personalities bring might just help us see around the corners - an additional key asset to safety...

Murphy, D.M. (2002) From expert data collectors to interventionists: Changing the focus for infection control. American Journal of Infection Control; 30: 120-132.
Shapiro, A. (2003) Creating Contagious Commitment. Hillsborough, NC: Strategy Perspective.
Glanfield, P. (2003) Towards sustainable change and improvement. In: Pickering, S.P. (ed) Clinical Governance and Best Value. London: Churchill Livingstone.
Owen, L. (2009) Improving compliance with the C. difficile root cause analysis tool. Nursing Times; 105: 16, early online publication.
*even if that is just a subtitle?

Wednesday, November 09, 2011

CARDI conference Dublin 2011: Hodges' model - a poster element

Here is one element of the poster from last week's conference. This part is A3 in size and the linked preview below is to an archived copy on the Internet Archive. I will post the glocal version on W2tQ  in due course. As ever I wish I had more time to devote to producing such work. The symbol common to memory and giant global graph is intended to highlight a person's memory and the distributed 'memory' that is the Web. Such a representation can never capture all the subtleties involved, the overlaps, the contexts and perspectives.

The placement of some concepts is an invitation for reflection. For example, dementia and the use of anti-psychotic drugs also demands consideration of policy, liaison, primary-secondary-residential care interfaces, shared cared protocols, formal reviews, target behaviours, definitions of challenging behaviour, observation skills, clinical records, therapeutic interventions and the care environment ...  Some of the content, such as under Interpersonal Define 'safety', 'health'... seek to stress the same.


Acknowledgement:
Many thanks to the CARDI Committee for the opportunity to present, my employer Lancashire Care NHS Foundation Trust for study leave, and Prof. George Kernohan (Ulster.ac.uk) for assistance in supporting my attendance and in the production and printing of the poster. We plan to produce a paper based on the same.

Saturday, January 19, 2008

Nursing process: a lesson for interface developers

Back in the 1980s when the nursing process first appeared in the UK, amongst the pioneering early adopters there were nurses who were also worried. Would the nursing process with its mechanistic connotations lead to the person, the patient - literally being processed? There is a lesson here for nursing (health and social care) IT systems / interface developers ...

They really are star performers you know, regular high-wire runners. They have to make things simple, safe, efficient, fit for purpose and yet also deal with complexity as they juggle multiple contexts and second guess the psychological state of not just one user (crucial as that is), but several groups (disciplines, beginner-specialists, user roles and security...).

In Tidwell's Designing Interfaces the first chapter is more a psychology primer than pure IT text. The first pattern is safe exploration (and there's much more too).

This week someone e-mailed me and stated that the website and links (in particular) are 'daunting'. While for me the website and links pages have been an emergent pursuit, for 1st-xth time visitors .... well; I have to agree.

Thinking beyond a new site for an archive and book project - this is the trick, I suppose. How do you make a site or information system inviting and put the user at ease? How do you hide complexity until it is appropriate to do the non-trivial things? In order to capture data quickly and efficiently at the point of care how can those static check boxes and drop-down lists duck and weave the user's perception that:

1. They as a professional are being de-skilled;
2. or that the patient (person!) is indeed being 'processed'?

That's not just one tightrope, but several ...

Saturday, September 19, 2009

Hodges model: indicative concepts in Substance Misuse Care

Hodges' model
in substance misuse services
psychological dependence
vulnerable individuals, education, risk, assessment, review, motivation to change, harm reduction, 
motivational interviewing, appreciative inquiry, life skills, education, advice, feedback
withdrawal, aggression, hallucinations, change,
drug use history, measures, care pathways, contract, rapport, empathy
substance profiles, abuse, signs
physical dependence, health status,
pregnancy, research methods, evidence, diagnosis, co-diagnosis, staff awareness, statistics, drug-treatments, triage, screening,
scientific advice, dissemination
models: stepped care, training,
forensic science - mental health,
classification, interventions, physical access, stepped care models
dependents, family, social network
social attitudes, vulnerable communities,
community projects, self-help, e.g. A.A., socio-economic depreviation,
systemic - family, group therapies
Advertising, housing, casual drug use, work, employment, benefit incentives, re-integration, inclusion,
community, neighbourhood policing,
drug culture, media
supply, cost of drugs - alcohol
health & social care policy,
service interfaces, statistics
Drugs strategy, funding, X-agency working, funding, GP contract, commissioning, "client contract-plans", National Treatment Agency, NICE, Home Office, legislation, crime, offending, re-hab. / specialist teams / treatment facilities, Government data, community prescribing, employers

Wednesday, August 10, 2022

What does the health workforce need to improve vaccine delivery? c/o Nursing Now

I have responded to this tweet with its question below - and added the event video:

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

a generic conceptual framework
pandemic preparedness and response
individual acceptance
individual health literacy
beliefs
unexpressed/non-shared anxiety

active listening
knowledge & expertise
unique stories (person-alised)

individual spiritual
psychological access


routine immunisation
all diseases, pathogens ...

pandemic preparedness and response
prevention
logistics
geography - terrain - distance
vehicles

technology - storage,energy,drones

physical access

impact of COVID-19


changes - data monitoring


pandemic preparedness and response
family, community acceptance
story-telling - narrative
role models
'community temp' -
what will others think,
what will they say?

More than posters & social media

collective spiritual
community engagement
social access

informs - policy

Health Services
Nurses, Community Health Workers
inequity, equality
pandemic preparedness and response
activism/advocacy by MoH and workforce
funding - economics
development
counter / awareness of dis- misinformation

political access

('real'* choice)




Hodges' model can assist in reflection and critical thinking about interfaces, campaigns, messages and much more.


*not just rhetoric.

Friday, June 24, 2011

Conventions used in this 'Care Facility'

... with apologies to the many book prefaces.

The following caregraphical (typographical) conventions are used in this care facility:

italic

Indicates new terms to the resident, patient, and family - often also described as jargon. These may include abbreviations, medical, nursing terms and words in fashion determined by academia and management. Some jargon may be twice removed from the resident, patient, and family since the medical and nursing staff cannot themselves fully apprehend the terms. These twice removed terms are frequently economic (such as 'commissioning' and 'funding').

Constant width

Used for care planning that is termed as being 'person-centered' and holistic. In print (the policy folder reality here) being constant and a standard width refers to care plans that are unadorned: a template format or proforma.

Constant width bold

Used for emphasis in care programming and declarative care <-> patient interfaces (interactions) such as "Sit down George!" Or whoever is trying to get up and walk about.

Constant width italics

Used by appropriately trained, person-centred and integrated teams and the idealistic (including exponents of 'holistic bandwidth') to show plans and care interactions that are client defined whenever possible and truly reflect high quality person-centered care.

Saturday, July 21, 2007

SPT 2007 InfoVis / Infoaesthetics & history

I missed out the initial plenary at the conference the other day on The Moral Significance of Technical Artifacts. Reading Michel Serres introduced me to Latour, and the speaker Peter Kroes linked Latour and Verbeek - "What Things Do". There's lots of reading as discussed on design and technology blogs.

Peter Kroes' plenary included a slide with a PHYSICAL domain and an INTENTIONAL domain. Once I swapped these around (INTERPERSONAL - SCIENCES) something (at least) made sense to me. Like the other plenaries this was totally engaging.

This session on Tuesday 10 July 9:00-11:00
Session J: Aesthetic Computing (Laurens Room)
Michael Kelly (UNC Charlotte)
Robert Kosara (UNC Charlotte)

- resulted in 6+ pages of notes. Michael Kelly presented the paper and then Robert Kosara displayed and discussed examples of information visualization - which included:

  • Sick leave in Germany (striking approach)
  • Titanic visualization
  • Map of the Market
  • Parallel Sets (could see Public mental Health here)
  • Dumpster
  • Bus times - Sweden (Art or Data)
I found a web resource produced by Robert Kosara which displays the above. The discussion covered criteria for visualization, recognition and the readability of forms. (The use of basic colour within data tables can work wonders: see Tidwell, Designing Interfaces, chap. 6). Kosara has other examples of glyphs for data display in intensive care units.

In addition I found two blogs, the first I believe related to Lev Manovich - Language of New Media mentioned by the speakers:

information aesthetics

and

Data Mining: Text Mining, Visualization and Social Media

I'm no mathematician as will be revealed in future posts, but for some reason (!?) visualization and Hodges' model have me in their grip.

This interest started in the late 1980s, which was good timing since the 1990s saw a major UK initiative on visualization in the social sciences. To be clear I wasn't involved beyond managing to attend some really fascinating events:

1996 'Thinking with Diagrams' Colloquium, IEE, Savoy Place, London. 18 Jan BCS-SGES et al. Professional Group C4: Digest No: 96/010

9-11 Sept 1998, Visualization and Virtual Reality in the Social Sciences Workshop: Weetwood Hall, Leeds, UK, Advisory Group on Computer Graphics [Archive: website no longer maintained since 1999] Attended by Brian Hodges and PJ. Poster 'Show & Tell' session on Hodges' model. Event reported in Information Technology in Nursing (1999) 11,1,14-15

So after the presentation I had to ask about the possible need to review existing visualization techniques, to do a stock-take - a lessons learned if you will. The session was excellent especially the mix of philosophy and visuals.

Sometimes maybe there's a risk that if a picture paints a thousand words - "well let's go home then and read Harry Potter...."

The old Advisory Group on Computer Graphics produced some excellent work and reports:

Review of Visualization in the Social Sciences: A State of the Art Survey and Report
Scott Orford, Daniel Dorling, Richard Harris
School of Geographical Sciences
University of Bristol

From my limited perspective I still have a sense that the real revolution is yet to happen - for health and the social sciences. The fact that Michael Kelly and Robert Kosara are not only displaying the slides, but with the Society for Philosophy and Technology and others they are asking the tough philosophical questions could be a sign; a resurgence of interest in the transdisciplinary connection of art TO computing (TO social sciences) - with a dusting of philosophy across all.

We talk about a web year, the vis year may turn slower but is an up-to-date review pending, perhaps it's under way somewhere..?

Wednesday, October 12, 2011

Report - Guiding patients through complexity: Modern medical generalism RCGP & The Health Foundation

Evaluation report

PUBLISHED: October 2011

Report of an independent commission for the Royal College of General Practitioners and the Health Foundation


An independent commission, chaired by Baroness Finlay, has concluded that more of the most talented doctors must be encouraged to make careers as generalists rather than specialists to meet people’s changing health needs.

The Commission was set up by the Royal College of General Practitioners and the Health Foundation to examine the state of general medicine. It had the following terms of reference:

  • Define medical generalism, with particular reference to general practice;
  • Explore the intrinsic values of medical generalism;
  • Define the role and value of medical generalism in contemporary clinical practice.
  • Formulate a description of the medical generalist that:
    • Is widely recognised
    • Defines what patients and the public should be able to expect
    • Clarifies how the medical generalist interfaces with other health care professionals
  • Make recommendations about the future development of medical generalism.
Understanding and developing the role of the generalist alongside specialists is important for the quality of patient care, particularly ensuring the health service provides patient centred care and supports people with co-morbidities well.

Sunday, January 04, 2015

Reflecting on Nortin Hadler's "Missing the Forest For the Granularity"

I read Nortin Hadler's Missing the Forest For the Granularity (July, 2014) on The Health Care Blog with great interest. The article draws attention yet again to the risks and preoccupation with processes and systems. This provides me with another opportunity to highlight the 4P's within Hodges' model: Process, Policy, Practice and Purpose and add some of the points that Dr Hadler addresses.

The 4Ps by themselves might have meaning but they can't do work. For that we need a context and several perspectives. As Dr Hadler points out big data intrudes on the clinical encounter determining not just what is collected, but how it is captured and structured.

There are frequently two datasets at the practitioner level: one is administrative and managerial in form and purpose; the other is clinical - patient, person centered. Effective communication already presents a challenge. On top of that then how relevant are the IT systems. The holy grail of IT systems still seems to be benefits for clinicians and patients - the public. Until then will the IT continue to push the patient-clinical relationship as if it is some wobbly toy? You bet it will!

Where exactly should the “Physician’s Dashboard” reside? Is it a case of "the ayes have it" but only on the right?

Nortin also refers to the United States postponing ICD-10. From Wigan Pier I clearly do not understand the issue, but this seems from here more like a very prolonged delay. A delay that perhaps says more; not just about the healthcare 'system(s)', but the many interfaces to be found there.

Many thanks to Dr - Prof. Hadler for his article:
https://thehealthcareblog.com/blog/2014/07/11/missing-the-forest-for-the-granularity/

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
“cognitive” specialists, the care of the patient revolves around the “granularity” of the narrative.
PURPOSE
individual attention and focus
ability to share purposes
 Using individual differences and idiosyncrasies

patients as widgets (here)?
Can you see the dashboard here?
PROCESS
 data gathering
big data, ICD-10
Electronic Medical Record -
 templates and “smart sets”
PRACTICE

Patient - BIG DATA - Doctor
relationship
 empathy 'NOISE' empathy
life-course (“social”) epidemiology
POLICY
Europe, health care systems, United States, health economists, hospital administrators, patients as “units of care”, physicians as “providers”, clinical demand = “throughput.”
common denominators
invoicing