Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. A potential resource within HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION the model incorporates two axes: individual-group and humanistic-group with four care (knowledge) domains - Sciences, Interpersonal, Political and Social. Follow the development of a new website using Drupal as I commence post graduate distance-learning studies in January 2014. See our bibliography, archive and please do get in touch. Welcome.

Sunday, August 31, 2014

Four domain link pages updated

The four links pages are still out there and recent interest prompted a review. Given the total number of links included, it is no surprise how url domains are taken over - vape, fitness... It felt good using a links checker and finding and deleting these 'broken' sites and some that are plain dead-ends: the 'domain for sale'. There may be a few more to sort in there...

The pages are archaic in terms of approach - they are not responsive but the format is fine on a desktop and should work on a tablet. The pages started in 1997-98, you don't do this now! People search in real-time for what they need. Besides not everyone may agree with the subjects I have included and the domain in which I have placed them? What is missing?

The intention is to indicate as with another resource the potential scope of Hodges' model in the knowledge and subjects that can be encompassed. I'm not sure of the longer term future of these pages, as I look to new hosting for Drupal.

Over the coming months I will emphasise research, TEL - technology enhanced learning, e-learning and Drupal resources.

Keen to reduce the maintenance overhead, two rows have been removed and categories moved about. As a result there are a couple of 'vacant' columns in there.

In the future I need to investigate the full ramifications of SEO search engine optimization. I receive many requests offering SEO services, and to add links. Given the demanding update task if I can add a few paid links this will help me fund conference travels and studies. ...

As I return to revising my latest essay I'll let you grab a drink and browse, enjoy...(?)

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Saturday, August 30, 2014

Welcome to the QUAD to be archived by British Library

http://www.webarchive.org.uk/ukwa/The old website is archived on the Internet Archive Wayback Machine going back to 1999 and so is W2tQ.

The British Library also has a web archive, UK based of course. The website's there and now I've news that Welcome to the QUAD will be too.

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In a 'paperless NHS' - let's not forget...

The benefits of information technology across all sectors are well recognised when they are realised:

humanistic ------------------------------------------- mechanistic
readiness to hand

information storage and retrieval, access, efficiency, space, security, information sharing, patient safety, legibility

digital inclusion

cost, savings, governance, reporting (locally, nationally, internationally), policy integration

As we head towards a paperless NHS let's not forget that health care is both an art and a science.


The Digital Challenge (due for an update?)

Digitising the NHS by 2018 - One Year On. techUK report | March 2014.

What of the impact of the pending election 2015? Time inconsistency problem:
The NHS needs a 'Bank of England moment' HSJ.

drawMD Pediatrics - Patient Education by Drawing on Medical Artwork for Healthcare Providers


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Friday, August 29, 2014

Technology Enhanced Learning: A Medical Student Conference, Belfast, 3rd October 2014


Abstract submissions are open for the Technology Enhanced Learning: A Medical Student Conference being held on Friday 3rd October in Riddel Hall, Queen’s University, Stranmillis, Belfast. The team welcome abstracts reporting on innovations in technology enhanced learning within medical education. This could include the development of electronic materials as well as medical education research. Further details on abstract submissions including the categories and the types of presentation opportunities can be found on the QUB website.

Deadline for receipt of abstract submissions: Wednesday 17th September.

Bookings are also open for this event through the Higher Education Academy’s website for students and educators to join the team in Belfast for a celebration of student engagement in the area of technology enhanced learning within medical education. The day will showcase student presentation poster presentations and demonstrations. In addition there will be a keynote from Jane Hart from the Centre for Learning & Performance Technologies and a group discussion on the future of technology enhanced learning in medical education. Prizes will be awarded for best poster and best presentation.

For further information about the event please go to the QUB event page or contact Karen Murphy from the School of Medicine, Dentistry and Biomedical Sciences.

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Thursday, August 28, 2014

Compare and contrast potential - Energy for Change Index and Hodges' model

The biopsychosocial model is quite all encompassing used as it is to help explain and represent pain, explain human development and balance the physical excesses of psychiatry.

For all its scope the biopsychosocial model is two domains short of Hodges' model.

Hodges' model is dated though, a child of the mid-1980s. The biopsychosocial model predates Hodges' and as models of nursing have fallen out of favour in terms of the attention they receive the biopsychosocial is subjected to critique as per:

Ghaemi, S.N. (2009). The rise and fall of the biopsychosocial model. Br J Psychiatry.195(1):3–4.

Hatala, A.R. (2012). The status of the “biopsychosocial” model in health psychology: Towards an integrated approach and a critique of cultural conceptions. Open Journal of Medical Psychology, 1, 51-62. doi: 10.4236/ojmp.2021.14009
A cursory check reveals a diverse and current literature on the biopsychosocial model. If this is positive for the general role of 'models' in health and social care education and learning then there is another encouraging source in the five energies for change with its five domains, as per the figure:
The five energy domains
  • Spiritual
  • Social
  • Physical
  • Psychological
  • Intellectual
There is clearly great similarity with Hodges' model although in h2cm the spiritual combines all the four domains of which the political also replaces the intellectual. I would equate the intellectual with the psychological, accepting of course the existence of individual and group psychologies. Being intellectual and becoming intellectual to the extent of an individual realising their potential has long been recognised as a political matter and consequence (Freire). As such the Political domain within Hodges' model is central to its relevance within the field of engagement and innovation and beyond.

Whilst the energy for change domains have a specific derivation and (instrumental) purpose I would suggest that a possible strength for Hodges' might lie in the notion (which it is) that there is an underlying conceptual structure from which the domains arise. This structure might support the model's application in time, as well as assuring its longevity and the stamina of its champion.

My prompt: Land, M., et al. (2014) Pedal to the metal to improve the NHS. HSJ, 124, 6389, 26-27.

Image: (please see title and image link)

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Wednesday, August 27, 2014

Global Research Nurses competition: win attendance to UK research nursing conference

The Global Research Nurses’ network is pleased to announce the second competition for nurses working in clinical research




To enter, research nurses should write a 1,000-1,500 word article to discuss the role of the research nurse: “Using examples from research projects that you have worked on discuss what skills nurses contribute to a clinical research team.”

Full information and criteria, as well as information on how to upload your entry, can be found at https://globalresearchnurses.tghn.org/extra/competition-2015/

Entries must be received by 31st October 2014. Please share this opportunity widely!

Thanks and kind regards

Tamzin Furtado
Project Manager
The Global Health Network

HIFA profile (and source): Tamzin Furtado is Project Manager of Global Health Trials, UK. Professional interests: Global health, clinical trials. tamzin.furtado AT ndm.ox.ac.uk

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Tuesday, August 26, 2014

Heat maps and hotbeds in Hodges' model

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

"Out of area placements are a good indicator of heat within the system and how over-stretched it is." p.5

Prof. Paul McCrone,
Lintern (2014).

Image: http://www.usability.gov/sites/default/files/images/eye-tracking-full-option1.jpg

Lintern, S. (2014) Analysis reveals mental health trust funding cuts, Health Service Journal. 124, 6411, 4-5.

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Thursday, August 14, 2014

Paper: Low-cost strategies to improve dementia care

An interest in health and science invites some thought about chaos, complexity and catastrophe theory. These suggest quite a cold - mechanistic - perspective of reality. So trying to think of clinical and nursing examples beyond fluid dynamics, the heart muscle... to more socially oriented applications demands some creative thinking.

In my work within intermediate support in the community for decades my colleagues and I come across cases were husband, wife, partner have looked their significant other to the nth degree. That degree can include hiding the extent of a person's cognitive problems from other family members. Suddenly there is a real catastrophe as the carer is taken acutely ill and hospitalised.

Left at home soon the dependency is revealed. Trying to negotiate care at home can then be a real challenge.

Alternately, when people living with dementia are hospitalised for physical reasons another host of challenges arise.

I've a relative who works over at Warrington General Hospital and it's great to be able to help highlight a paper written by Michelle Beavan their dementia champion and published in Nursing Times:

Beavan M (2014) Low-cost strategies to improve dementia care. Nursing Times; 110: online issue.

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Tuesday, August 12, 2014

Disobedient Objects

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

personal ethics


social justice

The Victoria and Albert Museum 26 July 2014 – 1 February 2015
Disobedient Objects:
From Suffragette teapots to protest robots, this exhibition is the first to examine the powerful role of objects in movements for social change. It demonstrates how political activism drives a wealth of design ingenuity and collective creativity that defy standard definitions of art and design.

Image source: Inflatable cobblestone, action of Eclectic Electric Collective in cooperation with Enmedio collective during the General Strike in Barcelona 2012.
© Oriana Eliçabe/Enmedio.info

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Saturday, August 09, 2014

HIFA Voices Database - launched 12 August 2014

The HIFA Voices database will bring together the experiential knowledge of HIFA members: more than 12,000 professionals from over 2500 organisations in 170 countries, ranging from senior executives at the World Health Organization in Geneva to community health workers in rural Gambia. Our common vision is a world where every person and every health professional has access to the information they need to protect their own health and the health of those for whom they are responsible. HIFA Voices will be launched on 12 August 2014.

HIFA Voices harnesses the practical expertise of providers and users of healthcare information, together with relevant health information sciences literature. This helps us to understand the healthcare information needs of different users in different contexts and how these needs can be more effectively addressed. Further information about HIFA Voices.

Read the blog about HIFA Voices on the ElsevierConnect website, and the press release from mPowering Frontline Health Workers and Intel Corporation.

We are currently seeking further financial and technical support to enable us to develop HIFA Voices through 2015 and beyond. Please contact us for details.

My source: HIFA2015 list.

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Thursday, August 07, 2014

Health and Social Care Policy: Always - from a distance

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

"Cura te ipsum." - "Take care of your own self."

mental health




Additional link:

Latin source: Mediawatch, tpm the philosophers' magazine, 2nd quarter 2014, p.14.

(which cites: http://www.3ammagazine.com/3am/cura-te-ipsum/ )

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Tuesday, August 05, 2014

Trade winds and time: The Clock of the South

E --------------------------------------- W



Clock of the South
humanistic ------------------------------------------- mechanistic

C/o BBC: Bolivian Congress clock changed to turn anti-clockwise

The clock displayed on the Bolivian Congress building, located in the city of La Paz, has been re-set to run in reverse.

Its hands turn left and the numbers have been inverted to go from one to twelve to the left.

It's the latest measure taken by the government of President Evo Morales to promote the indigenous identity of the Andean country. ...

Additional link:
World Economic Forum

updated 26 August 2014
BBC Radio 4 20:00: Whatever Happened to Global Governance?

Original image source:

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Monday, August 04, 2014

why - { Ctrl Alt Del } ?

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




Ctrl provides the power to decide what/who is 'Alt' and What/Who is 'Del' -eted.
The masses are left to ask why?

A Fresh Start: Ctrl + Alt + Delete - Neatorama

One of the programmers’ pet peeves was that whenever the computer encountered a coding glitch, they had to manually restart the entire system. Turning the machine back on automatically initiated a series of memory tests, which stole valuable time. “Some days, you’d be rebooting every five minutes as you searched for the problem,” Bradley says. The tedious tests made the coders want to pull their hair out.

So Bradley created a keyboard shortcut that triggered a system reset without the memory tests. He never dreamed that the simple fix would make him a programming hero, someone who’d someday be hounded to autograph keyboards at conferences. And he didn’t foresee the command becoming such an integral part of the user experience.

Additional link: The Holographic Principle

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Friday, August 01, 2014

NHScitizen twitter chat 6 August 7-8pm #nhscitizen

NHS citizen
C/o Twitter -


If you are on twitter:

Pls RT :) We're having a twitter chat on Wed 6 Aug at 7-8pm for and we'd love you to join

(Above link not active at present) 


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Thursday, July 31, 2014

Research Initiative: Test the Impact of a Radio Campaign Addressing Child Mortality


DEVELOPMENT NETWORKS - The Communication Initiative's Social Networking Space

Introduction and comments:

Development Media International (DMI) is conducting a 3-year randomised controlled trial to test the hypothesis that a radio campaign can reduce the large number of children dying before their fifth birthday in Burkina Faso. As detailed at the link below (see Related Summaries), the research involves the broadcast, beginning in March 2012, of health messages using radio spots (60-second adverts) and radio phone-in programmes. With the goal of engaging the public with health issues in order to change behaviours, this is a research initiative to evaluate a public health intervention delivered to 7 randomised geographic areas (clusters) across Burkina Faso with 7 additional clusters being used as controls.

Supervised by 2 people affiliated with the London School of Hygiene and Tropical Medicine (LSHTM), this independent survey is based on interviews with 5,000 mothers in the 7 intervention zones and 7 control zones halfway into the research intervention period (midline data).



"For a full summary of the midline results please go to this link where there is also a link to the DMI summary paper."

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Wednesday, July 30, 2014

Bleeding holism

Holistic, integrated and 
person centered care
 is what happens when 
 respect and empathy 

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Tuesday, July 29, 2014

Stanford offers new open access MOOC - Open Knowledge: Changing the Global Course of Learning

Open source, open science, open data, open access, open education, open learning -- This fall Stanford faculty and librarians are working with international partners to offer the innovative free (no-cost) course Open Knowledge: Changing the Global Course of Learning on the OpenEdX platform.

The course provides an introduction to the important concept of openness from a variety of perspectives, including library and information studies, education, publishing, economics, politics, and more. Open Knowledge is international and multi-institutional, bringing together instructors and students from Stanford University (USA), Fordham University (USA), University of British Columbia (Canada), Simon Frasier University (Canada), the Kwame Nkrumah University of Science and Technology (Ghana), the Universidad Autónoma del Estado de México (Mexico), and the rest of the world.

Learn more about the concept of "open", develop your digital literacy skills, and connect with peers from around the world.

For more information and to register:

Lauren A Maggio, MS (LIS), MA
Lecturer, Department of Medicine
Director of Research and Instruction
Lane Medical Library & Knowledge Management Center
Stanford University Medical Center
300 Pasteur Drive, L109, Stanford, CA 94305-5123
lmaggio AT stanford.edu

HIFA profile: Lauren Maggio is Director of Research and Instruction at Stanford University in the USA. Professional interests: Information Literacy, Open Access, Open Data libraries.  lmaggio AT stanford.edu

[*Note from HIFA moderator (Neil PW): MOOC = Massive Open Online Course]

My source: HIFA2015

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Friday, July 25, 2014

NW England: Greater Manchester AHSN Hackathon 'Young Carers'


Date: Thursday 31st July

Time: 8.30 – 17.00

Lunch and refreshments will be provided

On the 31st July GM AHSN invite you to an all-day hackathon focussed on developing solutions that can make a difference to the lives of young carers.

There are currently over 700,000 carers in the UK. In the addition to the difficulties of caring for a sick relative, many are placed at a disadvantage in terms of their academic and social lives. The hackathon is your opportunity to make an impact, test your skills and work collaboratively to help develop solutions to this often overlooked social problem. The event is open to everybody, regardless of experience, though we’re particularly looking for:
  • Carers and anybody with experience of the challenges faced
  • Software developers
  • Web developers
  • Designers/ UX experts
  • Health and social care professionals
  • Marketers
  • Project managers
  • Researcher
  • Coders
The GM AHSN has worked with young carers to identify key challenge areas in:
  • Support for epilepsy
  • Alert systems for schools and offices
  • Time management for young carers
  • Social Networking for young carers
(Click here for more info on challenges)
The hackathon will bring together all the right people to help develop your idea in super quick time: You can meet and work with people with skills and experience from the healthcare and technology industries, all with the common goal of wanting to make a difference. The event will be attended by a group of young carers from the Manchester based charity Family Action, who will be acting as mentors and contributing to the development of your concepts.


As a prize, the winning team will be rewarded with a day of free consultancy from Inventya, to help develop and commercialise your idea. Inventya is a science and technology commercialisation consultancy with an 80% success rate in helping early stage companies win funding for R&D and technology product development.

If you’d like more information, please contact sarah.dougan AT gmahsn.org

My source: @Stefan
[ I can't make it :( ]

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Thursday, July 24, 2014

Gender models role models and cognitive models... Discuss?

As a male nurse I have been aware of gender throughout my career ever since my student days (late 1970s-early 80s) - mental health - and then as a student again for two years general nurse training. The cultural, professional and global changes over the past three decades and more have been quite profound all influencing the perspectives and realities of gender in nursing today.

Since 1987-88, when I discovered Hodges' model I was also bound to wonder about gender in terms of:

  • the number of male nurse theorists and their contribution (should this matter!)?; 
  • other male nurse theorists globally and the influence of other cultural perspectives;
  • the need to consider gender of course in terms of 'standpoint' within research;
  • Is Hodges' model gender biased as its structure and basis comprised of categories of care concepts is a very masculine activity? (Even though the intention in identifying the boxes is to transcend and integrate them.) Please see below (and no pun intended).
    • Therefore nursing (still primarily a female profession) may ignore/discredit the potential of the model?
Possibly, the stand-out feature of Hodges' model is its invitation to categorise and typify. There could be gender-based consequences in how the model is perceived and received, which in turn could affect interest and participation in research on this subject? In designing studies of the model the feminist standpoint might be useful?:
“What, then, about the further charge that making clear-cut classifications of this kind is a very masculine thing to do? … It reaches its peak in empirical science as we know it, itself a very male affair, and it embodies the desire to have control of things and to know what is likely to happen. It issues in the kind of binary opposites we have found feminists, especially postmodernist feminists, decrying so vigorously-antimonies such as thought/language, nature/culture, reason/emotion, theory/practice, white/black, and especially men/women.” Crotty, (1998) p.171.

Crotty, M. (1998) The Foundations of Social Research: Meaning and Perspective in the Research Process. SAGE Publications Ltd.

This post was prompted by an item on GANM (Global Alliance for Nursing and Midwifery)

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