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.

Monday, July 21, 2014

The Cost of Things: The quality of what is fixed and what is marginal

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

Internet of Things 
The Zero Marginal Cost Society

IoT is not just an incredible prospect it is an incredible happening.

Let us not forget however
the Fixed Costs of Social Care

Should some of the costs that assure High Quality be fixed, or remain intangible?

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Thursday, July 17, 2014

The Global Health Research Process Map

As a conceptual ready reckoner Hodges' model helps us locate, isolate and contextualise the commonly cited 4Ps. In the h2cm matrix below I have related the 4Ps, as before, to the four care domains:

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

I raise this learning of a new process oriented resource for global research produced by The Global Health Network.

Processes are critical.  

Think of the relationship of purpose, practice and policy in relation to triage and emergency care? When I reflect on a situation even if the priority, context is process driven I am mindful of the bigger picture.


The Global Health Network has launched a brand new, interactive Global Health Research Process Map, the first digital toolkit designed to enable researchers anywhere in the world to initiate rigorous global health research studies.

As the HIFA community know all too well, health research is often lacking in the regions where evidence to improve health is needed most. Crucial evidence is not being generated because doctors and nurses lack access to training, information, and support. Effort is also regularly duplicated or conducted using different criteria in different territories and studies, and sometimes it falls by the wayside from lack of simple resources and guidance on best practice. The Global Health Research Process Map (http://processmap.org/) is set to change this. It’s an open-access internationally-available online resource that guides every process and method needed to initiate a health research study. For each step researchers and their staff are provided with the information, support and training that they need to successfully run a health study. Researchers will also gain the opportunity to engage with their peers along the way, aiding collaboration and the spread of ideas.

The Process Map was released just over one week ago, and has already generated nearly 2,500 views from around the world. It is the product of four years of best practice gathered and refined by the research community who use the pioneering Global Health Network to guide and support their effort to conduct research in challenging settings. The Global Health Network works like an online science park for exchanging knowledge, sharing research methods and facilitating collaboration among global health professionals to fuel faster and better evidence to improve health. The Global Health Network facilitates global partnerships between researchers ­ allowing researchers in low-resource settings and those with more support to learn from each other ­ and conduct research studies in places where this is difficult and unusual.

The Process Map is a pioneering research tool that centralises the information and resources that researchers anywhere in the world need to develop and initiate rigorous and effective global health studies. It has the potential to revolutionise the current process, speeding the development of new drugs and vaccines, and improving how diseases are managed. With this toolkit, researchers can access the guidance, training and support that they need in order to run their own studies. This is important because there is much evidence that shows that locally-led research rarely happens in low-income settings because health workers lack research skills and any access to training and support. Therefore the Global Health Network is meeting that gap and the Global Health Research Process Map will take them through the process of conducting accurate research, step-by-step. 

Visit the tool today, and click on each node to access formally written information, links to eLearning courses, guidance articles, discussions, blogs, up-to-date news, and all sorts of tools and templates which will help you complete each step. As with everything else on the Global Health Network, it’s completely free and open-access, and always will be. Your feedback is always greatly appreciated, so feel free to have a look and leave comments, either here* or on the map itself.

Thank you!

Tamzin Furtado
Project Manager
The Global Health Network

*My source: HIFA2015

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Monday, July 14, 2014

Sense making? miss-il-es civil-ians te-ears

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




Source: Various news media over several days - current and past...

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Sunday, July 13, 2014

H2CM workshop at Threshold Concepts Conference 11th July 2014 Durham

Prior to the workshop I did not know how many people would be interested. In the end I had four attendees. With the session located in a large dining hall I had to improvise. I explained the model on paper sat in the middle. The presentation worked on the laptop, with a little swapping of seats for vision. As always with Hodges' model (I believe) the questions and discussion that ensues is primary engagement and this can mitigate environmental limitations. This is also why I believe Hodges' model is applicable to the global community.

I had twenty 2-sided A4 templates to hand-out. The format was as follows:

  • What is Hodges’ model?
  • A concept sorting exercise
  • A case study exercise
  • Some examples of links to threshold concepts
  • Q & A - discussion
  • Feedback
The exercises appeared to go very well, prompting, as hoped, people to think about the model as presented, their own work and threshold concepts. The case study seemed quite realistic and yet it is of course fictional.

Where did I slip up? In at least three ways: I did not have my own feedback form. This is frustrating as I've used these routinely in sessions delivered in residential and nursing homes. I did not complete all the slides. We ran for 85 minutes starting 5 minutes later than intended. On reflection I could have attended for the two days as there were, some really relevant presentations on the Thursday also. I'm really grateful to the people who took part in the workshop. Their work included computer science, law, migration and mathematics.

Durham from TC2014 website
They suggested I identify existing threshold concepts from the health and social care literature and relate these to Hodges' model. Another suggestion pointed to a pre-populated conceptual space using Hodges' model that can act a guide. I've wondered about this before in terms of how to avoid the care reduced to a checklist critique. Although lists play an evidence-based role in assuring safety and situational awareness, the check box mentality is viewed as undermining nursing and high quality personalised care? There is definitely scope for a paper combining #h2cm and threshold concepts.

The TEL course at Lancaster is proving a challenge as anticipated, because I do not have first-hand access to learning management systems and the more formal educational context. I am working on this with an ongoing secondment application, but I never hold my breath.  Doing the TEL course is (also) a test, it forces me to focus and produce small studies and very quickly too. I had wondered about using the workshop to this end, but in light of very helpful supervision and discussion with peers online I directed attention to a semi-structured questionnaire and the reflective content of LMSs used by local students.

Significantly, the four participants in Durham is more than needed for a 4000 word study, so the workshop is a great experience and further 'demonstrator'.

I am still reflecting on the workshop and will be in touch with several people as a result. I would also like to thank the organisers for my being able to contribute. The slides will also be posted online soon. I will add some notes to act as instructions.

In 2016 the conference will be in Nova Scotia, when available I will add the updated link in the sidebar.

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Wednesday, July 09, 2014

ERCIM News No. 98 Special theme: "Smart Cities"

Dear ERCIM News Reader,

ERCIM News No. 98 has just been published at:

Special Theme: "Smart Cities"

featuring a keynote by Eberhard van der Laan, Mayor of Amsterdam

Guest editors:
- Ioannis Askoxylakis, ICS-FORTH, Greece
- Theo Tryfonas, Faculty of Engineering, University of Bristol, UK

This issue is also available for download as:
pdf:  http://ercim-news.ercim.eu/images/stories/EN98/EN98-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN98/EN98.epub

Next issue: No. 99, October 2014 - Special Theme: "Quality Software"
(see Call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Urban Civics - Democratizing Urban Data for Healthy Smart Cities
CityLab@Inria - A Lab on Smart Cities fostering Environmental and Social Sustainability
‘U-Sense’, A Cooperative Sensing System for Monitoring Air Quality in Urban Areas 
is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics.
The printed edition will reach about 6000 readers.
This email alert reaches over 7500 subscribers.
ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.

Follow us on twitter http://twitter.com/#!/ercim_news
and join the open ERCIM LinkedIn Group

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Monday, July 07, 2014

Book: The social atlas of Europe

www.europemapper.orgSee Europe as never before!

The social atlas of Europe
Dimitris Ballas, University of Sheffield
Danny Dorling, University of Oxford
Benjamin Hennig, University of Oxford

"An insightful look at today's Europe - through the underlying realities that Europeans live every day, all brought to life in charts and maps that reveal the human geography of this vitally important area of the world." Robert B. Reich, University of California at Berkeley.

The social atlas of Europe is the first human geography atlas to consider the European economy, culture, history, human and physical geography as a single land mass and a more unified European people. It provides an accessible overview of Europe and a human geography contribution to debates about a wide range of topics. It includes:

- Maps on over 80 topics ranging from life expectancy, greenhouse gas emissions to Eurovision Song Contest voting patterns
- Uses innovative full colour visualisation methods
- Explores Europe's society, culture, economy, politics and the environment
- State-of-the-art Geographical Information Systems (GIS) and new human cartography techniques

More information about the book is available on its website www.europemapper.org

Available at the special price of £19.99 (plus p&p) at www.policypress.co.uk/display.asp?K=9781447313533
Kathryn King
Marketing Manager
Policy Press, University of Bristol
6th Floor, Howard House, Queen's Avenue, Clifton, Bristol BS8 1SD
Tel: +44 (0) 117 331 5369
Email: kathryn.king AT bristol.ac.uk


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Sunday, July 06, 2014

Excuses found: "premature definition of variables"

Currently reading:

MURPHY E., DINGWALL R., GREATBATCH D., PARKER S., WATSON P. (1999). Qualitative research methods in health technology assessment: a review of the literature. Health Technology Assessment. 2(16), p.84.
Marshall (1985) presented the flexibility of qualitative research as one of its strengths. She argued that, in qualitative research, the researcher does not assume that (s)he knows, at the outset, the exact nature of the research question. Rather, qualitative research offers the opportunity of discovery. In fact, researchers vary considerably in the extent to which they formulate the precise nature of the research question in advance of the study. Most seek to avoid what Silverman (1993) referred to as “premature definition of variables”.

Ah, so this is what I've doing!

Yes, but for how long with h2cm, with Drupal...?

1997... 2007...  and counting... :-)

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Saturday, July 05, 2014

CARE2X Integrated Hospital Information System

In learning we often look in turn for role models, exemplars then even some comparator or examples against which to compare and contrast to understand the context and our own knowledge, skills and potential.

In health and social care information systems it's useful for me to look at what is available in Drupal. A recent find is Care2X with a demo available. There are numerous plans to take these systems further:

 Care3g is seeking funding.

There is also Project Mtuha.

There's a post by Tim Schofield - Helping African hospitals with open source software that describes how the enterprise resource planning system KwaMoja @KwaMoja is being used to provide administration systems for hospitals in Africa.

Even though not on the same scale as commercial hospital systems in the USA and EU ... these are significant software projects compared with my purposes which are educational.

Care2X presentation

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i c u

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



Avatar image "I see me through your eyes."
te ar s

Wired: Avatar 2, 3 and 4

ICU - Intensive Care Unit
Image: http://i1.ytimg.com/vi/Ek5C0NhnNlA/maxresdefault.jpg

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Thursday, July 03, 2014

Workshop: Re-imagining Commonly Used Mobile Interfaces for Older Adults

We are delighted to announce that Professor Jutta Trevarinus of the Inclusive Design Research Centre at OCAD University, Toronto will deliver a keynote talk at this workshop. We hope you can join us.

Re-imagining Commonly Used Mobile Interfaces for Older Adults

workshop AT olderadults.mobi

September 23, 2014, Toronto, Canada

Call for Papers

Many countries have an increasingly ageing population. In recent years, mobile technologies have had a massive impact on social and working life. As the older adult population rises, many people will want to continue professional, social and lifestyle usage of mobiles into their 70s and beyond. Mobiles support community involvement and personal independence, but the ageing process can interfere considerably with their usage, e.g. through changes in vision, attention, and motor control. This workshop will bring together researchers who are re-imagining mobile interfaces so that they are more suited for use by older adults.

Position papers are sought related to topics including, but not limited to:

  • Multimodal interaction with older adults
  • Mobile input and visual interaction with older adults
  • Older adults and ubiquitous computing
  • Participatory design process for older adults
  • Mobile interface evaluation with older adults
  • Novel physical interaction for older adults
  • The effect and implications for mobile design of the ageing process
  • Interdisciplinary perspectives on mobile design for older adults
Position papers should be 4 pages in CHI extended abstract format. Accepted papers will be presented as posters or short talks, with plenty of time for discussion and demos. Authors will be invited to extend for a special issue of the International Journal of Mobile Human Computer Interaction.

Abstract Submission Deadline: July 11th 2014
Notification of Acceptance: 24th July 2014
Workshop: 23rd September 2014

Submissions should be made to: submissions AT olderadults.mobi

Questions or queries may be sent to: workshop AT olderadults.mobi

Emma Nicol (University of Strathclyde, Glasgow, UK)
Mark Dunlop (University of Strathclyde, Glasgow, UK)
Marilyn McGee-Lennon (University of Strathclyde, Glasgow, UK)
Lynne Baillie (Glasgow Caledonian University, Glasgow, UK)
Lilit Hakobyan (Aston University, Birmingham, UK)
Katie Siek (Indiana University, USA)

Emma Nicol
Research Associate
Room 14.05 Livingstone Tower
Dept of Computer and Information Sciences
University of Strathclyde
Glasgow, G1 1XH
Scotland, UK


My source: Caring Technology Research Announcement List

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Monday, June 30, 2014

Two-day symposium ‘Concerning Relations: Sociologies of Conduct, Care and Affect’ 28-29 Nov. 2014

We are pleased to announce a two-day symposium ‘Concerning Relations: Sociologies of Conduct, Care and Affect’, 28/29 Nov. 2014, University of Exeter. The aim of this exciting international workshop is to bring together leading researchers, practitioners and scholars from care studies, sociology of health and illness, science and technology studies, humanities and philosophy to rethink care. We also plan to publish the results of the workshop.

This interdisciplinary symposium, funded by Foundation for the Sociology of Health and Illness (FSHI) and Exeter University, aims to interrogate the implications of shifting the focus of health care away from ‘delivery’ towards care as an ongoing everyday accomplishment. The situatedness of care relations and how situated care relations are practiced and experienced are vital to understanding the impacts care has upon patients, families and healthcare staff. This shift represents a contrasting view on care, from one that is predicated upon a discourse of absence (of care) or lack (of dignity) to the affective interactional relations between social actors. Such shifts of focus are of prime concern as care may be viewed less as a commodity which can be lost, saved, traded or withheld, but as a relation that is deeply embedded within institutional contexts, of individuals and the social worlds they inhabit.

This symposium examines spaces of collisions, elisions or alignments of social worlds, within which the affective dimension of social life in healthcare may be fruitfully examined. Drawing upon relational concerns as a distinct and distinctive mode of sociological inquiry, the symposium seeks to develop an understanding of care and its consequences that help us get beyond the economics of care as a commodified and managed form of engagement with the ‘other’. Making this shift has huge potential for addressing long-standing, global concerns around ‘cultures of poor care’ or ‘care as absence’, the seemingly intractable problems that are not readily amenable to a quick or even a slow fix.

The symposium examines how the fix, the cure, remains an issue of perspective. Central questions include:

  • What if the ‘problem’ of caring in health care settings was viewed differently, how would the issues be seen through an affective, situated relational perspective, how would an affective orientation resolve or heighten long standing and seemingly intractable problems of institutional care?
  • Is the demand for a cure (the fix) a manifestation of a broader political economy at work, is it a question of the mundane interaction order where contemporary modes of conduct reinforces distance, or is the organisational ‘cure’ simply a manifestation of organisational disease?
  • Can materials, economies, institutional practices and modes of accounting contribute to poor clinical and managerial conduct and do such devices legitimate a focus away from the patient?
Rather than provide a critique with no visible solution, or provide a simplification of institutional mores, a more cogent question may be what or who is now being cared for. Once such questions of central importance to a relational sociology have been attended to, the case for re-imagining the organization of care as a situated accomplishment can be made, a case based upon sound sociological reasoning. This symposium challenges what it means to care.

The organizers would appreciate general information about your possible participation before 15.07.2014. Please reply to: m.schillmeier AT exeter.ac.uk

Kind regards

Michael Schillmeier (Exeter)
Joanna Latimer (Cardiff)
Paul White (Swansea)
Alexandra Hillman (Cardiff)
Professor Michael Schillmeier
Schumpeter Fellow / VolkswagenStiftung
Department of Sociology, Philosophy and Anthropology
Centre for the Studies of Life Sciences
Byrne House
University of Exeter
Exeter EX4 4PJ

New Nuevo Neu
Eventful Bodies: The Cosmopolitics of Illness. Ashgate (forthcoming)


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Sunday, June 29, 2014

"ICU" - Technical Haemorrhage & Chlorophyllic Clots

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

ICU - Intensive Care Unit
GIS - Geographical Information System

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Saturday, June 28, 2014

Competition: Win attendance at the Royal Society of Tropical Medicine and Hygiene Meeting in Oxford, UK - Deadline June 30

In order to celebrate International Clinical Trials Day, Global Health Trials is running a competition. The first prize is attendance of the Royal Society of Tropical Medicine and Hygiene (RSTMH) Meeting in Oxford, UK, on 25-27 September 2014, covering transport, accommodation, conference registration and living expenses. The winner and two runners-up will also win one-year fellowships with the RSTMH. Please note that the deadline for entries is June 30, 2014.

In order to enter this competition, you must be working in a research role (for example, as an investigator, nurse, field worker, lab technician or data manager, etc) and currently be working in a low or low-middle income country as defined by the world bank.
To enter, you can send us either a two-minute video you have made (you can use your smartphone) OR a photo-board (up to fifteen photos) on one of the following three topics:

  1. A day in the life of our clinical trial(s)
  2. How we are building research capacity in our health facility
  3. My health research career
An important aim of this competition is to celebrate and recognise the quantity and diversity of clinical trials that are being conducted around the Globe. Tell the Global Health Network community about the trial that you are working on!
Again, please note that the deadline for entries is June 30, 2014.

Please refer to the following link for more information:

With best regards,
Tamzin Furtado
Project Manager

info AT globalhealthtrials.org

The Global Health Clinical Trials ( www.globalhealthtrials.org) is an open collaboration aiming to support clinical trials in resource-limited settings by providing guidance, training, resources and career development. Please do visit and let us know what you think.

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

My source: HIFA2015

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Wednesday, June 25, 2014

For portals, speak patients' language ( c/o Healthcare IT News )

Mike Miliard's 

in Healthcare IT News is a reminder of accessibility and engagement at the level of a communities languages.

This is one of the reasons why I am committed to using Drupal, to try to make use of its Internationalization capabilities amongst others. 

Thanks to Mike's post I'm now familiar with a 'full court press' as a hospital - enterprise wide no less - seeks to achieve defined patient engagement levels by accessing their electronic health record.

This begs the question of what constitutes the patients' language? I don't just mean the purely linguistic forms of Chinese, Korean, Russian and Greek mentioned in the article. The effort is driven by the statutory demands of meaningful use, but what of the patient's general literacy, IT and health literacies? How do patients make sense of their own health (or another in the role of a carer) not just in a given language, but culturally from a medical sociological and public health perspective? What is the community's vocabulary when it comes to health?

How can we assure that meaningfulness? How can we affirm that use and critically translate use into patient benefits and self-efficacy?

You could also entitle Mike's article as

4 portals speak patients' language

humanistic ------------------------------------------- mechanistic
Health Literacy, Accessibility
Measures (health literacy, patient engagement, health and well-being, clinical outcomes)

Cultural Diversity, Languages, Carer

'Meaningful Use', Standards, Legislation, Policy

When we focus on languages we must remember that listening is a great gift. Whether as health and IT professionals, educators, patients and carers, listening to the care domains can help us integrate diverse social, clinical, policy and technical objectives.

What do these portals say to you?

Mike Miliard twitter

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Saturday, June 21, 2014

disABLED: What's behind a symbol?

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

NY State

Well done NY excellent MOVE!
(and hope to visit next year)

My source: James Moore, Clash of Symbols, The Independent 20 June 2014, p.35.
Image source from upper right:

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Tuesday, June 17, 2014

Book: The Empathy Exams & Michel Serres Institute

humanistic ------------------------------------------- mechanistic
The Natural Sciences
Local, Society & Socio-


As recent posts reveal I'm overwhelmed with reading at present. Material that is essential for the TEL course and reading more tangential and yet potentially enjoyable titles. It will be a busy summer as all this is brought together(!?). Especially as I've a literature search in mind as a module submission - progress permitting.

The publication of Jamison's book this (N) spring sits well after the findings last year about the benefits of reading fiction in increasing empathy.

Since 2008-2009 I've lost touch with the work of Michel Serres:

Jones, Peter, Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons (Aug 15, 2007). SOCIAL INFORMATION TECHNOLOGY CONNECTING SOCIETY AND CULTURAL ISSUES. Available at SSRN: http://ssrn.com/abstract=1842504 or http://dx.doi.org/10.2139/ssrn.1842504

- having only just found the Institute. I only scratched the surface of Serres' oeuvre in the above paper and must recharge my reflective capacity.

Book cover image: http://www.ew.com/ew/article/0,,20800427,00.html

My source: The Empathy Exams
FT Weekend, June 7-8, 2014.

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