Hodges' model in Murphy & Welford (2012) Agenda for the future: enhancing autonomy for older people in residential care. Int. J. of Older People Nursing

ABSTRACT: This is the concluding paper of a three paper publications. Paper 1 focused on specifically understanding what autonomy for older people in residential care means. Paper 2 discussed the various factors that either facilitate or hinder residents autonomy and directed readers to reflect upon their practice. This final paper outlines the findings from the action research phase of a study aimed at enhancing resident autonomy. It describes just one way in which residential care units can work on enhancing residents autonomy and enables the reader to reflect upon nursing practices, which with the right approach can be resident-centred.

Murphy and Welford write:

Hodges (1997) model is essentially concerned with the person (resident) in a social context. The notion of it derives from the intervention of the nurse being future orientated, increasing the health choices, health chances or health prospects of individuals or groups (including families) taking cognisance of the biography of the person or persons being helped. The person already has a biography that has been influenced by their physical and psychological make-up, the kinds of families and social networks they have experienced and the culture or geographical location in which they live. The nurse then is also influenced by personal factors of their individual physical or psychological origin and factors relating to their social world and the policies that govern their daily life. The nurse (assessor) must take cognisance of the attributes the person (resident) brings with them in their current presentation (problem) and how this affects their future choices both in terms of ability to make them and the range of choices available. Thus, this approach to care planning recognises the importance of negotiating care.  (online source - see doi link below)

I am not just very grateful to Murphy and Welford for their adopting Hodges' model in their study, but this supports my own use of the model in teaching staff about person-centred care and communication skills in residential and nursing care homes. The inclusion of a political domain and individual and group (populations) dimensions is a great asset in this context. Their conclusion also identifies the limitations of individually directed change, something that seems apparent from my own experience in nursing home liaison.
 
Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care. International Journal of Older People Nursing. 7, 75–80. doi: 10.1111/j.1748-3743.2012.00309.x

Slides: Social Work Action Network SWAN Conference 31 March 2012

Here are the slides from the Social Work in Action - SWAN conference HOPE University in Liverpool 30-31 March 2012. The session was an introduction to the model. I've used the same template and some of the slides from Colombia last year adding a few new ones for this audience and to reflect the SWAN conference themes. The organizers have a copy of my slides which should appear on their site. The keynote session by Professor Danny Dorling from the University of Sheffield and the main speakers were also videoed and will be made available on the SWAN site.

It is a very difficult time for public services, the NHS and social care. This was a fascinating opportunity to witness the POLITICAL care domain as a 'living entity' not as some remote, abstract thing that other people engage in and appears on the news. This year and following ... the stakes are even higher in terms of possible cuts to follow.

Any questions, other opportunities to present Hodges' model please get in touch.

Swan2012 31 mar hodges model workshopView more presentations from peter jones.

Job Position: one Research Assistant in Semantic Web and Healthcare areas

This presents a great opportunity:

The Unit for Health Care and Life Sciences (HCLS) at the Digital Enterprise Research Institute (DERI: http://www.deri.ie/) of the National University of Ireland, Galway invites applications for a Research Assistant (RA) position.

 

Research Assistant (RA) Position: Semantic Web in HealthCare and Life Sciences

DERI – National University of Ireland, Galway

 

DERI is a leading research institute in semantic technologies that offers a stimulating, dynamic and multi-cultural research environment, excellent ties to research-groups worldwide, close collaboration with industrial partners and up-to-date infrastructure and resources.

 

The DERI HCLS group (http://hcls.deri.ie/) has a focus on applied research in the use of semantics in solving some key healthcare problems and dealing with: 

• Interoperability of Electronic Healthcare Records (EHRs).
• Interoperability of distributed healthcare policies.
• Infrastructure which will scale to the thousands, and, in some environments millions, of patients who will avail of telehealth in the future.
• Secure infrastructure which accounts for the ownership of patient data, the privacy and dignity of the patient, and which allows the patient play a part in managing his/her chronic illness.

This will involve research into HCLS ontologies and standards (e.g., HL7, openEHR) within the area of healthcare messaging, patient modelling and distributed personal health records. Research in the DERI HCLS research group is carried out in close collaboration with other collaborating institutions and industrial partners. Candidates should have:

 

• A graduate degree in Computer Science/ Software Engineering or related fields.
• Knowledge of Semantic Web Technologies (RDF, SPARQL, OWL).
• Knowledge of healthcare standards (e.g., HL7, openEHR) is a plus but not a mandatory requirement.

Successful candidates are expected to have the willingness to combine formal scientific work with hands-on evaluation with healthcare providers.

 

Please send your application (CV, two letters of reference) in PDF format to the email address below – by Friday, February 3^rd, 2012

 

Ronan Fox/Ratnesh Sahay

Domain for Health Care and Life Sciences

DERI - National University of Ireland, Galway

IDA Business Park,

Lower Dangan,

Galway, Ireland

 

E-mails: ronan dot fox at deri dot org, ratnesh dot sahay at deri dot org

For more information about Galway, NUIG, and DERI, visit the following websites:

www.deri.ie, www.nuigalway.ie, and http://www.galway-ieland.ie/. 

My source: Post by Ratnesh Sahay to several lists.