Showing posts with label models of nursing. Show all posts
Showing posts with label models of nursing. Show all posts

Tuesday, 23 September 2014

Agnostic qualities in Hodges' model

In the previous post I highlighted "Holistic approaches to learning are agnostic as to method." 

I added that there would be more to follow as Hodges' model can be viewed as agnostic on several levels. The following is taken from a paper on Hodges' model and its application in forensic nursing:
Hodges’ model claims to be person-centred and situated (Jones, 2008). What exactly does this mean for forensic nursing? The utility of Hodges’ model lies in it being agnostic. By ‘agnostic’ this means that the model is not dependent upon, dedicated to, sanctioned by, or owned by any particular discipline (even nursing). It was not designed with a particular media, clinical setting, situation or organization in mind. It is true, however, that the model was formulated within academia and health and social care, being taught and applied by community mental health nurses, learning disability and health visiting students. Apart from the history and universality of the model’s cruciform structure and its inherent 2 x 2 matrix form [often referred to as a Johari window (Luft and Ingham, 1955)], the model is also culturally neutral. This is an essential requirement to reflect and enact nursing values and codes of conduct (Nursing and Midwifery Council, 2008).
Doyle, M., Jones, P. (2013). Hodges’ Health Career Model and its role and potential application in forensic mental health nursing. Journal of Psychiatric and Mental Health Nursing. 20, 7, 631-640.
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2012.01961.x/abstract

Thursday, 24 July 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)

Thursday, 8 May 2014

Interested in writing? [ II ] Hodges' Health Career - Care Domains - Model

In the side bar beneath the bibliography (on a desktop) I've listed a few topics worthy of critical attention. The real need is to link practical application of Hodges' model and further some theoretical underpinnings for the model. This is now happening and it's quite a challenge as I chase questionnaires and write up a draft report for next week. This report is set out as a paper using an author's template from a nursing journal.

Trying to get the message out on writing about this free, holistic bandwidth defining, holistic wrangling, (self-) caring info-portal I blogged an appeal of sorts in 2010. Here we are again. The existing topics in that list relate to the original purposes of the model, plus a few 'extras':
  • reflection;
  • curriculum development;
  • case formulation;
  • holistic care;
  • conceptual spaces
I'll revise the above as a result of this post and ongoing studies at Lancaster University. I will also add the journal to the most recent recovery paper. Expanding on the above for the benefit of anyone interested in using Hodges' model, reflection (as in 2010) is for me the primary purpose of the model.

Reflection: I'm sure that Hodges' model can complement existing and established approaches to reflection. It would be interesting to compare the use of Hodges' model with a control in clinical reflection, reflective practice with a patient/client, and in clinical or managerial supervision. (You see why this is a challenge, and I appreciate it is easy to generate suggestions!)

Curriculum development: If you need a map that incorporates an academic compass (sat-nav even) look no further. Where are the curricula hot-spots and how are they distributed?

Case formulation: There is an existing draft that needs to be revisited at some point, but the scope here is huge in terms of disciplines and applications. As mentioned above it is coming up with questions and research methods.

Holistic care: Is it time to revisit this phrase? Break it apart and put it back together if it still fits?

Is it a damaged good(s)?

Is this a broken currency as it originally did not include the patient as an active participant? Is it one of several linguistic tropes, said in earnest yet what does it mean? How do we measure it? Could there be a role for Hodges' model in defining or measuring it in theory (through the health record) in practice through outcomes that are demonstrably holistic? Does this make sense...? What is this holistic bandwidth that PJ witters on about? Is an informatics metaphor too far, or this a means to a definition?

To conceptual spaces I need to add threshold concepts and there is a literature here for health and social care, something to build upon and post here....

Wednesday, 23 April 2014

Interested in writing?

Two items can be readily brought together here: 
----- Forwarded Message -----
From: JS Drummond
To: NURSE-PHILOSOPHY AT JISCMAIL.AC.UK
Sent: Tuesday, 22 April 2014, 18:00
Nursing Philosophy (Post)-Graduate Student Essay Prize
Hi Folks,

To interested parties, there is still time to submit an entry for the (Post)-Graduate Student Essay Prize to the Journal, Nursing Philosophy.

Details are on the IPONS website. http://www.ipons.co.uk

Best Wishes,
John Drummond (IPONS)
Sent on behalf of Derek Sellman, Editor, Nursing Philosophy

The latest paper on Hodges' model -

Exploring the Dimensions of Recovery and User Experience

- has progressed to the point were I am awaiting contact from the production office of the International Journal of Person Centered Medicine.

In addition to the (Post)-Graduate appeal with IPONS there may be an opportunity through h2cm. If there are any student nurses and other health care learners interested in models of care and the future, I would be pleased to offer some support on a paper. Perhaps there are personal tutors out there who could also engage? I can't offer a prize, but there is surely a prospect with the journal Advances in Nursing Sciences:
Models of Care for the Future
Vol 38:1 - June 2015
Manuscript Due Date: October 15, 2014
As nations worldwide seek to establish models of care that provide quality and efficiency, nurse leaders are emerging to play a significant role in the development of these models. For this issue of ANS we are seeking manuscripts that provide theoretical underpinnings of creative models of care, as well as evidence that supports their implementation. Manuscripts should be clearly grounded in a nursing perspective; the content can include philosophic, theoretic, empirical or ethical aspects related to the model.
I do have form here - two submissions without success - but the very helpful feedback did result in a publication elsewhere.

With studies of my own I can't write another paper alone, but perhaps I can help others. It's time for me to not just think about the model, but do something with it too. It feels strange finally having questions out there in the field - a small study.

Earlier this week a colleague referred to the model's elegant parsimony. This is definitely a quality of Hodges' model and one that merits exploration with new explorers.

Sunday, 20 April 2014

Blog birthdays, a missing model and history

Eight years ago today this blog was born. Last month I came across a backup of some old emails and discovered one of my first related to Hodges' model. This was while attending Bolton College for the Post Graduate Certificate in Education in 1997. I had a project to complete and in researching nursing theory came across a resource by Judy Norris then at the University of Alberta in Edmonton. There was one a model of nursing missing. I'd also visited Alberta (ALTA) twice in 1979 and 1989: wonderful holidays.
19 ‎March ‎1997, ‏‎09:28:38

Hello there.

I'm fairly new to the net and E-mail, but fairly conversant with other aspects of I.T.. I would be very interested in being involved. My E-mail is read once a week, when attending college.

Both nursing informatics and nursing theory have been keen interests for some time. Over Easter I'll have more time to explore and learn.
There is one 'model', which I don't think you have listed, although it is debatable whether it qualifies as a model - the health career model.

Perhaps I could write something up with references, and key questions?
(And also consider the list of work for volunteers.)

Bye for now

Peter
P.S. I hope ALTA is still as beautiful as I remember it.
So, h2cm became the preoccupation and now there is a small research project to complete these next six weeks, Hodges' model within the residential care sector.

Nursing theory links: H2cm Links II (any updates?)

Acknowledgement: Judy Norris
Thanks Judy for your encouragement all those years ago and with this post.

Saturday, 1 June 2013

Review: Philosophical And Theoretical Perspectives For Advanced Nursing Practice

http://www.jblearning.com/catalog/9780763765705/
If you are a miner for insight, a pearl diver for knowledge or seeking blue sky wisdom this book can deliver and sign-post in plenty through its references. In summary: this book is a history book that nods at futurology.

I had high expectations for the text, also anticipating an exacting read. After all, as a 5th edition this is a well established text. The expectations were not wholly realized, however; many of the papers are quite dated being published originally in the 1990s.

The book is an important collection and can certainly be regarded as essential reading for advanced nursing practitioners and those pursuing post-graduate nursing studies. Several chapters hail from the same journal publisher and perhaps - as a positive - this contributes to the readable and accessible style throughout the book. The text format and size are also easy to read. I found one spelling mistake within the index entry for 'diagnosis' p.387. In addition to the historical development in part 1 the book's division into five parts - 31 chapters in total - acknowledges the reliance on the past and from it appears from a previous edition the arrival of the 21st century. Apart from the current date of issue 2013 I cannot accurately place the most recent additions to the volume. The contents listing and preface are limited in this respect. Judging from the references they are not that recent. 2010 is one of the most recent references I could find, and this, the 75ed of Toby & Mariner.

Many of the papers are seminal and include an overview of particular aspects of nursing thought - analysis and synthesis. Unsurprisingly, there is philosophy and ethics in great abundance, together with ecocentricism, several forms of feminism, aboriginal peoples and their world views, evidence, health, beliefs, art, professionalism, research, patterns, advanced practice, theory and much more. The distinction between evidence based theory and evidence based practice is something of which all nurse students should be aware.

There is specific reference to Advanced Nursing Practitioners. There could obviously be some variation in how this professional group are considered as opposed to Advanced Nursing Practice. Having just returned from Belfast and the University of Ulster there is ongoing currency in McCormack's chapter 17 A Conceptual Framework for Person Centered Practice with Older People. While dated 2003 McCormack's work was emphasized at a recent conference in Ulster I was able to attend (and there are plans for another). I am sure other chapters may be enlivened by such reviewer found co-incidences as this.

I wonder if the scope of the book and acknowledgement of the passing of time seems to shout for a two-volumed approach. As suggested above, the previous acknowledgement of the future seems to have hailed from the 20th century and got lost. We are now after all more than a 1/10 of the way into the 21st century.

Having started my nursing career in the RN, chapter 22 on military metaphor in nursing and the need for another. A researcher contacted me several years ago about using Hodges' model (a conceptual framework) in a study on bullying in nursing. I've never heard anything since, but Hodges' can help in such research in two respects. The inclusion of a political domain and the organization of groups of people, emphasizes process, procedure, protocol, routine, and may proceed to regimentation, discipline, hierarchy so to a degree language games will follow. As this chapter notes, several professions, including nursing are said to eat their young. A commentary after the chapter provides a useful balance and makes this point. The chapter is nonetheless a reminder of the role of language and how professionalism arises and is sustained (disciplines too?). The proposal of frontier as a new metaphor is fitting as Hodges' model identifies five conceptual fronts - frontiers that must be integrated. 

As a frontier - Chapter 21 on rapture and suffering with technology in nursing holds many lessons and insights. Heidegger's "standing reserve", the human-technology interface, what it means to live like a human being and the distinction of being a human being. Mobile technology, m-health, e-health are making a huge contribution to global health and need a place here. I found Macurdy's four principles 326-327 on what patients need to assume power and control over their care very illuminating, especially in highlighting information access and the importance of health literacy.

In the text and the index I could not find specific reference to capacity, as in mental capacity, informatics, global health, information (access), justice, law, legal, management, human rights, literacy, mental, political, psych-, long-term medical conditions and recovery. While the book would become incoherent if a disease/diagnosis-based approach was adopted, we might ask: does dementia deserve specific inclusion? This is an interesting (and potentially vociferous) debate in itself - to what extent should such a book record change through several decades? Of course the book is not an encyclopedia and it is easy to critique according to omission. These are pressing times demographically, however; while there is a population focus: global communities and aboriginal communities in chapter 23 and 24, this merely scratches the surface of very large world.

This book is a valuable asset and has stimulated many ideas here (and potential blog posts). I am very pleased to have read it and would recommend it to students and practitioners alike. I am grateful to the publishers for the review copy.

Wednesday, 26 December 2012

The Enormous Theorem meets The Enormous Conceptual Framework

with Best Wishes for the Season and 2013...

Hodges' Health Career - Care Domains - Model is not a theory of health and social care.

It can however encompass the conceptual space that comprises not only health and social care, but the lived experience of individuals, and the existence of corporate and political entities (notably policy).

So while mathematicians have The Enormous Theorem, in Hodges' model we can at least reflect on what might be the enormous conceptual framework.


Prize awarded for largest mathematical proof. New Scientist, Sept 10 2011, 211, 2829. p.5.

Wednesday, 12 December 2012

Conferences and studies (what's the date?!)

I don't know about 21.12.12 being a date of note. 12.12.12 has brought another addition to a string of  disappointing conjunctions this past week.

I posted in the summer - here - about the ICN Congress in Melbourne next May. My submission did not make it, being placed on the reserve list. If this journey was going to happen then I would need to make arrangements now. So a desire to visit Australia and share Hodges' model with the ICN community and possibly some academic centers there will have to wait for another time. The original idea of a symposium would have been marvellous, so perhaps there are partnerships still to be forged.

Next up: another possible speaking opportunity for April, admittedly provisional has not been confirmed. Quite a disappointment this as I would have repeated a workshop approach I've used.

And finally ... finding an avenue to study Hodges' model at a postgraduate level (part time PhD) is proving far from straightforward. I knew this would be the case, so I will continue to refine my preparations and make further enquiries and applications.

As this year comes to a close I'm pleased to have done the presentations to date. Great experiences and communities all. I understand that the preoccupations with the Mayan calendar and the end of the World are mistaken. It is the start of a new calendar - a new age. That sounds good to me.

Tuesday, 13 November 2012

Associate Professor Fran Biley - Bournemouth University

It is with great sadness that this week I learned of the passing of Fran Biley. In 2003 I contacted Fran having heard he had worked up in Lancashire in the early 80s as a charge nurse on a then new elderly mentally ill unit. I could not resist the possibility that here was someone who perhaps knew of Hodges' model or had used it.

There were no major leads, but Fran always encouraged me in my preoccupation with Hodges' model. I did not have a sense that I was just being indulged, or that Fran was purely exercising good manners which I'm sure he had in abundance. Fran also provided support indirectly and so I will miss both his positive words and observations.

There may be some communications on the old PC to recover, as I've enjoyed following Fran's contributions over the years. The brilliant video on students and nursing theory which I posted here on W2tQ in 2010 and Fran's missives to various lists over the years, including:

From: Francis Biley at BOURNEMOUTH.AC.UK;
To: PSYCHIATRIC-NURSING at JISCMAIL.AC.UK
Sent: Thursday, 29 November, 2007 11:58:15 AM
Subject: [PSYCHIATRIC-NURSING] Evidence

Didn't Liam mention nursing in the original post somewhere? What about Peplau, Orlando, and Travelbee and perhaps a host of others who produced buckets full of evidence of whatever flavour you'd like to choose; and Barker as well of course, not added here as an afterthought, more as emphasis.

And as for contemporary, Orlando's book was published in ?61, and Travelbee died in 73 (I think??)....and we all (should) know Peplau's history (perhaps...)...and FNs Notes on Nursing is still on and off my book shelf like a yoyo.

Or is it that we've been influenced by psychologists, psychiatrists, sociologists and etc to such an extent that these people (and nursing per se) have clearly disappeared from the horizon, or where never there in the first place?

I will keep going Fran! Many thanks.

Wednesday, 10 October 2012

World Mental Health Day & Hodges' model

Today is World Mental Health Day. Here are some mental health related concepts mapped to Hodges' model that I have encountered over the past few weeks (I could list many more of course).

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

depression, suicidal ideas, motivation, beliefs, agitation, assessment tools,
understanding of treatment,
communication skills, confusion,
aggression, lability of mood, loss, disorientation, orientation, concordance,
stress and vulnerability, observation, distress
risk assessment, electroconvulsive therapy
benzodiazepines, anti-depresssants,
side-effects, gait, pain, care environment, 
diagnosis of depression, anxiety, dementia, records - behaviour charts, electronic health record, security
carer under stress, reassurance, counselling skills, respite care, family therapy
empathy and rapport with residents (colleagues...), patient and relative engagement, activities, distraction, engagement, life history, touch, care strategies and recommendations, smiles, companionship


commissioning, funding of services, consent, integrated working effectiveness, referral-on,
care vouchers, advocacy, service access, compliance,
use of Mental Health Act, staff survey, gatekeeping - access to beds, work allocation, health & nursing in the media

See also: Hodges' model - indicative content

Tuesday, 9 October 2012

A shoutout to University of Northumbria at Newcastle - and others!

Although school terms and university semesters vary especially between the northern and southern hemispheres, I can often tell when a new academic year is upon us again. Not only that, but possibly a new cohort of nursing or other health care related students.

The signal is the visitors to the old website. The past week or so there's been a lot of traffic from University of Northumbria at Newcastle. Only the institution is listed, not individuals. And don't get excited about the numbers: we are talking 10s here not 100s and 1000s.

Those tens (still greatly appreciated!) could be even more significant if I could connect with someone. So if you are revisiting this blog and from UoN or any other institution please get in touch: h2cmng at yahoo.co.uk

I would really help to hear your views on:

What prompted your visit?
Who are you - what's your role, course and stage of learning?
How are you using the site and model (if at all) is it:
  • as part of an exercise merely identifying models of nursing, aspects of nursing theory...?
  • as part of a piece of (reflective) written work?
  • applying the model to a specific context, case study, nursing (or other) discipline?
  • as a critical nursing or informatics exercise?
  • as an initial exercise to help assure holistic care?
  • some other discipline and purpose perhaps?
What would you expect to find, what is missing?
What is useful and should be archived?
What sucks!
Is there something that you could add to a future site?
Do you have work on h2cm that I could highlight here on W2tQ?

There are many rich seams to dig here and if we can work together we might find some light.

There is someone at UoN I will approach if they are still there: quite possibly!

Thursday, 31 May 2012

Book for Review: Risjord's - Nursing Knowledge - Science, Practice, and Philosophy

In order to put Hodges' model on a more theoretical and practical footing (especially as part of an extended project) I approached the publishers of Mark Risjord's Nursing Knowledge: Science, Practice, and Philosophy. Wiley-Blackwell have kindly forwarded me a review copy of this book.

My preoccupation with nursing theory, practice and informatics could form the basis of a multiple choice question:

Having an earnest interest in nursing theory, practice and informatics is:

a) a grand academic and intellectual enterprise (you're a historian, journalist and futurologist).
b) a sign of our times for ALL nurses (doh!) this is the 21st century after all.
c) a contradiction in terms.
d) a sign you are informationally overloaded, trapped in the gap.

Seriously, the effort to understand nursing, informatics and retrofit theory (conceptual spaces, threshold concepts...?) to support Hodges' model needs to be philosophically sound - rigorous. This book will help.

Thursday, 10 May 2012

International Nurses Day - Closing the gap: My Project for a Global Conceptual Framework for Nursing

As International Nurses Day is celebrated tomorrow on the 12th May the emphasis and work here at W2tQ lies with Hodges' model. The project is to publicise h2cm's international potential in providing an avenue to help unify nursing theory, practice and assure future research.

Fawcett wrote of the metaparadigm of nursing - namely the inclusion of the concepts of person; environment; health; and nursing.

These concepts are incorporated into Fawcett's criteria on model validation which are listed in bold-italic below.

I have also ventured some reflections on the current status of h2cm when compared against these criteria.

Assumptions underlying the conceptual model are made explicit.

It is not sufficient, but the structure of Hodges' model renders the assumptions within the model explicit. The structure identifies eight initial key concepts:

INDIVIDUAL, GROUP (population); HUMANISTIC, MECHANISTIC; SCIENCES, POLITICS, SOCIOLOGY, INTERPERSONAL

A complete description of all four concepts of nursing's metaparadigm are presented.

Reflection soon reveals that several environments are suggested:

PHYSICAL, ORGANISATION, COMMUNITY, HOME, RESIDENCES, DWELLINGS, COGNITIVE (conceptual), SYMBOLIC, ABSTRACT, VIRTUAL, FORUMS, COLLEGES

Propositions of the conceptual model completely link the four meta-paradigm concepts. 

This is feasible, reasoning from the foundation of the model's structure.

The internal structure of the conceptual model is logically congruent.

This does need to be demonstrated. Initial recognition of logical congruence might be found through the conjoining of disciplines, that is frequently taken for granted: PSYCHO-SOCIAL; SOCIO-TECHNICAL; SOCIO-ECONOMIC.

The conceptual model is socially congruent, socially significant, and socially useful.

I have claimed on numerous occasions that the model is agnostic, universal, accessible, and has educational potential. These and other qualities need to be critically examined.

Empirical evidence in support of the model has accumulated from many derived theories.

The two final criteria are the most challenging. Empirical evidence supporting Hodges' model is available, but again must be tested through research. If someone has time - could you please compare the frequency of a set of political concepts in the nursing literature since 1985?* The emergence of health literacy and self-efficacy, threshold concepts, conceptual spaces, the rise of the semantic web and developments in software can all potentially support h2cm. Producing a roll-call of some of the latest trends in contemporary education, research and culture is not good enough, specific studies are needed.

The total contribution of the conceptual model to nursing knowledge. 

There is a long, long way to go, but the contribution has begun ... every journey ...

Of course, it is almost 20 years since publication of Fawcett's criteria. Has the concept of congruence changed in that time? What is socially significant and useful now? What should the social and political weighting of evaluative criteria be in 2012...? There is a body of critique upon Fawcett's and other evaluative tools within nurse education.

Perhaps a new set of criteria could be defined using h2cm itself? For a model of nursing (health and social care) to be fit for purpose, acceptable and viable across the globe, there are new concepts to be represented. While that would certainly close a gap, it does not seem a rigorous or valid way to proceed. I will seek out other more recent criteria and present them here at some point.

Fawcett J. Analysis and Evaluation of Conceptual Models of Nursing, 3rd ed. Philadelphia, Pa: FA Davis; 1995.

*Many thanks - if someone should pick this up, which ever axes, concept or issue.

Thursday, 29 March 2012

Tied to the mast: achieving anonymity

It isn't just me - is it?
Other people must have this problem.
No?
It isn't that it's an embarrassing body problem -
although time will tell on that
- it's just Frustrating.

If you venture to write a paper for publication then the submission process usually asks you to render the paper Anon. This makes good sense: right and proper. While some scholars can spend decades on a specific problem, or project the majority of academics must be fleet of foot. Usually, they have to  chase funding, publish, publish and shift from flower to flower garnering citations and increasing aplomb. There must be exceptions I suppose, were researchers become a 'known' quantity, associated not just with particular research subject, but with a set of peers and establishments. Of course I'm Generalizing.

Here though I can't help wishing it was different - that's what this mission is all about. Trying to get other people on board, to recognize the potential value of Hodges' model in health, social care and beyond.

Speaking
of
beyond
it is
marvellous 
to note that the past two days have seen over 100 
visitors 
to 
W2tQ. 
Thanks
everyone.


As to the anonymity bit, well I've climbed the pole, I've balanced on the beam and yet sadly this new gymnastic element the anonistic-maneuver is beyond me.

I don't want to moan, but in this case models offer no anonymity.

If I could hide I would: the long and short of it is I'm stuck ....

If it is not Brian Hodges himself writing about the model, then who is?

Now clearly I'm no Odysseus, but it seems I'm tied to this thing. This conceptual contraption. This mast.


Jokes aside though, it makes you wonder how many other innovations, worthy projects, ideas of merit, struggle against what appears to be a figure ground illusion?

You see with h2cm even when duly anonymised -  one moment we have an unknown - a personally, politically neutral entity. The next moment - ah! hold on. Now I can see who it is and hear this 4-track song.

Oh wondrous enchanted music ....


There is a way around this...!

Additional link:
http://hodges-model.blogspot.co.uk/2007/01/hodges-model-what-is-it-1-house-of.html

Figure ground labelled image:
http://psylux.psych.tu-dresden.de/i1/kaw/diverses%20Material/www.illusionworks.com/html/figure_ground.html
Odysseus image source:
http://www.prospectmagazine.co.uk/tag/social-structures/

Friday, 30 December 2011

2011 highlights ...

The highlight of the year was the trip to Colombia in February with a presentation, workshop and meeting with quite a few students and their Professor. Lovely people, a warm, very well organised welcome and assistance c/o Luz Stella Saray, Prof. Wilson Canon, Andrea Ramirez and Fred Manrique / UPTC and many others. Colombia is an amazing country even on a brief visit:

http://hodges-model.blogspot.com/search/label/Colombia

It appears the conference link may have changed:
http://www.uptc.edu.co/eventos/2011/cong_enfermeria/index.html

There were two poster presentations: Health Literacy, Manchester in June and the CARDI conference last month in Dublin. The latest poster was a great improvement on June's effort thanks to Prof. Kernohan; and there's a paper to follow.

September brought The Difference that Makes a Difference held at the Open University, Milton Keynes, UK 7-9 Sept 2011. It was a great experience being able to contribute to an event outside of health and social care. Quite a change also to be on the panel and able to respond to a question or two. I find information a fascinating subject. I wish there had been time to respond to the call for papers (and another on health literacy) but there was not enough time. There's more besides posted here on W2tQ, Drupalcon London in August.

I wonder what 2012 will bring...? I've nine days leave left up to the end of March so will be packing the laptop to focus on Drupal up in the Lake District.

Sue and I have tickets for Leonardo at the National Gallery. I can't wait for this after last years visit to The British Museum exhibition Fra Angelico to Leonardo: Italian Renaissance drawings

http://hodges-model.blogspot.com/2010/05/nursing-art-and-science-fra-angelico-to.html

Next month it looks like I may be moving from Nursing Home Liaison to the Intermediate Support Team.

Thanks for your visit and interest.
Whatever else happens in 2012 I hope the wishes and dreams of individuals and Nations in search of peace and freedom come true. Remember+ChangeHappens2.
Best wishes to all!
PJ