Health Sciences and Practice Subject Centre

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Health Sciences and Practice Subject Centre

• Critical Reflection Special Interest Group
• Assessment, Evidence, and Critical Reflection
  What are the issues? Are portfolios a panacea?
  28/03/2011
• A conceptual framework for educational
  portfolios
• Peter Jones
• Community Mental Health Nurse - Older Adults
• Nursing Home Liaison Specialist

www.health.heacademy.ac.uk
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The Health Care Domains Model
H2CM Hodges' Health Career Model
Originally created by Brian E Hodges (Ret.) MMU,
Manchester
A conceptual framework for educational portfolios
Peter Jones Community Mental Health Nurse - Older
Adults Nursing Home Liaison Specialist Beechurst
Unit Chorley Lancashire UK 01257 245150
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Peter Jones - Background
Experience Older Adults Adult mental health
Nursing Home Liaison Primary care projects
Mentor / Sign-off mentor Care Programme
Approach CMHP GP Fund holding
Mentor Public Health Analyst 3 yrs NHS
Care Record Service
RMN, RGN, CPN(Cert.) BA(Hons.)
Comp./Phil. PG(Dip.)COPE PGCE
Interests Global health APIE, C-Trans
Public (Mental) health Quality of care
assurance Models of care - Hodges' model
Informatics Web, Drupal, Ruby
Computer aided learning ZX81, BBC micro, Web
Publications
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Presentation
Aim To introduce and highlight h2cm in
reflection and student portfolios structure
content

• Intro to h2cm
• - Purposes past and future
• - structure, content, knowledge reflections?
• Examples
• Definitions Textual, as 'white space', spatially
• Portfolios (some) matters arising

• Help needed!
• Strengths (3 slides)
• Status
• What next - research? Drupal CMS ...
• Questions ...

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Purposes - past

• Hodges' model created in the 1980s by Brian
  Hodges
• 4 educational objectives
• Curriculum development.
• Holistic assessment and evaluation.
• To support reflective practice.
• To bridge the theory-practice gap.

How? The model can be situated and person-centred.
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Structure
1. Individual
Questions
Who (subjects) 1 - 2.
Actions (tasks) 3 - 4.
H 3.
M 4.
'H' HUMANISTIC 'M' MECHANISTIC
2. Group
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What knowledge do nurses use?
Individual
INTRA- INTERPERSONAL
?
SCIENCES
?
Humanistic
Mechanistic
SOCIOLOGY
POLITICAL
?
?
Group
the SPIRITUAL domain comprises all four
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Example of the model key concepts ...
INTERPERSONAL communication skills disposition empathy motivation personality mood beliefs attitude Psychology counselling cognition mental health SCIENCES information informatics nutrition empirical obs, diagnosis anatomy physiology medicines procedures Technology
community relationships family meaning culture, arts, dance customs language socialisation social history narrative myth privacy SOCIOLOGY disciplinary process policy politics management Finance Institutions WHO UNESCO power MDG human rights POLITICAL
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Another view the 4-P's...
PURPOSE priority, care plan, choice PROCESS events, time, cause effect
PRACTICE Counselling, team work, carers POLICY professionalism, deprivation of liberty
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Defining the model...

• h2cm is a conceptual framework
• It is not really a model, BUT there is a model
  and a host of theories implicit in the model's
  structure and content.
• H2cm is an open conceptual space.
• Open for the user to
• Contextualise
• Situate
• Personalise Populate

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What this model of care is ALL about ...
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1. Individual
Personalised care is not a given. It takes work
in theory and practice. This model reflects
that.
H 3.
M 4.
2. Group
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Purposes - future

• Multidisciplinary care
• Patient/carer engagement
• collaborative care
• Transitional Integrative models
• Nursing model gt Care model gt Self-care model
• Disease, Self-care, Recovery
• Literacies 'information'

21st century purposes ...
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to build on h2cm's strengths

• The model is agnostic -
• Skills
• Disciplines
• Speciality
• Culture (age, gender, beliefs)
• Media
• Information systems (as yet)
• Agencies (Public, Private, Voluntary)

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strengths ...

• Has growing relevance
• Can add value to health and social care
• Is free, open access, accessible
• Simple Complex multicontextual
• Users inc. Patient, Carer, Citizen, Student
• Health AND Social care
• Perspectives - problems, solutions, strengths,
  relapse prevention

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strengths.

• Professional values
• Lifelong learning (beginner expert Ret.)
• Analysis Synthesis Reductivism Holism
• Local Global 'Glocal'
• SocioTechnical (ICT systems)
• Patient, Carer, Citizen, Student
• Multiple hooks (ways to explain)
• Reflection models
• 4P's
• Stress Vulnerability model
• Information processing models

Zubin and Spring (1977)
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H2cm maps and bridges ...
Cognitive periplus a map A way to link what
are usually disparate disciplines gtgt Nursing
is also - Multidisciplinary? Education is
- Interprofessional Learning is - Blended?
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Portfolios

• Some aspects and content
• Models of reflection as taught
• Elements of reflection
• Evidence to support learning
• Clinical practice reports
• Linking practice and knowledge
• Relevant assessment documents.

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Portfolios ...
Reflective practitioners As students and
qualified nurses Contents Process -
guidelines Learning styles finding a
voice Competencies An 'apolitical' space -
speaking out Research(ers!)
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Portfolios some issues?

• How to assure assessment
• Equal treatment in sign-off mentoring
• Demonstrate the same!
• Assessment of portfolios
• Curriculum change (speed, politics)
• Appeals
• Length of appeals/disciplinary processes
• Reflective summaries (remote supervision)
• Accord education ? service
• High quality placements

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A bridge too far help needed...

• Models of nursing (care) are old-hat!
• Evidence based care
• Lack of research
• Website is dated
• static, no community, English only!
• Lack of engagement - development
• No feedback / no critique
• Further study MSc. / PhD.

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Where is Hodges' model?

• Website 1998 inc. Brian Hodges' notes
• Blog Welcome to the QUAD 2006 ongoing (BUT
  comments disabled)
• Includes a bibliography, archive, tags
• Further papers
• Forensic nursing
• Substance misuse
• Medical progress, information, 'progressive
  informatics'

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Old New questions

• OLD 'Holistic care' (What does this mean?)
• Patient outcomes
• Case formulation
• Theory of health communication
• Health Education Vs. Provision
• NEW concepts demanding research?
• 'Holistic bandwidth'
• Informatics forms
• Literacies

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New site - New community!

• Beyond the 1998 site and blog
• Community oriented
• Database driven
• Archive (Hodges' original notes)
• Multi-lingual!
• H2cm related Content types
• H2cm resources (content types)
• Taxonomies
• Semantic web, RDF

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Drupal Open source CMS

• CONTENT TYPES
• Book (collaborative work)
• Case study care domains
• H2CM form, summary, matrix
• Nursing problems, care plans, assessments
• evaluations
• h2cm taxonomy / vocabulary
• Educational modules Quiz, Bibliography
• SCORM compliance?
• Nursing Classification schemes
• Student's terminologies (folksonomies)

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Research?

• Conceptual Spaces (Gärdenfors)
• Quality dimensions
• 'Holistic bandwidth'?
• Combining h2cm, informatics, and
• programming
• Domain specific language (internal)
• Advice on formulating a question
• Is there a Mentor in the house?
• Dissertation and/or Project
• Create new site then project
• Specific educational purpose

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Presentation
Aim To introduce and highlight h2cm in
reflection and student portfolios structure
content

• Intro to h2cm
• - Purposes past and future
• - structure, content, knowledge reflections?
• Examples
• Definitions Textual, as 'white space', spatially
• Portfolios (some) matters arising

• Help needed!
• Strengths (3 slides)
• Status
• What next - research? Drupal CMS ...
• Questions ...

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Thank you!
Peter Jones Blogging at Welcome to the
QUAD http//hodges-model.blogspot.com/ Hodges'
Health Career - Care Domains Model
H2CM http//www.p-jones.demon.co.uk/ h2cm
help2Cmore - help-2-listen - help-2-care http//tw
itter.com/h2cm
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Contact Us

• Health Sciences and Practice Subject Centre
• info-hsap_at_kcl.ac.uk

www.health.heacademy.ac.uk