Questions from the delegates (once more interpreted by Andrea Ramirez) at the plenary session on Friday 25th February included - with my response (extended here):
Q. Could you please give some specific examples of the model's application and its achievements?
A. The model was created by Brian Hodges to facilitate reflective practice and encourage holistic care - especially balancing physical and mental health - psychological - care. In the mid-1980s the model was used in several locations in England and the Isle of Man. The model was taught and learning assessed through case studies in community mental health nursing, learning disability and health visiting.
As highlighted in the presentation unlike other models of care h2cm has not had the benefit of specific research. The models of care we use must be evidenced based. The website and blog represent a call for research in the health care domains model. This is why I appreciate so much this invitation to Colombia and being able to present what I believe is a very useful and increasingly relevant care resource.
In terms of achievement there are an as yet limited number of papers published and listed on the blog in a bibliography.
A couple of individuals have contacted me for advice on using the model in academic work, which has also been posted on the blog (see application).
In my presentation and the plenary I did not mention the planned workshop in the afternoon!
Q. What has been the experience of applying the model in the practice (clinical area) and in the community?
A. The model is used in two centers for forensic psychiatry (low and medium secure) where the inclusion of the interpersonal and political care domains are pivotal in the tensions between the custodial context and need for person-centred nursing care that arise.
In forensic nursing the model informs care philosophy and is also represented in care documentation. A paper is in production describing the model and this application.
The model is I understand being used in a research project investigating bullying within midwifery. I will post more details on this when I have them. The researchers approached me seeking permission to use the model, I indicated the model's origin - as in "It is not 'mine'", and furnished a letter indicating the model's status. I understand the appeal of the model in this instance may be in scoping the research project.
Currently the model is helping me in my role (as a Nursing Home Liaison Specialist) to plan and deliver education sessions to residential care staff on communicating with people who are coping with dementia.
Being simple in structure and basic content once learned the model is accessible as an aide memoire, while you are assessing, planning and evaluating.
I have also used the model when working on informatics projects, as the model can help integrate the SOCIAL and TECHNICAL aspects of ICT.
More Q and A to follow plus photos.
