Most typical face in the world revealed (amid deep irony)

National Geographic Magazine has revealed what the most typical human on the planet looks like.…

There is a deep irony here (since we are talking about 'skin') in that as the global demographics flow across the decades to alter this typical face, there is a growing proportion of the population who hope that health and social care delivery is not typical and a 'composite'.

They hope that health, nursing and social care is truly personal and individual - taking in their preferences, needs and priorities.

Having said that though - would it be progress if everyone could expect at least to receive what is deemed a 'standard' level of basic nursing care that is in a way 'typical'?

more to follow - more will follow - are we ready?

Nursing: magnetic Force 5

Back in 2009 I came across a post - Nurse magnets crucial for recruitment and retention about the 14 Forces of Magnetism:

In 1983, the American Academy of Nursing conducted a survey of 163 hospitals to learn why some hospitals attracted and retained well-qualified nurses who were devoted to quality patient care.

The 14 Forces are listed and described by the ANCC. The forces themselves include:

• Force 1 Quality of Nursing Leadership
• Force 2 Organizational Structure
• Force 3 Management Style
• Force 4 Personnel Policies and Programs
• Force 5 Professional Models of Care
• Force 6 Quality of Care
• Force 7 Quality Improvement
• Force 8 Consultation and Resources
• Force 9 Autonomy
• Force 10 Community and the Hospital
• Force 11 Nurses as Teachers
• Force 12 Image of Nursing
• Force 13 Interdisciplinary Relationships
• Force 14 Professional Development

The professional, organizational, and political (policy) emphasis of the 14 forces is obvious and becomes clear when each is weighed in terms of where it sits within the domains of h2cm.

Try it as an exercise. ...

Recruitment is ALL about magnetism.

If you are unsure, ask a magnet about the meaning of retention.

Demographics are already applying pressure upon these forces of magnetism. Not just when referred to explicitly in the USA within organizational media; but globally. Demographics is another magnet - it approaches with increasing force.

From here in the UK (and readers elsewhere) we have to exercise care when models are mentioned. While the theorists and philosopher's of nursing nail their definitions to the mast (h2cm?) there remains a models muddle, not just in the variety of models of care, but in the levels at which they operate. This is not a criticism, it's an observation - consider Force 5:

Force 5: Professional Models of Care
There are models of care that give nurses the responsibility and authority for the provision of direct patient care. Nurses are accountable for their own practice as well as the coordination of care. The models of care (i.e., primary nursing, case management, family-centered, district, and holistic) provide for the continuity of care across the continuum. The models take into consideration patients’ unique needs and provide skilled nurses and adequate resources to accomplish desired outcomes.

In the US in particular 'models of care' (moc) often refer to finance and accountability of costs (the market process), in the UK moc might refer to commissioning. In Force 5 the addition of 'Professional' (as the original author's no doubt recognized) is crucial. If you repeat the above exercise, plotting Force 5 on the Health Care Domains Model then you see how Force 5 works for nursing and remains to this day a great achievement as a yardstick for quality, assurance and retentive power.

In the almost 30 years since the research on the 14 Forces, I do wonder though if there is a need to imbue the following with magnetic properties:

• person-centred care;
• self-care;
• carers and public engagement;
• prevention;
• public (mental) health
• and informatics?

Yes, many of the above can be assumed to lie within the existing Forces 1-14. Health and social care are not static. Nursing has much to contend with from the level of the individual practitioner through to the group within an organization. The 14 Forces of Magnetism are well established in the USA and deservedly so, they clearly deliver.

In the political and economical heat of an economic recession, however; magnets may reach their particular^* Curie point. Then they cease to work.

The constant bangs and knocks of change, the incessant hammering of party politics and the 'market' on the door of "high quality nursing care" can also take its toll on magnetism.

Nursing needs to take care.

Related post on Healthcare IT News:

Top 10 trends for 2011 include IT, new care models

*OK it should be constant, but like our patients these magnets are not all the same - they have varying levels of vulnerability.

To follow some definitions from an olde book ...

Call for Papers: 1st Int. Workshop on Pervasive Care for People with Dementia and their Carers (PCPDC-2011)

(To the webmasters of http://www.pervasivehealth.org please check the status of your site - 'attack site')

Dublin, Ireland, 23 May 2011

http://trail.ulster.ac.uk/pcpdc/

To be held in conjunction with the 5th International ICST Conference on Pervasive Computing Technologies for Healthcare 2011

The global population of persons aged 60 and over is rising dramatically. Between 2006 and 2050, the number of people aged 60 and over will double from 650 million to 2 billion people representing 22% of humanity. One group of the ageing population that is particularly vulnerable to loss of independence is those affected by dementia. It is estimated that around 820,000 people in the UK have dementia. Recently emerging computing and assistive technology have been used to attempt to improve the quality of life for people with dementia..

The workshop aims to provide a forum for discussion on challenges and opportunities in bringing technology to support people with dementia. The workshop will feature the theme of ‘engaging people with pervasive technology’.

Research topics included in the workshop

This workshop will feature the theme of  ‘engaging people with pervasive technology’ in dementia research. Researchers from academic, healthcare, industrial and third party organisations are invited to contribute. Early researchers and researchers from healthcare are particularly welcome. Research areas include, but are not limited to:

Theme 1 – What are the opportunities of pervasive care technology?

Development of pervasive ICT systems
Human computer interface design
Behaviour monitoring and activity recognition
Knowledge representation and dissemination
Data analysis and interpretation
Sensor design and application

Theme 2 – User engagement

Key issues emerging when working with people who have decreased capacity for consent
Ethical issues for implementation
Methods for engagement
Pitfalls of engaging people with dementia, their carers and intermediate users

Important dates

Submission deadline:          25th February 2011
Notification of acceptance: 25th March 2011
Camera-ready copy due:    4th April 2011
Conference / Workshop:    23rd – 26th / 23rd May 2011

Format

Submitted papers should not be longer than 4 pages in standard IEEE two-column format.

For more detailed formatting instructions please see http://www.pervasivehealth.org/?page_name=author_skit.

Accepted papers will be published online in IEEE Xplore Digital Library (to be confirmed).

Blog Action Day 2010 - Water: conceptual drops in the health career model

Today is Blog Action Day and the theme is water.

Below I have added a selection of water related links across the domains of the health career model:

Interpersonal : Sciences

Sociology : Political

Water use - You? Water Encyclopedia water in Philosophy National Geographic the Water project	Properties of water The water cycle Water, sanitation & health: WHO  Water on the Sun SI water Homeostasis
Water mythology WaterWired Water development photos Costing the Earth BBC: Cleaning Up the Ganges	Waternet: Geopolitics of water scarcity in the Middle East World Water Day Water, health and economics: WHO Water.org UNESCO

The above links:
http://www.environment-agency.gov.uk/homeandleisure/beinggreen/117266.aspx
http://www.waterencyclopedia.com/
http://www.science-parliament.eu/forums/2010-water-science-politics/1151/water-in-philosophy
http://ngm.nationalgeographic.com/2010/04/water-is-life/kingsolver-text
http://thewaterproject.org/
http://en.wikipedia.org/wiki/Properties_of_water
http://earthobservatory.nasa.gov/Features/Water/
http://www.who.int/water_sanitation_health/
http://solar-center.stanford.edu/news/sunwater.htmlhttp://www.simetric.co.uk/si_water.htm
http://www.nursingtimes.net/nursing-practice-clinical-research/homeostasis-part-4-fluid-balance/203260.article
http://www.lenntech.com/water-mythology.htm
http://aquadoc.typepad.com/waterwired/
http://www.photovault.com/Link/Food/Water/WellsDevelopment/FWWVolume01.html
http://www.bbc.co.uk/programmes/b00sg2my
http://www.waternet.be/
http://www.worldwaterday.org/
http://www.who.int/water_sanitation_health/economic/
http://water.org/
http://www.unesco.org/water/wwap/

Drupal musings 16: 1% digital and analogue memories

At Drupalcon in his keynotes Dries Buytaert has highlighted that Drupal now powers approximately 1% of the web. While 1% is not much especially given the total size of the internet with its day on day, hour by hour growth this is nonetheless a significant milestone. Especially when Dries speculates on the growth of Drupal projected ahead to 2020.

Like all digital media Drupal is a tool that extends our personal and cultural memories. As all the keynotes showed Drupal, PHP, HTML[5] all have histories of their own and a role to play in providing a surrogate memory. The media and technology [IBM] regularly predict how technology will change our lives, including how we remember.

Amid such speculation memory still makes us who we are. You and I have a yesterday, today - and we pray - a tomorrow.

This is the bootstrap that counts

Bootstrapping or booting refers to a group of metaphors that share a common meaning:

a self-sustaining process that proceeds without external help. ...
en.wikipedia.org/wiki/Bootstrap

Striking then the news this week that - dementia costs 'equal to 1% of global GDP'.

Care design: c/o DDC Copenhagen

On Monday afternoon I explored the city of Copenhagen walking to several sites - the Tivoli Gardens, the Tycho Brahe Planetarium and other parts of this lovely city. I ended up spending a couple of hours at the Danish Design Center.

Like my occasional visits to London's museums, the DDC although very small provided a couple of pearls. One display across a wall upstairs outlined the main forms of design theory and practice:

• The USER as designer
• TECHNOLOGY in the design process
• New MATERIALS and smart design
• NATURE
• SOCIAL design and CARE design
• GREEN design
• ART design
• EMOTIONAL design
• REPLACEMENT due to changing fashions (built in obsolescence!)
• SERVICE and CONCEPT design

The following text was displayed to describe SOCIAL design and CARE design:

The population pyramid has changed shape. The working-age group is shrinking compared to the group of people of retirement age. In addition, there is the large segment of the so-called weak - particularly in the 3rd world. Thus, social design and care design will be big and important design areas in the future, because the solutions will seek to strengthen the health care sector and improve conditions in the 3rd world and for underpriviledged people in general. Parameters such as increased dependency, quality of life and dignity are crucial elements in solutions relating to social design and care design. DDC display; August 23 2010.

Many themes come together here. Some are represented in the tags below. Care design is much more than what we might consider as 'standard design' aspects, such as; user interface [UI] and user experience [UX]. Care design is even more dependent upon user engagement.

There is another dependency that as yet has a '?' in the data entry box.

Care design needs coherent forms of personal, social and civic responsibility. These are yet to emerge as think tanks, governments and health experts seek (urgent) solutions.

In comparison to the above the 200 character limit on labels (tags) on Blogger presents a very small challenge. I can well imagine the outline of a book on 'care design': the result would be a big tome; but this would not just be (PJ inspired) hyperbole. Care design is not new, but the DDC text above must accentuate the individual, and not just care design at the public and private sector hospital level. Care design in an individual context is mission critical. Heady content - for books, websites and policies - as befits our times.

Thank you DDC, Copenhagen: wonderful indeed.

Retirement, memories of work & Bacon numbers

In the UK in July 2010 the much anticipated news about the government's plan to scrap the default retirement age in the UK from October 2011 throws up a complex future work place and nursing care space.

At the moment if a member of the staff in the NHS needs a psychiatric assessment and admission, then there is often a protocol that determines how their care is managed. Various factors are taken into account. For example, the work history of the person and the distance of available beds. This may entail admission for them to another area. Such arrangements help protect the staff member, their families and the local staff for whom being both carers and colleagues could be quite difficult.

Over two decades I have encountered health professionals who are diagnosed with dementia maintained in the community - in their homes - and in residential care. So far I have not known these individuals in their work capacity and professional lives. This is due in part of course to the incidence of dementia increasing with age and my previous status as a spring chicken. Today of course things have changed:

• Early onset dementia is more common as the overall older adult population rises.
• Suddenly (well at least after October 2011) we may find - despite the physical and emotional demands of the job - that the staff in residential and nursing homes are also older - working through that previous work | retirement barrier.
• There's another change: now I am a mature chicken.
• I wonder what the churn rate is in our nursing homes?
• While we usually think of high turnover for staff and the associated poor quality of care. As care and nursing homes are also businesses there are two churn rates:
• - senior and junior staff leave the sector, or move to other homes;
• - residents are moved for reasons of re-location - increased care needs, and the choices of family.

So....? Amid all this I wonder how many workers in the care sector working their extended years may potentially come across former work colleagues? This could be a delicate and haphazard negotiation. ...

Additional link:
The Oracle of Bacon

New challenging behaviour charter launched

I noticed the item below (with links and images added here) on the Foundation for People with Learning Disabilities Forum. It makes a very important point:

"The label 'challenging behaviour', has become misused over time."

My worry is that this finding is not just relevant to individuals with learning disability and their families, but other groups.

People with dementia, especially in the latter stages can present with behaviour that is increasingly described as 'challenging'. Care facilities are being commissioned and designed with the requisite care, staffing and environment to provide care for people in an effort to provide the highest quality and standard of nursing care.

To some extent these are distinct groups with specific needs. So the use of 'challenging' in one context obviously has a different currency and meaning in another. Whilst the practise and care environments may be separate, is there no place where cross-over may occur? I remember a local RCN meeting presentation that highlighted the demographic trend of dementia within the learning disability population.

To start a painting we often start with a wash:
efficiency - puts a broad brush in the hand.

As we aspire to provide person-centred care
what type of brush do you hold?

We paint with the words we use - take care.

---

The Challenging Behaviour - National Strategy Group has launched a charter to promote the human rights of individuals with learning disabilities who are perceived as challenging.

Up to 27,000 people with learning disabilities in the UK may have been given a label of challenging behavior, resulting in this group of people being - stigmatised and socially excluded denied the right to ordinary lives in the community, to education, recreation and employment placed in institutional settings a long way from home and families.

The label challenging behaviour, has become misused over time. Rather than being used as a term to encourage carers and professionals to understand the underlying reasons for a person's behaviour, 'challenging behaviour' has been used as a diagnostic label, viewed as being intrinsic to the person.

The Challenging Behaviour - National Strategy Group want people (and organisations) to sign up to the charter to register their support for the principles it contains and to commit to action to improve the lives of children and adults who are labelled as challenging. We need as many people as possible to support us, so please ask your friends and family to sign up too.

To read the charter, including an easy read version visit:

http://www.challengingbehaviour.org.uk/

ENDS

What is the Challenging Behaviour - National Strategy Group?

The Challenging Behaviour - National Strategy Group (CB-NSG) was launched on November 7th 2008. The CB-NSG is a key national group to address the needs of children, young people and adults with learning disabilities whose behaviour is perceived as challenging.

Members of the CB-NSG include family carers, representatives from the Department of Health, Royal College of Psychiatrists, British Psychological Society, Royal College of GP's, NHS Trusts, researchers, service providers and a range of practitioners, regulators, commissioners and third sector representatives. The group is action and outcome focused and comes together twice a year to monitor progress, share best practice and develop coordinated action plans.

What is challenging behaviour?

"Behaviour can be described as challenging when it is of such an intensity, frequency, or duration as to threaten the quality of life and/or the physical safety of the individual or others and it is likely to lead to responses that are restrictive, aversive or result in exclusion." (Challenging behaviour - a unified approach; RCPsych, BPS, RCSLT, 2007)

Challenging behaviour is things like hitting your own head against a wall, pulling curtains down or pulling someone's hair. Often people do this because they cannot communicate with words and they have little or no choice and control over what is happening to them. How do I find out more?

To find out more about the Challenging Behaviour National Strategy Group, please refer to 'All change' the Summer issue of 'Challenge' today. This issue focuses on the work of the National Strategy Group and includes articles from Dr Roger Banks (Consultant in the Psychiatry of Learning Disabilities), Jackie Edwards (Family carer) and Bob Tindall (United Response).


'Challenge' is the newsletter of the Challenging Behaviour Foundation and is available free of charge by emailing: info at thecbf.org.uk or downloading from www.challengingbehaviour.org.uk

Helen Marron
The Challenging Behaviour Foundation
Email: info at thecbf.org.uk

Born HIV Free campaign announces 11 million views for "Baby in the Sky" creative film

Dear Writer and Blogger,

In our series of news related to the 6-month Born HIV Free campaign, we are delighted to send you a press release focussing on the specially created film "Baby in the Sky" created by Les Bonzoms for this campaign.

The film has attracted a great deal of attention through YouTube and other broadcasts, helping to make people aware about the campaign.

Thanks as ever for your support,

Brendan
Ogilvy Public Relations Worldwide France, Paris

“Baby in the sky”: a stunning new film made by Les Bonzoms specially for the Born HIV Free campaign attracts more than 11 million viewers on dedicated YouTube channel

Geneva, 6 July 2010 – The YouTube channel dedicated to The Global Fund’s Born HIV Free campaign which was launched seven weeks ago, has already been seen by more than 11 million viewers. The channel features an exceptional animation film called “Baby in the Sky”, created by the design team Les Bonzoms and with music of Amy Winehouse. Euronews, the international news channel, joins the campaign by also featuring the video until October.

“The purpose of the Born HIV Free campaign is to encourage millions of people to support The Global Fund so we can finally put an end to the tragedy of 430,000 babies being born HIV-positive every year, when we have the means and the expertise to prevent this.” says Carla Bruni-Sarkozy, Global Ambassador for the protection of mothers and children against AIDS. “Hopefully this beautiful film will reach a wide audience because of its creative ingenuity, and inspire millions of people to support The Global Fund so we can finally put an end to this terrible injustice.”

“Baby in the Sky” is a highly creative and imaginative animated film that conveys the beauty of life ahead for an unborn child. The film artistically portrays an imaginary journey in a world full of adventurous landscapes and fantastic creatures. It ends with a call from Carla Bruni-Sarkozy for an HIV-free generation in which she says “Life is a beautiful journey. Don’t let AIDS kill it.”

The film owes its powerful soundtrack to multi-award winning and singer/songwriter artist Amy Winehouse, who offered the pro-bono use of her “Back to Black” song for the film.

“It was a question of finding a true resonance with the images in the film created by Bonzoms”, says musician / producer Julien Civange, who conceived the Born HIV Free campaign, about the use of Winehouse’s music. “We wanted to find a piece that was modern but also well known, something that carried the same sensibility as the film. The magic came with the soundtrack by Amy Winehouse, an artist that Carla considers one of the greatest and most talented of her generation and who was generous enough to participate in the campaign.”

The animation can be viewed on the Born HIV Free YouTube channel and will also be distributed through various social and mass media platforms during the course of the campaign.

Since June 20, Euronews, the international news channel, has been broadcasting “Baby in the Sky” on its network in 155 countries. The film is shown in 90-second slots an average of three times a day for the first month and then once a day thereafter. Broadcasting of the film will continue until 5 October 2010.

"All of us at Euronews are very proud to be associated with this initiative, which is supported by an incredible positive animated film" said Philippe Cayla, Chairman of the Executive Board of Euronews. "We are glad to open Euronews' influential and far-reaching network to such professionals and experts fighting to eradicate HIV transmission during pregnancy. We are mobilized to make a success of this campaign and we strongly believe that Euronews' viewers will be deeply moved and will want to participate in the Born HIV Free campaign," Mr Cayla added.

CNBC has also been broadcasting the video on its network in Europe, Middle East and Africa since the launch of the campaign.

Speaking about the distinctive nature of the “Baby in the Sky” project, Jack-Antoine Charlot, a designer from Les Bonzoms said: “It was necessary to stop playing with the notion of guilt as an incentive for people to act and instead to reinforce a sense of wanting to share and take part in something. In the case of mother-to-child HIV transmission, the medications already exist to stop it. The problem is one of mobilization.”

After the film, viewers are invited to show their support by signing their name on the campaign’s “virtual wall of support”, on the www.bornhivfree.org website. The campaign asks people - by the simple act of clicking a button - to register their support for the work of The Global Fund and for the elimination of mother to child transmission of HIV by 2015.

Watch the videos on: www.youtube.com/bornhivfree

63rd World Health Assembly unanimously adopts the WHO global Code of practice on the international recruitment of health personnel

Dear HIFA2015 colleagues,

Please find below a press release from the Global Health Workforce Alliance. In the words of Dr Mubashar Sheikh, GHWA Executive Director: "The world is now a significant step closer to ensuring health workers are available and accessible to all".

PRESS RELEASE: 'Sixty-third World Health Assembly unanimously adopts the WHO global Code of practice on the international recruitment of health personnel. Alliance members and partners applaud Member States. The Alliance 21/05/2010.

[Photo: WHO/Jess Hoffman. Dr Pierre François Unger, State Councillor of the Canton of Geneva, addresses delegates at the opening of the Sixty-third World Health Assembly.]

'Geneva, 21 May 2010 - In a historic move today, the Sixty-third World Health Assembly unanimously passed a resolution to adopt the voluntary WHO global Code of practice on the international recruitment of health personnel. With this step, the world's nations acknowledge the global dimension and complexities of the health workforce crisis and the interconnected nature of both the problems and the solutions.

'With this resolution, Member States commit themselves to the voluntary principles and practices for the ethical international recruitment of health personnel taking into account the responsibilities and rights of source and destination countries, other stakeholders, and those of the migrant health personnel themselves. The Code provides ethical principles applicable to the international recruitment of health personnel in a manner that strengthen the health systems of developing countries.

'A drafting committee was established on the first day of the Assembly and after three days of negotiations, stayed up till 4:30 am on Thursday, 20 May 2010 to seek consensus on a draft resolution that retained the principles and spirit of the Code while also representing a way forward for all countries.

'The draft was unanimously accepted at the tenth session of Committee A late evening on 20 May 2010 and brought long awaited joy and celebration to the many organizations and individuals, campaigners and professionals, institutions and Member States who had been working tirelessly since the last three years to see a meaningful and equitable resolution on the Code be adopted at the World Health Assembly.

'"The process was not always easy, but there was commitment from all Member States to see a resolution adopted. This helped to keep the process moving and the results are there to see" says Alliance Board member, Bjarne Garden, Assistant Director, Global Health and AIDS Department, NORAD, a member of the Norwegian delegation.

'"This brings to fruition the pioneering work seeded by the Alliance three years ago with the creation of the Health Worker Migration Initiative bringing together the Health Worker Migration Global Policy Advisory Council and WHO led team of technical experts. It is the result of the work of multiple stakeholders who have effectively rallied around together. The world is now a significant step closer to ensuring health workers are available and accessible to all", says Dr Mubashar Sheikh, Executive Director, Global Health Workforce Alliance.

'World Health Organization (WHO) has played a key role in coordinating the process. "The Code sets out a roadmap for implementation. Within 2 years WHO will provide guidance to countries on monitoring implementation of the Code, and then report to the Assembly on the progress against implementation. The Code is voluntary, but progress on implementation will be monitored and reviewed" explained Dr Manuel Dayrit, Director, WHO department of Human Resources for Health.

'Health personnel migration has been a clearly identified priority for the Alliance since its inception. During the First Global Forum on Human Resources for Health in March 2008, the Alliance endorsed the Kampala Declaration and Agenda for Global Action, which sparked broad interest in the creation of the Code.

'Progress on the code has been achieved as a result of consultations and discussions, particularly at all six WHO Regional Committees and national consultations, involving participation by a wide range of stakeholder groups. The UN ECOSOC meeting and the G8 Summit in July 2009, and the UN General Assembly in December 2009 had strongly supported and encouraged WHO to move forward in finalizing the draft code of practice. The 126th Session of the WHO Executive Board, January 2010, had discussed a revised draft of the Code and recommended that it be submitted to the 63rd World Health Assembly.

'At this momentous milestone, the Alliance and WHO call upon Member States and all its partners to reinforce its spirit of working together as they now gear up to implementing the code. The Alliance remains committed to facilitating the process and supporting sharing of information among Member States and all stakeholders.'

The Draft Resolution, dated 20 May 2010, is available here:
http://www.who.int/workforcealliance/knowledge/themes/migration/wha_A63_A_Confpaper_11.pdf

Key elements of the draft code (as described in The Lancet, 15 May) are:

• Establishment of voluntary global standards for ethical international recruitment of health personnel, balancing rights and obligations of source states, destination states, and health personnel.
• Promotion of coordination of national policies and international cooperation among states and their partners in health professions and civil society.
• Recommendation that states strive to meet their domestic needs for health services with their own human resources through planning, education, and training for health workforce.
• Recommendation that states ensure that international migration should have net positive effect on developing countries through technical assistance, support for health personnel training and retention, twinning of health facilities, and specialised technology and skills transfers.
• Recommendation that states establish voluntary financial mechanisms to support efforts of developing countries to strengthen health systems.
• Recommendation that states protect rights of migrant health workers through fair labour practices. In all terms of employment and conditions of work, migrant health personnel should enjoy same legal rights and responsibilities as domestically trained health workforce, without discrimination.
• Recognition that health personnel have ethical responsibilities to cooperate with local authorities in interests of patients, health systems, and society.
• Recommendation for national data collection and information exchange on health personnel migration, including establishment of national centre for information exchange, expansion and coordination of national research, and periodic reporting to WHO.
• Promotion of compliance through periodic state reporting to WHA of measures taken to implement the code; and recommendation that WHA periodically reviews the code's implementation with input from non-governmental sources.

Allyn L Taylor & Lawrence O Gostin. International recruitment of health personnel. The Lancet, 375(9727)1673-1675, 15 May 2010
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2960596-X/fulltext?_eventId=login&&version=printerFriendly
(free access after free registration)

My source: HIFA2015 with photo addition

Ensuring You Have Nursing Skills Through 2030 ...

In Computing 20 May 2010 Andrew Charlesworth (p.24-26) writes about a report from Gartner the IT industry advisory group warning of a gap in mainframe skills due to the imminent retirement of experienced IT staff. The report notes:

"Increased focus needs to be to be on the preservation of detailed and specialised expertise that goes well beyond basic knowledge."

Nursing faces its own challenges in terms of skill gaps and loss of skills due to retirement. In contrast to the mainframe IT market the skills needed is in the orchestration of basic nursing care.

This is an ironic state of affairs as there are many forces acting to deprofessionalise nursing. Demographic trends is one. This is happening amid decades of specialisation and the production of - profession establishing - models and theories of nursing (care). Some of these are, however, quite complex and removed from the rudiments and tenets of basic nursing care.

The real irony here though? Well, as the demographic wave washes over many nurses themselves, the care they may subsequently need and receive will - just like mainframe skills - be the harvest from seeds they have also cast, or are sowing right now.

Ensuring You Have Mainframe Skills Through 2020, Gartner, Mike Chuba, Research VP.

Welsh Assembly Government invites proposals New Ideas Social Research Fund

The Welsh Assembly Government is inviting proposals under its New Ideas Social Research Fund. The fund aims to support small research projects that address themes which have clear relevance to the strategic objectives set out in One Wales: a progressive agenda for the government of Wales. The deadline for submission of proposals is 4 June 2010.

A grant of up to £10,000 can be applied for, payable in two instalments - the first on submission of an interim report and the second on completion. We would welcome proposals that involve match funding from other sources.

Please visit -
http://wales.gov.uk/about/aboutresearch/social/news/newideas/?lang=en

- for more information and details on how to apply.

Regards,
Ina
SRA Co-ordinator

Ina Zuncke
Social Research Division / Yr Is-Adran Ymchwil Gymdeithasol
Department of the First Minister and Cabinet / Adran y Prif Weinidog a?r Cabinet
Welsh Assembly Government / Llywodraeth Cynulliad Cymru
Email/ E-bost: Ina.Zuncke AT wales.gsi.gov.uk

Welsh Assembly Website http://wales.gov.uk/about/aboutresearch/social/news/newideas/?lang=en for guidance.

<->

Although I do not live in Wales (but have Welsh connections) I sought permission from Ina to post this item as it reminded me of the research project I still carry around and have raised here previously.

Working in community mental health I've been struck on several occasions by the impact of sudden re-locations that older people make amid the trauma of the loss of their partner. The effect of bereavement and moving home on them, their family has dramatic consequences, depression, anxiety, stressed relationships, relapse of physical health problems. What are embryonic relationships with new GP and social care services are also severely tested. Perhaps others can pick up this subject wherever you live? Given the capabilities of research today, the relevance of findings could be further increased spreading the research across multiple sites, towns, cities and contrasted with rural settings?

MCQ (answer) on clinical coding and classification

The answer to the multiple choice question is item 4:

- a product of the 18th century driven by death?

François Bossier de Lacroix (1706-1777*), better known as Sauvages, is credited with the first attempt to classify diseases systematically.

Sauvages' comprehensive treatise was published under the title Nosologia methodica.

A contemporary of Sauvages was the great methodologist Linnaeus (1707-1778), one of whose treatises was entitled Genera morborum.

Beginning of the 19th century, the classification of disease in most general use was one by William Cullen (1710-1790), of Edinburgh, published in 1785 under the title Synopsis nosologiae methodicae.

My source:
http://www.who.int/classifications/icd/en/HistoryOfICD.pdf

* I note sources that record Sauvage's year of death as 1767.
http://www.persee.fr/web/revues/home/prescript/article/rhs_0048-7996_1969_num_22_4_2601

MCQ (question) on clinical coding and classification

Q. The development of clinical coding and classification systems, such as International Classification of Diseases (ICD) is …

1. a manifestation, since the 1960s, of health care specialisation and technology in medicine?
2. a product of the National Programme for Information Technology and the International Health Terminology Standards Development Organisation (IHTSDO)?
3. a product of Körner statistics and resource management in the 1990s?
4. a product of the 18th century driven by death?
5. an international initiative prompted by The Plague and launched by Dr Who?

Answer and further reading to follow next month.

Prime Minister’s Commission on the Future of Nursing and Midwifery in England – 2010

Earlier in March The Prime Minister’s Commission on the Future of Nursing and Midwifery in England published its final report.

You can download the report in full.

Box 3.1.2 (on page 43) features key statistics on nursing and midwifery:

• In 2009 there were nearly 595,000 RNs on the register residing in England, 77% of them registered in the adult nursing branch.
• In 2009 there were over 31,000 RMs on the register residing in England.
• Nine out of 10 of RNs in England are female.
• There are disproportionate numbers of men in more senior nursing positions and certain specialties: a third of mental health nurses, for example, are male.
• Nearly all RMs in England are female. There are 131 male midwives.
• Well over half the RNs and RMs working in the NHS in England (57%) are aged between 35 and 54, with less than 3% under 25. Almost 70% of RNs and RMs on the NMC register in England are aged 40 and over.

Reporting on the Commission's report the RCN Bulletin (10 March) notes the need to encourage more men into the profession and people from black and ethnic minority groups. As the list above highlights, however - There are disproportionate numbers of men in more senior nursing positions and certain specialties: a third of mental health nurses, for example, are male.

From my early nurse education days (especially from mental health to general nursing) you had no choice, but be aware of gender and just w(h)ere you had landed. Upon my first encounter with Hodges' model, the model stood out in the list of theories and models of nursing.

It was not listed on the original nursing theory website.
(Hence, the initial website project)
The majority of models and theories were created by women and outside England.#

The future of nursing depends on successfully addressing* the numbers: totals, proportions, recruits, retirees*. ... We can use the numbers, quality, safety and I have to say - Hodges' model to help craft the creative and innovative messages needed. We really are in for a fascinating and exciting 20-30 years in nursing; here in the UK, EU and Internationally. There is much more in the Commission's report to reflect upon which will follow here. ...

http://cnm.independent.gov.uk/

* Note the use of 'addressing' not balancing - that's why this is also challenging.
# This is not a complaint, just an observation.

Additional link:

Sciences care domain: Nursing theory and models of care resources

Sir Terry Pratchett: 34th Richard Dimbleby Lecture - Shaking Hands with Death

I watched Sir Terry Pratchett's Richard Dimbleby Lecture (I am not yet sure if this will be available on iPlayer?). The issues are already well recognised, much debated and provide a constant tap on the shoulder for us all:

Although the poll numbers are small
there is a definite shift afoot.

From the BBC:

One of the world's most popular authors gives the 34th Richard Dimbleby Lecture from the Royal College of Physicians in London.

Sir Terry Pratchett announced in 2007 that he had been diagnosed with a rare form of early-onset Alzheimer's disease. In his keynote lecture, Shaking Hands with Death, he explores how modern society, confronted with an increasingly older population, many of whom will suffer from incurable illnesses, needs to redefine how it deals with death.

The acclaimed creator of the bestselling Discworld series, he is the first novelist to give the Richard Dimbleby Lecture. His books have sold more than 65 million copies and have been translated into 37 languages.

<->

I realised in listening to Sir Terry that although I usually apply socio-technical in an informatics context, the term is of course equally applicable to the debate surrounding assisted suicide, or assisted death as Sir Terry prefers to call it. The quality of (our social) life is lost in the beep, buzz, hum and scan of hyper-technical health care.

It is as if the technology of health care is producing relativistic effects. Instead of the travellers being explorers heading for stars at near the speed of light; they are travellers cast adrift within a long term chronic disease that cuts them off from time, place, person, those they love and - for Sir Terry - choice. ...

This debate will run on ...

Photo source: The Guardian

Were you born in 1989? Join the EU "Generation '89" project!

Are you a citizen of Austria, Belgium, Bulgaria, the Czech Republic, Germany, Hungary, Poland, Romania or the UK?

Meet people from your generation!
Join the "Generation '89" project!

You have the chance to participate in one of the simultaneous meetings in Brussels, Bucharest, Prague or Warsaw, and to present the Declaration "Generation '89" to EU representatives in Brussels!

Application deadline: 31 January 2010 (10 February for Belgium and Poland)

More info at www.generation89.eu

With the support of the "Citizenship" Programme of the European Union.

GENERATION 89

The project "Generation 89" proposes to commemorate the fall of the communist systems in the European countries, through the lens of the young people born in 1989. The young people from Czech Republic, Romania, Poland, Belgium, UK, Germany, Hungary, Austria and Bulgaria and have had different historical context in which they lived their lives, and one of the objectives of this project is to bring together these youngsters and to offer a space where they can share experiences and expectations for the future. In order to attain this objective, 4 international meetings will be organised in Prague, Bucharest, Warsaw, and Brussels, where for two days the participants will have a various programme focused on two themes: national past and European future.

The programme will comprise movie screenings and debates on the events from 1989, as their parents' generation lived and storied them, informational session regarding the EU policies in the matter of youth and young professionals, workshops focused in drafting a Declaration upon how they perceive their future in EU, a documentary visit to a local organisation with activity in the field of communist systems studies, sightseeing and international night. A second meeting in Brussels of a delegation of the young representatives will be organised with the EU representatives, in order to present the Declaration "Generation 89" and the young people opinion on the future of Europe and their future as citizens of EU. With the support of the "Citizenship" Programme of the European Union.

www.generation89.eu

Image source: Globe - Europe Registrarism

Dementia BBC TV & Radio

This evening on TV BBC Two 2100 hours UT:

Can Gerry Robinson Fix Dementia Care Homes?

Businessman Sir Gerry Robinson returns in a new series in which he tries to turn around three struggling care homes.

In the next twenty years over a million Britons will have dementia, and sufferers are likely to end up in one of the country's privately run care homes. It's a huge business worth six billion pounds, largely paid for by taxation, yet a great deal of the care is woefully inadequate. Can Gerry, whose father had the disease when he died, change a culture of stagnant lounges, a lack of specialist training among staff, and a focus on keeping people alive rather than helping them to live a happy life?

<->

It is very difficult to keep up with the various 'World Days' there are so many. The BBC's Archers has also dealt with dementia through the character Jack Woolley and the impact of the illness not just on the fictional families concerned, but the small fictional village community. The writers have done an admirable job in raising awareness about dementia. The link below is associated with World Alzheimer's Day, which was 21 September in 2006.

http://www.bbc.co.uk/radio4/archers/backstage/alzheimers.shtml

Now over three years later, the past week has brought us to Peggy's final realisation of the extent of Jack's care needs with his arrival at a care home.

This care transition has provided an opportunity for wider debate and discussion:

http://www.bestcarehome.co.uk/blogs/view/find-the-best-care-home-for-archers-jack-woolley

Additional links:

Bens Puzzles

Watch this caring space: Workshop - Robots 4 independence

The KT-EQUAL initiative has another event scheduled for later this month, another workshop on the application of technology to improve the quality of life of older people and their carers. Please find the call copied below. The workshop I attended in September and reported on here was very enjoyable and a great source of information and inspiration.

The topic for the 24th November paradoxically sends me back to The Which Computer Shows at the NEC in Birmingham which I used to attend with my father. In the late 80s and 90s the pace of change was clear to see. The topic for the 24th November is Robots and of course they are already everywhere, but the combination of:

• demographic change - ageing population(s)
• hence need to focus the skills and knowledge of the care workforce
  
• emerging and refinement of safety and quality standards
• design and innovation
  
• the rise of 'single households'
• mobile comms and ubiquitous computing
• the expectations of the baby-boomer generation (and those who follow!)
  
• lessons learned through early telecare(?)
• and much more besides

- means that change isn't just on the cards, it's in neural nets, speech synthesis and the programme for this event. So as they say watch this space - it will change and move! Here is a marvellous opportunity to find out what is really happening in this field ....

---

Robots supporting personal independence and rehabilitation

This workshop organised with the University of Hertfordshire will present and discuss the role of technology in the rehabilitation of older people and children, including some of the latest developments in the use of 'robotic' technologies. The perspectives of research scientists, clinicians and users will be explored through presentations, videos and breakout sessions.

Hosted by: University of Hertfordshire

Sponsored by: KT-EQUAL

Event organisers:
Dr Farshid Amirabdollahian, University of Hertfordshire
Professor Kerstin Dautenhahn, University of Hertfordshire
Professor Gail Mountain, KT-EQUAL Director
Verity Smith KT-EQUAL Coordinator

Date: 24 November 2009

Venue: The Comet Hotel (Ramada Hatfield Hotel)
St. Albans Road West
Hatfield, AL10 9RH
Hertfordshire
United Kingdom

This workshop aims to stimulate debate among key stakeholders regarding the nature of assistive technologies developed using the latest developments in robotic technologies.

It will include presentations from experts working across the spectrum of development, from basic technology to neuroscience.

The workshop will be of interest to a wide range of practitioners and policy makers, health and social care practitioners, employers, charitable and government bodies concerned with the needs of older and disabled people, as well as researchers and academics from engineering, biological, social science, medical and health care disciplines especially those who are interested in looking forward to a time when radically new technologies will be available. Older people are especially welcome at this workshop.

There is no charge for attendance just an enthusiasm and interest in extending the quality of life through informed user-focused research and its application. Registration is essential. To book a place, please refer to the registration page.

Additional links:
UK Network for Rehabilitation & Assistive Robotics
http://rehabilitationrobotics.net/cms/?q=node/79

P.S. Be safe today-tonight!

CfP E-Health: Accessing Knowledge for Global Health

Special Issue on:

“E-Health: Accessing Knowledge for Global Health”

Guest Editor: Patricia Abbott, PhD, RN: Johns Hopkins, USA

This special issue of the KM&EL international journal is dedicated to coverage of knowledge management and information dissemination for health in under served areas. Numerous studies have demonstrated the high cost, in both financial and humanistic terms, of a lack of access to current healthcare knowledge. Many international settings are using textbooks that are seriously outdated, and practicing in ways that have been proven to be ineffective and/or dangerous. At the same time, we are seeing an explosion of information and communication technologies (ICT) that are reaching even the most remote corners of the globe. As these two trends collide, we are seeing tremendous innovation and application of KM techniques and ICT utilization to “reach and teach” in remote communities around the world. Indeed, Deaton (2004) states that:

“The health and life expectancy of the vast majority of mankind, whether they live in rich or poor countries, depends on ideas, techniques, and therapies developed elsewhere, so that it is the spread of knowledge that is the fundamental determinant of population health.”

This issue is designed to elicit both theoretical and applied papers that describe efforts to reduce international asymmetries of health information by increasing access to health knowledge bases via ICT. We are interested in theoretical papers that posit the promise and possibilities global e-health, and applied research papers that provide results of knowledge access, knowledge management, and knowledge dissemination for international health. We are particularly interested in papers in this space that focus upon application in low resource areas and/or with the medically under served. Our goal is to stimulate interest in the issues across academia, practice, industry, research and policy. We welcome focused papers from all sectors.

The topics of interest include, but are not limited to:

• Knowledge management in ICT-enabled, yet low resourced areas
• Practical usage/application of ICT for evidence based practice in global e-health
• E-health via ICT – Lessons Learned
• M-health via cellular telephony and other mechanisms – New innovations for distributing health knowledge and best practices via mobile technologies
• Managing and developing knowledge from under served areas; what can communities teach us?
• Producing culturally sensitive, feasible, and distributable best practices for ICT-enabled delivery
• Socio-cultural aspects of ICT enabled e-health
• Infrastructure challenges in global e-health in the e-health/m-health domain
• New developments, trends and approaches.

Important Dates
Submission due: 15th January, 2010
Notification of acceptance: 15th March, 2010
Publication schedule: Jun 2010 (Vol.2, No.2)

Submission Instructions
Papers must not have been published, accepted for publication, or presently be under consideration for publication elsewhere. A standard double-blind review process will be used for selecting papers to be published in this special issue. Authors should follow the instructions outlined in the KM&EL Website (see URL http://www.kmel-journal.org/ojs/index.php/online-publication/about/submissions#onlineSubmissions)

Guest Editor:
Patricia A. Abbott, PhD, RN
Director, Johns Hopkins School of Nursing, PAHO/WHO Collaborating Center for Knowledge Management;
Johns Hopkins Schools of Medicine and Nursing
Baltimore, MD USA

Electronic submission by email to Guest Editor is required.

pabbott2@son.jhmi.edu

For more information about the KM&EL, please visit the web site:
http://www.kmel-journal.org/ojs/index.php/online-publication

Reference:
Deaton, A. (2004). Health in an Age of Globalization. Available online at: https://muse.jhu.edu/journals/brookings_trade_forum/v2004/2004.1deaton.pdf

Knowledge Management & E-Learning: An International Journal (KM&EL) ISSN 2073-7904

Maintained and Developed by:
Laboratory of Knowledge Management & E-Learning
Faculty of Education, The University of Hong Kong

http://www.kmel-journal.org/ojs/index.php/online-publication/announcement/view/4

My source: GANM list