KMbeing

Knowledge Mobilization (KMb): Multiple Contributions & Multi-Production Of New Knowledge

Tag Archives: social

Social Determinants of Health Explained

As defined by the World Health Organization (WHO), social determinants of health are the conditions in which people are born, grow, live, work and age, including the influences of health systems. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities – the unfair and avoidable differences in health status seen within and between countries.

Social determinants of health can be divided into 12 categories that contribute to how healthy a person may or may not be.

1) Income and Social Status:

world money

  • Generally, people are healthier when they are wealthier. Individuals with lower socio-economic status experience worse health outcomes than individuals with higher socio-economic status.
  • Income shapes living conditions, such as adequate housing and ability to buy sufficient quality food. When people have little control over their lives and few options, their bodies are more vulnerable to disease. Income also influences psychological functioning and health-related behaviours.

2) Education and literacy:

education

  • Education is closely tied to income and socio-economic status. People with higher levels of education tend to use preventative medical services more frequently, be more physically active, and generally have better health.
  • Low literacy has a negative effect on all aspects of health, including overall levels of life expectancy, accidents and chronic diseases such as diabetes, cardiovascular disease and cancer. Low literacy also has a negative impact on mental health and on the ability to prevent illness.

3) Employment/Working conditions:

jobs

  • Employment allows people to afford basic necessities such as appropriate housing, food, and clothing—all of which are essential for good health. Employment also provides a sense of identity and purpose, social contacts and an opportunity for personal growth.
  • Conditions at work can have a significant effect on people’s health and emotional well-being.

4) Social environments:

social

  • Social environments include immediate physical surroundings, social relationships and cultural environments within which groups of people function and interact.
  • Negative social environments and experiences of discrimination and homophobia is associated with high rates of suicide attempts by lesbian, gay and bisexual youth.
  • Positive social environments include elements such as safety and social stability, recognition of diversity, good working relationships and cohesive communities, and help reduce or avoid many potential risks to good health.

5) Physical Environments:

poor housing

  • Exposure to contaminants in our air, water, food and soil can cause a variety of adverse health effects, including cancer, birth defects, respiratory illness and gastrointestinal ailments.
  • Factors related to housing, indoor air quality and the design of communities and transportation systems can also significantly influence people’s physical and psychological well-being.

6) Personal health practices and coping skills:

smoking

  • Personal health practices and coping skills refer to actions that individuals can take to prevent diseases and promote self-care, cope with challenges, develop self-reliance, solve problems, and make choices that enhance personal health.
  • Making personal health choices about such things as smoking, alcohol consumption, high fat diets, and regular dental health care all influence personal health.

7) Healthy child development:

child development

  • The effects of early childhood experiences have strong immediate and longer-lasting biological, psychological and social effects upon health.
  • The quality of early childhood development is largely influenced by the economic and social resources available to parents.
  • Children living under conditions of material and social deprivation are at higher risk of health problems.

8) Biology and genetic endowment:

genes

  • In some circumstances, genetic and biological factors appears to predispose certain individuals to particular diseases or health problems.
  • Examples of biological and genetic determinants of health include:
  • age—older adults are more likely to be in poorer health than adolescents due to the effects of aging
  • sex—women are at risk of pregnancy and birth-related health problems
  • inherited conditions—examples of inherited disease include sickle-cell anemia, hemophilia and cystic fibrosis
  • abnormal genes—carrying certain genes increases a person’s risk for breast and ovarian cancer

9) Health services:

health services

  • One of the most crucial determinants of health is access to high-quality health services.
  • Men and women from higher income households who are more likely to have insurance are much more likely to self-report that they have visited a dentist within the past year than people with lower incomes.
  • Populations who are underserved by health services include Aboriginal People, members of the LGBTTIQcommunity, refugees and other immigrants, ethnically or racially diverse populations, people with disabilities, the homeless, sex trade workers and people with low incomes.

10) Gender:

gender

  • Gender-based differences—in access to or control over resources, in power or decision making, and in roles and responsibilities—have implications for a person’s health status.
  • Research shows that women live longer than men, on average. Women have higher death rates, but men are more prone to accidents and also more likely to be perpetrators and victims of assault, reducing their overall life expectancy.

11) Culture:

culture

  • Some individuals or groups may face additional health risks as a result of a socio-economic environment that is largely determined by dominant cultural values. These dominant values can contribute to conditions such as marginalization, stigmatization, the loss or devaluation of language and culture, and a lack of culturally appropriate health care and services.
  • Members of racialized groups, recent immigrants and Aboriginal People are often among the most marginalized groups in society.

12) Social support networks:

  • Evidence shows that support from families, friends and communities is a big contributor to better health.
  • The caring and respect that occurs in social relationships, and the resulting sense of satisfaction and well-being, seem to act as a buffer against health problems.
  • Racism is a prominent form of social exclusion. The experience of racial discrimination puts racialized groups at higher risk for physical and mental health concerns.

A Knowledge New Year

face to face

As we begin the New Year 2013, we continue to share knowledge through knowledge mobilization by embracing new social networks like Pinterest – while keeping up with the fast pace of others like Twitter, Facebook and YouTube.  Sharing and mobilizing knowledge on such platforms makes our local to global communication and collaboration easier and more effective – and has delivered some very tangible national & international knowledge-networking results.

When it comes to today’s fast-paced world of knowledge sharing, there’s no better place for social collaboration than online. These social networks may have made it easier to expand our knowledge networks, but our society has changed from being a more personal, face-to-face world of localized collaborative knowledge sharing activity to a more impersonal and isolated world confined by our digital domains. We went from verbally discussing and sharing knowledge in our in-person environments, around the water-cooler, in meetings, retreats or at conferences to sharing knowledge in a much wider but secluded, online manner of pic-pins, tweets and blogs –away from the very people who we use to bounce ideas off of and exchange knowledge with face-to-face.

When social media advanced to make it possible and easier to automate and broaden our knowledge sharing, it provided valuable knowledge sharing tools – but there is a risk of returning back to the very reasons why online knowledge mobilization/transfer & exchange activities became important in the first place.  In the past, we were often locked in the knowledge-silos of our professional disciplines and institutions where face-to-face knowledge sharing was more closed. There is now a risk that we can become locked behind digital knowledge-silos without face-to-face meetings – even though our knowledge sharing has become more multi-directional and networked.  

Thankfully, in the past few years, in-person and online “networks connected to other networks” – such as EENet - and Communities of Practice (CoPs) connected with other CoPs – such as The Canadian Knowledge Transfer & Exchange CoP (formerly the Ontario Knowledge Transfer & Exchange CoP) have been created to broaden knowledge sharing and engagement. Such knowledge sharing organizations still keep alive – even expanding -opportunities for face-to-face knowledge interactions and collaboration with a variety of stakeholders – while also making use of the value of connecting knowledge online through social media. 

Sadly, in the early race to create an online presence of knowledge links in the digital world, many organizations, institutions and individuals forgot about the value of face-to-face social interactions over social media interactions. The old discipline/institutional knowledge silos were soon replaced with new digital knowledge network silos.

Fortunately, the pendulum has swung back (although some individuals and agencies have yet to even begin to get on the social media page!), and more people recognize the value of both connecting by social media combined with connecting face-to-face to create even broader in-person and inclusive opportunities of knowledge sharing for multiple stakeholders .

In 2012, “social” media was all about collaboration and mobility of knowledge sharing.  Now, by creating both physical and virtual knowledge sharing networks like EENet and communities like The Canadian KTE Cop in-house and remote knowledge sharing have been brought together.

Humans are social beings who enjoy sharing knowledge, and human behaviour will always trump any technology.  Regardless of how sophisticated or user-friendly the technology may be, humans will always need to connect with others in-person. But, we must continue to recognize that we live in a world of diversity and extremes. On any social media platform, there are extreme users, non-users and those that fall in-between – And, there will always be some who feel more comfortable sharing knowledge in-person while others feel more comfortable sharing knowledge online. It makes sense that overly-focusing on one over the other creates missed opportunities.  Combining and expanding both in-person and online connections will enhance the knowledge sharing experiences and increase engagement.

As we begin the New Year 2013, I’d like to wish all of my online and in-person knowledge connections a very happy, healthy and social year of online and in-person knowledge mobilization (KMb)!

Knowledge & Social Beings

Our knowledge defines us as social beings.

The Difference Between KM (Knowledge Management) & KMb (Knowledge Mobilization)

Anyone who carefully observes the continuing development of Knowledge Mobilization – particularly by means of social media – will recognize the difference between KM (Knowledge Management) and KMb (Knowledge Mobilization). Among knowledge mobilizers, knowledge brokers, researchers and researcher-users, the distinction is fairly clear; but for others the two terms continue to seem synonymous. They are not.

The field of Knowledge Management (KM) was established as a discipline in 1991. An important KM paper addressing what was earlier referred to as organizational knowledge was written by Ikujiro Nonaka who made the early connection between tacit knowledge (experiential) and explicit knowledge (articulated, codified, and stored) with knowledge conversion - the interaction of these forms of knowledge – particularly to enhance an organisation’s efficiency, productivity and profitability. KM places a strong emphasis on corporate knowledge culture. Nonaka used the following model to demonstrate:

The field of knowledge Mobilization (KMb) continues to emerge, roughly established within the past decade. Early-on Knowledge Mobilization also adopted KM as an abbreviated identifier, but is now using KMb to make a clear distinction. Some of the early KMb literature refers to knowledge mobilization as KM, which also causes some unfortunate confusion. For a very brief KMb history lesson click here.

I recently tweeted about the distinction between KM and KMb after thinking about ways to make the difference more concise and better understood. My tweet:

Knowledge Management (KM) is the content; Knowledge Mobilization (KMb) is the process.

Knowledge Management is about strategies and practices of organizing information to identify, create, represent, and distribute knowledge in a systematic manner within an organizational structure. It is the seemingly confined content of knowledge.

Knowledge Mobilization is the overall flow and on-going and constant input and development of knowledge. It is the open process of putting available knowledge into active service to benefit not just one particular corporate or organizational structure, but for the greater benefit of all in society.

It is the more corporate and organizationally confining factor of KM that makes it different from the socially inclusive and contributory factor of KMb.

To provide an analogy: Knowledge Management is like a cup that contains and provides structure; Knowledge Mobilization is like the liquid that can fill the cup to overflowing – always open to the multidirectional flow and input of knowledge from many sources that contributes to the constant liquid being poured for and provided by everyone. Is knowledge ever a limited source?

Both KM and KMb are important for knowledge development. But the distinction must be made between the KM content and the KMb process; the KM organizational or corporate confinement of knowledge and the KMb social or community flow of knowledge.

 

Knowledge Mobilization at Conferences & Workshops: Putting The "Social" In Presentations

I recently read two articles that pointed to a shift in how keynote and other speakers are using more social ways of presenting at conferences and workshops. I was using my @KMbeing Twitter account for mobilizing knowledge when I noticed (and reposted) a tweet from Erika Harrison on Twitter @eharrisondotorg:

Conference format acknowledges knowledge integration takes bit of time, reflection, & interaction – http://bit.ly/epIKBj HT @DavidGurteen

(David Gurteen is Knowledge Management advisor, speaker and facilitator. Founder of the Gurteen Knowledge Community and Gurteen Knowledge Cafes).

The tweet links to an original blog post from Nancy Dixon, (http://twitter.com/nancymdixon) Common Knowledge Associates.

Nancy recapped a recent U.S. Army Knowledge Management Conference that she attended and spoke at. Nancy titled the blog A Knowledge Management Conference that Actually Used KM Principles.

The second piece was from Susannah at SQHQ, posting a blog Social Presentation For Social Media about a recent Digital Researcher Higher Education Conference that brought researchers and phd students together “to help create a strong research community”.  Susannah helped run a session on the digital researcher.

The most interesting connection that I recognized between the two events is the effective use of changing the usual (and sometimes admittedly boring) focus of the plenary or keynote speaker’s one-way “droning” style of communication to a more participatory and social style of presentation. The audience was asked to help define the direction they wished the presentation to go with reportedly effective results.

Both blogs and styles of presentation reflect the underlying principles of knowledge mobilization (KMb) – to open up possibilities of multiple contributions to established knowledge in order to further enhance knowledge for a greater benefit to society.  This is not to say that some plenary or keynote speakers’ presentations that are informative and provide knowledge to listeners are not interesting and engaging. But taking the opportunity to engage a wider audience and draw from a pool of knowledge and experience not only makes a presentation more interesting – it makes it more collaborative and social.

This shift in making conference and workshop presentations more “social” is a welcome approach to the fundamental principles of knowledge mobilization – greater emphasis on the multiple contributions and co-operation for the creation of knowledge. As the tweet pointed out, such a format of knowledge integration may take a little more time and effort, but the final results are worth it. Not only will conferences and workshops be more exciting to attend (with less drooling and heavy eye-lids) – but also more “social”.

Social Etiquette: Talk, Telephone, Text or Tweet?

Can you believe it? A person was having a long and loud cell phone conversation while exercising beside me at the gym! We were both on elliptical machines. I agree, depending upon how vigorously you’re working out, it is possible to have face-to-face conversations with others you meet and greet at the gym – short conversations being the ideal. But, Mr. Long-winded was talking for over half of my 20 minute workout, and actually drove one person away to another machine after having to listen to such annoying ramblings. And, of course, Mr. Long-winded was totally oblivious to anyone’s annoyance.

It got me thinking about social etiquette and the use of modern technology in a situation like this.

From his perspective, Mr. Long-winded obviously didn’t care what others were thinking. He continued on with his loud, chatty-chatty exercise routine insensible to others or – even worse – on purpose to annoy others.

Oh, look at me and how important and smart I am. I can talk on the phone and exercise at the same time!!!

If his talk had been about more urgent matters there may have been more leeway; but, his casual, shrill banter about who was “doing” who seemed to make it even more inappropriate.

Would I have thought differently if Mr. Long-winded was simply talking to another person who walked up to his machine or was working out beside him? Probably not.

For the most part, many gym-goers (including me) rely on headphones plugged into music or podcasts to distract us from the pain of exercise-burn, the noise of fellow sweat-makers, or the gym-socializing that goes on around us.  We can usually tune out the surrounding din and focus on the exercise at hand.  Yet, I could actually hear this guy’s conversation over my music! If this same loud conversation had been going on face-to-face for ten minutes and I overheard their talking within my own little iPod world, I’d still be annoyed.

Then I started thinking about social etiquette and the use of other forms of social technology in a place like the gym. Thank goodness for mp3s, iPods and iPhones to keep us motivated while exercising; but would I have thought differently if he was somehow managing to maneuver the machine while texting to someone at the same time. Probably not.

As a matter of fact, I might actually find it amusing watching his elliptical arms try to text – especially for over ten minutes. I’m sure he’d only manage to type out a few sentences, but what’s the point? It’s not usually part of  exercising. Or are we so digitally-addicted we can’t step back from it – even while exercising?

Then there’s Twitter. This I can perhaps understand a little better if one wants to quickly inform the world about your most recent activity (exercising) or link/send some immediate relevant information. Even browsing Twitter to retweet might be easier if you really felt the need to communicate with someone else while exercising. But again, what’s the point? It’s not usually part of exercising – or has this changed recently? Am I missing out? Should I be pulling out the iPhone and calling all my friends while swimming now?

Don’t get me wrong. I know there are great health & fitness apps like DailyBurn that can be used to list or track your exercises while you’re actually exercising, but they’re meant for simple, fast input – not lengthy conversations or ongoing data drivel.

So, I think it wasn’t so much that he was talking on his cell phone but that he was talking LOUDLY on his cell phone; and it wasn’t so much that he was talking LOUDLY on his cell phone, but that he was talking LOUDLY and LONG on his cell phone; and it wasn’t so much that he was talking LOUDLY and LONG on his cell phone, but that he was using TECHNOLOGY at the WRONG time in the WRONG place.

Am I right or am I wrong?

Do we go to a fitness place to exercise or socialize? Or perhaps this is taking mutli-tasking to the next level? Are you there to focus and get fit or talk, telephone, text or tweet?

I’m all for communicating and exchanging knowledge and experience – especially sometimes in a timely manner – as I think it’s vital to the development of new ideas, meeting deadlines or creating effective relationships. Current technology and use of social media provides us with this great opportunity. But isn’t there still a proper time and place?

I hope so! Or next time, you might be the one overhearing that long, loud and annoying cell phone conversation at the gym!

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