Category / Research themes

Helping surgeons when things go wrong

1-day BU conference examining the effect of adverse events on surgeons, 8th September 2017

A group of BU researchers are working in partnership with Royal Bournemouth Hospital to carry out research examining the consequences of complications and errors on surgeons’ lives.  On September 8th 2017 we are holding a one day conference to highlight the effects of dealing with adverse events.  We have been fortunate in attracting eminent speakers from around the UK to contribute to the conference which will be held at the Executive Business School on the Lansdowne Campus.

Speakers include:-

  • Sir Miles Irving (Emeritus Professor of Surgery, Manchester University)
  • Dr Clare Gerada (Medical Director, NHS Practitioner Health Programme)
  • Professor Debbie Cohen (Director, Centre for Physician Health, Cardiff University)
  • Dr Mike Peters (Medical Director, BMA Doctors for Doctors Unit)
  • Dr Suzanne Shale (Medical ethicist advising national bodies following healthcare harm)

Speakers will present the latest research in the area, share insights from their surgical careers and personal experiences, and consider how better support and training can be provided for surgeons.

If you are interested in attending (attendance is free for BU staff) or would like to know more please visit www.surgeonwellbeing.co.uk or contact Professor Siné McDougall (smcdougall@bournemouth.ac.uk; ext. 61722).

 

 

Tenth anniversary PLOS ONE

On the tenth anniversary of the international Open Access journal PLOS ONE we received an email to inform us that one of our articles was among the top ten per cent of most cited articles in this journal.  The email referred to our paper ‘Factors influencing adherence to antiretroviral treatment in Nepal: A mixed-methods study’ [1].  Not bad considering that PLOS ONE has published over 4,300 articles since its inception.


Prof. Edwin van Teijlingen

Performance of Gemmeleg at NIME 2017, Copenhagen

Rehearsal in the Black Diamond

 

 

 

 

 

 

 

 

 

 

Gemmeleg is a composition by Laura Reid cellist/composer for the performance system The Feral Cello developed by Dr Tom Davis.

This piece was performed at the prestigious Black Diamond concert venue in Copenhagen as part of the international conference on New Interfaces for Musical Expression, NIME.

The Feral Cello is a performance system developed by Tom Davis that incorporates machine listening and actuated feedback to alter the response of an acoustic cello in real time during a performance. A description of the performance system was also presented as a poster at the conference.

Previous performances have been at NoiseFloor 2017, Staffordshire University.

The Black Diamond Venue

Ageing and Dementia Research Centre (ADRC) at Royal College of Physicians – launch of Electronic workbook for Nutrition and Dementia care

Professor Jane Murphy, Joanne Holmes and Michelle Board supported by Michelle O’Brien hosted the launch of the online version of the workbook ‘Eating and Drinking Well: Supporting People Living with Dementia’ at the Royal College of Physicians, London on 27th June 2017.  Attended by leading stakeholders across health and social care,  charities including age UK, hospices,  WRVS and  housing organisations,  this impact event explore how good nutrition and hydration can be improved for people living with dementia.

The ADRC was delighted to welcome Professor Martin Green, Chief Executive of Care England  who gave an inspiring keynote speech concentrating on the importance of  nutrition to ensure dignity in care.  He was passionate about the need to raise the profile of good food and nutrition amongst politicians and policy makers to enhance and maintain quality of life for many older people receiving social care.  Other speakers included Jan Zietara, Head of Operational Delivery, Health Education England (South) who talked about current work and new developments to enhance the knowledge and skills of the health and social workforce with particular focus on initiatives for dementia education and training.   Finally, Kathy Wallis, Senior Programme Manager, Nutrition in Older People Programme, Wessex Academic Health Science Network highlighted the projects, resources and tools undertaken to address the growing concerns of malnutrition (undernutrition) in older people living in the community.

Helped by a lovely afternoon tea, there was active and lively discussion by all participants about how the workbook could help improve the delivery of nutritional care for people with dementia across a range of health and social care sectors.  All were very supportive of the training tools and left the event with lots of ideas and identified actions to put into place that would be followed up by the team!

The workbook stems from research funded by the Burdett Trust for Nursing. The workbook is freely downloadable from the website:

http://www.bournemouth.ac.uk/nutrition-dementia

It is designed to be used in conjunction with a training film, also available via the website.

Experiences from a Fusion Investment Funded-Student Research Assistant project aiming to improve the quality of local NHS care

This year several students have been funded to work as student research assistants on Fusion Funded-projects.

Here, BU MSc student Renuka Balasundaram reflects on her experience of taking part in the scheme and completing the project.

Then, her supervisors Dr Samuel Nyman and Louise Fazakarley share their experiences and encourage staff to participate in the next scheme.

MSc Student reflection

My experience as a research assistant on the NHS Quality Improvement Project 2017”

 Renuka Balasundaram
Department of Psychology
Bournemouth University 

My voyage to explore the depths into the field of psychology started when I set off for my Masters in Neuropsychology in Bournemouth University right after my completion of Bachelors in psychology from India. The overwhelming coursework aside, the curriculum of teaching as a whole, felt very different. Three months into my master’s and having adapted myself in totally different environs, I decided to take a leap into the unknown by applying for post of SRA for the fusion funded program project, “NHS Quality Improvement Project”. A week after my successful interview with the project supervisors Dr. Samuel Nyman and Louise Fazakarley, I got a mail about my selection in the project which gave me mixed feelings of exhilaration and apprehension. The mixed emotions were mainly because it was my very first involvement in a practical research project involving hospital setup and interaction with patients. Things gradually settled after my induction with the Christchurch day hospital team and since then it had been a happy workplace with a very helpful and welcoming team at the hospital throughout the project. After a clear briefing of the work to be carried out in the hospital by my supervisors, I made regular visits to the hospital twice a week for almost two months followed by a month of data analysis and report writing. At every step of the project, I got full support from my supervisors which aided in the successful completion of the project. With regards to the project, we aimed to evaluate the Otago exercise training programme in Christchurch day hospital for which I used to regularly interact with the team and patients to get background knowledge and feedback about the training. In spite of having completed research modules in my bachelors and masters, as opposed to theory, it felt completely different when dealing with older patients as participants in a real life setting and collecting data from them through observation and regular interaction.

Personally, this research experience has given me insights into research in a real world and practical setting, enhanced my report writing skills and ultimately putting me firmly in pursuit of my future goal of becoming PhD laureate. It has also given me insight in to the meaning and importance of empirical evidence and scientific backup, for when patients come with a belief and hope of improvement after participation in the study. The project not only had a positive impact on me, but also on the hospital team whereby they implemented many of our suggestions and were pleased with our feedback. As learning and transition is key to growth and development, I strongly feel this project has achieved that, by paving way for an improved quality of training which would ultimately benefit the older population.

Supervisors reflection

We had a Student Research Assistant work with us on a quality improvement project based at Christchurch Day Hospital. Working with the Falls Prevention Team, a student (Renuka) conducted an audit of current practice in the Otago exercise programme with a view to improving patient care. We gained service user feedback, reviewed and analysed the data they had collected, and sought to recommend changes to increase their patients’ exercise practice outside of classes. The project culminated with a report that Renuka presented to the team. Two aspects made this project particularly rewarding:

 Learning opportunity for the student
Renuka, a psychology student, had a unique opportunity to work with non-psychology NHS staff as part of a multi-disciplinary team. She was also able to see the importance of research in a real-life context, giving a new depth of understanding to design features. We were also pleased to see our detailed feedback on her draft report transferred to improve her writing in general that she made use with her assignments.

Impact on the Falls Prevention Team
The team praised Renuka for her work and were enthusiastic to implement our recommendations for improving practice, these included changes in the ways they collected data and the inclusion of some behavioural change techniques to increase adherence. The following week we received an email confirming the changes made. It was rewarding to see our work had led to a direct, immediate, and practical, societal impact.

We can recommend the scheme as it provided an opportunity to co-create with the student and an NHS team that has led to a positive outcome that we hope in time will be shown to improve patient care. It also gave new insights into the factors that facilitate implementation of changes in an NHS team.

Dr Samuel Nyman and Louise Fazakarley

New paper Dr. Jenny Hall

Congratulations to Dr. Jenny Hall in the Faculty of Health & Social Sciences (FHSS) on her new published discussion paper ‘Educating student midwives around dignity and respect’ in the international journal Women and Birth (published by Elsevier).  The paper, co-authored with Mary Mitchell (University of the West of England), discusses the issue that there is currently limited information available on how midwifery students learn to provide care that promotes dignity and respect.

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

Reference:

  1. Hall, J., Mitchell, M. (2017) ‘Educating student midwives around dignity and respect’, Women & Birth 30(3): 214-219.

 

BU research recognised by The Renal Association Investigator Award at UK Kidney Week 2017

BU research, (led by me, Dr Paul Hartley), was recognised at UK Kidney Week in Liverpool last week. We were invited to speak about our fruit fly model of human renal disease, work that has been variously supported by grants from the British Heart Foundation and Kidney Research UK. The conference was an excellent opportunity to showcase the model and highlight our current collaborations with consultant-scientists based at Great Ormond Street Children’s Hospital as well as a number of different groups at the University of Bristol, the University of Osnabruck in Germany, Harvard Children’s Hospital and the University of Edinburgh. The research work is based in Dorset House labs and is supported by a wide network of talented people within BU as well as our undergrad and post-grad students.

“New” FHSS paper on obesity published July 2017


The American Journal of Men’s Health published our latest paper on obesity prevention in men.  The paper ‘Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)’ originates from a collaboration between BU and various universities in Scotland, led by the University of Aberdeen [1].

This systematic review paper found that reducing diets produced better weight loss than physical activity alone. The most effective interventions combined reducing diets, exercise, and behaviour change techniques . Group interventions produced favourable weight loss results. The paper reports that once engaged, men remained committed to a weight loss intervention.

The paper concludes that weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behaviour change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.  This paper is the thirteenth paper from a large NIHR grant [2-13].

The American Journal of Men’s Health is an open access, peer-reviewed resource for cutting-edge information regarding men’s health and illness. It is, however worth noting that although our paper is formally published in July 2017 it has been online for two years!  The journal’s website states clearly that the article was first published online on June 30, 2015 BUT the issue in which it appears is published is July 1, 2017!

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123.  http://journals.sagepub.com/doi/full/10.1177/1557988315587550
  2. Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, Boyers, D., Stewart, F, Boachie, C, Fioratou E., Wilkins, D, Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
  3. Stewart, F., Fraser, C., Robertson, C., Avenell, A., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase, Systematics Reviews 3,78.
  4. Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
  5. Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
  6. Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
  7. Robertson, C., Avenell, A., Boachie, C., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) Should weight loss programmes be designed differently for men and women? The ROMEO Project, Appetite 87: 374.
  8. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of long-term weight management randomized controlled trials for obese men. The ROMEO Project, Appetite 87: 374.
  9. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of weight loss interventions in the UK. The ROMEO Project, Appetite 87: 375.
  10. Boyers, D., Avenell, A., Stewart, F., Robertson, C., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., (2015) A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Appetite 87: 375.
  11. Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Avenell, A., Stewart, F., Robertson, C., (2015) A qualitative evidence synthesis on the management of male obesity. The ROMEO Project, Appetite 87: 381.
  12. Avenell, A., Robertson, C., Boachie, C., Stewart, F Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E. (2016) Sex based subgroup differences in randomized controlled trials: empirical evidence from Cochrane meta-analyses BMJ 355:i5826 http://www.bmj.com/content/355/bmj.i5826/rapid-responses
  13. Avenell, A., Robertson, C., Stewart, F., Boyers, D., Douglas, F., Archibald, D., van Teijlingen, E., Hoddinott, P., Boachie, C. (2016) Sex can affect participation, engagement, and adherence in trials, BMJ 355:i6754 http://www.bmj.com/content/bmj/355/bmj.i6754.full.pdf

Week 1 – Laurie Emerson working with ADRC as a Student Research Assistant

Having just completed my Undergraduate degree in Psychology, I have embarked on a summer Research Assistant position working with the Ageing and Dementia Research Centre (ADRC) here at Bournemouth University. I will be working closely with an expert team within the research centre – Dr. Michele Board, Dr. Jane Murphy, Dr. Michelle Heward, and Ashley Spriggs, who have all dedicated their careers to this particular field.

Our current project focusses on ‘Dementia Education Through Simulation’ (DEALTS), a dementia care training program for healthcare professionals, which has previously been delivered in a ‘train the trainer’ format to healthcare trusts. The current program, DEALTS 2, aims to build upon the previous DEALTS, and provide an up to date evidence-based framework. This updated program signifies the importance of empathy and humanised care when training, which aligns closely with Tier 2 .The current training program utilises simulations including videos, case-studies, and role-play to help increase relatability to the patient.

My role within this project is to support the team within the Faculty of Health and Social Sciences on an evaluation of DEALTS 2. Initially I am expected to analyse the feedback questionnaires taken from the DEALTS 2 sessions. Other responsibilities include helping Dr. Michelle Heward deliver a presentation at the BU Humanising Caring, Health and Wellbeing Conference, 29th – 30th June. You can register for a place at https://humanisation.eventbrite.co.uk

I will also be conducting a literature review, and help out at one of the DEALTS 2 training sessions. This will enable the foundations for the team to eventually create an up to date evaluative research paper on DEALTS 2.

So far, I am excited by the responsibilities given and organised work structure. Not to mention feeling incredibly welcomed by the team, which has lead me feeling immersed in this project. After having previous experience with research assistant roles, this project has so far exceeded my expectations in terms of my roles and responsibilities. I feel excited enthusiastic for the scope of opportunities this project could bring.

I intend to report my experience at the end of my work placement, and hopefully will finish with some significant data to report, and greater insight into DEALTS 2. I look forward to what the next four weeks may bring!

Laurie Emerson

New BU publication: Centre of Postgraduate Medical Research &Education

Congratulations to Dr. Sam Rowlands, Visiting Professor in the Faculty of Health & Social Sciences, who published an interesting Commentary in the BJOG together with Prof. Roger Ingham from the University of Southampton.  Their paper ‘Long-acting reversible contraception: conflicting perspectives of advocates and potential users’ argues that a patient-centred approach to contraceptive care is fundamental to women’s autonomy.  The authors remind the readers that it needs to be appreciated that unintended pregnancy is most likely to be reduced by fulfilling the unmet need for contraception and encouraging those not using any form of contraception, or  condoms only, to use a method of their choice accompanied by adequate instruction (where necessary) in correct usage.