Category / Nursing & Midwifery

ADRC adapting to COVID-19 Part 2

Coffee Morning

A screenshot from a coffee morning meeting

Dr Michelle Heward in a previous post discussed how BU’s Ageing and Dementia Research Centre (ADRC, @BournemouthADRC) have been engaging with older people to discuss research being undertaken,  pitch new ideas of research we want to undertake, and listen to what this group believe we should be researching.  The first 2 coffee mornings were led by Professor Jane Murphy discussing her research on nutrition, and Professor Jan Weiner discussing his research on wayfinding. The 3rd coffee morning was led by Dr Michele Board discussing how nursing has changed over the last 40 years, and her research exploring the role of Advanced Clinical Practitioners (ACP’s) looking after older people during the COVID19 pandemic. Using pictures to generate discussion those attending discussed their own healthcare journeys and concerns about nurse education. ‘Bring back matron’ and why nurses needed to go to university were questions that generated much discussion. Michele explained that healthcare has dramatically changed since she started nursing. As an example 35 years ago women undergoing a hysterectomy would be in hospital 2 day pre operatively (!) and 10 days post operatively. Today  women will be admitted on the day of their operation and remain in hospital between 1-5 days post op. Another example is in the care of those following a stroke. Patients would be in hospital for a long period of time and sat in ‘buxton chairs’ and tipped back because their balance was poor. Our understanding of post op care, and the care of people following a stroke has increased dramatically in that time, with shorter length of stay (Home is best suggests Board and McCormack 2018), and significantly better patient outcomes. The buxton chair has gone! These advances alongside an ageing population with multi-morbidity, increasing frailty, has led to an increase in acuity of care in acute hospital environments and in the community. Nurses need to be critical thinkers, challenging how we care and what is best for each individual patient. Nurses have to deliver excellent hands on care, with expert holistic assessment and evaluation skills. They lead teams and influence how care should be delivered from the bedside to strategic decision making. For those reasons nurses need to be knowledgeable, to critique the evidence as well as  create the evidence to support how care should be delivered. That is why a university education, supported by 50% of their course in practice settings, is essential. That is the nurse I want to care for me and my loved ones, compassionate, kind, caring, and knowledgeable. To illustrate this further Michele shared examples of the research she is undertaking of the brilliant nurses and allied health professionals working as ACP’s during COVID19. During focus groups and 1-1 interviews the research team (Dr Dawn Morely, Dr Janet Scammell, Kelsie Fletcher,@AN4LTH) and 3 practitioners from Dorset Healthcare, Cliff Kilgore, Mary Edwards and Dr Pippa Collins,@DorsetHealth), heard how the ACP’s advocated for patients, led to the development of services, their responsiveness, flexibility and adaptability during an enormously challenging period  – it was very inspiring. Their advanced critical thinking skills ensured the care they delivered was holistic and person centred. Hopefully those attending the coffee morning were convinced that a university education for nurses and the new role of ACP’s illustrated the expertise of postgraduate nurses delivering care on the front line.

The curious start of an academic collaboration

international

The curious start of an academic collaboration

Two days ago a group of academic from Bournemouth University (BU) submitted a bid for a research grant to the NIHR (National Institute for Health Research) to help prevent the drowning of toddlers in Bangladesh.  The proposed research is a collaboration with the RNLI (Royal National Lifeboat Institution), and an other UK university, the University of the West of England (UWE) and a research organisation called CIPRB (Centre for Injury Prevention and Research, Bangladesh).   Nothing particularly out of the ordinary there.  BU academics submit collaborative bid for research grants all the time, with colleagues at other universities, with large charities (like the RNLI), and with research institutes across the globe.  What I find intriguing is the round-about way this particular collaboration came about within BU.

The NIHR called for research proposals in reply to its Global Health Transformation (RIGHT) programme.  The RNLI approached CIPRB, an expert in accident prevention from UWE and BU experts in health economics and human-centred design to discuss putting in an intention to bid.  The RNLI has a history of working with both CIPRB in Bangladesh on drowning prevention and with BU in various design project (including improved ball bearings for launching lifeboats).  The team decided that it needed a sociologist to help study the social and cultural barriers to the introduction of interventions to prevent drowning in very young toddlers (12-14 months).  My name was mentioned by our UWE colleague whom I know from her work in Nepal.  For example, she and I had spoken at the same trauma conference in Nepal and the lead researcher on her most recent project is one of my former students.

Thus, I was introduced to my BU colleagues in different departments (and faculties) by an outsider from a university miles away.  I think it is also interesting that after twelve years at BU I am introduced to fellow researchers at the RNLI, especially since I only need to step out of my house and walk less than five minutes to see the RNLI headquarters in Poole.

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

Graduation: End of an Era

international, PG research, student research

Four PhD students, whom I had the pleasure of supervising, graduated yesterday with a Ph.D.  I never had so many Ph.D. students graduating at the same time.  Not all of these four students started at the same time.  Moreover, two I was invited as a supervisor after the student had started, and for most I was not the lead/first supervisor .  All four students have an internationally focused thesis:

Alice Ladur with her Ph.D. focusing on: Male involvement in facilitating the uptake of maternal health services by women in Uganda.

Peter Wolfensberger with his Ph.D.: Creating meaning- Understanding the experiences of people living with mental illness in Switzerland- A Qualitative Study.

Shaqaieq AShrafi Dost with her thesis: Factors that affect the management capacity, leadership and employee performance in the Ministry of Public Health (MoPH), Afghanistan: A single embedded single-case study.

Orlanda Harvey with her Ph.D. study under the title: Male anabolic androgenic steroid-users: A mixed-methods study -The voice of the AAS-user.

Orlanda is a good ambassador for Bournemouth University’s PhD Integrated Thesis.  The newly introduced Integrated Thesis allows Ph.D. candidates to incorporate papers in their thesis (e.g. instead of a chapter).  Papers can be included that have been published or submitted for publication to an academic peer-reviewed journal. As the first BU student to submit an Integrated Thesis Orlanda paved the way with BU library staff to sort out the finer details around, for example, copyright issues and thesis formatting (https://blogs.bournemouth.ac.uk/research/2020/08/27/supporting-integrated-theses-at-bu/ ).

In this COVID-19 year the graduation was on ZOOM, something I didn’t think would work as well as it did.   I love the British-style graduation with the big audience, the ceremony, the gowns, the band, etc.  In previous years I had always looked forward to ceremony in the BIC, the Bournemouth International Centre.  This year because it was on ZOOM the event was smaller, shorter and more personal.  This offered the opportunity to talk to students and colleagues which is otherwise nearly impossible in the hustle and bustle of thousands of people in the BIC.

Being a graduation it is also the end of an era for the student and the supervisor, and the beginning of a new one.

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

NIHR RDS Researcher Roadshow – health and social care datasets

 

 

 

NIHR Research Design Service are pleased to offer the opportunity to attend the next in its series of ‘Researcher Road Shows’ – Using health and social care datasets in research: Practical advice to support your research journey. 

This event is taking place via Zoom and is aimed at all those seeking practical guidance on how to find, access and gain approvals to use health datasets, including early career researchers:

Monday 15 March, 10am to 2.30pm: ‘Lifting the Lid on Data – Meet the Data Custodians’

  • HQIP Datasets & top tips for accessing (Yvonne Silove)
  • NHS Digital Datasets & top tips for accessing (Garry Coleman)
  • Morning event close and details of this afternoon (Martin Williams)
  • GP Data (Kathryn Salt)
  • COVID-19 Data (Richard Irvine)

Wednesday 17 March, 10am to 2.30pm: ‘Navigating the system’

  • Research Approvals for Data-Driven Research (Alex Bailey)
  • Introducing the Innovation Gateway – the journey so far (Paola Quattroni & Peggy Barthes-Streit)
  • Recent Changes in Health Data Governance (Alex Bailey)
  • Innovation Gateway working session: from data discovery to access (Susheel Varma)

Find out more.

Your local branch of the NIHR RDS (Research Design Service) is based within the BU Clinical Research Unit (BUCRU)

We can help with your application. We advise on all aspects of developing an application and can review application drafts as well as put them to a mock funding panel (run by RDS South West) known as Project Review Committee, which is a fantastic opportunity for researchers to obtain a critical review of a proposed grant application before this is sent to a funding body.

Contact us as early as possible to benefit fully from the advice

Feel free to call us on 01202 961939 or send us an email.

Two new COVID-19 papers in FHSS

international, Publishing, writing

Today FHSS Prof. Jonathan Parker published an article (online first) on structural discrimination and abuse associated with COVID-19 in care homes in The Journal of Adult Protection [1].  Whilst Dr. Preeti Mahato, Prof. Edwin van Teijlingen and FHSS Visiting Professor Padam Simkhada had a COVID-19 paper published in the Journal of Midwifery Association of Nepal (JMAN) in late-January 2021 [2], although an electronic copy only reached their email inbox today.

 

  1. Parker, J. (2021) Structural discrimination and abuse: COVID-19 and people in care homes in England and Wales, The Journal of Adult Protection, Online ahead-of-print. https://doi.org/10.1108/JAP-12-2020-0050
  2. Tamang, P., Mahato, P., Simkhada P., Bissell, P., van Teijlingen, E. (2021) Pregnancy, Childbirth, Breastfeeding and Coronavirus Disease: What is known so far? Journal of Midwifery Association of Nepal (JMAN) 2(1): 96-101.

New BU reproductive health paper

international, open access, PG research, Publishing, student research, writing

Congratulations to Dr. Pramod Regmi (Lecturer in International Health) in the Department of Nursing Sciences on today’s publication of ‘The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature’ [1].  The paper in the international peer-reviewed journal Reproductive Health is co-produced with BU MSc Public Health graduate Jumaine Gahungu and Dr. Mariam Vahdaninia who left the Faculty of Health & Social Sciences in mid-2020. 

Well done.

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gahungu, J., Vahdaninia, M. & Regmi, P. (2021) The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature. Reprod Health 18, 35   https://doi.org/10.1186/s12978-021-01089-9

NIHR Grant Applications Seminar ONLINE- 23rd March 2021

NHS

  

Dear colleagues

– Do you have a great idea for research in health, social care or public health?
– Are you planning to submit a grant application to NIHR?

Our popular seminar continues online and will take place on Tuesday 23rd March 2021 from 10.00am – 12.30pm.

The seminar provides an overview of NIHR funding opportunities and research programme remits, requirements and application processes. We will give you top tips for your application and answer specific questions with experienced RDS South West advisers.

We also have a limited number of 20-minute 1-to-1 appointments available after the seminar should you wish to discuss your proposed study with an RDS adviser.

Find out more and book a place.

Your local branch of the NIHR RDS (Research Design Service) is based within the BU Clinical Research Unit (BUCRU)

We can help with your application. We advise on all aspects of developing an application and can review application drafts as well as put them to a mock funding panel (run by RDS South West) known as Project Review Committee, which is a fantastic opportunity for researchers to obtain a critical review of a proposed grant application before this is sent to a funding body.

Contact us as early as possible to benefit fully from the advice

Feel free to call us on 01202 961939 or send us an email.

COVID-19 in Qatar

international, open access, Publishing, writing

Peer reviewing is the backbone of academic publishing. It is this peer review process to ensure that papers/publications have been vetted scientifically prior to publication by experts in the field, i.e. one’s peers. However, the process is not without its problems. One such problems is the delay in academic publishing. For example, a few days ago we published a substantive editorial on COVID-19 in Qater [1].  When we submitted this in July 2020 the information in our editorial was very up to date, and it still was when the Qatar Medical Journal accepted it on 26th July 2020.  Unfortunately, with all the incredibly rapid developments in vaccine development, approval and roll out some of the paper now reads like ‘historial data’.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. van Teijlingen, E.R., Sathian, B., Simkhada, P., Banerjee, I. (2021) COVID-19 in Qatar: Ways forward in public health & treatment, Qatar Medical Journal 2020(38): 1-8 https://doi.org/10.5339/qmj.2020.38

First BU paper accepted for 2021

NHS, open access, Publishing, writing

Congratulations to Prof. Vanora Hundley whose article ‘Escalation triggers and expected responses in obstetric early warning systems used in UK consultant-led maternity units’ is now available Open Access online. The paper has been accepted in Resuscitation Plus. Co-authors include FHSS Visiting Faculty Prof. Gary Smith and Dr. Richard Isaacs.

The paper reports on a review of OEWS [Obstetric Early Warning Systems] charts and escalation policies across consultant-led maternity units in the UK (n = 147). OEWS charts were analysed for variation in the values of physiological parameters triggering different levels of clinical escalation. The observed variations in the trigger thresholds used in OEWS charts and the quality of information included within the accompanying escalation protocols is likely to lead to suboptimal detection and response to clinical deterioration during pregnancy and the post-partum period. The paper concludes the development of a national OEWS and escalation protocol would help to standardise care across obstetric units.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Midwifery and the Media

international, NHS, Publishing, writing

Today we received an end-of-year good-news message from ResearchGate telling us that 700 people had ‘read’ our book Midwifery, Childbirth and the Media [1].  Lee Wright, Senior Lecturer in the School of Nursing and Midwifery at Birmingham City University wrote in his review of our edited volume: “…our media image and digital foot print are rapidly becoming the most important window into our profession. In a rapidly changing environment this book provides an up to date and informative insight into how our profession is affected by the media and how our profession can inform and influence the image of midwifery. This area is going to become even more important in the future universities and trusts increasingly use broadcast and social media to manage information and inform our clients of the services we provide.  This book will be the important first text in a new growth area. It brings together an internationally recognised group of authors who are experts in this field. I wholeheartedly recommend it to you.”

This edited collection was published by Palgrave Macmillan in 2017 and it is part of a larger body of Bournemouth University research on the topic [2-6].

 

Professor Edwin van Teijlingen, Professor Vanora Hundley and Associate Professor Ann Luce

 

References:

  1. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
  2. Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x
  3. Angell, C. (2017) An Everyday Trauma: How the Media Portrays Infant Feeding, In: Luce, A. et al. (Eds.) Midwifery, Childbirth and the Media, London: Palgrave Macmillan pp: 45-59.
  4. Hundley, V., Luce, A., van Teijlingen, E., Edlund, S. (2019) Changing the narrative around childbirth: whose responsibility is it? Evidence-based Midwifery 17(2): 47-52.
  5. Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
  6. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.

New interdisciplinary COVID-19 paper

international, open access, Publishing, writing

An evidence-based, multidisciplinary approach on risk zoning, personal and transmission risk assessment in near real-time, and risk communication would support the optimized decisions to minimize the impact of coronavirus on our lives. This interdisciplinary paper [1], pubished today in Scientific Reports, offers a framework to assess the individual and regional risk of COVID-19 along with risk communication tools and mechanisms. Relative risk scores on a scale of 100 represent the integrated risk of influential factors. The personal risk model incorporates age, exposure history, symptoms, local risk and existing health condition, whereas regional risk is computed through the actual cases of COVID-19, public health risk factors, socioeconomic condition of the region, and immigration statistics. A web application tool (http://www.covira.info) has been developed, where anyone can assess their risk and find the guided information links primarily for Nepal. This study provides regional risk for Nepal, but the framework is scalable across the world. 

The authors comprised researchers from the University of Bristol, Science Hub (Nepal), University of the West of England, Public Health Perspective Nepal, Nepal Open University, Center for Molecular Dynamics Nepal, Mid Yorkshire Hospitals NHS Trust, the University of Huddersfield and Bournemouth University.

 

Reference:

  1. Parajuli, R.R., Mishra, B., Banstola, A. Multidisciplinary approach to COVID-19 risk communication: a framework and tool for individual and regional risk assessment. 21650 (2020). https://doi.org/10.1038/s41598-020-78779-0

BU Book up for National Award

NHS

Professor Tim Darvill, Kerry Barrass, Yvette Staelens from the Department of Archaeology and Anthropology (BU) together with Dr Vanessa Heaslip from the Department of Nursing  Science (BU) worked with Laura Drysdale of the Restoration Trust to edit a book exploring how historic landscapes could support mental health well-being.

 

Our book titled ‘Historic Landscapes and Mental Health Well-being’ has been nominated as a contender in the 2021 Current Archaeology Book of the Year competition. This is fantastic news and really shows the benefits of cross disciplinary research and working.

Voting is open now at www.archaeology.co.uk/vote so do please cast your votes for the book, and encourage anyone else you can think of to do the same. Please also feel free to share this excellent news in your social media sites as it would be really excellent to win this award. The results will be announced at the Archaeology in Britain conference in February.

Please keep your fingers crossed for us and thank you for your votes