Category / Nursing & Midwifery

CMMPH disability & childbirth research

Publishing

Last month’s press release for the latest study in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) was picked up by the Journal of Family Health.  disability-pregnancy-2016The study ‘Human rights and dignities: Experience of disabled women during pregnancy, childbirth and early parenting’ appeared under the heading ‘Maternity care failing disabled women, charity warns’ in the Journal of Family Health.  The charity in question is Birthrights which funded the survey of women with physical or sensory impairment or long-term health conditions and their maternity care experiences.  The research was conducted by midwifery researchers Jenny Hall, Jillian Ireland and Vanora Hundley at Bournemouth University and occupational therapist Bethan Collins, at the University of Liverpool.

rcm-disabilityLast month this important study had already been reported by the Royal College of Midwives (RCM) on their webpages (click here to read more).  On the RCM website  Louise Silverton Director for Midwifery at the RCM said: “It is deeply disappointing to hear that women with disabilities are not getting the maternity care they need and deserve. Although this is only a small survey, it does provide a very valuable insight into the realties of the care these women have received while pregnant.  The RCM believes that maternity services should treat disabled women like every other woman, while ensuring that the care provided does not ignore or overreact to their specific wishes and aspirations.”

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

ORI presentation at RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition

conferences

RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition, 8-9th  September 2016, Cardiff

Nice poster, but can't say the same thing for the poster board...

Nice poster, but can’t say the same thing for the poster board…

The theme for this conference was ‘Valuing the past, embracing the future‘ and it was great to be able to represent BU’s Orthopaedic Research Institute (ORI) whose work is firmly on the ’embracing the future’ side of the theme. I was there to deliver a poster presentation entitled:

‘A review of the literature related to the role of nutritional supplementation for an enhanced recovery pathway for hip and knee replacement’

This was produced through work with Associate Professor Tom Wainwright (Deputy Head) and Professor Rob Middleton (Head) of ORI, and Dr Simon Dyall of the Faculty of Health and Social Sciences. There was good interest in the poster from orthopaedic nurses and fellow academics, and I had a great chat about nutrition with the one medical doctor in attendance – the first time I’ve heard of an orthogeriatrician!

Headline? At present, the evidence base does not support the use of nutritional supplementation in enhanced recovery after surgery pathways for hip/knee replacement. However, that’s not to say that nutrition does not play a role. More high quality research is required particularly to explore the role of zinc, vitamin D and omega fatty acids, and possibly other nutrients that have been overlooked too. If you’d like to find out more you can get a full size version of the poster here. Any comments on this most welcome.

For those interested in orthopaedics in general, the opening presentation included learning about Norman, aged 90, who can apparently lay claim to having had the longest lasting hip replacement. He had his first replacement in 1948 and it only needed revising this year! (if I remember correctly)! Far, far longer than most hip replacements last.

Norman, 90 years young, had first hip replacement in 1948!

Norman, 90 years young, had first hip replacement in 1948!

 Other presentations included work on fracture prevention (increasingly important for our aging and increasingly frail population), developing post-graduate education in orthopaedic nursing, recognition of delirium, and the latest on the timely identification of compartment syndrome (a life-threatening complication).

Having a couple of hours to spare before returning to Bournemouth I took a look at some of the beautiful architecture in Cardiff. It had the feeling of a city that values its past:

The clock tower of Cardiff Castle

The clock tower of Cardiff Castle

but is also embracing the future…

Wales Millenium Centre

Wales Millenium Centre

Many thanks to the Faculty of Health and Social Sciences for supporting my attendance.

 

New THET project paper published

international, open access, Publishing, Training

thet-needs-assessmentToday saw the latest publication on our BU-led THET in Nepal.  The paper ‘Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey’ was published the Journal of Manmohan Memorial Institute of Health Sciences [1].   This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi District in the southern part of Nepal. The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.logo THET

This is the third publication linked to our mental health and maternity care project. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train maternity workers on issues around mental health.  This latest paper and the previous two papers are all Open Access publications.  The previous two papers raised the issue of women and suicide [2] and outlined the THET project in detail [3].

np-thet-2916-jilly

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
  2. Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
  3. van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

Congratulations to BU Visiting Faculty Dr. Sam Rowlands

Publishing, writing

sam-rowlandsDr. Sam Rowlands, FHSS Visiting Faculty, has just published an interesting article on ‘On being an expert witness in sexual and reproductive health’.   The paper will appear in the Journal of Family Planning & Reproductive Health Care [1].  In this article Sam highlights that expert witnesses need to be able to apply appropriate legal tests to the evidence, to deal with the range of expert opinion on a matter, and explain clearly what constitutes an appropriate standard of care for a clinician in their discipline and specialty. They must be aware of pitfalls such as being sued for substandard work and being reported to their professional regulator for straying outside their area of expertise. Expert witnesses must be truly independent and ideally their reports should be the same whoever they receive their instructions from.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Rowlands, S.  ‘On being an expert witness in sexual and reproductive health’. J Fam Plann Reprod Health Care doi:10.1136/jfprhc-2015-101385 (forthcoming/online first)

New paper Dr. Catherine Angell on CPD in Nepal

Centre for Excellence in Learning, Fusion, international, Knowledge Transfer, open access, Publishing, Training, writing

nnaCongratulations to Dr. Catherine Angell (FHSS) who just had her paper ‘Continual Professional Development (CPD): an opportunity to improve the Quality of Nursing Care in Nepal’ accepted in Health Prospect.   The paper is co-authored with BU Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada  both based at Liverpool John Moores University (LJMU), Dr. Rose Khatri  and Dr. Sean Mackacel-logo-weby (also at LJMU), Prof. Edwin van Teijlingen in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH), and our colleagues in Dr. Sujan Marahatta and Associate Professor Chandra Kala Sharma. Ms. Chandra Kala Sharma is also the president of the Nepal Nursing Association (left in photo).  Health Prospect is an Open Access journal, hence freely available to anybody in Nepal (and elsewhere in the world).

dsc_0124This paper is first of several based on a study aiming to improve CPD in Nepal and it is partly funded by LJMU and partly funded by BU’s Centre for Excellence in Learning (CEL).  The CEL-funded part of the project centres on focus group research with representatives of the Ministry of Health & Population, the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and Higher Education providers of Nurse Education (both form Government-run universities and private colleges). The focus group schedule will include starter questions to initiate discussions around the kind of CPD nurses in Nepal need, its format, preferred models, the required quality and quantity, and ways of  checking up (quality control). In addition we will be asking a subgroup of nurses registered in Nepal about midwifery skills as midwifery is not recognised as a separate profession from nursing in Nepal. Hence there will be three focus groups specifically about midwifery CPD: one at MIDSON (the Midwifery Organisation of Nepal), one with nurses providing maternity care in private hospitals and one with nurses doing this in government hospitals.

The research is a natural FUSION project in the field of nursing & midwifery as it links Research in the field of Education to help improve Practice in Nepal.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. (CPD): an opportunity to improve the Quality of Nursing Care in Nepal, Health Prospect (Accepted) 

 

 

Human Henge: Historic landscapes & mental health at Stonehenge

Stonehenge in the sunshineCongratulations to colleagues on the recently funded project “Human Henge: Historic landscapes and mental health at Stonehenge”.  This research led by the Restoration Trust. The project has been funded by the Heritage Lottery Fund, English Heritage Trust and Wiltshire County Council and has multiple partners and contributors including Wiltshire County Council, Richmond Fellowship, English Heritage Trust and Bournemouth University. From BU, Prof Tim Darvill (Director Centre of Archaeology, Faculty of Science & Technology) and Dr Vanessa Heaslip (Faculty of Health & Social Sciences) are engaged in this project.

The Human Henge research project is a therapeutic sensory experience of Stonehenge for two facilitated groups, each of up to 16 local people with mental health problems, plus carers, support workers, volunteers and staff. Over ten weekly three-hour sessions, one at night, each group walks the landscape, reaching through time to other humans whose traces are illuminated by accompanying pre-historians, curators and artists. Individual experiences cohere in a shared spoken epic which is augmented from session to session. The groups arrive inside the Stone Circle near the winter solstice and spring equinox; collaborating with their chosen artist, they decide what they do there.

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Understanding disabled women’s experiences of pregnancy, childbirth and parenting

Birthrights, a national charity for the rights of women during pregnancy and childbirth has today launched the interim report of a study undertaken by staff from Bournemouth University and the University of Liverpool, about the experiences of disabled women during pregnancy, childbirth and early parenting.

The current work arises following their 2013 Dignity in Childbirth survey which highlighted less positive experiences of women who identified themselves as disabled (Birthrights 2013). In response, Birthrights commissioned research to explore the experiences of disabled women throughout pregnancy, childbirth and the first few post-natal weeks (the pregnancy continuum). A multidisciplinary team, comprising of Dr Jenny Hall, Jilly Ireland and Professor Vanora Hundley from CMMPH and Dr Bethan Collins from the University of Liverpool, have just completed the first phase of the study, which has been released by Birthrights as an interim report today. This first phase of the study used an online survey to identify experiences of women in the UK and Ireland with physical or sensory impairment or long term health conditions during the pregnancy continuum.

Although overall satisfaction with services in general was scored highly by most women, challenges were described in women’s experiences. These included lack of continuity of carer, meaning that women needed to repeat their information again and again; women feeling that they were not being listened to, which reduced their feeling of choice and control; feeling they were treated less favourably because of their disability. More than half of the women (56%) felt that maternity care providers did not have appropriate attitudes to disability. Accessibility of services was also highlighted as poor, in some situations.

These findings resonate with recommendations from the recent maternity services review (National Maternity review 2016), which highlights the importance of personalised care, that is woman-centred, with opportunity for choice and control, and continuity of carer for everyone. The current study highlights how imperative this approach is for disabled women.

A follow-up qualitative study is underway to establish in-depth views and experiences of human rights and dignity of disabled women during the pregnancy continuum to develop our understanding of how best to enable this group. This second phase is due to be completed in Spring 2017.

The Interim report outlining the results from phase 1 is released today by Birthrights and may be found on the CMMPH web site.
https://research.bournemouth.ac.uk/wp-content/uploads/2013/10/Interim-Report-Sept16.pdf

Public Health England Physical Activity Tool

downloadPublic Health England has launched a Physical Activity Tool which brings together data at the local level for the whole of England on physical activity, including walking and cycling, as well as data on related risk factors and conditions such as obesity and diabetes. The tool also presents trend data and enables easy comparison of local authority data, allowing users to compare regional neighbours and local authorities with similar characteristics. The tool aims to help promote physical activity, develop understanding, and support benchmarking, commissioning and service improvement.

The data is grouped into three domains:

  • Key indicators – a summary overview of physical activity including a number of key outcomes from the Public Health Outcomes Framework (PHOF).
  • Related conditions – such as cancers, diabetes, obesity, hypertension and depression. Regular physical activity can reduce the risk of these.
  • Supporting information – population demographics, life expectancy and deprivation.

In addition PHE has also published a data spreadsheet: Physical activity levels among adults in England 2015, available on the PHE Obesity website. It presents physical activity measures (inactive, low activity, some activity and active) and key demographics from the Active People Survey at national, regional, upper and lower tier local authority and County Sports Partnership level.

Read more at: http://fingertips.phe.org.uk/profile/physical-activity

CQR Kicks Off “In Conversation” Seminars this Wed 7 Sept

Knowledge Exchange, PG research

Centre for Qual ResearchThe Centre for Qualitative Research is kicking off its new seminar series on Wednesday 7 September at 1 pm in Royal London House RLH 201 Masterclass Suite.

New to BU and FHSS, Prof. Sam Porter (Head of Social Work & Social Sciences Dept. at FHSS) will join CQR’s Kip Jones and Caroline Ellis-Hill “in conversation” about “The Relationship between the Arts and Healthcare”.

Because CQR is keen to make information available to students and staff about qualitative METHODS, the seminars will be arranged somewhat differently than the typical lunchtime seminar.

We are asking TWO (or more) presenters to agree to present each research method as a CONVERSATION…first, between each other, and then with the audience.  We are also asking that no PowerPoint be used in order that it is truly a conversation and NOT a lecture. The conversations will be about a particular research method and its pros and cons, NOT research projects or outcomes.

The “In Conversation with …” Seminar Series will be held on the FIRST WED of each month for nine months beginning in September. They will run from 1 pm until 1:50.

We are then hoping that many will join us for a CQR ‘KoffeeKlatch’ following at Naked Cafe next to RLH after the seminar.

We anticipate that by making the CQR Seminar Series really unique and exciting that they will inspire students and academics alike to investigate the wide range of qualitative methods and expertise available at CQR, and enrich their research projects by doing so.

See the list of all nine CQR Seminars over the Academic Year.

Research in the news: ‘Making a difference in stroke care: the human aspects of care and practice’

Publishing

Research team at RBH BU researchers Dr Caroline Ellis-Hill and Dr Carole Pound, from the Centre for Qualitative Research have been working with a team of older people with experience of stroke and staff from the Royal Bournemouth Hospital stroke team to explore the human dimensions of stroke care.

In August the team launched a Humanising Care Toolkit in a celebration attended by service users, relatives, staff and Board members at the Royal Bournemouth Hospital Foundation NHS Trust. The toolkit is a flexible resource which can be used by staff members once they have been through their own humanisation development. It includes a DVD of stories of humanising care, a set of creative materials to use in workshops and a pack of humanising care cards as well as a user manual and electronically produced presentations and handouts. Feedback from the launch event suggests hospital staff and managers are keen to explore ways the framework and toolkit may enable different units and staff groups across the Trust to notice, value and reconnect with compassionate, human centred care and practice.

‘It’s absolutely fantastic work that is going to be crucial to developing an inclusive human culture in the Trust.’

 Service user stories also highlighted the value they placed on both humanising care and being part of a research team. For example, Wynn New one of the service user participants commented:

When I first joined the action research group I was terrified of having another stroke. I thought I would never go out by myself again.  Taking part in the group allowed me to share my experiences and feedback – what worked and what truly made a difference to my recovery. I finally have my confidence back and my fear has disappeared. I count my blessings everyday.’ 

Funded by the Burdett Trust for Nursing and inspired by the ground-breaking work of Les Todres (Emeritus Professor of Health Philosophy at BU) and Kate Galvin (Professor of Nursing PractHumanising care treeice, Brighton University) the research team explored experiences of both stroke service users and providers in relation to a conceptual framework of humanising care. This framework, described in a seminal paper by Todres et al (2009) describes eight interacting dimensions that help capture the depth and breadth of being treated as human within complex, busy healthcare systems.  The work is part of a larger study led by Professor Kate Galvin.  A second site in Yorkshire worked with service users and NHS providers in a Dermatology out-patient department in order to look at the transferable aspects of humanisation theory and learning.

The project used action research methods with a focus on creative methods and collaborative sharing of stories and experiences. The team aimed to explore the relevance of the humanising care framework and get beneath the surface of what makes care feel more or less human. The stories, techniques and findings were then collated into a resource to support a new wave of busy NHS practitioners to understand and sustain humanising care in practice and become ‘Humanising Care Champions’.

For more information on the Humanising Care Toolkit contact Carole Pound cpound@bournemouth.ac.uk or Caroline Ellis Hill cehill@bournemouth.ac.uk

For further information about the breadth of work at BU inspired by the humanisation framework please visit the Humanisation pages of the Faculty for Health and Social Care.

The launch of the toolkit was reported in a number of local papers, including the Blackmore Vale magazine.

Bringing FUSION to Nepal

Fusion, innovation, international, Knowledge Transfer, Publishing, Research Integritiy, student research, Training

FUSION abroad 2016We have written in many previous BU blogs about progress of our THET-funded project in southern Nepal (e.g. here AND here ). Today’s blog reflects on the use on BU’s unique FUSION approach in our project ‘Mental Health Training for Maternity Care Providers in Nepal‘.

DSC_0151Our BU-led project brings highly experienced health professionals, such as midwives, health visitors or mental health nurses, to Nepal to work as volunteer trainers. The training is aimed at community-based maternity care practitioners and addresses key mental health issues relevant to pregnancy and for new mothers and offers the required communication skills. These health professionals will bring their experience as health care providers as well as trainers in the field of mental health and maternity care/midwifery, mental ill-health prevention and health promotion. They volunteer for two to three weeks at a time to design and deliver training in southern Nepal.

logo THETThe Centre for Midwifery & Maternal Health (CMMPH) collaborates in this project with Liverpool John Moores University (LJMU), the Department of Health, and Physical & Population Education at Nepal’s oldest university Tribhuvan University’s (TU). The project is supported in the field by a local charity called Green Tara Nepal. Our project is part of the Health Partnership such as Nepal. HPS itself is funded by the UK Department for International Development and managed by THET (Tropical and Health Education Trust).

Fusion Diagram Our maternal mental health project is a good example of BU’s FUSION approach as it combines EDUCATION (through the training of Auxiliary Nurse-Midwives in Nepal) by UK volunteers (representing PRACTICE) through an intervention which is properly evaluated (representing RESEARCH) is a perfect example of BU’s FUSION in action. Moreover, the project will be partly evaluated by FHSS’s Preeti Mahato as part of her PhD thesis research. This PhD project is supervised by Dr. Catherine Angell (CEL & CMMPH), BU Visiting Professor Padam Simkhada (based at LJMU) and CMMPH’s Prof. Edwin van Teijlingen.BU’s focus on the FUSION of research, education and professional practice is a unique variant of the way UK universities (and many abroad) blend academic teaching, research and scholarship. FUSION is a key concept derived from BU’s strategic Vision & Values).

 

Prof. Edwin van Teijlingen

CMMPH