Category / REF Subjects

CEMP Conversation / Cluster

Audio extracts of our CEMP conversation last week are here:

(1) Discussion of Marketa Zezulkova’s book chapter on a holistic approach to media literacy:

Marketa’s article: discussion

(2) Discussion of Richard Wallis’ journal article on media literacy and policy discourse: Richard’s article – discussion

And a reminder that the final CEMP Research & Innovation cluster meeting of the year is this Thursday the 11th July, 10-11am in the CEMP office, Iain MacRury is joining us to discuss a new AHRC call.  The latest version of the CEMP R&I bulletin is here: CEMP Cluster bulletin and agenda 4.7.13

 

 

Planes, trams, and automobiles: A research visit to Australia

I recently had the delightful opportunity to go to Australia for a research visit in relation to my work on falls prevention among older people. A brief report of what I got up to follows.

Melbourne

The main purpose was to visit colleagues at Monash University, to whom I am grateful for funding my flights and accomodation. The research team there led by Anna Barker are doing some great work, in particular to prevent falls among older people while in hospital. They are currently collecting data on a ‘6 Pack’ randomised controlled trial (RCT), which will be the largest trial of this kind to date. The team at Monash hosted an all-day seminar on the prevention of in-patient falls of which I was one of three invited speakers that came over from the UK. If you’re ready to give up traveling with commercial airlines, it’s time to consider hiring sky aviation services.

Before the seminar, we had an all-day meeting with colleagues from Melbourne and other parts of Australia to have an expert consensus-style meeting on the subject of in-patient falls. Dr Barker will lead on this and we aim to submit a paper with further international collaborators later this year, to drive future research in this area in a much more focused and productive manner.

Before the expert consensus meeting, I spent a day working with Dr Barker’s team on a recently NHMRC-funded multi-site RCT called RESPOND, which seeks to prevent secondary falls in older people presenting to emergency departments with a fall. It is a 1.5 million dollar-funded RCT that I am involved with as an advisor (from a distance). We’re currently developing the intervention that will be employed later in the year after ethical approval. My involvement is to help in developing the behaviour change techniques that will be used, and the process evaluation that will run alongside the outcome evaluation of the intervention. I also met with other colleagues there at Melbourne and have generated further ideas for future collaborative projects.

 

Conference presentation in Melbourne

Sydney

After my stay in Melbourne, I had a short stay in Sydney as there is a strong critical mass there in the falls prevention field. I met with professor Lindy Clemson who has developed a novel approach to promoting physical activity among older people, with her trial published in the BMJ last year. We had a long discussion that helped her with the theoretical underpinning of the approach, and I’ve come away with a few ideas to take forward in a future collaborative grant proposal.

I then went on to visit Dr Kim Delbaere who has been doing sterling work in the area of fear of falls, not least with several publications on the issue including a paper in the BMJ in 2010. We have at least one paper to work on together with potential for future projects as well, given she has developed a measure of fear of falls suitable for older people with dementia.

The mention of transport in the title of this report refers to my very brief time away from meetings while in Australia. In Melbourne they have a very efficient tram system, and our host’s husband is a pilot and helped us book a Jettly private plane to Sydney. In Sydney I managed to see the bridge, opera house, and a view of the harbour, and even got a trip on the monorail that was constructed for when they hosted the Olympic Games in 2000 but will very shortly be demolished.

We can of course email and Skype with colleagues, but if you do get the opportunity to travel abroad I can fully recommend it as a very fruitful and productive time. You just cannot beat face-to-face communication. I was particularly inspired by the international consensus meeting that we had in Melbourne and can see this as a way forward to synergise the research community’s efforts and more quickly tackle the big societal challenges of our day.

Dr Samuel Nyman

Bournemouth University Dementia Institute and Psychology Research Centre

DEC

 

Making a Contribution: REF and Buses

I suspect that this may win an award for the most contrived title!  Let us deal first with the issues of buses.  The reference is simply to the fact that I have not posted for a while and have more than one post to make this week!  Having dealt with the minor issue of the title we should perhaps turn to the main event, which has nothing to do with buses and everything to do with acknowledging contribution.

On Thursday of this week the REF Academic Steering Group (RASG) which I chair will meet in the presence of the Vice-Chancellor to recommend the final selection of outputs, and associated staff, across all the Units of Assessment in which we intend to make a return in REF2014.  Just to be clear our submission is made in November of this year but the results are due in December 2014 which seems a life time away just now and I can feel the wait dragging already!

The point I would like to make, however, is that the inclusion of outputs is only one way of contributing to our REF submission and all researchers at BU have, and will, help shape our submission.  Outputs account for only 65% of the overall research profile in any given Unit of Assessment (UOA), the other 35% is down to environment (15%) and impact (20%).  Unlike RAE2008, data collection for REF2014 is based on HESA codes rather than the returned FTE and, therefore, metrics which support environment – research income, doctoral completions and esteem – are based on the collective performance within a given HESA code.  To put it bluntly they are not tied to specific individuals who have outputs that are returned. This means that even if a member of staff does not have outputs selected for inclusion, they may have contributed strongly to the research environment through leadership, income generation or student supervision.  Similarly impact is based on a series of case studies, two for the first 14.99 FTE and an additional one for every subsequent 10 FTE.  Again there may be cases where some individuals have generated impact case studies but don’t have sufficient outputs at the required threshold to be returned.  In many ways these individuals have contributed more than anyone to our REF submission.

So the message is a simple one: even if your outputs are not selected for submission this week, all staff are making some form of contribution to our REF submission.  We should also not forget those that are making a contribution through their teaching enabling others to focus on research.  REF is a collective not an individual endeavor.  It is a game, and yes it is a game of high-stakes, that we must play and play well to ensure that the reputation of BU as a leading research institution is maintained, something which is a core part of our collective commitment to Fusion and BU2018.

The ‘Clone Wars’: Episode 1 – The Rise of 3D Printing and the Implications for Intellectual Property

Do you, or any of your colleagues / students want to find out more?

17 July 2013

Bournemouth University, Executive Business Centre, 89 Holdenhurst Road, Bournemouth BH8 8EB 

Arrival from 6pm for a 6:30pm start 

The Centre for Entrepreneurship together with the Centre for Intellectual Property Policy and Management (CIPPM) will present a series of workshops which will focus on 3D printing with particular focus on the Intellectual Property implications.  The workshops will be led by Dr. Dinusha Mendis, Co-Director of CIPPM.

This workshop will be based on Dr. Dinusha Mendis’s recently published paper on this topic and will provide an overview of the challenges to IP as a result of 3D printing. In looking to the future and in drawing parallels with the entertainment industry and the download culture, Dr. Mendis will consider whether any lessons can be learnt from the past and if so, how they can be applied to this new type of technology which will most certainly challenge IP laws.  The presentation will also suggest that rather than focusing on stringent IP laws the future lies in adopting new business models in adapting to this new technology.  In conclusion Dr. Mendis will present some thoughts for the future in taking this suggestion forward.

Workshop 2 and 3 will take place later in the year and will include a hands-on workshop with a 3D printer, and a round table discussion about the future of 3D printing. 

This is a free event for businesses, BU students, BU staff and BU Alumni. Refreshments will be provided.

To find out more or to book your place please visit http://bucfe.com/events/3d-printing-intellectual-property-law/

Flying through Mexico – a reconnaissance tour

 

I visited Mexico for 2 weeks earlier this month (6-20 June) to assess the potential for future research collaboration and to establish links between Bournemouth University (BU) and Mexican organisations. As I have the role of School of Applied Sciences (ApSci) Academic Lead for Students Placements, one of my objectives was to find potential hosts for our students and also opportunities for staff and student exchange. The talks I gave (5 in total!) allowed me to disseminate some of the work I do, the wider teaching and research at ApSci and to promote BU overall. After the talks there was always a good interaction with students and staff and I think there is a good chance that this was the start of long-lasting partnerships between BU and at least some of the organisations I visited:

  • Instituto de Investigaciones Oceanologicas, Universidad Autonoma de Baja California, Ensenada – researchers from other departments and also from CICESE (Center for Scientific Research and Higher Education) also attended the talk, what was very good. Many thanks to Dr Amaia Ruiz de Alegria Arzaburu for organising everything. It was great to catch up with you and hopefully we will be doing something together soon.
  • Instituto de Ingenieria, Universidad National Autonoma de Mexico, Mexico City -attendance to the talk was very good and there was also an interview and material will be added to their website, so quite good dissemination. Dr Rodolfo Silva Casarin is a star, brilliant head of a very interesting group, it was great to have met him after so many emails we have exchanged in the recent past. Many thanks!
  • CINVESTAV (Center for Research and Advanced Studies), National Polytechnic Institute, Merida – here I had a closer contact with research conducted by staff and PhD students and also with coordinators of relevant programme, including some clear demonstration of will for visiting BU and start collaboration. Thanks to Dr Ismael Marino Tapia for the invitation and for being such a great host. Very interesting research are being conducted in CINVESTAV.
  • Laboratorio de Ingeniería y Procesos Costeros, Universidad National Autonoma de Mexico, Sisal – this people are so lucky, they have brand new facilities right at the beach, beautiful settings and they are building new labs, which I’m sure will host great quality research. The talk was well attended and hopefully we will be able to keep in touch with colleagues that were very interested in staff and student exchange. Many thanks to Dr Ernesto Tonatiuh Mendoza Ponce and Dr Cecilia Enriquez for the opportunity to visit your facilities – I look forward to working with you.
  • Instituto EPOMEX (Instituto de Ecología, Pesquerías y Oceanografía del Golfo de México), Universidad Autonoma de Campeche – Thanks to Dr Gregorio Posada Vanegas for introducing the research conducted at EPOMEX and for facilitating the contact with students and other staff. The interactions  after the talk were very informative and hopefully we will continue our collaboration in the future.

This was my first time in Mexico and I had the opportunity to see a bit of very different parts of the country, talk to researchers and students and learn about their work, culture and life style. I call it a tour because in two weeks I visited Ensenada in Baja California, Mexico City and a number of locations in the Yucatan Peninsula, including Merida, Sisal, Campeche and also part of the coast of Quintana Roo. So every other day I was packing and unpacking, which was very tiring. But all worth it for the people I met and the things I learned.

Many thanks to BU’s EUADS (EU Academic Development Scheme) funds for allowing me to engage in this reconnaissance tour.

I will keep you posted of further developments from this initiative.

Fusion supports Euro PR History Network advance

Delegates to the EPRHN Planning Meeting

With financial support from the Fusion Investment Fund, the European Public Relations History Network (EPRHN) held its first planning meeting at BU on Wednesday June 26.

The network was founded virtually in 2012 by Prof Tom Watson of the Media School and drew interest from 33 academics and practitioners in 11 European countries. It was approved.as a project by EUPRERA (Europe’s PR education and research association) in autumn last year.

Its aims are to develop and produce information about the history and historiography of public relations in Europe through the identification and formation of archives, transnational research, joint research bids and the production of publications in print and online formats.

The meeting of EPRHN’s core group brought seven historical researchers from Germany, Romania, Spain, Scotland, Turkey and Bournemouth. Fusion assisted their attendance through travel bursaries.

Among the actions to be progressed are a bid to the EU’s COST (Cooperation in Science and Technology) scheme, which was facilitated on Wednesday by Paul Lynch of RKE; a second edition of its Archives Record publication; and a panel session on ‘developing the history of European public relations’ at EUPRERA’s annual conference in October.

Prof Watson, who was supported by Dr Tasos Theofilou in the organisation of the meeting, said it had been highly productive. “There’s a limit to what we can achieve by email and Skype. The EPRHN made a big forward step because FIF helped bring key members together”. It will also assist Prof Watson and Dr Theofilou to fully launch the group at the October conference.

“At present, 13 countries are represented in the network. We hope to widen that base and engage many more historical researchers in its activities”, said Prof Watson.

For more information about EPRHN and BU’s contribution to the burgeoning field of PR history, go to: http://historyofpr.com.

CEMP Conversations this week and next

An extract from this morning’s conversation is here: CEMP conversation Tom Stacey

Tom Stacey shared an article about second language acquisition and related this to his own PHD research into coding as language acquisition.

He also talked about the practice-based element of his research, of which this robot is an example.             

Next week – on Friday 5th July, at 11.30 – 12.30, in the CEMP office, our final CEMP conversation of the academic year will take place.

We’ll be discussing two related items:

(1) Marketa Zezulkova’s book chapter on a holistic approach to media literacy education:  Marketa Book Chapter

(2) Richard Wallis’s recently published article, co-authored with David Buckingham, on the construction of media literacy within the policy context of the Communications Act: European Journal of Communication-2013-Wallis-0267323113483605

It should be a cracker, and,as always, all colleagues are very welcome to join us, in the current CEMP office, for the last time!

Joint PhD studentships: an example of FUSION in practice.

For many clinicians undertaking a PhD means choosing to either give up clinical practice for a period of time or studying on top of an already demanding full-time job. Now a partnership between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Portsmouth Hospitals NHS Trust (PHT) is making it easier for midwives to undertake a doctorate while still maintaining their clinical skills. The team has developed a novel joint studentship that will allow midwives to combine clinical practice with a research role, working across BU and PHT. The studentships will run for four years and PhD students will spend two days per week working as a midwife in clinical practice and three days per week working on their thesis. This set up facilitates the co-creation of knowledge.

In addition to providing the individual midwives with excellent education, these studentships are designed to examine an area of clinical practice identified by PHT where the evidence is lacking and research is needed. As a consequence the research studies will be directly relevant to practice and will have a demonstrable impact in the future. Hence BU will be able to show that its research and education have a direct benefit to the wider society. Finally, the studentships benefit midwifery practice by building a critical mass of researchers, which will help translate research findings into practice and so create a culture of evidence-based practice.

The result is a studentship that truly fuses research, education and practice.

The CMMPH/PHT partnership has developed three matched-funded PhD studentships for midwives, which will begin in September 2013. These joint PhD studentships will be supervised by both BU academics (Sue Way, Catherine Angell, Carol Wilkins, Maggie Hutchings, Edwin van Teijlingen & Vanora Hundley) and supervisors from PHT based in practice.  We are excited about this novel approach to PhD studentships and hope that we will have many more studentships with other NHS Trusts in the future.

For further information please contact Prof. Vanora Hundley or Prof. Edwin van Teijlingen.

Papers from 19 countries at 4th PR history conference

Boston University (BU) speakers at IHPRC 2013

Aussie academics at IHPRC 2013

 

 

The fourth International History of Public Relations Conference, held at BU on June 24-25, attracted papers from 19 countries. Organised by the Institute for Media & Communication Research in The Media School, it covered topics as diverse as the Royal Family’s first PR adviser to PR in Kazakhstan, and publicity for the launch of Gone With The Wind in 1939.

Held at the Executive Business Centre, there were two strong themes: the historiography of public relations and historical aspects of the professionalisation of PR. They symbolised the conference’s development since 2010 from largely descriptive narratives to a more analytic, sometimes critical approach.

The conference welcomed the authors of five new or recent books and witnessed the launch of the first title in Routledge’s New Directions on Public Relations and Communication Research series which has been developed and edited by Dr Kevin Moloney of the Media School. The book, Public Relations and Nation Building: Influencing Israel, was written by Dr Margalit Toledano and Prof David McKie.

Prof Tom Watson gave the keynote presentation about the state of scholarship in public relations history. He called for historians to move away from “comfortable” topics to more critical investigation into the use and abuse of public relations.

The conference dinner was addressed by Bob (Robert S.) Leaf, a pioneers of international public relations in the 1960s to 1980s, when he was the international chairman of the leading public relations consultancy Burson-Marsteller. Mr Leaf recently published a memoir, The Art of Perception. Delegates also attended a “meet the editors” session which featured contributions on research and publishing by the editors of four major academic journals in the field.

Papers and presentations will be published on the conference website, http://historyofpr.com, in the late summer. Planning for the 2014 conference, which will be held at the EBC on July 2-3 next year, will start shortly.

Research Ethics: Insights from the Centre for Midwifery, Maternal & Perinatal Health and the Centre for Social Work, Sociology & Social Policy

Ethics contributions

Collage of research ethics contributions

Academics based in HSC have experience in a wide-range of research.  In the process of reflecting on all aspects of the research process several members of HSC have published about ethical issues that they have had to address in their own research.    This BU Blog highlights some of these key HCS papers which may help fellow academics and students across the globe address similar ethical questions.  HSC has a history of publishing on research ethics, Professor Emerita Immy Holloway wrote about the researcher who may have a dual role, or even conflicting role, as researcher and health care professional (1).  More recently, several midwifery researchers in the Centre for Midwifery, Maternal & Perinatal Health wrote about the issues facing practitioners doing research in the field where they work, especially concerning the similarities and differences between professional ethics and research ethics (2-3).  Negotiating ethical paths cleaved by competing concerns between protecting research participants and over-managing the ethical process is tricky.

In her book Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia Dr. Ashencaen Crabtree in the Centre for Social Work, Sociology & Social Policy, addresses the problematic issue of gate-keepers in research together with the ethics of critical observation of abuse (potential or actual), as well as the ethics of advocating on behalf of research participants (4).

The fear that the ethical application process in the UK is becoming more and more cumbersome and bureaucratic has been widely recognised as highlighted by Prof. van Teijlingen and colleagues (5-6).

Research ethics review processes are also considered in terms of access to participants regarded as ‘vulnerable’ in a recently published paper by Dr. Ashencaen Crabtree (7) of ethnographers working in health settings who are seeking to understand the context of care and patient/service user experiences.  She concludes that paternalistic control of participation on the grounds of ethical protection of vulnerable people seriously disenfranchises potential participants in preventing them from being able to share their relevant, lived experiences as recipients of service provision.

Prof. van Teijlingen and BU Visiting Fellow Dr. Padam Simkhada highlighted that the social, cultural and economic contexts in which research is conducted often differ between developing and developed countries.  However they stress that researchers need to apply for research ethics approval to the relevant local authority, if national legislation requires one to do so (8).

A new and challenging area of research is the use of discussion boards as a source of research data.  In their paper Dr. Bond and BU colleagues discuss both practical and ethical dilemmas that arise in using such data (9). In earlier research, Prof. Parker of the Centre for Social Work, Sociology & Social Policy, highlighted some of the benefits and dangers of using email and the Internet for research as the potential for electronic media continues its rapid growth (10).

Obtaining informed consent is something that all researchers need to consider. However, in some research situations obtaining consent can be particularly challenging.  Prof. Hundley and colleagues discuss the ethical challenges involved in conducting a cluster randomised controlled trial, where consent needs to be considered at a number of levels (11).  In a second paper issues of consent during pregnancy, where there is the potential for harm to two participants, are considered (12).

In research into the implications of the Mental Capacity Act 2005 for social research, Prof. Parker explored the contested meanings and difficulties associated with informed consent in social research, highlighting some of the challenges raised by an almost unquestioned acceptance of biomedical research ethics in social research and questioning whether potential ‘harm’ is different in this context (13, 14). This research has led to further explorations of the potential for ethical covert research by Prof. Parker and Dr. Ashencaen Crabtree.

 

The way forward

There a plenty of challenges to research ethics in both the health and social care sectors.  Ethical considerations relate to technological developments such conducting research over the Internet or the analysis of tweets.  HSC staff will continue to publish on a range of moral dilemma as well as practical issues related to research ethics.  Moreover, academic from the two centres are planning a Masterclass on research ethics to be held in early 2014.

 

 

References

  1. Holloway, I., Wheeler, S. (1995) Ethical Issues in Qualitative Nursing Research, Nursing Ethics 2: 223-232.   Web address:  http://nej.sagepub.com/content/2/3/223.full.pdf+html
  2. Ryan, K., Brown, B., Wilkins, C., Taylor, A., Arnold, R., Angell, C., van Teijlingen, E. (2011) Which hat am I wearing today? Practicing midwives doing research, Evidence-Based Midwifery 9(1): 4-8.
  3. van Teijlingen, E.R., Cheyne, H.L. (2004) Ethics in midwifery research, RCM Midwives Journal 7 (5): 208-10.
  4. Ashencaen Crabtree, S. (2012) Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia, London: Whiting & Birch.
  5. van Teijlingen, E., Douglas, F., Torrance, N. (2008) Clinical governance and research ethics as barriers to UK low-risk population-based health research? BMC Public Health 8(396)                            Web address: www.biomedcentral.com/content/pdf/1471-2458-8-396.pdf
  6. van Teijlingen, E. (2006) Reply to Robert Dingwall’s Plenary ‘Confronting the Anti-Democrats: The unethical Nature of Ethical Regulation in Social Science, MSo (Medical Sociology online) 1: 59-60  Web address:  www.medicalsociologyonline.org/archives/issue1/pdf/reply_rob.pdf
  7. Ashencaen Crabtree, S. (2013) Research ethics approval processes and the moral enterprise of ethnography. Ethics & Social Welfare. Advance Access: DOI:10.1080/17496535.2012.703683
  8. van Teijlingen E.R., Simkhada, P.P. (2012) Ethical approval in developing countries is not optional, Journal of Medical Ethics 38 :428-430.
  9. Bond, C.S,  Ahmed, O.H., Hind, M, Thomas, B., Hewitt-Taylor, J. (2013) The Conceptual and Practical Ethical Dilemmas of Using Health Discussion Board Posts as Research Data, Journal of Medical Internet Research 15(6):e112)  Web address: http://www.jmir.org/2013/6/e112/
  10. Parker, J.  (2008) Email, ethics and data collection in social work research: some reflections from a research project, Evidence & Policy: A Journal of Research, Debate & Practice, 4 (1): 75-83.
  11. Hundley, V, Cheyne, HC, Bland, JM, Styles, M, Barnett, CA.. (2010) So you want to conduct a cluster randomised controlled trial? Lessons from a national cluster trial of early labour, Journal of Evaluation in Clinical Practice 16: 632-638
  12. Helmreich, R.J., Hundley, V., Norman, A., Ighedosa, J., Chow, E. (2007) Research in pregnant women: the challenges of informed consent, Nursing for Women’s Health 11(6):  576-585.
  13. Parker, J., Penhale, B., Stanley, D., 2010. Problem or safeguard? Research ethics review in social care research and the Mental Capacity Act 2005. Social Care & Neurodisability, 1 (2): 22-32.
  14. Parker, J., Penhale, B., Stanley, D. (2011) Research ethics review: social care and social science research and the Mental Capacity Act 2005, Ethics & Social Welfare, 5(4): 380-400.

 

Vanora Hundley, Sara Ashencaen Crabtree, Jonathan Parker & Edwin van Teijlingen

 

 

PechaKucha – presenting research in a fast and furious manner!

The Normal Labour and Birth Conference allowed me to experience a novel way of showcasing research and exchanging ideas – the PechaKucha. Pronounced “peh-chak-cha”, the PechaKucha session is made up of a series of short presentations. Presenters must use 20 slides, each of which must be displayed for exactly 20 seconds – no more, no less. The concept, conceived by two young architects (Astrid Klein and Mark Dytham) in Japan in 2003, is to enable individuals to exchange their ideas in a fast moving, concise and exciting format. Not one to ignore the call to try something new, I decided to undertake this challenge as a double act with my colleague Professor Helen Cheyne from the University of Stirling. We presented our team’s work on the media’s portrayal of labour and birth, which was also being displayed as a poster.

Poster
Research team includes Ann Luce, Marilyn Cash, Vanora Hundley, Helen Cheyne, Edwin van Teijlingen and Catherine Angell

The PechaKucha was quite an undertaking, as the slides move automatically and you cannot stop them moving on! However, it really focused the mind and helped us identify the key messages from our work. The session was very lively and the energy generated a lot of discussion that continued into the coffee break afterwards. As for the PechaKucha method, I’d say that it is definitely a useful tool for our community research meetings, and perhaps also for our doctoral students to use as they prepare for their vivas.

The conference was also an opportunity to catch up with colleagues from the International Early Labour Research Group. The group have been involved in producing a series of research papers featured in a special issue of Midwifery. We also discussed future research and opportunities for research collaboration.

CEMP Conversation – recording

Audio extract of today’s  CEMP conversation 13.6.13  – a discussion of Allen et al: Work placements in the Arts and Cultural Sector: Diversity, Equality and Access, which was shared by CEMP PHD student Tamsyn Dent.

NB – some of the voices here are via skype.

The next CEMP conversation is on 27.6.13 and the reading will be posted here a week before. All are welcome to attend.

Dizzy the dog attends midwives forum

 

Left to Right: Mandy Williams - Community Midwife, Gay Rogers - Breakfast Host and Hospital Midwife and Luisa Cescutti-Butler, Senior Lecturer (Midwifery)

Every three months hospital and community midwives at Salisbury NHS Trust Hospital attend a forum dedicated to matters relating to Examination of the Newborn (EXON).  The aims of the forum are to support healthcare professional undertaking newborn examinations, sharing of experiences/case studies, interprofessional working, maintenance of competence, formulate and review internal  processes and peer support for professionals in training. Members consist of midwives, nurses, a consultant Paediatrician and Children’s physiotherapists. BU student midwives are welcome to attend when working with their community midwives and on this occasion two students were present. As unit leader for EXON at BU and one of the link lecturers at the hospital, I chair, coordinate and facilitate the forums, with venues alternating between hospital and community.  This month we met for breakfast at a colleague’s home, where midwives were greeted with the smells of freshly brewed coffee and a newly prepared home cooked frittata. Further offerings included fresh strawberries, raspberries, warm croissants, cocktail sausages and quails eggs.  

Minutes and agendas are sent out in advance. A standing item is a report from senior children’s physiotherapist Karen Robinson, whose department leads the service for Developmental Dysplasia of the Hips (DDH) in newborns.  A recent case was brought to our attention, where a baby had been examined by midwives and doctors and found to have an unstable right hip. The baby was appropriately referred for an ultrasound scan which subsequently found the right hip normal, but considered the left hip abnormal.  The Barlow’s and Ortolani manoeuvres used by both professions at the time of the examination had not detected any left hip abnormality. A robust discussion ensured as to the complexities of examining babies for DDH and the difficulties in detecting unstable hips when the manoeuvres used by all professionals were themselves unreliable. However Karen was able to reassure us by indicating that in the seven years of the Children’s Physiotherapy Department leading the DDH service, very few babies had been ‘missed’. Karen also emphasized the significance of caring for babies’ hips in general and the importance of educating parents around their baby’s ‘hip health’. The 3rd year midwifery students are currently taught theory around DDH with opportunities to practice manoeuvres on ‘Baby Hippy’. As facilitator for these sessions I realized that our midwifery curriculum had to include general baby hip health in the first year of the student’s programme. Rachael, a 3rd year student midwife, was in agreement: “the discussion around hip care for newborns was great to listen to. I agree that it would be really beneficial to have a lecture on hip care for students”. 

Left to Right: Rachael Callan - 3rd year student midwife, Carol Bremner - Community Midwife, Beccy Seaton-Harris - 1st year student midwife and Fiona White - Community Midwife

On other matters Karen highlighted a number of babies diagnosed with Erb’s Palsy following birth had recently been treated by the department. Various options were offered as to why these babies had sustained these birth injuries, resulting in the forum unanimously agreeing that education around Erb’s Palsy and Brachial Plexus Injuries would benefit all professionals involved with childbirth.  Terri Coates, an expert on Brachial Plexus Injuries and a midwife at Salisbury, agreed to arrange a study day with the national Erb’s Palsy Support Group, to be held at either Salisbury Hospital or BU for midwives and students.

There are many advantages in having a regular forum to discuss issues relating to newborn examination.  Case studies are presented and debated and education around various topics are provided at regular intervals. The forum also supports midwives from other trusts who are having difficulties with undertaking the examination in their areas. Beccy, the 1st year student midwife had the following to say: “It was very informative. It was good to see community and hospital midwives coming together as a team. I am also interested in learning more about Erb’s Palsy and attending a study day. Learning about general hip care would also be beneficial. The breakfast was lovely too”.

Dizzy

The last bark, I mean word, goes to Dizzy. He gets terribly excited when breakfast is served and runs from one midwife to another hoping for a dropped sausage or at least a titbit from a kind soul. After not having much luck, he eventually settles down and gently snores in the corner of the room.