Category / Social Work and Social Policy

Fieldwork preparation in Nepal

international, PG research

If you have a number of research projects running in the same location it pays to combine some of the preparation.  Thus as part of five different studies and one PhD project, I’m currently in Kathmandu.  The projects are (1) the THET-funded intervention in Nawalparasi; (2) the CEL-funded qualitative research led by Dr. Catherine Angell on CPD (Continuous Professional Development); (3) the FHSS-funded project on transgender which is led by Dr. Pramod Regmi; (4) the FHSS-funded project with Pourakhi which supports Nepali women returning home after having been abroad as migrant workers;  and (5) the Green Tara Trust funded project on improving maternal health care in Dhading and Nawalparasi, and the FHSS PhD project is that of Mrs. Preeti Mahato.  Two of the project and the PhD topcic are closely related as all three cover maternity care in one for or another in Nawalparasi.  The planning meetings we are having in Nepal involve planning training sessions and workshops, resource allocation and research preparation.DSCN0026

Fortunately, it is not all work.  Today I enjoyed Kheer (Achar and Chana) for lunch in the Green Tara flat in Kathmandu a lovely rice pudding with slightly sour green vegetables and chick peas (see photo).  The actual meal is traditionally health tomorrow but as this is the weekend the staff brought it one day forward so that I could join in too.

Finally, I like to thank colleagues who gave me mobile phones and a camera.  One of the mobile phones is already in use by one of the Nepali charity workers in Kathmandu. I bought a new battery and memory card for camera in the UK and it is working fine, the photo with this blog has been taken with the donated camera!

 

Prof. Edwin van Teijlingen (writing from Nepal).

Centre for Midwifery, Maternal & Perinatal Health Research

 

Making the Most of Writing Week Part 7: BUCRU – not just for Writing Week!

Guidance, writing

We’re coming to the end of Writing Week in the Faculty of Health and Social Sciences and by now you will have made a good start or have put the finishing touches to your academic writing projects. Over the last week, we have given you some tips on writing grant applications and highlighted some of the expertise within BUCRU. If you didn’t get the chance to pop in and see us we thought it would be useful to remind you what we’re about and how we can help.

Bournemouth University Clinical Research Unit (BUCRU) supports researchers in improving the quality, quantity and efficiency of research across the University and local National Health Service (NHS) Trusts. We do this by:

  • Helping researchers develop high quality applications for external research funding (including small grants)
  • Ongoing involvement in funded research projects
  • A “pay-as-you-go” consultation service for other work.

How can we help?

BUCRU can provide help in the following areas:

  • Study design
  • Quantitative and qualitative research methods
  • Statistics, data management and data analysis
  • Patient and public involvement in research
  • Trial management
  • Ethics, governance and other regulatory issues
  • Linking University and NHS researchers

Our support is available to Bournemouth University staff and people working locally in the NHS, and depending on the support you require, is mostly free of charge. There are no general restrictions on topic area or professional background of the researcher.

If you would like support in developing your research please get in touch through bucru@bournemouth.ac.uk or by calling us on 01202 961939. Please see our website for further information, details of our current and previous projects and a link to our recent newsletter.

Making the Most of Writing Week Part 6: What to do with your data

writing

You don’t have to spend Writing Week working on grant applications. You may already have a dataset and now you finally have some time to do something with it. But where to start? It’s often a good idea to go back to your original research questions/aims/objectives. As we said yesterday, a well thought out research question can help shape your analysis strategy.
Hopefully you will have a record of which variables you were measuring and how data were coded. Were any calculations performed using the raw data to create new variables? How were these done? This is all part of good data management. To find out more visit the information pages created by the Library and Learning Support Team.
Once you are reacquainted with your data, it’s often a good idea (in the case of quantitative data) to start plotting graphs to find out more. Always keep in mind the original aims of the study, it’s easy to wander down a path of distraction. If you are feeling confused by all of this or, have got yourself lost down a data track, the BUCRU team are at hand to help.
Peter Thomas is available on Tuesday and Wednesday while Sharon Docherty is available Tuesday, Wednesday and Thursday this week. Why not drop us an email or pop by to see us in R505?

Making the Most of Writing Week Part 5: Designing your study

writing

So you have formed a strong team, chosen a funder and involved some service users to help develop a research idea with impact. What’s next?
Step 5 is designing your study. The heart of a good piece of research is a strong research question with clear aims and achievable objectives. Sounds easy, right? This is often one of the most difficult aspects of any research project. If you then add having to align your ideas with the priorities of your chosen funder, this task becomes a bit more difficult. However, it is worth the effort. Spending time putting together well constructed research questions will make designing the rest of the study much easier and will even help you formulate your data analysis strategy.
If all of this sounds a bit daunting, never fear because BUCRU are at hand to help. Did you know that some of the members of BUCRU form the Bournemouth branch of NIHR Research Design Service (RDS)? The RDS is here to advise and provide practical support for anyone developing a research grant application to a national, peer reviewed funding competition in the fields of applied health or social care. You can find the Bournemouth team in Royal London House.
If you need help with the design of your study (particularly if it is quantitative) Peter Thomas is available on Tuesday and Wednesday while Sharon Docherty is available Tuesday, Wednesday and Thursday this week. Why not drop us an email or pop by to see us in R505?

Making the Most of Writing Week Part 4: Research grant applications – not THAT PPI

Guidance, writing

With the start of FHSS writing week, we are continuing our series of blogs providing you with some (hopefully) useful advice on how to make the best of this dedicated time. Remember, there are members of the BUCRU team available during this week to help you (i.e. anyone interested in health research) along the way.

Once you have decided on a funder, an important (but sometimes overlooked) aspect of working up a grant application is the planning and documenting of the involvement of service users/patients/relevant groups or organisations (Public Patient Involvement or PPI) ie the people most likely to have a vested interest in the research you are intending to do. Indeed, many major national funders, including the NIHR, require detailed evidence of how service users have been involved. But do you know who to approach? When? How? What can service users be involved with? What can they add? Sometimes it’s relatively straightforward to identify appropriate individuals and organisations. Other occasions can call for more creativity. Hot tip: everything takes longer to arrange than you might think. Allow a minimum of 6 weeks to plan, consult service users and feedback from the PPI consultation to your colleagues.

If you’d like some advice about planning PPI and conducting service user consultations for a project Helen Allen (helena@bournemouth.ac.uk) will be pleased to advise you. Helen is available on Tuesday 26th.

Making the Most of Writing Week Part 3: Research grant applications – choosing a funder

Guidance, writing

Since next week (25-29 July) is Writing Week in the Faculty of Health and Social Sciences (but anyone interested in health research can come and see us), we’ll be giving you some tips on ways to make the most of the dedicated writing time as well as letting you know which members of the BU Clinical Research Unit team can help you and when they are available (see table below).

availability

In yesterday’s post we covered how we can help you build a research team. Step 3 focuses on choosing a suitable funder for your research project. You may be an established researcher with several grants already under your belt and a fair idea about the funders that are appropriate for your area of research. Whatever stage you’re at it’s important to target the right funder. Ensure your research idea fits with the funder’s strategic aims and priorities. Do they fund solely quantitative research, or do they prefer a mixed-methods approach? Do they have open investigator-led calls or commissioned calls only? Although it’s not all about the money, ensure the funder has a sufficient funding limit for your project – an under-costed project will be obvious to a funder and is unlikely to be successful.

If you’re not sure where to start Lisa Gale-Andrews (lgaleandrews@bournemouth.ac.uk) can help identify suitable health research funders for your project. She will be available all day Monday-Thursday during Writing Week if you’d like to pop in (R506).

There’s more to come on grant applications over the next few days including research design, and the importance of patient and public involvement (PPI).

Making the Most of Writing Week Part 2: Research grant applications – building a team

Guidance, writing

Next week (25-29 July) is Writing Week in the Faculty of Health and Social Sciences. A whole week dedicated to freeing up some time for academic writing. So, how can you make the most of this opportunity? Over the next few days, we’ll give you some tips on ways to spend your Writing Week as well as letting you know which members of the BU Clinical Research Unit (BUCRU) team can help you and when they are available.

Writing Week is not just about writing papers – it also provides an opportunity to finally start thinking about that piece of research you’ve been dying to do. In BUCRU we have a wealth of expertise to support health research, and several members of our team are also members of the NIHR Research Design Service (more to come on that in a later blog). The next few posts cover our speciality subject – research grant applications.

Step 2 is thinking about your research team. You might have a great idea for a research project, but do you have the right people to ensure a strong, supportive team who can deliver the research? Depending on your research question, you might need a multi/interdisciplinary team of academics from different disciplines, clinicians, nurses, Allied Health Professionals etc. You may have a good network around you already, but what do you do if you don’t? Lisa Gale-Andrews is Clinical Research Co-ordinator in BUCRU, and can help facilitate research collaborations particularly with clinicians in the local health service and with academics across Faculties. Please contact Lisa (lgaleandrews@bournemouth.ac.uk) if you’re looking for contacts and for support in building your research team. She will be available all day Mon-Thurs during Writing Week if you’d like to pop in (R506).

There’s more to come on grant applications over the next few days including choosing a funder, research design, and the importance of patient and public involvement (PPI).

New Harding and Pritchard paper in international health policy journal

Publishing

InternationalMapAndrew Harding and Colin Pritchard have recently had a paper published in the International Journal of Health Policy and Management.

The paper, titled ‘UK and Twenty Comparable Countries GDP-Expenditure on-Health 1980 2013: The Historic and Continued Low Priority of UK Health Related Expenditure, uses GDPEH data to outline the low proportional commitment that the UK makes to healthcare expenditure. It is well established in the health and social policy world that the UK prioritises less of its wealth to health than almost any comparable country. However, the authors use an innovative and novel means of exploring proportional differences in commitment.

The key finding is that since 1980, in order to meet the mean average European health spend, the UK would have needed to have made an additional commitment of one-fifth. For the final period, between 2010-2013 the authors show that the UK has prioritised 12% less in proportional terms (as a % of GDP) than the European average.

The paper ends with the following quote, “Echoing others who have recently contributed to discussion in this area, if other comparable countries can make a larger proportional commitment and deem it affordable, in light of aforementioned challenges, why cannot the United Kingdom prioritise accordingly?”

New HSS PhD paper!

BRIAN, PG research, Publishing, student research

SPSHSS PhD student Andrew Harding and fellow authors  Jonathan Parker, Sarah Hean and Ann Hemingway have recently had a paper accepted for publication in Social Policy & Society, the sister publication to the Journal of Social Policy and run by the Social Policy Association.

A critical yet under-researched area, the paper presents a comprehensive literature review that critiques current research on the outcome/impact of information and advice on welfare. A realist evaluation approach is then proposed as being capable to address critical weaknesses in existing research.

Among other areas that are covered, the paper provides an overview of the importance of information and advice in the context of the marketisation of UK welfare provision and a new ‘efficacy framework’ is developed which can be used to assess the scope of research.

A final draft post-refereeing version of the paper will be uploaded to BRIAN in due course.

World Elder Abuse Awareness Day 15th June 2016

Helping Hands croppedToday is World Elder Abuse Awareness Day, a day set aside by the United Nations for governments and civil society worldwide to acknowledge the problem of abuse against some of the oldest and most vulnerable groups across the world.

Despite the Toronto Declaration on the Global Prevention of Elder Abuse (2002) which called for a multi-sector and multi-disciplinary approach to tackle the issue, elder abuse continues to be a global problem affecting the health and impacting on the human rights of millions of older people around the world.

According to the World Health Organisation (WHO) elder abuse is a subject which is often underestimated and ignored by societies globally. As older populat
ions grow globally, elder abuse is an issue that all societies and governments need to acknowledge and tackle in a proactive way. In 2015 there were 901 million people on earth aged 60 or over; and this is projected to rise to 1.4 billion in 2030 (United Nations [UN] 2015). Due to this rapidly ageing global population elder abuse is predicted to increase. Although it is difficult to measure the scale of the problem due to its often hidden nature, it is estimated that around 1 in 10 older people experience abuse every month.

What is it?
Elder abuse can take various forms such as physical, psychological or emotional, sexual and financial abuse. It can also be the result of intentional or unintention
al neglect, and can occur in institutional settings as well as in the home environment. However, in many parts of the world it is an issue which is often hidden from view and seldom recognised, the voices of victims silenced by ageism and indifference. It results from the wider marginalization, disrespect, and exploitation that older people experience in many societies, and ultimately results in de-humanised care and an absence of human rights for older people.

What can we do?
Globally we need to acknowledge elder abuse as a priority. We need to tackle some of the underlying socio-cultural factors which deny older people status and human rights including inherent ageism and the depiction of older people as frail, weak and dependent. This includes developing awareness of how changing socio-demographic patterns contribute to the shifting context of care and support available to older people in society. For example, global and national economic policies may result in funds to provide health and social care to older citizens not being considered a priority, and the creation of a globally mobile workforce resulting in the erosion of bonds between generations of a family where traditionally younger family members would care for older relatives.

We also need to act on demographic changes, celebrate that many of us are living longer, but acknowledge health and life expectancy inequalities across the UK and globally (Wilkinson and Pickett, 2010, Office of National Statistics, 2016) and work to address these. International interest in using well-being as a measure of social progress (http://www.neweconomics.org/issues/entry/well-being) alters perspectives, making us consider that factors which negatively impact on individual well-being, including the abuse of vulnerable members of society, indicate systemic problems which need systemic solutions such as the introduction of the ‘well-being principle’ to social policy.

The well-being principle underpins the Care Act (2014) and seeks to ensure social care support and services in England and Wales, increase well-being, enabling personal dignity and the exercise of choice and control. This represents human rights, person-centred approach which is strengths rather than deficit based. Its relevance reaches beyond social care and by adopting this stance in our interpersonal as well as professional relationships we can start to address some of the negative stereotypes which are linked to old age and ageing, and which can contribute to de-humanised approaches to care.

Elder abuse should be a topic that we all feel we have a stake in, and as such is in all our interests to tackle.

Dr Lee-Ann Fenge and Sally Lee

References

United Nations, Department of Economic and Social Affairs, Population Division (2015) World Population Prospects: The 2015 Revision. Available from https://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf [Accessed 13/06/16]

Wilkinson, D. and Pickett, 2010. The Spirit Level. London: Penguin.

http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies