

Reference:
- Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.
Latest research and knowledge exchange news at Bournemouth University
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In FHSS we have been working on health and migration issues in Nepal and the health and well-being of Nepali migrant workers abroad for over ten years, resulting in numerous publications [1-9].
Well done!
Prof. Edwin van Teijlingen
CMMPH
References:
This week we had this enviable record of two academic papers on health topics being rejected the day after submission. The first paper was submitted on Monday to Issues in Mental Health Nursing. Our paper reported the Content Analysis of a review of the nursing curricula on mental health and maternity care issues in Nepal. The journal editor emailed us the next day to inform us that the topic was interesting, but not relevant enough to the journal’s readers.
The second paper submitted by a different configuration of staff was submitted last Friday to the Journal of Youth & Adolescence. The second paper reported a qualitative study on students views on abortion in the south of England. This journal’s rapid reply came the next day (yesterday) stating that:
Unfortunately, the editors have completed an internal review of your study and have deemed your manuscript inappropriate for our journal. Although your manuscript has important strengths, the journal has moved away from supporting qualitative work (unless it would be part of a journal special issue). Please rest assured that our decision has nothing to do with the quality of your study or findings.
On both occasion we had discussed potential journals and we thought we had targeted appropriate journals for the respective manuscripts. Moreover, in both manuscripts we managed to cite at least one paper published in the journal to which we had submitted it. The general message to my colleagues is that it does not matter how many papers you have written and submitted, you will: (1) occasionally opt for the wrong journal; (2) continue to face regular rejection by journal editors; and (3) have an opportunity to submit to another journal.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Last year the Women’s Academic Network hosted ‘Project Vagina’, an interactive art exhibition by the feminist art collective, Red Luna, who have since reformed into The Leggy Blondes, a creative, visual and performative group, led by Rebekah Brown and Megan Juniper, whose work features at art exhibitions, the Edinburgh Fringe Festival, schools and universities.
Student feedback from last year’s event was so positive that they had to be brought back for an even bigger bash at BU. This year the Leggy Blondes strutted their stuff as part of the ESRC Festival of Social Sciences public engagement event, the Carnival of Sex, Sexuality & Gender. The Carnival was designed to be a fun, tongue-in-cheek pedagogic event using a mixture of subversive, merry mayhem and serious scholarship. The topic carries huge social relevance in contemporary society where gender has become deeply politicised – interpreted both as a source of liberation but at the same time problematised and angst ridden.
Badging this WAN event with The Centre for Excellence in Learning (CEL) and Athena Swan, the morning was devoted to the amazing, revamped ‘Vagina’ artefact itself, party games and objects d’art to explore, and a ‘Banging and Screwing’ cabaret featuring cheeky workmen – all thanks to the ‘Blondes’.
The afternoon consisted of a Q&A panel discussion, chaired by Professor Sara Ashencaen Crabtree. Dr Katie Lonie from the University of Sidney discussed her research work on young women’s political engagement. Dr Conor Doaks from the University of Bristol elucidated his area of expertise: masculinities and culture. WAN colleagues, Dr Shelley Thompson and Dr Paola Vizcaino-Suárez made up the panel quarter by presenting their work on firstly: women, STEMM, news and popular culture, followed by gender-based violence and tourism.
Over lunch participants crowded around Mr Aaron Lownie, Japanese Shibari artiste, demonstrating this esoteric, erotic art form of graceful, sedate, head-scratching complexity. Following this staff from CEL led an arts-based workshop. Curie Scott and Anne Quinney run workshops on using creative methods in research and education practice. They invited participants to produce an individual or group creative artefact based on a theme from the day. On hand were dressing up clothes, modelling clay, magazines, recycled material, paper, fabric, sequins, and pipe cleaners (to name a few!). The open space and time helped people to create visually provoking images. The dressing up box was especially well used!
The Carnival theme was closed in style by the amazing Norm, ‘Mr Balloon Man’, now a regular to BU, whose fantastic and transitory works-of-art were hugely popular with participants and carried off protectively into the dark, rainy, windy night following a colourful day of diverse public pedagogy.
Finally, many thanks to colleagues for their support and help, including Dr Lorraine Brown, Professor Jonathan Parker, Dr Frances Hawkhead, Genna del Rosa, Amanda Lazar and Beverley Allen.
Congratulations to Dr. Rosie Read and Prof. Lee-Ann Fenge in the Faculty of Health & Social Sciences who just published in the academic journal Health and Social Care in the Community. Their paper is called ‘What does Brexit mean for the UK social care workforce? Perspectives from the recruitment and retention frontline’ [1]. You can’t have a more topical academic paper and it is freely available on the web through Open Access!
The paper is based on research on research they undertook last year on the impact of Brexit on the social care workforce. A key finding is that, irrespective of whether they employ EU/EEA workers or not, research participants have deep concerns about Brexit’s potential impact on the social care labour market. These include apprehensions about future restrictions on hiring EU/EEA nurses, as well as fears about increased competition for care staff and their organisation’s future financial viability. This article amplifies the voices of managers as an under‐researched group, bringing their perspectives on Brexit to bear on wider debates on social care workforce sustainability.
Congratulations!
Prof. Edwin van Teijlingen
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As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
References:
The final seminar in our ESRC seminar series concerning the development of legal literacy and adult safeguarding was held at the Friends’ Meeting House in London on the 11thOctober bringing together three years exploration of meanings, interpretation and learning from the implementation of the Care Act 2014. The series brought together expertise in adult safeguarding from the universities of Bournemouth, Bedford, East Anglia, Chester and led by Keele University, alongside practitioner expertise from 39 Essex Chambers and PASA-UK (Practitioner Alliance for Safeguarding Adults).
The morning session was chaired by Prof Jonathan Parker, who introduced the retired high court judge Sir Mark Hedley to begin the day by examining professional power and responsibility and the complexities of decision-specific capacity and the need for care, brought to life through a range of often heart-wrenching cases. Prof Paul Kingston (Chester) and Luke Joannou of the Royal British Legion then considered the topical area of safeguarding in the charitable sector that highlighted contemporary demands for good governance brought to the fore by recent cases involving Oxfam and Save the Children. The final session of the morning was presented by Kenny Gibson, the recently appointed head of safeguarding for NHS England. Kenny, only 120 days in post, articulated some of the changes NHS England was making to roll out understanding and improve practice in safeguarding across the workforce.
Prof Michael Preston-Shoot (Bedford) chaired the afternoon session. The Rt Hon Norman Lamb MP, the former minister who ushered through the Care Act 2014 began the afternoon, reflecting on transformative approaches to care and Winterbourne View. He was followed by Prof Jill Manthorpe (King’s College, London) who presented aspects of her research group’s work on whether or not powers of entry would be beneficial for practitioners working in adult safeguarding; a fraught and contested area of practice that raises the importance of debate in this area. Bridget Penhale (UEA) then took us back into the history of identifying elder abuse – a very recent history – showing the political twists and turns, and the ways this has added to calls for a UN Convention of the Human Rights of Older People. The afternoon was completed by Alex Ruck Keane (39 Essex Chambers) who took us back to the beginnings of the seminar programme and the elusive processes in developing adequate definitions to negotiate this complex practice milieu.
As the series drew to a close we have turned attention to sustainability, dissemination and taking forwards the learning. One of the central elements of the three years has been to raise awareness and knowledge amongst the next generation – public, professional and academic – of adult safeguarding and to identify and challenge blurred lines within society. One way of doing so has been to ensure spaces are available for students, at all levels of study. As an example of our BU fusion approach, promoting the interface of research, education and practice, final year Sociology & Criminology student, Andreas Bubier-Johnstone joined the seminar, his interests developing through the degree programme. His reflections are useful:
As a third year Sociology & Criminology student wanting to pursue a future career in Adult Safeguarding I found the seminar overall a tremendous help. On arrival I was greeted by many fantastic minds, and felt instantly welcome. All of the speakers provided me with new and, more importantly, useful information, whether it was from textbook legalities and standard protocols, to their own personal experiences; it was both fascinating, and stimulating. I found the overall diversity of the speakers, something of great interest. Being able to gauge information from different people, and perspectives was a great touch in showing different fields and how they function.
What I took away from the day simply was clarity. I knew after the seminar was over, that I really did want to pursue a career in adult safeguarding. It gave me a new founded drive, speaking to people who are developed in the field really has given me a boost, and hunger to achieve my future career goals. The people who attended the seminar were all very helpful, and provided me with information on how to further achieve my goals for the future.
Jonathan Parker and Andreas Bubier-Johnstone
Congratulations to Dr. Alison Taylor whose PhD paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers‘ has just appeared online [1]. This paper, in Women and Birth (published by Elsevier), was co-authored with her PhD supervisors Prof. Emerita Jo Alexander, Prof. Kath Ryan (University of Reading) and Prof. Edwin van Teijlingen.
The paper highlights that despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly. Alison’s study explored in a novel way the everyday experiences of first-time breastfeeding mothers in the early weeks following birth. Five UK mothers were given a camcorder to capture their real-time experiences in a video diary, until they perceived their infant feeding was established. This meant that data were collected at different hours of the day by new mothers without a researcher being present. Using a multidimensional approach to analysis, we examined how five mothers interacted with the camcorder as they shared their emotions, feelings, thoughts and actions in real-time. In total mothers recorded 294 video clips, total recording time exceeded 43 hours.
This paper focuses on one theme, the therapeutic role of the camcorder in qualitative research. Four subthemes are discussed highlighting the therapeutic impact of talking to the camcorder: personifying the camcorder; using the camcorder as a confidante; a sounding board; and a mirror and motivator. The paper concludes that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic and that more research is needed into how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.
Alison is Senior Lecturer in Midwifery and a member of the Centre for Midwifery, Maternatal & Perinal Health.
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The presentation includes some of the findings from out recently completed THET-funded study on a maternal mental health intervention in southern Nepal as well as some reflections on working and researching in the country. The slides for tomorrow’s presentation can be found at LinkedIn, click here!
The conference presentation was co-authored with BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen, Ms. Manju Gurung from Pourakhi, Ms. Samjhana Bhujel from Green Tara Nepal, and Padam Simkhada, who is professor in the Public Health Institute at Liverpool John Moores University.
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Sharing ideas and contextualising the historical and contemporary represents one of the ways in which we can broaden our understanding of international democratic ideals. We can recognise our place-in-environment as agents and the wider place of structures in forming, moulding and continuing policies that work for good or ill and choose to resist, adapt, or not, accordingly – not historicism but an agentic appreciation of the intertwining of the historical and biographical in shaping society and cultures. In this context, it was with great pleasure that we were able to welcome esteemed friend and colleague Professor Datuk Dr Denison Jayasooria to speak to staff and students about the changing democratic face of Malaysia.
Prof Denison is principal researcher in the Institute of Ethnic Studies at Universiti Kebangsaan Malaysia and Co-Chair of the Malaysian CSO-SDG Alliance. He has undertaken a great deal of work with SUHAKAM, the Malaysian Commission on Human Rights, and with the United Nations in Malaysia in establishing a trajectory towards meeting the Sustainable Development Goals.
Prof Denison rehearsed the formation of Malaysia and its history in colonial times, considering the ethnic composition mixed to provide jobs, administration and infrastructure in Malaya and the constitution promoted at independence that privileged one group to be ‘more equal than others’. He provided a post-colonial analysis of the contemporary issues facing modern-day Malaysia.
A fascinating insight into future possibilities, democratic change and development, with respect set firmly as the bedrock for such discussions, was articulated through four-arm model of the next few years. This model examined the various power structures in relation to Malaysia’s constitution and the various interpretations made of it:
Each model was seen to have some claim, whilst there is a need for inclusion, participation and human rights focus as Malaysia moves forward. The constitution formed the basis for discussion of the different types of Malaysia envisaged and indicates an area that is ripe for further study and analysis.
It was good to see staff and students from a range of social science disciplines, from the pure to the applied, who engaged vigorously with the ideas promoted. As the UK stumbles into an uncertain and dangerous future and its democratic claims become increasingly under attack, it is good to be reminded of the need for resistance to marginalisation, discrimination and exclusion but also respect for or engagement with the ‘other person’s view’. Prof Denison showed how by engaging with a range of different perspectives new ways of thinking about and doing politics can emerge. Of course, the human rights bedrock must be there for this to work, and Prof Denison clearly highlighted this need.
We were pleased to announce earlier in the year that the National Institute for Health Research (NIHR) has awarded us a further five years of funding to continue our work as the RDS South West. Today marks the beginning of our third five-year contract.
This NIHR funding allows RDS advisers in the South West to continue offering free and confidential advice, drawing on a unique breadth of experience and established track record in improving funding applications.
Please see our latest BUCRU/CoPMRE newsletter or find out more about how we could help you by visiting RDS SW website or contacting the RDS South West Bournemouth Office hosted within BUCRU (Bournemouth University Clinical Research Unit):
Bournemouth University
Room R505, Royal London House
Christchurch Road
Bournemouth
Dorset, BH1 3LT
Tel: 01202 961939
Email: wardl@bournemouth.ac.uk
One of the first rules of drafting a scientific paper is that one cites the key literature in the respective field. So as someone who teaches people how to write and publish in this week’s experience of getting a paper rejected was not great, if not disheartening! Earlier this week we submitted a research paper to the Journal of Travel Medicine on a study of the health and well-being of female migrant workers in Nepal. This is high quality journal in which we have published before, including one paper on migrants’ health [1-3].
Two days later the journal editor emailed us to say: “”We feel that the scope of your paper would not justify a full original article in the Journal of Travel Medicine”, which is, in our opinion, a fair judgement. My co-authors and I between us have over 300 papers published and most have been rejected or at least we have been asked for a resubmission, so nothing new here. What was more upsetting than the rejection itself was the additional comment. The editor added:
“The authors should ideally include the two following references:
……(first reference omitted) …. +
Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature.
Simkhada PP, Regmi PR, van Teijlingen E, Aryal N. J Travel Med. 2017 Jul 1;24(4). doi: 10.1093/jtm/tax021. Review.
We agree with the editor that we should have included the two listed key papers. Crucially, it is more than a little mistake to have missed the second paper since we wrote it ourselves. There are many lessons to be learnt from this: (a) check you have covered the key literature in your paper, either in the Background section and/or the Discussion; (b) don’t underestimate the importance of your own work; (c) you’re never too old to make mistakes (and to learn from them); (d) be thankful for good editors and reviewers; (e) do what you advise others to do; (f) etc. ………………
In shame,
Prof. Edwin van Teijlingen
CMMPH
References:
Earlier this month the Journal of Manmohan Memorial Institute of Health Sciences published a paper co-authored by Centre for Midwifery, Maternal & Perinatal Health (CMMPH) staff. The paper ‘Health consequences of sex trafficking: A systematic review’ [1]. The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.
The review reminds us that sex trafficking is one of the most common forms of human trafficking globally. It is associated with health, emotional, social, moral and legal problems. The victims of sex trafficking when returned home are often ignored. This review explored the health consequences of sex trafficking among women and children. A total of 15 articles were included covering health risks and well-being related to sex trafficking. Sexual and physical violence among victims such as rape and repetitive stress and physical injuries were common. The prevalence of STI (sexually transmitted infections) and HIV (human immunodeficiency virus) was also reported as high. Being trafficked at a young age, having been in brothels for a longer period and sexual violence and forced prostitution were linked with a higher risk for HIV infection. Physical health problems reported included headaches, fatigue, dizziness, back pain, memory problem, stomach pain, pelvic pain, gynaecological infections, weight loss, lesions or warts, unwanted pregnancies and abortions. The studies on mental health reported that depression, anxiety and post-traumatic stress disorder (PTSD) were commonly reported health consequences among sex trafficking victims.
The authors of the review concluded that there is a compelling need for interventions raising awareness about sex trafficking among young girls and women most at risk of being trafficked. Most studies in this review have focussed on the physical health problems of the trafficked victims although there is also remarkable mental burden amongst those victims. Key policy makers, government officials, public health officials, health care providers, legal authorities and non-governmental organisations (NGOs) should be made aware about the health risks and consequences of trafficking. Trafficking consequences should be recognised as a health issue and all the sectors involved including regulating bodies should collaborate to fight against sex trafficking
Related research in this field at Bournemouth University include the Sexual Spaces Project by Prof. Mike Silk and Dr. Amanda De Lisio on ‘Rio’s sex workers after the Olympics’ and the The Gay and Grey Project, funded through a Big Lottery Grant and led by Prof. Lee Ann Fenge.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
With the forthcoming REF 2021 in mind we would like to encourage both staff and postgraduate students to consider writing up their literature reviews as journal articles. Systematic and scoping reviews are a great way of publishing quality publications. They are highly valued as REF submissions, especially, but not only, in the health field.
There is plenty of support at Bournemouth University: from academic colleagues, with vast experience in writing reviews, to the library team, who can advise on, for example, developing your systematic search strategy and which databases to search.
You can start with publishing your review question and research strategy on PROSPERO, international prospective register of systematic reviews. We would like to highlight just one BU example in the field of the social sciences. FHSS PhD student Orlanda Harvey published her proposed review ‘Support for people who use anabolic androgenic steroids: an investigation into what they want and what they currently access’ late last year on PROSPERO [1].
You might like to have a look at reviews published by Bournemouth University staff, which can be found by searching BURO, our institutional repository of research outputs. Moreover, BU academics have published several methods papers on the doing and writing systematic reviews [2-4].
Information about searching the literature for systematic reviews is available on this guide by the library team.
Other pages with useful information include:
Hopefully we have encouraged you to think about publishing your literature reviews as separate articles, and to seek help early in that process!
José López Blanco & Edwin van Teijlingen
For further information, please contact:
José López Blanco, Faculty Librarian (Health and Social Sciences), Library & Learning Support, Academic Services at tel 67350 or email: hsslibteam@bournemouth.ac.uk
References:
Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal. The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’ [1] was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st. Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor. He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal. Bournemouth University has a long-standing research collaboration with MMIHS.
The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal. Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process. Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in. Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc. The paper argues that Public Health can easily disappear of the radar. The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general. Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.
The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP. The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
Simkhada, P., Teijlingen van, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.
Dr. Andrew Harding and his BU PhD supervisors just published a new paper from his Ph.D. research [1]. This interesting paper ‘Suppy-side review of the UK specialist housing market and why it is failing older people’ reviews the supply-side of policies and practices that impact on the shortage of supply in the contemporary specialist housing market for older people in the UK. Andrew is currently based at Lancaster University.
Congratulations!
Prof. Edwin van Teijlingen
CMMPH
Reference:
Congratulations to Dr. Rachel Arnold on the acceptance by Social Science & Medicine (published by Elsevier) of the second paper based on her PhD on maternity care in Afghanistan [1]. This interesting ethnography explores the experiences, motivations and constraints of healthcare providers in a large public Afghan maternity hospital. Arnold and colleagues identify barriers and facilitators in the delivery of care. Under the surface of this maternity hospital, social norms were in conflict with the principles of biomedicine. Contested areas included the control of knowledge, equity and the primary goal of work. The institutional culture was further complicated by pressure from powerful elites. These unseen values and pressures explain much of the disconnection between policy and implementation, education and the everyday behaviours of healthcare providers.
Improving the quality of care and equity in Afghan public maternity hospitals will require political will from all stakeholders to acknowledge these issues and find culturally attuned ways to address them. The authors argue that this notion of parallel and competing world-views on healthcare has relevance beyond Afghanistan. The paper co-authored by (a) Prof. Kath Ryan, Professor of Social Pharmacy at the University of Reading and Visiting Professor in FHSS, and BU’s Professors Immy Holloway and Edwin van Teijlingen.
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