Category / Sociology & Social Policy

New paper BU PhD student Sheetal Sharma

Plos ONE Sheetal 2016Congratulations to FHSS PhD student Sheetal Sharma on her latest paper [1].  The paper ‘Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal’ appeared this week in the journal PLOS One.  Sheetal’s innovative mixed-methods approach was applied to a long-running maternity intervention in rural Nepal.  The paper concludes that community-based health promotion in Sheetal’s study had a greater affect on the uptake of antenatal care and less so on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.

Reference:

  1. Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144

Lessons from Southern Health – leadership to support a culture of voice across complex integrated systems

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Dr Lee-Ann Fenge

Over the past few years there have been a number of reports which have highlighted concerns about failures of care and patient safety within a range of NHS settings raising serious concerns about the leadership of such organisations. Most recently The Care Quality Commission has identified “serious concerns” about the safety of mental health and learning disability patients at Southern Health NHS Trust. The concerns highlight the failures of leaders to deliver, monitor, assure, and safeguard a culture of safety, quality, and compassionate care and services.

This inspection took place following the publication of an independent review (the Mazars report  that described a number of concerns about the way the Trust reported and investigated deaths, particularly of people using its mental health and learning disabilities services, and a lack of leadership, concerning the reporting and investigation of unexpected deaths of mental health and learning disability service users.

So what leadership challenges are there in turning this situation around? Undoubtedly there have already been improvements in the care offered within the Trust, and the commitment of staff to provide high quality care is beyond doubt. However, the problems result from on-going senior leadership failures within the organisation. Leadership is the most influential factor in shaping organisational culture (Faculty for Medical Leadership and Management, 2015), and is essential to ensure high quality, safe and compassionate healthcare. A key failing identified in Southern Healthcare concerns a lack of robust governance arrangements to investigate incidents, resulting in a lost opportunity to learn from these incidents.

This highlights the importance of senior leadership in establishing and maintaining a culture which is open, responsive and able to learn. Such a culture includes a climate in which communication is valued as a two process which values critical upward communication. This requires a culture of ‘voice’ in which concerns raised by patients, carers and staff are listened to and responded to appropriately. This was sadly lacking at Southern Health and action was not taken to address known risks to the safety of patients, including a lack of response to previous concerns highlighted by the CQC in January 2014, October 2014 and August 2015.

The Trust also failed to respond appropriately to staff concerns about their abilities to discharge certain roles and duties. This perhaps illustrates the failure of senior managers to create a culture of ‘psychological safety’ for staff in which to identify, respond and learn from these problems. Psychological safety has been shown to be a crucial element in organizational efforts to detect and prevent problems (Edmondson et al. 2016). A culture which provides psychological safety for staff embraces ‘challenge’ as a pivotal learning mechanism, and this is supported by the work of McSherry and Pearce (2016) who suggest that safe, quality care requires leaders who can challenge and be challenged.

It is important to learn from the failings of Southern Health. Increasingly NHS leaders need to be able to respond to growing complexity across integrated systems of care. They need the ability to support a system of communication which values the ‘voice’ of all stakeholders to create innovative solutions to 21st century challenges. This requires system leadership that works in partnership across organisations ‘to construct the services that are needed’ (HSJ, 2015:4). It also requires a commitment to create a shared vision of care which values the voice and presence of patients, carers and staff as key stakeholders.

References

McSherry, R.and Pearce, P. (2016) ‘What are the effective ways to translate clinical leadership into healthcare quality improvement?’ Journal of Healthcare Leadership; 2016 (8): 11-17

New comparative paper India-Nepal

India-NepalThis week saw the publication of a new paper co-written by BU staff in the Sociological Bulletin.  This is the first paper comparing Indian and Nepali Maoist rebels providing health services and health promotion to the communities under their influence.  It presents the key provisions either made by rebel health workers themselves or by putting political pressure on government health workers to deliver better services in the areas controlled by rebels. Prof. Edwin van Teijlingen’s co-authors are based in India and Nepal.  Prof. Gaurang R. Sahay is based at the Centre for Study of Developing Societies, Tata Institute of Social Sciences, Mumbai, India, whilst Bhimsen Devkota is Professor in Health Education, Tribhuvan University, Nepal.

This sociological paper is based on a mixed-method approach comprising 15 interviews and a questionnaire survey with 197 Nepalese Maoist health workers and a secondary analysis of policy documents and other published materials on the Maoist health services of India. The paper suggests that rebel health services in India and Nepal followed a fairly similar approach to what and how they offered health care services to local populations. Maoists becoming a government party changed the political landscape for the rebel health workers in Nepal. However, not incorporating the Maoist rebel health workers into the government health system was a missed opportunity. There are lessons that India and Nepal can learn from each other. Should the Maoist rebels and the Government of India come to an agreement, potential for rebel health workers to be integrated in the official health care system should at least be considered.

The paper benefitted from an earlier review through eBU: Online Journal.  The feedback from the eBU: Online Journal’s reviewers helped shape and polish the paper before submission to the Sociological Bulletin.services-ebu-logo

 

Edwin van Teijlingen

CMMPH

 

 

References:

  1. Sahay, G., Devkota, B., van Teijlingen, E.R. (2016) Rebel Health Services in South Asia: Comparing Maoist-led Conflicts in India & Nepal, Sociological Bulletin 65(1):19-39.

‘Re-Imagining Conflict-Transformation: Making Memory Meaningful’ – A one-day Workshop on 6th May 2016

This one-day workshop explores interdisciplinary and innovative approaches to dealing with a country’s troubled past through memorialisation as a key aspect of transitional justice. It is organised by the Conflict Transformation Studies team as part of the Centre for Conflict, Rule of Law and Society (Bournemouth University).
Location: Executive Business Centre (7th Floor, EB706), 89 Holdenhurst Road, Bournemouth, BH8 8EB

Programme:

9.00 Arrival and registration

9.30 Introduction and Welcome by Melanie Klinkner and Welcome by Sascha Bachmann (Director of the Centre for Conflict, Rule of Law and Society)

9.40 Key Note Address by Nora Ahmetaj, Co-founder of the Centre for Research, Documentation and Publication (Kosovo): ‘Critical approaches to ‘reconciliation’ and transitional justice in Kosovo’s post-war memory’

10.40 Coffee Break

11.00 Panel 1: Chair Avital Biran

Ellie Smith, Newcastle University Forum for Human Rights and Social Justice: ‘Commemoration and Memory: specific justice needs of victims in the aftermath of international crimes and gross violations’

Robyn Leslie, King’s College London: ‘Remember Marikana: apportioning blame or accepting complicity?’

Nina Fischer, University of Edinburgh: ‘National Memory of Trauma and the Perpetuation of Conflict: Israel/Palestine’

12.30 Lunch

13.15 Panel 2: Chair Melanie Klinkner

Denisa Kostovicova, London School of Economics: ‘War Crimes Talk: Transitional Justice and Communication’

Hanna Kienzler, School of Social Science and Public Policy, King’s College (London): ‘Embodied struggles for societal change’

Linda Gusia, University of Prishtina: ‘Breaking the Silence – Recognition of the survivors of wartime sexual violence in Kosovo’

Laura Grace and Stephanie Schwandner-Sievers, Bournemouth University: ‘Quests into post-war Kosovo’s memoryscapes: the interdisciplinary, anthropological and co-creative challenges of BU’s fusion project for a serious game’

15.15 Coffee Break

15.45 Roundtable discussion

What and/or who can make transitional justice initiatives work? How can contested memories be integrated to support conflict transformation? Reflections and insights from past, present and towards the future. Facilitated by Stephanie Schwandner-Sievers and Melanie Klinkner (Bournemouth University).

Confirmed panel Members include:

Nora Ahmetaj (Centre for Research, Documentation and Publication),

Nina Fischer (University of Edinburgh),

Eric Gordy (University College London),

Hanna Kienzler (King’s College London),

Denisa Kostovicova (London School of Economics), and

Christian Pfeifer (Forum Civil Peace Service).

17.00 Closing remarks

Tabled Paper(s): Vjollca Krasniqi, University of Prishtina: ‘War, Law, and Justice in Kosovo’.

Contact: For more information, please contact the organisers Melanie Klinkner (mklinkner@bournemouth.ac.uk) or Stephanie Schwandner-Sievers (sssievers@bournemouth.ac.uk). For urgent matters on the day, please contact Reception at the Executive Business Centre on 01202 968003

Registration: this event is free of charge. However, spaces are limited. For participation please register by 27 April 2016 with the organisers.

HRA Approval for NHS Research

HRA Approval is the new process for the NHS in England that simplifies the approvals process for research, making it easier for research studies to be set up. It replaces the need for local checks of legal compliance and related matters by each participating organisation in England. This allows participating organisations to focus their resources on assessing, arranging and confirming their capacity and capability to deliver the study.

Laura Purandare, Research Monitor RBCH, has kindly agreed to run a seminar on 4th May at 2pm in BG14 to explain the changes.

The session will cover:

  • What HRA approval is
  • The implementation of changes
  • The difference it proposes to make to health research in England
  • What it means for our researchers
  • Key resources

The session will last approximately an hour, and Laura will be available for questions following the session. We hope to see you there.

Seminar, Prof Edwin van Teijlingen, ‘Maternal Mortality in Nepal’, Wed 20th April, Royal London House, R303, 13:00-13:50.

Maternal Mortality in Nepal
Abstract: The session links various social and political factors that affect maternal mortality. Women dying in pregnancy and childbirth is very much a problem of and in low-income countries. This talk focuses on Nepal, one of the poorer countries of the world, to highlight a range of maternal health issues and wider influencing factors including globalisation and the influence of global organisations such as the World Health Organisation.

For further information regarding the Social Science seminar series, get in touch with Dr Mastoureh Fathi (mfathi@boutnemouth.ac.uk).

Bournemouth University Clinical Research Unit 2016 Newsletter Now Available

bucru identity

The latest newsletter from the Bournemouth University Clinical Research Unit (BUCRU) is available to download here. Take a look at the successful grant applications we supported/won last year, and what else we got up to in 2015. There is also an update from our colleagues in the Centre of Post Graduate Medical Research and Education (CoPMRE).

Don’t forget, BUCRU can provide FREE methodological advice and support in designing your research project. We’re based on the 5th floor of Royal London House so feel free to pop in and see us, call us on 61939 or send us an email.

 

Contact, Help, Advice and Information Network (CHAIN) Demonstration THIS COMING WEDNESDAY 23rd March 2016

CHAIN – Contact, Help, Advice and Information Network – is an online mutual support network for people working in health and social care. It gives people a simple and informal way of contacting each other to exchange ideas and share knowledge.

The online Directory can be used to identify and communicate with other members. You might wish to do this to draw from their experience, or to elicit an opinion on an issue or something you are doing. Or you might wish to find collaborators or liaise with fellow-travellers or people with specific skills or interests for a wide range of purposes. You can do this quickly and easily with CHAIN, and part of the advantage is that the people you find will usually be happy to help you if they can.

We are delighted to welcome a representative from CHAIN to BU on 23rd March at 2:30pm in Wollstone Lecture Theatre, Bournemouth House (BG10) to demonstrate how to make the most of being part of the network. All staff are welcome to attend, and please pass the invitation on to students who may be interested in learning more about what CHAIN has to offer.

Contact Lisa Gale-Andrews at lgaleandrews@bournemouth.ac.uk for more information.

BU BMC paper followed up by BMC Series Blog

media childbirthOur latest paper in the international journal BMC Pregnancy & Childbirth published late last month was highlighted yesterday in a BMC Series Blog.[1]  The blog post reminds us that the media plays an important role in providing the general public with information about a range of issues, including pregnancy and childbirth. The visual media, such as television, can provide planned information (education), for example in documentaries, advertising and the news.  Our paper “Is it realistic?” the portrayal of pregnancy and childbirth in the media’ looked into how the representation of childbirth in the mass media affects childbirth in society as there is evidence to suggest that it can have a negative effect.  BMC Pregnancy & Childbirth is an Open Access journal therefore the paper is freely available for anybody across the globe with an internet connection, for access click here.

interdisciplinary-1Our paper is great example of interdisciplinary research, as celebrated at the forthcoming Interdisciplinary Research Sector Day on June 21st (see here).  The authors of our paper combine expertise in media studies, midwifery, sociology and health services research.   Moreover, it involved collaborations across universities (Bournemouth and Stirling) and within BU across faculties, namely the Faculty of Media & Communcation and the Faculty of Health & Social Sciences.

 

Ann LuceMarilyn Cash, Vanora Hundley, Helen Cheyne, Edwin van Teijlingen & Catherine Angell

 

Reference:

  1. Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C., (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x