Category / Health, Wellbeing & Society

CMMPH disability & childbirth research

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

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

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

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

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

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

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

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

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

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

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

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

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

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

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

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

The clock tower of Cardiff Castle

The clock tower of Cardiff Castle

but is also embracing the future…

Wales Millenium Centre

Wales Millenium Centre

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

 

ESRC event Safeguarding Vulnerable Adults from Financial Scamming

FSS_banner-edit

Date: Wednesday 9th November 2016 10 – 3pm
Location: EB306, Executive Business Centre, Bournemouth University, Holdenhurst Road

The National Centre for Post-qualifying Social Work is pleased announce that it will be hosting a FREE event on safeguarding vulnerable adults from financial scamming as part of the ESRC Festival of Social Science.

Financial scamming and mass marketing fraud (MMF) are growing aspects of financial crime, and those working to protect vulnerable adults needs to develop increased awareness and understanding of the challenges it poses. The Office of Fair Trading estimates that UK consumers lose about £3.5 billion to scams each year. These threats take on many forms, including doorstep scams, phone scams, postal scams and increasingly scams via the internet.
This ESRC Festival of Social Science event will showcase recent research and best practice responses dealing with the threat posed by financial scams. This event will bring together staff from key agencies and the public to explore research and best practice to tackle this issue.

Speakers

Dr Lee-Ann Fenge – Deputy Director and Dr Sally Lee – National Centre for Post Qualifying Social Work and Professional Practice: Protecting yourself from Financial Scams

BU Cyber Security Unit – Ransomware: a presentation from the Cyber Security Unit

Trading Standards fighting back against scams

Jackie White – Social Worker Dorset County Council: A social worker’s perspective

Dr Sally Lee – The new landscape of safeguarding adults and financial scamming

 

After lunch there will be an opportunity to work with others to explore new ways of working together to tackle financial scams and to explore and the ways in which agencies can develop strategies to support vulnerable adults who are at risk or are victims of financial scams.

Staff from the National Centre for Post-qualifying Social Work will also showcase the recently updated National Safeguarding Framework for Adults

Places are limited and can be booked by CLICKING HERE

CLICK HERE to see the flyer, feel free to print it out and share with your colleagues.

For further information on the event please contact

Dr Lee-Ann Fenge – Deputy Director NCPQSW

lfenge@bournemouth.ac.uk

Reference

Office of Fair Trading (2009) The psychology of Scams, Office of Fair Trading: London 

 

13th Asian Confederation of Physical Therapists – Kuala Lumpur

Physical activity is one of the five priority interventions for the prevention of Non-Communicable Diseases (NCDs). NCDs include; cardio vascular diseases (strokes, dementia, heart disease), diabetes, chronic respiratory diseases and some Cancers. NCDs account for almost two thirds of deaths globally and are major contributors to ill-health in the elderly. Physiotherapists are well placed to enable and empower people to initiate and sustain adequate levels of physical activity as they are aware of the challenges and opportunities throughout the life span. As an invited speaker this is one of the key messages that will be conveyed at the 13th Asian Confederation of Physical Therapists in Kuala Lumpur, Malaysia 7th-8th October.

 

I will also have an opportunity to attend an academic conference at INTI International University aimed at strengthening ties between INTI and BU. Professor Narasimman Swaminathan (Deputy Dean – faculty of Health) and I will collaborate in a joint session for physiotherapy students to inspire their interest in public health initiatives. Professor Narasimman Swaminathan is a visiting professor in the FHSS at BU and is leading research initiatives at INTI which link closely to those in the Department of Human Sciences and Public Health at BU.

Fusion funding and HSS faculty conference funding has contributed to making this trip possible.

New THET project paper published

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

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

np-thet-2916-jilly

Prof. Edwin van Teijlingen

CMMPH

 

References:

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

Congratulations to BU Visiting Faculty Dr. Sam Rowlands

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

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

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

BU PGR Research into the effects of diet and exercise on mobility and brain function – Call for participants.

bike-pictureWe are often reminded that we should be paying attention to what we eat and making sure we exercise regularly. These recommendations are based on years of research into how diet and exercise can impact our health and well-being throughout the lifespan. However, it’s rare that these two crucial elements are studied together.

  • Can combining different lifestyle interventions produce an even more profound effect than each individually?
  • Are people able to adapt to two changes in lifestyle?
  • Is one element of lifestyle modification better than the other?

We have designed a study that will hopefully give an insight into these questions by looking at the effects of a dietary supplement and exercise classes on a spinning bike in adults aged 60+. The supplement contains fish oil (1000 mg DHA, 160 mg EPA), 20 µg B12, 1 mg folic acid, 124 mg phosphatidylserine, 240 mg gingko biloba standardized leaf extract and 20 mg vitamin E.

We are seeking to recruit healthy adults aged 60+ to take part in the study.  Volunteers will be split into four groups.

  • Supplement and exercise classes
  • Placebo and exercise classes
  • Supplement
  • Placebo

We will ask volunteers to take part in tests related to walking ability and brain function and a blood sample will also be required.  These will be done at the beginning of the study and after 24 weeks.

All testing and the exercise classes will take part at SportBU at Bournemouth University Talbot Campus, Fern Barrow, Poole, BH12 5BB.

  • Inclusion criteria: Aged 60+ and able to walk 50 metres without a walking aid
  • Exclusion criteria: Vestibular impairments (balance disorder), diagnosed neurological disorder e.g. dementia or depression, previously received lower limb surgery, diagnosis or receiving treatment for pernicious anaemia, allergy to seafood, regular consumption of multivitamin/fish oil supplements in the last six months, have been advised not to take part in exercise by a doctor

Due to a number of advances in medicine and healthcare, life expectancy has steadily increased in the UK meaning we have an ever expanding population of people aged 60+.  For this population it’s not just about living longer, it’s about living better for longer.  This can mean being able to take part in leisure activities like sports, gardening or visiting friends right down to more vital activities like being able to climb stairs or rise from a chair.  Mobility and brain function play a pivotal role in the quality of life of the older generation, yet it’s common to see declines in both of these areas as we get older.

I stumbled upon a website called Shoppok while browsing for a Honda 70 bike, and it offered a variety of listings. It’s always fascinating to discover new platforms where people can buy and sell items, including vehicles like motorcycles.

If you or anyone you know would be interested in taking part of would like more information about the study or our research please contact

Paul Fairbairn

PhD Student Bournemouth University

07871 319620

pfairbairn@bournemouth.ac.uk

chair-old-lady

New paper Dr. Catherine Angell on CPD in Nepal

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

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

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

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

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

 

 

Human Henge: Historic landscapes & mental health at Stonehenge

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

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

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

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

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

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

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

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

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

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