Category / Health, Wellbeing & Society

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

Public Health England Physical Activity Tool

downloadPublic Health England has launched a Physical Activity Tool which brings together data at the local level for the whole of England on physical activity, including walking and cycling, as well as data on related risk factors and conditions such as obesity and diabetes. The tool also presents trend data and enables easy comparison of local authority data, allowing users to compare regional neighbours and local authorities with similar characteristics. The tool aims to help promote physical activity, develop understanding, and support benchmarking, commissioning and service improvement.

The data is grouped into three domains:

  • Key indicators – a summary overview of physical activity including a number of key outcomes from the Public Health Outcomes Framework (PHOF).
  • Related conditions – such as cancers, diabetes, obesity, hypertension and depression. Regular physical activity can reduce the risk of these.
  • Supporting information – population demographics, life expectancy and deprivation.

In addition PHE has also published a data spreadsheet: Physical activity levels among adults in England 2015, available on the PHE Obesity website. It presents physical activity measures (inactive, low activity, some activity and active) and key demographics from the Active People Survey at national, regional, upper and lower tier local authority and County Sports Partnership level.

Read more at: http://fingertips.phe.org.uk/profile/physical-activity

Online event – Using population health models to deliver whole system preventative care

Wordle Feb 2014 Health, Well-Being & Society

Date : 20 September

Time: 4.00pm – 5.00pm

Event type: Online event

About the event:

The Personalised Health and Care 2020 agenda, and more recently the Local Digital Roadmaps, build on the commitment to exploit the information revolution outlined in NHS five year forward view.

With the development and implementation of these plans, alongside place-based sustainability and transformation plans (STPs), organisations must find new ways to collaborate to deliver more joined-up care for the populations they serve.

This live online event will explore how joining up data and information can bring about whole system transformation at a local level.

Click here for more information about the content of the event and the speakers.

CQR Kicks Off “In Conversation” Seminars this Wed 7 Sept

Centre for Qual ResearchThe Centre for Qualitative Research is kicking off its new seminar series on Wednesday 7 September at 1 pm in Royal London House RLH 201 Masterclass Suite.

New to BU and FHSS, Prof. Sam Porter (Head of Social Work & Social Sciences Dept. at FHSS) will join CQR’s Kip Jones and Caroline Ellis-Hill “in conversation” about “The Relationship between the Arts and Healthcare”.

Because CQR is keen to make information available to students and staff about qualitative METHODS, the seminars will be arranged somewhat differently than the typical lunchtime seminar.

We are asking TWO (or more) presenters to agree to present each research method as a CONVERSATION…first, between each other, and then with the audience.  We are also asking that no PowerPoint be used in order that it is truly a conversation and NOT a lecture. The conversations will be about a particular research method and its pros and cons, NOT research projects or outcomes.

The “In Conversation with …” Seminar Series will be held on the FIRST WED of each month for nine months beginning in September. They will run from 1 pm until 1:50.

We are then hoping that many will join us for a CQR ‘KoffeeKlatch’ following at Naked Cafe next to RLH after the seminar.

We anticipate that by making the CQR Seminar Series really unique and exciting that they will inspire students and academics alike to investigate the wide range of qualitative methods and expertise available at CQR, and enrich their research projects by doing so.

See the list of all nine CQR Seminars over the Academic Year.

Research in the news: ‘Making a difference in stroke care: the human aspects of care and practice’

Research team at RBH BU researchers Dr Caroline Ellis-Hill and Dr Carole Pound, from the Centre for Qualitative Research have been working with a team of older people with experience of stroke and staff from the Royal Bournemouth Hospital stroke team to explore the human dimensions of stroke care.

In August the team launched a Humanising Care Toolkit in a celebration attended by service users, relatives, staff and Board members at the Royal Bournemouth Hospital Foundation NHS Trust. The toolkit is a flexible resource which can be used by staff members once they have been through their own humanisation development. It includes a DVD of stories of humanising care, a set of creative materials to use in workshops and a pack of humanising care cards as well as a user manual and electronically produced presentations and handouts. Feedback from the launch event suggests hospital staff and managers are keen to explore ways the framework and toolkit may enable different units and staff groups across the Trust to notice, value and reconnect with compassionate, human centred care and practice.

‘It’s absolutely fantastic work that is going to be crucial to developing an inclusive human culture in the Trust.’

 Service user stories also highlighted the value they placed on both humanising care and being part of a research team. For example, Wynn New one of the service user participants commented:

When I first joined the action research group I was terrified of having another stroke. I thought I would never go out by myself again.  Taking part in the group allowed me to share my experiences and feedback – what worked and what truly made a difference to my recovery. I finally have my confidence back and my fear has disappeared. I count my blessings everyday.’ 

Funded by the Burdett Trust for Nursing and inspired by the ground-breaking work of Les Todres (Emeritus Professor of Health Philosophy at BU) and Kate Galvin (Professor of Nursing PractHumanising care treeice, Brighton University) the research team explored experiences of both stroke service users and providers in relation to a conceptual framework of humanising care. This framework, described in a seminal paper by Todres et al (2009) describes eight interacting dimensions that help capture the depth and breadth of being treated as human within complex, busy healthcare systems.  The work is part of a larger study led by Professor Kate Galvin.  A second site in Yorkshire worked with service users and NHS providers in a Dermatology out-patient department in order to look at the transferable aspects of humanisation theory and learning.

The project used action research methods with a focus on creative methods and collaborative sharing of stories and experiences. The team aimed to explore the relevance of the humanising care framework and get beneath the surface of what makes care feel more or less human. The stories, techniques and findings were then collated into a resource to support a new wave of busy NHS practitioners to understand and sustain humanising care in practice and become ‘Humanising Care Champions’.

For more information on the Humanising Care Toolkit contact Carole Pound cpound@bournemouth.ac.uk or Caroline Ellis Hill cehill@bournemouth.ac.uk

For further information about the breadth of work at BU inspired by the humanisation framework please visit the Humanisation pages of the Faculty for Health and Social Care.

The launch of the toolkit was reported in a number of local papers, including the Blackmore Vale magazine.

Bringing FUSION to Nepal

FUSION abroad 2016We have written in many previous BU blogs about progress of our THET-funded project in southern Nepal (e.g. here AND here ). Today’s blog reflects on the use on BU’s unique FUSION approach in our project ‘Mental Health Training for Maternity Care Providers in Nepal‘.

DSC_0151Our BU-led project brings highly experienced health professionals, such as midwives, health visitors or mental health nurses, to Nepal to work as volunteer trainers. The training is aimed at community-based maternity care practitioners and addresses key mental health issues relevant to pregnancy and for new mothers and offers the required communication skills. These health professionals will bring their experience as health care providers as well as trainers in the field of mental health and maternity care/midwifery, mental ill-health prevention and health promotion. They volunteer for two to three weeks at a time to design and deliver training in southern Nepal.

logo THETThe Centre for Midwifery & Maternal Health (CMMPH) collaborates in this project with Liverpool John Moores University (LJMU), the Department of Health, and Physical & Population Education at Nepal’s oldest university Tribhuvan University’s (TU). The project is supported in the field by a local charity called Green Tara Nepal. Our project is part of the Health Partnership such as Nepal. HPS itself is funded by the UK Department for International Development and managed by THET (Tropical and Health Education Trust).

Fusion Diagram Our maternal mental health project is a good example of BU’s FUSION approach as it combines EDUCATION (through the training of Auxiliary Nurse-Midwives in Nepal) by UK volunteers (representing PRACTICE) through an intervention which is properly evaluated (representing RESEARCH) is a perfect example of BU’s FUSION in action. Moreover, the project will be partly evaluated by FHSS’s Preeti Mahato as part of her PhD thesis research. This PhD project is supervised by Dr. Catherine Angell (CEL & CMMPH), BU Visiting Professor Padam Simkhada (based at LJMU) and CMMPH’s Prof. Edwin van Teijlingen.BU’s focus on the FUSION of research, education and professional practice is a unique variant of the way UK universities (and many abroad) blend academic teaching, research and scholarship. FUSION is a key concept derived from BU’s strategic Vision & Values).

 

Prof. Edwin van Teijlingen

CMMPH

Living with a long-term condition: new paper

A new open access paper by Jennifer Roddis (RKEO, HSS), Immy Holloway (HSS) and Carol Bond (HSS), in collaboration with Kate Galvin from the University of Brighton, has been published in the International Journal of Qualitative Studies on Health and Well-being. The paper – Living with a long-term condition: Understanding well-being for individuals with thrombophilia or asthma – discusses the findings of Jenny’s PhD study.

Much of the research undertaken indicates that those affected by long-term conditions experience this as being problematic. However, qualitative research may offer alternative insights, suggesting that these individuals are able to achieve well-being. This research identified a theory about how those with a long-term condition can adapt to it and learn to get on with their life. The paper makes recommendations as to how both individuals affected by such conditions, and healthcare professionals working with them, may use the findings.

 

Reference:

Roddis, J.K., Holloway, I., Bond, C. and Galvin, K.T., 2016. Living with a long-term condition: Understanding well-being for individuals with thrombophilia or asthma. Int J Qualitative Stud Health Well-being, 11: 31530 – http://dx.doi.org/10.3402/qhw.v11.31530

Public Health in Nepal: Vitamine A

Vit AThis week we published an editorial in the Journal of Biomedical Sciences on the question: “Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?”
The editorial concludes that prevention is still better than cure, but instead of a mass Vitamin A supplementation in Nepal, we need a health promotion intervention aiming to increase the intake of relatively cheap vegetables and fruit (containing β carotene). In addition we need better surveillance and help to identify children with Vitamin A Deficiency and provide them with Vitamin A supplements. The primary focus should be on adopting sustainable food based approaches to combat vitamin A deficiency. In Public Health terms: rather than a blanket coverage of Vitamin A supplementation to whole population we should consider a targeted intervention aimed at those who need it most.

Reference:
Simkhada P, Sathian B, Adhikari S, van Teijlingen E, Roy B. (2015) Is early diagnose for Vitamin A deficiency better than the current supplementation programme of Nepal?. J Biomed Sci. 2(4):28-30.
http://www.nepjol.info/index.php/JBS/index

Harding & Pritchard paper has over 1,000 views in first month it is openly available

cover_enThe Harding and Pritchard paper titled ‘UK and Twenty Comparable Countries GDP-Expenditure on Health 1980-2013: The Historic and Continued Low Priority of UK Health-Related Expenditure’and published in the International Journal of Health Policy and Management, has had over 1,000 views in the first month it has been openly available.

For the majority of that time it has been made available in press, and only in the last few days has it been assigned to an issue. The paper illustrates the UK’s low proportional spend in relation to health related services:

It is well-established that for a considerable period the United Kingdom has spent proportionally less of its gross domestic product (GDP) on health-related services than almost any other comparable country. Average European spending on health (as a % of GDP) in the period 1980 to 2013 has been 19% higher than the United Kingdom, indicating that comparable countries give far greater fiscal priority to its health services, irrespective of its actual fiscal value or configuration. While the UK National Health Service (NHS) is a comparatively lean healthcare system, it is often regarded to be at a ‘crisis’ point on account of low levels of funding. Indeed, many state that currently the NHS has a sizeable funding gap, in part due to its recently reduced GDP devoted to health but mainly the challenges around increases in longevity, expectation and new medical costs. The right level of health funding is a political value judgement. As the data in this paper outline, if the UK ‘afforded’ the same proportional level of funding as the mean averageEuropean country, total expenditure would currently increase by one-fifth.