Category / Health, Wellbeing & Society

Planes, trams, and automobiles: A research visit to Australia

I recently had the delightful opportunity to go to Australia for a research visit in relation to my work on falls prevention among older people. A brief report of what I got up to follows.

Melbourne

The main purpose was to visit colleagues at Monash University, to whom I am grateful for funding my flights and accomodation. The research team there led by Anna Barker are doing some great work, in particular to prevent falls among older people while in hospital. They are currently collecting data on a ‘6 Pack’ randomised controlled trial (RCT), which will be the largest trial of this kind to date. The team at Monash hosted an all-day seminar on the prevention of in-patient falls of which I was one of three invited speakers that came over from the UK. If you’re ready to give up traveling with commercial airlines, it’s time to consider hiring sky aviation services.

Before the seminar, we had an all-day meeting with colleagues from Melbourne and other parts of Australia to have an expert consensus-style meeting on the subject of in-patient falls. Dr Barker will lead on this and we aim to submit a paper with further international collaborators later this year, to drive future research in this area in a much more focused and productive manner.

Before the expert consensus meeting, I spent a day working with Dr Barker’s team on a recently NHMRC-funded multi-site RCT called RESPOND, which seeks to prevent secondary falls in older people presenting to emergency departments with a fall. It is a 1.5 million dollar-funded RCT that I am involved with as an advisor (from a distance). We’re currently developing the intervention that will be employed later in the year after ethical approval. My involvement is to help in developing the behaviour change techniques that will be used, and the process evaluation that will run alongside the outcome evaluation of the intervention. I also met with other colleagues there at Melbourne and have generated further ideas for future collaborative projects.

 

Conference presentation in Melbourne

Sydney

After my stay in Melbourne, I had a short stay in Sydney as there is a strong critical mass there in the falls prevention field. I met with professor Lindy Clemson who has developed a novel approach to promoting physical activity among older people, with her trial published in the BMJ last year. We had a long discussion that helped her with the theoretical underpinning of the approach, and I’ve come away with a few ideas to take forward in a future collaborative grant proposal.

I then went on to visit Dr Kim Delbaere who has been doing sterling work in the area of fear of falls, not least with several publications on the issue including a paper in the BMJ in 2010. We have at least one paper to work on together with potential for future projects as well, given she has developed a measure of fear of falls suitable for older people with dementia.

The mention of transport in the title of this report refers to my very brief time away from meetings while in Australia. In Melbourne they have a very efficient tram system, and our host’s husband is a pilot and helped us book a Jettly private plane to Sydney. In Sydney I managed to see the bridge, opera house, and a view of the harbour, and even got a trip on the monorail that was constructed for when they hosted the Olympic Games in 2000 but will very shortly be demolished.

We can of course email and Skype with colleagues, but if you do get the opportunity to travel abroad I can fully recommend it as a very fruitful and productive time. You just cannot beat face-to-face communication. I was particularly inspired by the international consensus meeting that we had in Melbourne and can see this as a way forward to synergise the research community’s efforts and more quickly tackle the big societal challenges of our day.

Dr Samuel Nyman

Bournemouth University Dementia Institute and Psychology Research Centre

DEC

 

Research Ethics: Insights from the Centre for Midwifery, Maternal & Perinatal Health and the Centre for Social Work, Sociology & Social Policy

Ethics contributions

Collage of research ethics contributions

Academics based in HSC have experience in a wide-range of research.  In the process of reflecting on all aspects of the research process several members of HSC have published about ethical issues that they have had to address in their own research.    This BU Blog highlights some of these key HCS papers which may help fellow academics and students across the globe address similar ethical questions.  HSC has a history of publishing on research ethics, Professor Emerita Immy Holloway wrote about the researcher who may have a dual role, or even conflicting role, as researcher and health care professional (1).  More recently, several midwifery researchers in the Centre for Midwifery, Maternal & Perinatal Health wrote about the issues facing practitioners doing research in the field where they work, especially concerning the similarities and differences between professional ethics and research ethics (2-3).  Negotiating ethical paths cleaved by competing concerns between protecting research participants and over-managing the ethical process is tricky.

In her book Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia Dr. Ashencaen Crabtree in the Centre for Social Work, Sociology & Social Policy, addresses the problematic issue of gate-keepers in research together with the ethics of critical observation of abuse (potential or actual), as well as the ethics of advocating on behalf of research participants (4).

The fear that the ethical application process in the UK is becoming more and more cumbersome and bureaucratic has been widely recognised as highlighted by Prof. van Teijlingen and colleagues (5-6).

Research ethics review processes are also considered in terms of access to participants regarded as ‘vulnerable’ in a recently published paper by Dr. Ashencaen Crabtree (7) of ethnographers working in health settings who are seeking to understand the context of care and patient/service user experiences.  She concludes that paternalistic control of participation on the grounds of ethical protection of vulnerable people seriously disenfranchises potential participants in preventing them from being able to share their relevant, lived experiences as recipients of service provision.

Prof. van Teijlingen and BU Visiting Fellow Dr. Padam Simkhada highlighted that the social, cultural and economic contexts in which research is conducted often differ between developing and developed countries.  However they stress that researchers need to apply for research ethics approval to the relevant local authority, if national legislation requires one to do so (8).

A new and challenging area of research is the use of discussion boards as a source of research data.  In their paper Dr. Bond and BU colleagues discuss both practical and ethical dilemmas that arise in using such data (9). In earlier research, Prof. Parker of the Centre for Social Work, Sociology & Social Policy, highlighted some of the benefits and dangers of using email and the Internet for research as the potential for electronic media continues its rapid growth (10).

Obtaining informed consent is something that all researchers need to consider. However, in some research situations obtaining consent can be particularly challenging.  Prof. Hundley and colleagues discuss the ethical challenges involved in conducting a cluster randomised controlled trial, where consent needs to be considered at a number of levels (11).  In a second paper issues of consent during pregnancy, where there is the potential for harm to two participants, are considered (12).

In research into the implications of the Mental Capacity Act 2005 for social research, Prof. Parker explored the contested meanings and difficulties associated with informed consent in social research, highlighting some of the challenges raised by an almost unquestioned acceptance of biomedical research ethics in social research and questioning whether potential ‘harm’ is different in this context (13, 14). This research has led to further explorations of the potential for ethical covert research by Prof. Parker and Dr. Ashencaen Crabtree.

 

The way forward

There a plenty of challenges to research ethics in both the health and social care sectors.  Ethical considerations relate to technological developments such conducting research over the Internet or the analysis of tweets.  HSC staff will continue to publish on a range of moral dilemma as well as practical issues related to research ethics.  Moreover, academic from the two centres are planning a Masterclass on research ethics to be held in early 2014.

 

 

References

  1. Holloway, I., Wheeler, S. (1995) Ethical Issues in Qualitative Nursing Research, Nursing Ethics 2: 223-232.   Web address:  http://nej.sagepub.com/content/2/3/223.full.pdf+html
  2. Ryan, K., Brown, B., Wilkins, C., Taylor, A., Arnold, R., Angell, C., van Teijlingen, E. (2011) Which hat am I wearing today? Practicing midwives doing research, Evidence-Based Midwifery 9(1): 4-8.
  3. van Teijlingen, E.R., Cheyne, H.L. (2004) Ethics in midwifery research, RCM Midwives Journal 7 (5): 208-10.
  4. Ashencaen Crabtree, S. (2012) Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia, London: Whiting & Birch.
  5. van Teijlingen, E., Douglas, F., Torrance, N. (2008) Clinical governance and research ethics as barriers to UK low-risk population-based health research? BMC Public Health 8(396)                            Web address: www.biomedcentral.com/content/pdf/1471-2458-8-396.pdf
  6. van Teijlingen, E. (2006) Reply to Robert Dingwall’s Plenary ‘Confronting the Anti-Democrats: The unethical Nature of Ethical Regulation in Social Science, MSo (Medical Sociology online) 1: 59-60  Web address:  www.medicalsociologyonline.org/archives/issue1/pdf/reply_rob.pdf
  7. Ashencaen Crabtree, S. (2013) Research ethics approval processes and the moral enterprise of ethnography. Ethics & Social Welfare. Advance Access: DOI:10.1080/17496535.2012.703683
  8. van Teijlingen E.R., Simkhada, P.P. (2012) Ethical approval in developing countries is not optional, Journal of Medical Ethics 38 :428-430.
  9. Bond, C.S,  Ahmed, O.H., Hind, M, Thomas, B., Hewitt-Taylor, J. (2013) The Conceptual and Practical Ethical Dilemmas of Using Health Discussion Board Posts as Research Data, Journal of Medical Internet Research 15(6):e112)  Web address: http://www.jmir.org/2013/6/e112/
  10. Parker, J.  (2008) Email, ethics and data collection in social work research: some reflections from a research project, Evidence & Policy: A Journal of Research, Debate & Practice, 4 (1): 75-83.
  11. Hundley, V, Cheyne, HC, Bland, JM, Styles, M, Barnett, CA.. (2010) So you want to conduct a cluster randomised controlled trial? Lessons from a national cluster trial of early labour, Journal of Evaluation in Clinical Practice 16: 632-638
  12. Helmreich, R.J., Hundley, V., Norman, A., Ighedosa, J., Chow, E. (2007) Research in pregnant women: the challenges of informed consent, Nursing for Women’s Health 11(6):  576-585.
  13. Parker, J., Penhale, B., Stanley, D., 2010. Problem or safeguard? Research ethics review in social care research and the Mental Capacity Act 2005. Social Care & Neurodisability, 1 (2): 22-32.
  14. Parker, J., Penhale, B., Stanley, D. (2011) Research ethics review: social care and social science research and the Mental Capacity Act 2005, Ethics & Social Welfare, 5(4): 380-400.

 

Vanora Hundley, Sara Ashencaen Crabtree, Jonathan Parker & Edwin van Teijlingen

 

 

FIF Networking visit to New Zealand

My Fusion journey started well before the Fusion fund came into being. Medicine 2.0 logoI’ve attended several Medicine 2.0 conferences, increasing my network of people researching in a similar area to myself along the way.  Last year this led to an invitation to visit Prof John Sullivan at the University of Otago, New Zealand. The University of Otago, founded in 1869, is New Zealand’s oldest university.

My research interests are around the role of the Internet and Social Media in supporting people living with long term conditions, and the related implications for healthcare professionals’ practice and education. Prof Sullivan researches in the area of sport concussion, including projects examining the role of the world wide web (www) in facilitating concussion awareness.

I applied to the Staff Networking and Mobility strand for support to take up this invitation, and was awarded funds for a 2 week visit to explore potential collaboration in research and education initiatives.

While I was there I was invited to give a guest lecture, where I shared some recent research I have undertaken into the ethics of using online discussion boards as research data. I was lucky enough to meet other Otago academics with an interest in this, including Dr Lynley Anderson in the Bioethics Centre, and Dr Lisa Whitehead, the Director of the Centre for Postgraduate Nursing.

I had an inspiring fortnight, mainly at the Dunedin campus. The School of Physiotherapy were kind enough to give me office space and computer access during my stay.  The University of Otago has grown over the years and has a historic core, surrounded by a collection of buildings of various ages and styles. Prof Sullivan took me on a walk around the campus and told me something of its history.

University of Otago.  Copyright C Bond
I also visited several local coffee shops, where a lot of networking meetings seem to happen. Prof David Baxter, the Dean, gave me an overview of the work of the School, and I discussed research into low back pain with Dr Ramakrishnan Mani, and use of the Internet in education with Dr Daniel Ribeiro.

I also visited the University of Otago’s Christchurch campus where Dr Whitehead is based.

The Centre for Postgraduate Nursing is located in the City Centre, and while there I took some time out to walk around the areas of the downtown area that have been opened to the public after the devastating earthquakes suffered by the city two years ago.

I’ve come back with ideas for two possible research projects that now need to be developed, and funding found.

If anyone would like to know more about my research, or to discuss the Staff Mobility and Networking fund, please email me (cbond)

 

Comment on BU Blog leads to academic publication

Authorship differs between disciplines

Paper by Hundley et al. published 2013

Last year Prof. Matthew Bennett1 raised some interesting issues about academic authorship on this award-winning BU Blog.  Authorship is an issue that many academic colleague see as challenging.   On September 27th, 2012 two of us replied to this blog by adding some of our own observations on the web. Having penned our online comments we discussed the issue with BU Visiting Faculty Dr. Padam Simkhada Senior Lecturer in International Health at ScHARR, University of Sheffield (www.shef.ac.uk/scharr/sections/ph/staff/profiles/padamsimkhada).  Between the three of us we came to the conclusion that the issue of academic authorship can be very confusing as well as tricky.

 

We discussed a wide-range of issues around academic authorship, including who should be an author and who should not be so, the order of authors, and that there are different conventions between different academic disciplines.  Being academic we rapidly came to the conclusion that there was a paper in this.  We drafted our ideas, searched the literature for other discussions on authorship, general guidelines on authorship, etc.   We wrote the paper and submitted it to the academic journal Health Renaissance; an Open-Access journal, which is freely available world-wide.  The editor liked it and published our paper ‘Academic authorship: who, why and in what order?’ this month as a guest editorial. 3

 

 

We would like to highlight that there are two separate messages in the publication of this paper.  The first message is about academic scholarship; some of our colleagues may find the content of this paper is a useful guide in deciding authorship order, or at least in helping to open the debate about who should be included as co-author and who is not eligible.  The second message is more about academic citizenship, namely that messages on the BU Blog and even comments in reply to other people’s messages may contain useful information to the wider academic community and should be taken further.  Our message here is don’t see the BU Blog as an end point, see it as a stepping stone to the wider academic world!

 

Prof. Edwin van Teijlingen*, Prof. Vanora Hundley* & Dr. Padam Simkhada**

* Centre for Midwifery, Maternal & Perinatal Health, HSC, Bournemouth University

** ScHARR, The University of Sheffield

 

References:

1.      Bennett, M. (2012) What’s in a list?, BU Research Blog, http://blogs.bournemouth.ac.uk/research/2012/09/27/whats-in-a-list/?utm_source=digest&utm_medium=email&utm_campaign=daily

 

2.      Hundley, V., van Teijlingen, E. (2012) Response to What’s in a list?, http://blogs.bournemouth.ac.uk/research/2012/09/27/whats-in-a-list/#comment-17234

 

3.      Hundley, V., van Teijlingen,      E., Simkhada, P. (2013) Academic authorship: who, why and in what order? Health Renaissance 11      (2):98-101  www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf

Challenges of Leadership

Leadership is a word often bandied about with many people claiming, assuming or being allocated ‘leadership’ roles, but what does this actually mean when trying to bring about societal improvements? Last week as part of an NHS South of England project BU and Plymouth University hosted a 2 day workshop for strategic leaders in the NHS, Local Authorities and the voluntary sector responsible for strategic leadership in the world of dementia in Devon, Dorset and Somerset. The aim of this project is to promote improvements in the provision of dementia care at a time of fiscal challenge. Working across organisational and disciplinary boundaries, learning from others and acting rather than just talking about the policy directives and vision that contextualises dementia is key. We had several high profile speakers at the workshop, including the Chief Executive of the Alzheimer Society, Jeremy Hughes; the Clinical Lead for dementia for NHS England, Prof Alistair Burns; the immediate Past President of the Association of Directors of Adult Social Services (ADASS), Sarah Pickup; Angela Rippon a high profile ambassador for the Alzheimer Society as well as BU’s own director of the NCPQSW. Prof Keith Brown who does a lot of leadership training across the country. We also had a person living with dementia reminding us of why it is of utmost importance to ensure that people with dementia can live well with their dementia and really what the workshop was all about. Key messages I took from the 2 days that are perhaps transferable to anyone with a leadership role are first that it sometimes just important to get on and do what you need to do because it is the ‘right thing to do’ and this may be at odds with procedures, other colleagues perceptions and priorities but still worth doing! Good leaders sometimes need to buck the trend and with convention, and there were lots of dementia specific examples about how people have been innovative in challenging times. Another key leadership message related to working together and learning from others rather than reinventing the wheel. None of these are new messages but do highlight the ongoing challenges those with key strategic roles face as they work to address key societal concerns.

eBU staff drop in sessions to be held in each school

I am pleased to announce that I am holding drop in sessions in each school for the BU community to ask questions about eBU: Online Journal.

These sessions will be:

Mon 24th June – DEC 12 -2pm in P411

Mon 24th June – School of Applied Sciences 2-4pm in C122

Tues 25th June – HSC 9-11am in the Wellbeing Centre, B112 Bournemouth House 

Tues 25th June – Business School 2-4pm in EB205

Thurs 27th June – School of Tourism 1.30-3.30 in P410

Fri 28th June – Media School 8-10am in CAG04

 

Dizzy the dog attends midwives forum

 

Left to Right: Mandy Williams - Community Midwife, Gay Rogers - Breakfast Host and Hospital Midwife and Luisa Cescutti-Butler, Senior Lecturer (Midwifery)

Every three months hospital and community midwives at Salisbury NHS Trust Hospital attend a forum dedicated to matters relating to Examination of the Newborn (EXON).  The aims of the forum are to support healthcare professional undertaking newborn examinations, sharing of experiences/case studies, interprofessional working, maintenance of competence, formulate and review internal  processes and peer support for professionals in training. Members consist of midwives, nurses, a consultant Paediatrician and Children’s physiotherapists. BU student midwives are welcome to attend when working with their community midwives and on this occasion two students were present. As unit leader for EXON at BU and one of the link lecturers at the hospital, I chair, coordinate and facilitate the forums, with venues alternating between hospital and community.  This month we met for breakfast at a colleague’s home, where midwives were greeted with the smells of freshly brewed coffee and a newly prepared home cooked frittata. Further offerings included fresh strawberries, raspberries, warm croissants, cocktail sausages and quails eggs.  

Minutes and agendas are sent out in advance. A standing item is a report from senior children’s physiotherapist Karen Robinson, whose department leads the service for Developmental Dysplasia of the Hips (DDH) in newborns.  A recent case was brought to our attention, where a baby had been examined by midwives and doctors and found to have an unstable right hip. The baby was appropriately referred for an ultrasound scan which subsequently found the right hip normal, but considered the left hip abnormal.  The Barlow’s and Ortolani manoeuvres used by both professions at the time of the examination had not detected any left hip abnormality. A robust discussion ensured as to the complexities of examining babies for DDH and the difficulties in detecting unstable hips when the manoeuvres used by all professionals were themselves unreliable. However Karen was able to reassure us by indicating that in the seven years of the Children’s Physiotherapy Department leading the DDH service, very few babies had been ‘missed’. Karen also emphasized the significance of caring for babies’ hips in general and the importance of educating parents around their baby’s ‘hip health’. The 3rd year midwifery students are currently taught theory around DDH with opportunities to practice manoeuvres on ‘Baby Hippy’. As facilitator for these sessions I realized that our midwifery curriculum had to include general baby hip health in the first year of the student’s programme. Rachael, a 3rd year student midwife, was in agreement: “the discussion around hip care for newborns was great to listen to. I agree that it would be really beneficial to have a lecture on hip care for students”. 

Left to Right: Rachael Callan - 3rd year student midwife, Carol Bremner - Community Midwife, Beccy Seaton-Harris - 1st year student midwife and Fiona White - Community Midwife

On other matters Karen highlighted a number of babies diagnosed with Erb’s Palsy following birth had recently been treated by the department. Various options were offered as to why these babies had sustained these birth injuries, resulting in the forum unanimously agreeing that education around Erb’s Palsy and Brachial Plexus Injuries would benefit all professionals involved with childbirth.  Terri Coates, an expert on Brachial Plexus Injuries and a midwife at Salisbury, agreed to arrange a study day with the national Erb’s Palsy Support Group, to be held at either Salisbury Hospital or BU for midwives and students.

There are many advantages in having a regular forum to discuss issues relating to newborn examination.  Case studies are presented and debated and education around various topics are provided at regular intervals. The forum also supports midwives from other trusts who are having difficulties with undertaking the examination in their areas. Beccy, the 1st year student midwife had the following to say: “It was very informative. It was good to see community and hospital midwives coming together as a team. I am also interested in learning more about Erb’s Palsy and attending a study day. Learning about general hip care would also be beneficial. The breakfast was lovely too”.

Dizzy

The last bark, I mean word, goes to Dizzy. He gets terribly excited when breakfast is served and runs from one midwife to another hoping for a dropped sausage or at least a titbit from a kind soul. After not having much luck, he eventually settles down and gently snores in the corner of the room. 

                                                                              

 

                                                                                        

 

 

 

Festival of Learning – Testament to a Successful Morning (Dr Simon Thompson, DEC Psychology Research Centre)

‘Testamentary Capacity in Dementia’ (03 June 2013 10:00h – 13:00h) – Presentation followed by in-depth plenary session about the complexities of leaving an estate to beneficiaries following a diagnosis of dementia.

‘Dementia’ is an umbrella term used to describe many types of deteriorating diseases – the most common ones are Alzhiemer’s disease, Vascular dementia, and Lewy body dementia.

Many married couples own property as ‘joint tenants’. Upon death, ownership automatically passes to the survivor. If property is owned as ‘tenants in common’, one half of the estate belonging to the deceased is dealt with by their Will. Problems arise when there is no Will, when others make a claim, or when another Will is executed.

‘Testamentary capacity’ is a person’s legal and mental ability to make a
valid Will. There are three premises: Presumption of capacity; Requirements; Proof of testamentary capacity.

It is proposed that the law should allow testators alternative means of satisfying the testamentary capacity standard such as an option to validate a testator’s capacity during their lifetime through forensic assessment measuring cognitive elements of testamentary capacity.

It does not remove the difficulty of knowing the status of person at a specific time line. However, it goes some way to describing a person during their lifetime in terms of mental ability and capacity.

Thompson, SBN (2006). Dementia and memory: a handbook for students and professionals. Aldershot: Ashgate.

Thompson, SBN (2012). Dementia. In SBN Thompson (Ed), Psychology of trauma: clinical reviews, case histories, research (pp169-202). Portsmouth: Blackwell-Harvard-Academic.

PHENOMENOLOGY INTEREST GROUP: Sport and Well-being

 

 

 

 

You are warmly invited to the fourth meeting of the Phenomenology Interest Group which will be held on Wednesday 3 July between 12.00—1.30. Venue: R201, Royal London House

We are fortunate to have Dr Joanne Mayoh and Dr Ian Jones from the School of Tourism who will demonstrate an example of cross-disciplinary thinking and the translation of theory into practice:

Title: Using the Dwelling Mobility theory to explore how sport can make wellbeing an experiential possibility

Abstract:

The positive relationship between sport and wellbeing has been widely documented in both policy documents and the academic literature. Whilst it is widely acknowledged that this relationship exists, little is known regarding how and why sport can contribute to positive wellbeing for individuals.  Subsequently, there is a need for research that takes a bottom-up approach in order to adequately explore the nature of this relationship in order to contribute to wider knowledge regarding sport and wellbeing, and effectively inform future policy and practice. In mirroring this approach our research draws upon phenomenological philosophers such as Heidegger and Merleau-Ponty to provide a view of the individual that sees them having a sense of agency and existential freedom. This philosophical standpoint will provide the human-centred emphasis for research that is required to fully understand how sport and wellbeing may be connected.  Specifically, this paper draws upon the existing work of Todres & Galvin with regards to Dwelling- Mobility Theory in order to consider how lifeworld philosophy could become more central in leading sport research. In line with this theory, our work considers how sport can provide a sense of dwelling, mobility, and dwelling-mobility within each of six lifeworld dimensions: temporarily; spatiality; embodiment; inter-subjectivity; identity and mood. We conclude that sport is one of the few single activities that can provide the potential for feelings of dwelling, mobility and dwelling-mobility within these dimensions simultaneously.

Dr Joanne Mayoh is a Lecturer in Sport, Physical Activity and Health at Bournemouth University. Her main research interests include the Conceptualisation of Wellbeing, and Active Ageing. She has published journal articles on Phenomenology and research methodology.

Dr Ian Jones is the Associate Dean for Sport at Bournemouth University- His research interests include Sport and Identity, Sport Fandom, and Spectators. He is author of Research Methods for Sport Studies and Qualitative Research in Sport and Physical Activity.

BU Research Blog Exclusive: Design & Look of eBU leaked

The first screenshot of the eBU interface has been exclusively leaked to the BU Research Blog, and is expected to go viral across the BU community over the next week.

eBU will provide both an internal and external forum for the development of research papers by undergraduate to Professor around the eight BU research themes:

–          Creative & Digital Economies

–          Culture & Society

–          Entrepreneurship & Economic Growth

–          Environmental Change & Biodiversity

–          Green Economy & Sustainability  

–          Health, Wellbeing & Ageing 

–          Leisure & Recreation

–          Technology & Design

Submissions will be open to immediate publication (in a safe internal environment) and open peer review by 2 appropriate BU academics. Authors will be encouraged to act upon these reviews by either reworking papers for submission to an external journal or by opting for publication on the external eBU site.

For BU academics this is a great opportunity to get critical appraisal on your research papers or ideas from colleagues. For academics it also an opportunity to encourage the submission of high quality student output, and possibly to facilitate the co-creation and co-production of publishable material to an external journal or to publish externally with eBU. For students, this is a fantastic opportunity to turn high quality essays or dissertations into scholarly outputs, which will be attractive to employers across many sectors and industries.

If you have any questions or would like to become involved in this exciting venture, please get in touch with me via email aharding@bournemouth.ac.uk or by telephone 01202 963025.

Celebrating diversity of women: a theme day provided for Level C student midwives

Undergraduate pre-registration first year midwifery students were enthralled at a recent theme day which formed part of their Intrapartum unit. The day is designed to celebrate diversity of women’s experiences during labour where students get to listen to stories of women and midwives. This year’s gathering was no exception.  First up was Rachel Arnold, a PhD student from BU. Her rich story, supported by beautiful photographs of Afghanistan, highlighted the plight of women in that country, where maternal mortality is amongst the highest in the world. Rachel in her role as a midwife has worked with Afghan people for many years and as she shared her experiences we began to see that Afghanistan is more than ‘suicide bombers and conflict’, it is about ordinary people who struggle to survive each and every day. Rachel’s talk inspired the whole audience and many students were interested to find out if they could go to Afghanistan for their elective which occurs in the 3rdyear of their training.

“It was wonderful to have a midwifery perspective from this country and the lecture was inspiring and passionate”

“Very interesting and thought provoking talk which has made me think about my own attitudes on diversity”

Jane Evans, an independent midwife, spoke about breech birth as a normal event during pregnancy.  She shared a number of photographs showing how a breech birth should be facilitated with the mantra “hands off”,  and students were able to see how the baby rotated , flexed and birthed itself with the help of his/her mother adopting a variety of positions. The mechanisms were reinforced through Jane using a doll and pelvis to further enhance student understanding. Many midwives are losing their skills within breech birth as women are often opting for caesarean section, but Jane was fortunate in that she was taught the craft of breech  (bottom down) birth by Mary Cronk, who specialised in independent midwifery practice with a keen interest in breech presentation. Mary is now retired but thankfully her many years of experience were passed onto Jane who shares her knowledge widely through study days and of course with the midwifery students at BU.  Many of the students’ views were changed following Jane’s presentation, as the following quotation demonstrates: “It was a privilege to hear this lecture. It offered a contrast to other breech perspectives and gave me more confidence as a student midwife to educate women that breech is merely another type of normal”

Sheetal Sharma, another BU PhD student provided the students with her insight into midwifery care in Nepal. She warned us that she was not a midwife, and was observing and recording midwifery practice as part of her doctoral studies. She provided a fascinating insight into how pregnancy and childbirth are perceived in Nepal where women have no rights within their own homes and are subject to the control, whims and superstitions of their ‘mother-in-laws’.  There were also parallels with Afghanistan in relation to maternal mortality, as around 4,500 Nepalese women die in childbirth due to a paucity of adequate healthcare or even skilled birth attendants.  Sheetal’s presentation included fabulous photographs of idyllic scenes in Nepal, but also of women and children where smiles were abundant and hope was evident. Nepal has made significant strides to reduce maternal mortality and is now on track to meet Millennium Development Goal (MDG)4.

Sheetal explaining her photograph where a woman is shown holding a scythe. Not only is this a tool used in the field to cut vegetation but also as an implement to cut the baby’s cord at birth.
 

The last presentation by Vanora Hundley, BU’s Professor of Midwifery, focused on the global picture of maternal and child health, where some of the key interventions that save mothers and babies lives were highlighted. Vanora reminded the audience that, for example, having a skilled attendant at birth may not always be thought of as ‘intervention’,  but evidence shows that countries where women have access to midwives or an attendant with midwifery skills have significant lower maternal mortality rates. Finally, a note of caution was provided by Vanora around the challenges faced in high income countries, as the over-use of interventions by health professionals are having a damaging impact on mothers and babies.

 
The students really enjoyed the day as the following quotes illustrate:

“I have thoroughly enjoyed the theme day, it has been very informative and insightful – more so than I had anticipated”.

“Fantastic to have a (nearly!) whole day of the wider context of midwifery. Inspirational – thanks”.

“Absolutely superb day. Reignites the fire in your belly!”

“Really insightful day. Demonstrated the importance of the midwife and our roles, not just at home but around the world. It’s nice to see the bigger picture”.

 

eBU: Online Journal

Following on from my last post ‘Developing a Working Paper at BU’ in January of this year, we are now within sight of having an exciting new online journal at BU. eBU will provide both an internal and external forum for the development of research papers by undergraduate to Professor around the eight BU research themes:

 

–          Creative & Digital Economies

–          Culture & Society

–          Entrepreneurship & Economic Growth

–          Environmental Change & Biodiversity

–          Green Economy & Sustainability  

–          Health, Wellbeing & Ageing 

–          Leisure & Recreation

–          Technology & Design

Submissions will be open to immediate publication (in a safe internal environment) and open peer review by 2 appropriate BU academics. Authors will be encouraged to act upon these reviews by either reworking papers for submission to an external journal or by opting for publication on the external eBU site.

For BU academics this is a great opportunity to get critical appraisal on your research papers or ideas from colleagues. For academics it also an opportunity to encourage the submission of high quality student output, and possibly to facilitate the co-creation and co-production of publishable material to an external journal or to publish externally with eBU. For students, this is a fantastic opportunity to turn high quality essays or dissertations into scholarly outputs, which will be attractive to employers across many sectors and industries.

It is anticipated that author guidelines will be circulated in the coming weeks, and staff and students alike should begin to think about how they could submit to eBU.

If you have any questions or would like to become involved in this exciting venture, please get in touch with me via email aharding@bournemouth.ac.uk or by telephone 01202 963025

Bournemouth University Clinical Research Unit (BUCRU) Annual Report

At the Bournemouth University Clinical Research Unit (BUCRU) we think it is important to review our activities on a regular basis, to document our achievements and to outline our plans for the future. We have decided that the best way to do this is to prepare an Annual Report. It was completed some months ago and now we would like to share it more widely with our colleagues in the University. It can be found on our microsite at http://microsites.bournemouth.ac.uk/bucru/news/ we hope it is of interest.

The support and collaborations we offer are available to staff within the University, and to staff in the NHS. In the next year we will be particularly trying to develop new collaborations between University and health service staff that will lead to high quality grant applications.

If you would like further information please contact Louise Ward (wardl@bournemouth.ac.uk Tel: 01202 961939)

http://microsites.bournemouth.ac.uk/bucru/