Category / REF 2029 impact case studies

Nursing Research REF Impact in Nepal

The Nepal Nursing Council has made Continuing Professional Development (CPD) compulsory for all nurses and midwives wanting to re-enrol from tomorrow. Starting on 15th January 2025 all nurses and midwives who want to re-register will have to show evidence of having conducted recent training to maintain and enhance their knowledge, skills, and professional competence.  According to the new provision, licences will not be renewed unless applicants have completed a minimum of 60 hours of training within the preceding six years.  This change in regulation is largely driven by research driven by two UK universities, and BU is one of them.

As early as 2016 the research team called for a move to a system of post-registration with compulsory further learning and regular updating of skills, adding that “the introduction of CPD will be beneficial to all nurses in Nepal” [1].  The key argument was that If Nepal does not establish CPD requirements, only some staff will engage with training activities, it will be ad hoc driven by personal interests rather than service needs.  An even greater concern was that staff will seek only the free training made available by either the government and/or INGOs (International Non-Governmental Organisations) rather than CPD most relevant to their current practices.

To generate the evidence that CPD is vital in Nepal, the team led by Dr. Bibha Simkhada conducted interviews with nurse leader in the country to understand perspectives on existing on-the-job training and Continuous Professional Development more generally [2].  Bibha, currently Reader in Nursing at the University of Huddersfield, worked at Bournemouth University for several years during this research.  Next, the researchers conducted focus group discussions with other relevant stakeholders [3].  These research findings were disseminated to stakeholders in Kathmandu, including the NNC (Nepal Nursing Council), MIDSON (Midwifery Society of Nepal), NAN (Nursing Association of Nepal), and the Ministry of Health & Population as well as to a wider audience through a call under the heading ‘Nepal needs Continuing Professional Development for Re-registration in Nursing and Midwifery’ [4].

These papers all argue that promoting CPD benefits the quality of health care.  Indirectly, it builds confidence in the general population as it is guarantee to the individual patient in Nepal that the nurses and midwives, who are treating them, have up-to-date skills and knowledge. In addition, it strengthens the NNC as it supports to professionalise nursing and midwifery in Nepal and bring the standard of nursing and midwifery practices to a higher and internationally comparable level.

The research work at BU was supported by small amounts of QR funding through BU Centre for Excellence in Learning (CEL) in 2016, the Centre for Midwifery & Women’s Health in 2018 and the Faculty of Health & Social Sciences in 2019.  This shows that well-designed research conducted by researchers who have insight into the political landscape of health services in Nepal can have a great impact with minimal resources.

Prof. Edwin van Teijlingen (BU REF lead UoA3)

&

Dr. Vikram Mohan (UoA3 REF Impact Champion)

 

 

References

  1. Simkhada, B, Mackay, S, Khatri, R., Sharma, C.K., Pokhrel, T, Marahatta, S, Angell, C, van Teijlingen, E., Simkhada, P (2016) Continual Professional Development (CPD): Improving Quality of Nursing Care in Nepal Health Prospect 15 (3):1-3
  2. Khatri R, van Teijlingen E, Marahatta SB, Simkhada P, Mackay S, Simkhada B (2021) Exploring the Challenges and Opportunities for Continuing Professional Development for Nurses: A Qualitative Study with Senior Nurse Leaders in Nepal Journal of Manmohan Memorial Institute of Health Sciences. 7(1), 15-29.
  3. Simkhada B, van Teijlingen E, Pandey A, Sharma CK, Simkhada P, Singh DR (2023) Stakeholders’ Perceptions of Continuing Professional Development among Nepalese Nurses: A Focus Group Study Nursing Open.10(5).
  4. Simkhada B, van Teijlingen E, Sharma C, Pandey A, Simkhada P. (2023) Nepal needs Continuing Professional Development for Re-registration in Nursing and Midwifery Journal of Nepal Health Research Council, 21(60):541-42.

Targeted workshops for REF 2029 impact case study teams

Limited places available – sign up now for May and June!


DATES & TIMES

Friday 30th May, 9.30am-1pm, F306, Fusion Building, Talbot Campus
Developing Policy Engagement for Impact BOOK HERE

Wednesday 11th June, 9.30am-1pm, online via Zoom
Developing Policy Engagement for Impact (same content) BOOK HERE

Thursday 26th June, 9.30am-12.30pm, FG04, Fusion Building, Talbot Campus
Getting your REF Impact Case Study off the Ground BOOK HERE


KEY DETAILS

Developing Policy Engagement for Impact
Facilitated by BU’s policy consultant Carys Davis, this provides expert advice on navigating the policy landscape to ensure your research reaches and informs decision makers. Topics covered:

  • The purpose of influencing, the role of evidence and what it means for you 
  • Writing elevator pitches and key messages 
  • Principles of communicating with policy and decision makers 
  • Effective policy writing 
  • Understanding the policymaking landscape. 

Getting your REF Impact Case Study off the Ground
Research impact consultant Bella Reichard delivers this workshop, which she describes as “part training, part retreat” to help provide clarity in developing a polished impact case study for REF 2029. This includes:

  • Creating a narrative arc
  • Guidance writing your own summary of impact
  • Devising an action plan
  • Focus on evaluation and evidence of impact.

Who are these workshops for?

  1. All sessions are aimed primarily at researchers considering, or in the process of, preparing an impact case study for submission to REF 2029.
  2. They are not limited to a single person per potential case study – it can be useful for teams and/or relevant impact champions to attend together.
  3. If you are not sure if they are suitable for you, please contact your UOA impact champion.