Category / Research news

An Appreciate Inquiry into NHS Maternity Services

 

 

Congratulation to Dr. Rachel Arnold and her Centre for Midwifery & Women’s Health research team on the publication yesterday of their paper ‘I might have cried in the changing room, but I still went to work’. Maternity staff balancing roles, responsibilities, and emotions of work and home during COVID-19: An appreciative inquiry [1].   This paper focuses on how to support staff and enhance their well-being in a small UK maternity service.  The underpinning methodological approach is appreciative inquiry using interviews with 39 maternity staff and four group discussions exploring meaningful experiences, values and factors that helped their well-being.

The key findings are that maternity staff members were highly motivated, managing a complex melee of emotions and responsibilities including challenges to professional confidence, mental health, family situation, and conflict between work-life roles. Despite staff shortages, a demanding workload, professional and personal turmoil, and the pandemic participants still found meaning in their work and relationships.  The authors go on to argue for a ‘whole person’ approach, since this approach provided insight into the multiple stressors and emotional demands staff faced. It also revealed staff resourcefulness in managing their professional and personal roles. They invested in relationships with women but were also aware of their limits – the need to be self-caring, employ strategies to switch-off, set boundaries or keep a protective distance.  Overall, the paper concludes hat staff’s well-being initiatives, and research into well-being, would benefit from adopting a holistic approach that incorporates home and family with work. Research on emotion regulation strategies could provide insights into managing roles, responsibilities, and the emotional demands of working in maternity services. Emotion regulation strategies could be included in midwifery and obstetric training.

This paper was proceeded by a more methodological paper on the application of Appreciative Inquiry in this study [2].

 

References:

  1. Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2023) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth (online first) 
  2. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.

Dorset Serious Crime Project

Dorset Community Action has been commissioned by the Home Office to carry out interviews in support of their Serious Crime Project.

The aim is that this project will add valuable insight and context to wider research and analysis being undertaken to inform a local strategic needs assessment, and ultimately the Dorset Serious Violence Strategy.

The intended outcome from these case studies of victim/survivors of serious violence is to gain a greater understanding of their individual situations:

·       Were there certain conditions in place at the time the serious violence happened.

·       Was the serious violence a pattern of behaviour, possibly an escalation of behaviour and offending.

·       How had being a victim of serious violence impacted on the individual emotionally and physically.

·       What pre- and post-offence interventions from services were available, accepted, required;

(or what wasn’t available but needed/wanted)

·       How has the overall experience influenced both current and future behaviour.

The participants need to be Dorset residents and over 18.

Please, find more information in the flyer here: Serious Crime Request Flier

All final data will be shared with all stakeholders involved in the project.

Any support you can offer with this project will be very much appreciated.

IMIV MRI Research Project Scheme 2023 – Call Re-opens

The Institute of Medical Imaging and Visualisation (IMIV) has re-opened its call for applications for the IMIV MRI Research Project Scheme 2023.

Under the scheme, imaging research projects can apply for up to 100 hours of scanning time on the IMIV’s state-of-the-art 3T Siemens Lumina MRI scanner.

  • The focus of the scheme is on multi-disciplinary and cross-institutional projects, and priority will be given to projects with a clinical partnership.
  • All research projects must have a Bournemouth University researcher as lead or co-lead applicant.
  • Projects must be able to demonstrate how they will lead to peer-reviewed academic outputs and external funding applications for further MR imaging studies.

Please note: the award does not cover any additional expenses related to scanning, or other aspects of the project.

Deadline for applications: 1st October 2023. 

For further information and an application form, please email imiv@bournemouth.ac.uk.

Women’s World Cup Forum hosted by Sport and Physical Activity Centre (SPARC)

Against the backdrop of the Women’s World Cup, the Sport & Physical Activity Centre (SPARC) hosted the Women’s World Cup (WWC) Forum on July 17th.

Featuring presentations from Dr Beth Fielding-Lloyd (Sheffield Hallam University), Anika Leslie-Walker (Nottingham Trent University) and Dr Rafaelle Nicholson (Faculty of Media & Communication, BU), the forum set out to explore the contemporary nature of women’s football and how academic work aligns to the apparent pace of growth. Attendees were invited back the following day and spent a productive day unpacking issues raised at the Forum and explored potential areas for further academic exploration.

One week prior to the event, former England International Karen Carney, authored an Independent Report for DCMS, titled Raising the Bar: Re-Framing the Opportunity in Women’s Football. The report offers a comprehensive review of the growth opportunities for the game at professional and grassroots level, but also highlights the significant challenges facing the game. The report, and indeed the SPARC Forum, invited us to look behind the mask of the landmark event and how narratives of ‘progress’ at such landmark events (attendances, media interest, coverage, taglines: the WWC for example is branded ‘Beyond Greatness’) can present a false picture of progress, highlight myths of women’s empowerment and indeed mask new/existing expressions of power.

In particular, discussion at the Forum focussed on developing a sustainable and inclusive fan base for the game (beyond landmark fixtures, average Women’s Super League (WSL) attendance stands at 2,800), funding and diversity issues within the talent pathway, safe fan experience/spaces (marked by religion, gender and race), gender pay disparities, the lessons of prior mergers and governance structures, and broadcasting rights (the UK’s domestic broadcasters offered just 8% of that which they paid for the 2022 FIFA Men’s World Cup in Qatar) and media representations (that oft tended to reinforce, as opposed to challenge, dominant gender power relations). Indeed, and even as the Forum was in full-swing, the Australian team (The Matildas) broadcast a video highlighting pay disparities, the England team expressed their disappointment over a lack of agreement over their bonuses, figures from the Carney report suggested that 71% of attendees at WSL games reported their experience was ‘short of expectation’, and highlighted that there exists a significant lack of understanding of minority ethnic fans.

As the women’s game grows and transitions from a Football Association-owned entity to a new independently owned management structure (currently named New Co.) this is indeed an exciting time for women’s football. However, the Forum & workshop reinforced the need to peek behind the shiny spectacle of the World Cup and address some of the challenges that continue to be faced in the development of a sustainable, equitable and inclusive ‘product’. After two long, yet productive, days participants left with a compelling commitment to engage with key stakeholders and undertake a programme of work that aims to address inequalities in the game and influence policy, practice and strategy.

Lyle Skains wins Hayles Prize for monograph

Bournemouth University and FMC researcher Lyle Skains has been awarded the N. Katherine Hayles Award for Criticism of Electronic Literature for her book Neverending Stories: The Popular Emergence of Digital Fiction, released from Bloomsbury in January 2023. The award was announced at the annual Electronic Literature Organisation (ELO) Conference on 13 July 2023 in Coimbra, Portugal, alongside winners of the Robert Coover Award for a Work of Electronic Literature, the Marjorie C. Luesebrink Career Achievement Award, and the Maverick Award.

The ELO is the foremost international professional body for scholars and practitioners working in the field of electronic literature, and has been awarding works of scholarship on electronic literature since 2014. The organisation notes that “The N. Katherine Hayles Award for Criticism of Electronic Literature is an award given for the best work of criticism, of any length, on the topic of electronic literature… recognise[ing] excellence in the field.” The award includes a plaque, one-year’s associate membership of the ELO, and prize money of $1000USD.

In selecting Dr. Skains’ Neverending Stories for the Hayles Prize, the jury made the following statement:

The judges of the 2023 N. Katherine Hayles Award for Criticism of Electronic Literature have unanimously recognized Neverending Stories: The Popular Emergence of Digital Fiction by [R.] Lyle Skains as the winning entry. The book is a granular exploration of both the evolution of digital fiction and its impact on (and positioning in) popular culture. The author’s focus on marginalized authors/creators, as well as reframing accepted aspects of digital fiction, sets their work apart.

Skains does more than justice to a complex topic with her ambitious work spanning over half a century of digital literature development. Her analysis of multiple digital narrative forms – covering everything from text-based adventure games to creepypasta participatory fiction to ‘archontic’ fiction – is comprehensive and perceptive. The book navigates appreciable tensions between avant-garde and popular forms of digital fiction while seeking to recover hidden contributions of women, people of color, and LGBTQIA+ authors. The included case studies also provide invaluable insights into trends that are shaping the future of digital fiction, making the book a must-read for scholars, creators, and fans.

The judges wish to express that the task of selecting the winners for this year’s N. Katherine Hayles Award for Criticism of Electronic Literature was exceptionally challenging due to the exemplary standard of entries received. The depth and diversity of perspectives presented in the entries made the deliberation process both stimulating and demanding. The judges extend our appreciation to all the entrants for contributing to the enrichment of the field, and for setting a remarkable benchmark for future submissions.

Portrait - Lyle SkainsDr. Skains joins Jessica Pressman, Mark Marino, Jeremy Douglass, and Lai-Tze Fan in winning this prestigious prize. She adds that, in addition to the acknowledgements made in the book, she wants to thank the support she’s had in the field from generous mentors and peers, including Astrid Ensslin, Dene Grigar, Caitlin Fisher, Mark Marino, Stuart Moulthrop, Anastasia Salter, John Murray, and María Mencía, who edited the fantastic collection #WomenTechLit that inspired so much of Neverending Stories.

Updated documentation for the BU Bridging Fund Scheme

In summer 2015, BU launched the BU Bridging Fund Scheme to HR excellence in research logoprovide ‘bridging funding’ for the continuation of employment of research staff for a short-term (usually up to three months, but up to six months can be considered in exceptional situations) between research grants. BU’s Bridging Fund Scheme is intended to permit the temporary employment, in certain circumstances, of researchers between fixed-term contracts at BU, for whom no other source of funding is available, in order to:

(a) encourage the retention of experienced and skilled staff, and sustain research teams and expertise;

(b) avoid the break in employment and career which might otherwise be faced by such staff;

(c) maximise the opportunity for such staff to produce high-quality outputs and/or research impact at the end of funded contracts/grants.

 

The scheme guidelines have been updated to include a figure demonstrating the application workflow (in Appendix 2 of the scheme guidelines).

 

The Bridging Fund Scheme is an action from our Athena Swan action plan (which aims to create a more gender inclusive culture at BU) and our HR Excellence in Research Award (which aims to increase BU’s alignment with the national Concordat to Support the Career Development of Researchers).

BU Professor’s research contributes to House of Commons report

Written evidence provided to the House of Commons Public Accounts Committee by Prof. Ann Luce, FMC, has been cited in the “Progress in improving NHS mental health services” report released today. Luce’s research around suicide risk to NHS mental health staff and the impact that has on care, served as the underpinning evidence for one of six recommendations the committee has made.

The Public Accounts Committee heard concerning evidence of increasing pressures on NHS mental health staff at a time of spiking demand. In the report published today, it warns that increased workload is leading to burnout for remaining staff, which contributes to a higher rate of staff turnover and a resulting vicious cycle of more staff shortages.

17,000 staff (12%) left the NHS mental health workforce in 2021-22, up from pre-pandemic levels of around 14,000 a year. Those citing work-life balance reasons for leaving increased from 4% in 2012-13 to 14% in 2021-22, and the percentage of days lost from the workforce due to psychiatric reasons doubled in a decade. NHS England told the PAC that, in common with all NHS staff, mental health problems are one of the biggest drivers of sickness among staff.

Staff shortages are holding back NHS mental health services as a whole from improving and expanding. The PAC calls on the NHS to address the fact that staff increases are being outpaced by the rise in demand for services. The NHS mental health workforce increased by 22% overall between 2016-17 and 2021-22, while referrals to these services increased by 44% over the same period. The PAC’s inquiry found that staff vacancy rates in acute inpatient mental health services are at approximately 20% or more.

Good data and information is necessary to manage and improve NHS services, as well as to deliver them impactfully and cost-effectively. The Government and NHS England (NHSE) acknowledged to the PAC that mental health services are lagging behind physical services in this area to a particularly concerning degree. Of 29 integrated care boards surveyed by the National Audit Office, only four said they had all or most of the data they needed to assess patient and user experiences, and none of them felt this in relation to patient outcomes.

Another area of particular concern for the PAC is a continuing lack of progress in the area of treating mental health services with equal priority as physical services – or ‘parity of esteem’. Despite the Government setting this ambition in 2011, and the PAC itself calling four years ago for a clear definition of how to measure progress to get there – a recommendation accepted at the time by the Government – there is still no such clear definition.

Dame Meg Hillier MP, Chair of the Committee, said: “The findings of our inquiry must serve as a warning to the Government that mental health is still in danger of not being treated with the same urgent priority as physical health. NHS mental health staff deal with some of the most challenging care needs there are. Staff in this space deserve not just our heartfelt gratitude for the job they do, but concrete support and training to work as part of well-staffed workplaces. Our report warns of a vicious cycle, in which staff shortages and morale both worsen in self-reinforcing parallel.

“The short-term actions being taken by the Government and NHS England to tackle ongoing pressure are welcome. But these numbers are still going in the wrong direction, as demand for care well outpaces the supply of staff to provide it. The Government must act to pull services out of this doom loop. Invaluable care for some of our most vulnerable cannot and must not be provided at the expense of the welfare of the workforce carrying it out.”

NHS England and the Government now have six months to respond.

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If you are interested in submitting written evidence based on your research to a Parliamentary Inquiry, please reach out to impact@bournemouth.ac.uk who can help you with putting together your submission. Contributions to inquires are a good pathway to impact for impact case studies for the REF, and can lead to policy change and influence.

Grant of international patent for invention at BU

It comes as a great news for both BU and academic staff that a major international patent has been granted by China National Intellectual Property Administration who have confirmed that it will record the grant of the patent right in the Patent Register, issue the patent certificate for invention, and announce the grant. The patent right shall take effect from the date of announcement, July 4, 2023.

This is a predictive and prognostic invention as a remote probing system to monitor corrosion of conductive or nonconductive coatings and subsurface degradation.

The EIS measurement is resistant to interference and has a high corrosion resolution which produces stable and reliable results. Protective properties of a coating can be learned from an impedance spectroscopy obtained via the measurement that reflects changes in the coating and at the interface of coating-substrate system.

Project lead Professor Zulfiqar Khan has congratulated their co-inventors Dr Mian Hammad Nazir and Dr Adil Saeed for their hard work, dedication and passion over the years. This is the result of years of collective work spanning over several research programmes, Professor Khan added.

This invention will enable, a diverse portfolio of industry sectors and applications in aerospace, automotive industry, shipyards, petrochemical, process, infrastructures, high value assets including Reinforced Concrete (RC) elements of marine structures such as piled jetties, marine installation, gas pipelines, motorways structures and mobile assets such as large vehicles, to monitor, predict and prognose a complex failure initiation and propagation mechanism in real time. This will result in significant cost savings, reducing downtime, enhancing reliability and service life.

Further details and media coverage with a short video about the background of work is available here.

Keywords: Condition monitoring, corrosion, coating, sensor, impedance, electrochemical, spectroscopy, materials, composites.

Filming day for the DEALTS2 instructional video for dementia trainers

Try to imagine living with dementia. Now consider how it might feel caring for a person with dementia. Both concepts are challenging to imagine. However, understanding such concepts is key to improving the delivery of care.  

On 27th June 2023, the cameras were rolling live on Lansdowne Campus at Bournemouth University. Dr Michelle Heward and Director Jon Nichols (Jon Nichols Video Production) were filming a train-the-trainer video designed to support those wishing to use the Dementia Education and Learning Through Simulation 2 (DEALTS2) toolkit confidentially in their own training. The DEALTS2 programme, commissioned by Health Education England, is a training package that uses simulation-based activities to place staff into the shoes of a person with dementia. 

Social care providers including Managers, Support Workers, and Developmental Leads who deliver dementia training to staff in their care homes, day centres, and home care services across Dorset came in to receive training and were filmed for the video. There was a fantastic buzz as everyone arrived welcoming the opportunity to “refresh their dementia knowledge” and were excited to “gain new ideas to deliver dementia training”.  

Delivered wonderfully by Dr Michelle Heward, the training was enjoyed by all especially during the simulation activities. These scenario activities included cost-effective and fun tasks such as making origami swans with varying levels of challenging instructions, some deliberately frustrating! Designed to stimulate understanding of living with dementia to inform the care provided, the tasks were considered as “helpful”, “informative”, and “thought provoking and relevant to their service and carers”.  

After a reinvigorating day filming, care providers were “excited to go away and use the DEALTS2 training” and felt “confident” in delivery of the “excellent” resources. It was fantastic to hear most organisations are hoping to use the DEALTS2 resources within their own organisations in the next few months.  

Thanks to everyone who came along, agreed to be filmed, and helped produce the train-the-trainer video. Everyone did an amazing job and appeared unfazed by the camera during the demands of film production. Thanks also to Harry the boom operator and local actors Alex, Samuel, Rae, Amelia, and Nora who supported the day. The DEALTS2 train-the-trainer video was only possible with all your help. Currently in the editing process, watch this space to see how everyone got on!

For more information or to access the DEALTS2 training programme please visit: https://www.hee.nhs.uk/our-work/dementia-awareness/dementia-education-learning-through-simulation-2  

Lyndsey Bradley, BSc final year undergraduate
Research Assistant
Faculty of Health and Social Sciences