Tagged / BU research

Building Strong Primary Health Care in Nepal

New  BU co-authored article ‘Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal’ will be published soon [1].  This paper has been accepted by the international journal Global Health Action (published by Taylor & Francis).  The international authorship comprises Nepal, Denmark and the UK.

Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends in the former. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. The paper argues that while the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, its potential is not fully tapped in Nepal. In line with the Alma-Ata and Astana declarations, the authors propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burden of NCDs.  These six key areas are: (1) Life-course approach to addressing NCDs; (2) Task shifting for NCD risk factor management; (3) Strengthening informal care givers; (4) Strengthening quality of PHC and health systems;  (5) Establish strategic information management system; and (6) Healthcare financing.

Publication Cover

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gyawali, B., Khanal, P., Mishra, S.R., van Teijlingen, E., Meyrowitsch, D.W. (2020) Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal, Global Health Action (accepted) https://doi.org/10.1080/16549716.2020.1788262

 

Doctoral College Newsletter | June 2020

The Doctoral College Newsletter provides termly information and updates to all those involved with postgraduate research at BU. The latest edition is now available to download here. Click on the web-links provided to learn more about the news, events and opportunities that may interest you.

If you would like to make a contribution to future newsletters, please contact the Doctoral College.

Free online course! – Improving Healthcare Through Clinical Research

Interested in clinical research and what’s involved? Are you contemplating a career in healthcare or the life sciences, or, do you want to find out more about the role of clinical research in improving healthcare?

If you’ve answered yes to any of the above questions, then why not sign up to FutureLearn’s Improving Healthcare Through Clinical Research course?

The course has been developed by the University of Leeds and is be available from Monday 29th June, via this link.

It is completely free and all online, lasting 4 weeks.

This course has been certified by the CPD Certification Service as conforming to continuing professional development principles. By completing the course you will have achieved 16 hours of CPD time.

Remember – support is on offer at BU if you are thinking of introducing your research ideas into the NHS – email the Research Ethics mailbox, and take a look at the Clinical Governance blog.

The Parliamentary Office of Science and Technology publishes all 15 reports based on its Covid-19 Expert Survey

In March, POST launched the Covid-19 outbreak expert database, inviting anyone who wanted to support Parliament in its work, and had expertise in COVID-19 and/or its impacts to sign up. In April, more than 1,100 experts on this database – including a number of BU researchers – responded to POST’s survey, asking for their immediate, short, medium and long term concerns relating to COVID-19 and its impacts.

All 15 reports arising from this survey have now been published, and you can read them here:

  1. Economy and finance
  2. Business and trade
  3. Work and employment
  4. Virology, immunology and epidemiology
  5. Research and innovation
  6. Health and social care system
  7. Public health
  8. International affairs
  9. Law and human rights
  10. Society and community
  11. Media and communications
  12. Crime, justice and policing
  13. Education
  14. Infrastructure
  15. Environment

POST will also be publishing a report summarising what data or information the experts want to see the UK Government release relating to the COVID-19 outbreak.

The following BU researchers were among those responding to the survey: Professor Katherine Appleton; Dr Emily Arden-Close; Professor Christopher Hartwell; Professor Ann Hemingway; Dr Sarah Hodge; Dr John Oliver; Dr Karen Thompson; Dr John McAlaney; Professor Lee Miles; Dr Andy Pulman and Professor Barry Richards.

BU Dementia paper published today

Today the international sociology journal Sociological Research Online (SAGE) published the paper  ‘Dementia as Zeitgeist: Social Problem Construction and the Role of a Contemporary Distraction’  [1].  Using notions of social problem construction and sociologies of legitimacy, this article explores dementia as Zeitgeist that has captured imaginations but as such is contingent and therefore precarious building an edifice that may be limited and may occlude dangers for people living with dementia.  This paper is written by two BU academics: Prof. Jonathan Parker (Department of Social Sciences & Social Work) and Dr. Vanessa Heaslip (Department of Nursing Science) and former one BU staff  member Dr. Clare Cutler .  Clare is now at the Wessex Institute for Health Research & Development.

 

Congratulations

Prof. Edwin van Teijlingen

CMMPH

New COVID-19 publication by FHSS academics

Congratulations to Dr. Preeti Mahato, Dr. Nirmal Aryal and Dr. Pramod Regmi  in the Faculty of Health & Social Sciences on their latest COVID-19 publication.  Yesterday the Europasian Journal of Medical Sciences informed us of its acceptance of the article ‘Effects of COVID-19 during lockdown in Nepal’ [1].  The Europasian Journal of Medical Sciences is a peer-reviewed Open-Accessed journal which is published biannually online as well as in print version. It is an official publication of the Nirvana Psychosocial Care Center & Research Institute.

This is the fifth COVID-19 publication by our team since lock down began (in both the UK and Nepal).  Previous publications with colleagues based in the UK and elsewhere across the globe focused on maternity care, public health, Nepal and the apparent effect of COVID-19 on people from ethnic minorities int he UK [2-5].

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

References:

  1. Mahato, P., Tamang, P., Shahi, P., Aryal, N., Regmi, P., van Teijlingen, E., Simkhada, P. (2020) Effects of COVID-19 during lockdown in Nepal, Europasian Journal of Medical Sciences (accepted).
  2. Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, S.,Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11https://www.nepjol.info/index.php/JAIM/article/view/29159
  3. Tamang, P., Mahato, P., van Teijlingen E, Simkhada, P. (2020) Pregnancy and COVID-19: Lessons so far, Healthy Newborn Network [14 April] healthynewbornnetwork.org/blog/pregnancy-and-covid-19-lessons-so-far/
  4. Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269
  5. Alloh, F.T., Regmi, P., van Teijlingen, E. (2020) Is ethnicity linked to incidence or outcomes of Covid-19? (Rapid Response) BMJ (14 May) 369:m1548

Looking through the lens of Covid-19 at student risk management practice in HE

Earlier this year the International Journal for Creative Media Research (IJCMR) published a journal article by Annie East, Deputy Head of Media Production Department at BU, on ways students make meaning of the risk assessment process on their undergraduate filmmaking degree. Based on Annie’s doctoral pilot study findings, this article, whilst written in a pre-covid19 environment, has 5 areas for consideration of health and safety going forward in a Covid-19 student fieldwork context. Below Annie considers how we conceive health, safety and risk before outlining 5 points.

What is safe? The social construction of safety

Safety is a subjective, constructed and socially derived notion. The Health And Safety Executive literature does not define what safety is, leaving companies and organisations to interpret or translate how that applies to their practices. Similarly risks are ‘selected’ and ‘risk is only what people choose to say it is.’ As for health, we follow current advice in how to understand what is ‘good health’.

To give more clarity we could consider the terms ‘health’ and ‘safety’ from within the industrial context in which they are being used. Since my research is about filmmaking (in an HE context), when we refer to safety at work we can consider a film set in a studio; a lighting electrician may fall off a ladder that isn’t secure and this is a result of non-safety, or ‘unsafe-ness’. When we talk about health we can view the same studio where a set designer is carrying heavy props and as a result of that act, potentially, over time, this will create health problems, linked to heavy lifting, for that person. Safety is therefore constructed by us with an immediacy, whether perceived as safe or unsafe, and health is constructed as more removed from the act, alluding to future constructs of ailment/s within the body (or mind).

So with a socially constructed definition of health and safety the linked article can be read, taking into account the added consideration of working practice and Covid19 outlined in 5 points below.

1. VR Elicitation

In the article I propose a new research method; VR elicitation. A two-tier practice of placing a 360-degree camera into fieldwork (in this case a student film shoot) and then viewing it back as a way of deepening reflective and reflexive practice for both educator and student through an immersive environment. In response to innovation around education during Covid-19, VR elicitation could be utilised to enhance, learning for students who may not be able to engage as fully with fieldwork. This would be through remote learning ‘in the round’ with peers and educators taking advantage of the immersive environment. Working with apps that can download onto smartphones and be slotted into a £30 VR visor.

Image 1: Student film shoot

Image 2: Re-immersion back into film shoot; VR elicitation

2. The paradox within HE

The article highlights the paradoxical nature of working in a tripartite environment; education that teaches industry practice whilst complying with HE rules. With the extra layer of Covid-19 risk management incorporated into our health and safety practices, it is worth fully understanding the paradox presented within the article.

3. Risk as imagined, risk as performed

Following David Borys, I conceived the risk assessment in two steps; risk as imagined (the writing of a risk assessment) and risk as performed (the performance of the risk assessment in action). The literature acknowledges a lack of emphasis on risk as performed in scholarly research discoveries or, if it does, it discovers performance as being different to that as imagined.

4. Working beyond bureaucracy in risk management

The article posits holistic ways to approach risk management that involves engaging HE students more thoroughly. Moving us away from purely bureaucratic tick box exercises of writing a risk assessment towards a shared ownership of risk management strategy or otherwise referred to as ‘institutional magic’ by Patrick Brown. This holism is essential now that we are dealing with an invisible risk.

5. VR elicitation study findings

The pilot study teases out some of the ways students inherently keep themselves safe and are examples of where the imagined is very different to the performance. This reminds us of the importance of developing shared ownership of managing risk rather than staying purely with top-down implementation that is tied to institutional and legal power structures.

Moving forward it will be interesting to see if the increased scrutiny on Covid-19 health & safety risk management within HE results in safer student practice on a film location (or other generic fieldwork) or whether increased scrutiny on Covid-19 results in a lowering of the other health & safety practice principles.

Full linked article here.

Contact: Annie East, Deputy Head Media Production Department, Faculty of Media and Communication. aeast@bournemouth.ac.uk

Doctorate via Centre of Excellence for Media Practice (CEMP).

 

POST Parliamentary Academic Fellowship Scheme: latest news

The Parliamentary Office of Science and Technology (POST) has formally launched its Parliamentary Academic Fellowship Scheme, with further details of the application process for expressions of interest and a list of parliamentary offices participating in the scheme.

If you are interested in applying, please follow the guidelines below:

  1. Firstly, inform your Faculty Dean or Deputy Dean of your interest and discuss potential sources of funding.
  2. Identify an idea for a potential project to conduct in a participating Host Office in UK Parliament. A list can be found on p. 10 of the Guidance note for applicants.
  3. Before completing the Expression of Interest Application Form, read the Parliamentary Academic Fellowship Scheme Open Call 2020 – Guidance Note for Applicants. POST strongly recommends applicants also read the Appendix to this document. It contains information about the offices in Parliament participating in the scheme, the kinds of projects you could propose to do with them and any topics they are particularly interested in receiving proposals on.
  4. Complete an Expression of Interest Application Form and send a copy of the completed form, along with a two-page CV, to postfellowships@parliament.uk. You should mark the subject of the email as: “PAFS Open Call: [name of proposed parliamentary Host Office]”. POST also requests that you complete and send them the diversity monitoring questionnaire, although this is voluntary.

If successful, you will be asked to submit a detailed application in September, which will also confirm BU budget approval. Interviews are likely to be conducted in October/November and the Fellowship will commence January 2021, following security clearance.

Please note, the BU Policy team and your faculty impact officer are available for guidance, support and to track your application.

Widespread media coverage in Nepal for BU researcher

This week Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) appeared in several newspapers and new website in Nepal. The media reported both in Nepali [1-4] and in English, the latter in South Asia Time [5] on her recently published paper on birthing centres in Nepal.  This latest paper from her PhD was published in the scientific journal  PLoS ONE [6].  The paper is co-authored by CMMPH’s Dr.Catherene Angell, Prof.Edwin van Teijlingen and Prof. Vanora Hundley as well as BU Visiting Professor Padam Simkhada (Associate Dean International at the School of Human and Health Sciences, University of Huddersfield.

We are very grateful to BU’s Dr. Nirmal Aryal for engaging with all his media contacts in Nepal to achieve this great coverage.

 

References:

  1. https://ekantipur.com/diaspora/2020/06/02/159107091260531499.html
  2.  https://www.nepalilink.com/2020/06/02/5326.html
  3. http://www.nepalbritain.com/?p=79336
  4. https://globalnepalese.com/post/2020-06-942777589?fbclid=IwAR3RJlHpeG4p3PdryUWzhvCDG0yiYjNrdnQZNJo4uzznyuFA8cF6DKLbKU8 
  5. https://www.southasiatime.com/2020/06/04/birthing-centers-are-savings-lives-in-rural-nepal/
  6. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C., Hundley, V. (2020), Evaluation of a health promotion intervention associated with birthing centres in rural Nepal PLoS One 15(5): e0233607. https://doi.org/10.1371/journal.pone.0233607

POST Academic Fellowship Scheme: expressions of interest invited

The Parliamentary Office of Science and Technology (POST) is inviting expressions of interest for its Parliamentary Academic Fellowship Scheme from Monday 8 June.

Securing a prestigious fellowship with POST provides researchers with unique access to Parliament, policy experience and direct potential for impact. It is open to all employed academics with a PhD, and applicants propose their own project for Parliament to conduct. These projects might include contributing to the work of a parliamentary office, filling gaps in expertise, helping to grow Parliament’s academic networks, informing parliamentary scrutiny, analysing and evaluating parliamentary practices, building staff capacity and skills, providing advice and support to a committee, scrutinising a specific area of government policy, providing briefing material or advice, generating data to facilitate effective scrutiny, writing specific papers for parliamentary teams, studying aspects of the parliamentary process or perceptions of that process, or something else!

There is no external funding associated with these fellowships, and the cost will need to be met either by BU internally or by other research funders. The types of cost the fellowship will entail are: cover arrangements, travel, subsistence and accommodation alongside consideration of your time. Do not let concern over costs or other factors hold you back at this stage. Parliament have a keen diversity agenda and applications from all career stages (from PhD onwards) and other equality characteristics are welcomed – you do not have to be a professor!

The fellowship will usually last for 1 year; there may be flexibility over the start date (and this may help to save or manage costs). Fellows will spend some of their time in Westminster and some aspects will be completed remotely. The amount of time spent in Westminster will be dictated by the nature of your project. It could be one day per week, or a week block every six weeks, or another pattern.

Expression of Interest applications will be invited from Monday 8 June, when more information about the scheme, what to cover in your expression of interest, and a list of the parliamentary offices participating will be released by POST. The closing date is Friday 26 June 2020. We will update this blog with the new details once they are released.

Process

  • Now: Inform your Faculty Dean or Deputy Dean , that you are interested in applying
  • June: Complete the expression of interest and forward before the 26 June deadline, and discuss potential sources of funding with your faculty leadership
  • September: Submit detailed application for the fellowship which will also confirm BU budget approval
  • Oct/Nov: Interview
  • If selected – complete security clearance, complete Fellowship Agreement
  • Jan 2021 – commence Fellowship

The BU Policy team and your faculty impact officer are available for guidance, support and to track your application.

Click here for full details from POST, as well as testimonials from previous fellows.

This is also an informative and useful document – it contains some examples of projects successful Fellows undertook and the evaluation of the whole scheme including what needs improvement.

 

 

The value of an industry-oriented degree

There’s an irony in the fact that the more industry-oriented and practice-based degree programmes thought to be necessary for rebuilding our economy, are among those that present most challenges when it comes to reimagining Higher Education for a post Covid-19 world. In having to review what we teach, and how we teach it, we have inevitably found ourselves returning to more fundamental questions of purpose and value. It’s amazing how recent assertions about “low-value” degrees, based on graduate earnings, seem so strangely anachronistic on a Thursday night in “lockdown Britain”. In a recent post for WonkHE, we discuss what we can learn from how our own graduates’ attribute value to their undergraduate experience, from the perspective of post-university employment.

Managing References and Writing for Publication with EndNote Desktop

Monday 8th June 10:00 – 12:00

This workshop will introduce you to EndNote, software that saves you time when managing your references and writing for publication.

 

 

 

This session will cover:

  • The role of EndNote in the research workflow
  • Reference collation and management
  • Full text harvesting
  • Writing for publication; citation and reference creation​

Essential Preparation

You must have the correct software loaded onto your machine prior to attending.

  • If you are using a BU staff machine, EndNote desktop (X9) needs to have been installed by BU IT Services. This includes the toolbar for Word.
  • If you are using your own device running Windows 10, you can access it via AppsAnywhere from BU. However, please test it before the workshop to make sure that it can run EndNote desktop (X9) and that your version of Word has the EndNote toolbar installed.
  • If you are using your own Mac, you will need to contact BU IT Service and ask them to install EndNote desktop (X9).

You may find it beneficial (but not essential) to have dual monitors. This could allow you to watch the teaching and try things out at the same time.

See here to book.

HRA announcement – Amendment Tool now live

Please see below for a recent update from the Health Research Authority with regard to a new amendment tool and the online submission of amendments.

If you have any queries please email Suzy Wignall in Research Development & Support.


Online submission of amendments and a new amendment tool is now live across the UK, as of today Tuesday 2 June 2020.

These new processes for handling amendments are part of our ongoing Research Systems programme to improve services for applicants.

  • The amendment tool is designed to simplify the amendment process for applicants and
  • The ability to submit amendments online means that applicants can track the submission history of amendments.

From 2 June, all applicants making an amendment to project-based research will need to complete the amendment tool and submit their amendment online. The tool replaces the Notification of Substantial Amendment (NoSA) and Non-Substantial Amendment forms. Amendments to Research Tissue Banks and Research Databases will also be submitted online from this date.

To help with these changes, we have now published:

For queries on how to complete the tool, questions on the results from the tool, once complete or how to submit your amendment online, please contact amendments@hra.nhs.uk

Amendment Tool

The new amendment tool should be used for all project-based research including amendments being made under the COVID-19 fast-track process, from 2 June. (Research Tissue Banks and Research Databases will continue to use the IRAS generated substantial amendment forms.)

The tool categorises the amendment and provides tailored guidance on how to submit. It will identify any review bodies the amendment needs to be sent to, based on the changes that are being made to the study. It also provides detailed information about the amendment to participating sites.

The Notice of Substantial Amendment/annex 2 form can be generated by completing the tool. This version of the form can then be submitted to the REC and the MHRA (as required) when making a substantial amendment to a trial.

The amendment tool is based in Excel, but in the longer term we plan to fully integrate the tool functionality into IRAS.

The introduction of the amendment tool may require changes to Sponsor’s quality system (e.g. SOPs, guidance documents and templates etc.). Organisations should do this in accordance with the new process in good time. Given the additional demands placed across the healthcare research systems at this time, the MHRA has confirmed that it will adopt a pragmatic approach during inspection.

Submitting amendments online

Once you have completed the amendment tool, you should follow the submission guidance provided in the submission guidance tab of the tool. If the amendment needs to be submitted, then the amendment tool, together with all the supporting documents, should be uploaded into a new part of IRAS and submitted using the online system.

For amendments to Research Tissue Banks and Research Databases the IRAS substantial amendment form should be submitted online in place of the amendment tool.

Applicants will need to set up a new login and password for the new part of IRAS. We are sharing a login process with NIHR systems for the new parts of IRAS that provide online booking, the Combined Ways of Working (CWoW) pilot, and this new amendment system. If you already have a login for any NIHR system or one of these new parts of IRAS you can use the same details. If you do not already have a login for those systems, you will need to set up a new login and password as guided by the system.

Once you have logged in, applications will need to input the IRAS ID for the study as well as some other information regarding the study and amendment, some of which will need to be copied directly from the tool itself. Applicants can upload documents including a pdf of the tool itself. The system will issue an email to confirm the amendment has been submitted.

Government Survey of UK Researchers working under Covid-19

All researchers are invited to respond to this government survey.

BEIS has commissioned Vitae, supported by UKRI and Universities UK, to gather evidence to understand the implications of the Covid-19 pandemic on the activities of researchers and research groups. This evidence will inform BEIS’s consideration and design of potential interventions to help protect researchers, research institutions and facilities, and in the longer term reinforce the research base and sustain research and innovation activity in the UK.  All researchers employed in UK universities, research institutes, charities and companies are invited to respond to the survey. They are particularly interested to hear from principal investigators and leaders of research groups.

The survey will be open until Tuesday 9 June.

Please to respond to help inform the Government’s thinking.

UKRO Webinar – COVID-19 Impact on EU Projects: Update

Tuesday 9th June 10:30 – 11:30

UKRO is pleased to announce the latest in its series of webinars on the topic of COVID-19 impact update. The webinar is intended to provide an update of the current situation regarding COVID-19 and will cover (in brief) areas such as:

  • Known call updates and changes to call deadlines;
  • Project implementation issues;
  • COVID 19 measures within the latest EU budget proposal;
  • Opportunity for Q&A.

The webinar is intended for researchers and support staff currently engaged in projects, or applying to forthcoming calls, to make them aware of the latest information on COVID 19 in respect to proposal development and project delivery.

The webinar will be delivered using the ‘Zoom’ online conference facility. No prior purchasing of software is necessary but registration via the event page is mandatory.

If you have any queries, please contact RKEDF@bournemouth.ac.uk

BU PhD student presenting at European Sigma Nursing Conference

Bournemouth University Ph.D. student Peter Wolfensberger presented today at the 5th Sigma European Conference in Coimbra, Portugal.  This is probably the first major global online conference in nursing!  The title of Peter’s presentation was Creating Meaning – People Living with Mental Illness in Switzerland. In true COVID-19 style he gave his presentation life online.  Consequently, this workshop session was well attended by nurses from across Europe, and it had the added benefit that all his Ph.D. supervisors could attend online too.  The World Health Organisations (WHO) has designated the year 2020 as the “Year of the Nurse and Midwife”, in honour of the 200th birth anniversary of Florence Nightingale.  This  Sigma European  Conference focused very much on importance of nurses and nursing in health care provision.

Peter has successfully defended his thesis and is currently writing up a few minor corrections.  He has been supervised by Dr. Sarah Thomas, Prof. Sabine Hahn and Prof. Edwin van Teijlingen.