Tagged / CMMPH

New BU diabetes research

Congratulations to Dr. Sarah Collard in the Department of Psychology, Dr. Pramod Regmi in the Department of Nursing Science and FHSS Visiting Professor Katherine Barnard-Kelly on their publication: ‘Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes’  [1]. This paper in Practical Diabetes is a joint publication with several North American scholars.

The authors of this qualitative paper distilled three themes related to the benefits of automated insulin delivery systems: (a) more freedom and spontaneity in the individual’s ability to exercise; (b) relief
from worry of hypoglycaemia as a result of exercise; (c) removing the ‘guesswork’ of adjusting insulin for exercise, as well as two further themes relating to potential concerns with regard to safely exercising while wearing an automated insulin delivery system.

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Collard, S.S., Regmi, P.R., Hood, K.K., Laffel, L., Weissberg-Benchell, J., Naranjo, D., Barnard-Kelly, K. (2020) Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes, Practical Diabetes 2020; 37(1): 19–23

New midwifery paper CMMPH

Congratulations to Dr. Luisa Cescutti-Butler and Prof. Sue Way in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of their latest research article.  This new paper called ‘The experience of student midwives being taught newborn infant physical examination (NIPE) as an extracurricular activity at a university in the UK: A descriptive survey study’ has been accepted by Nurse Education in Practice [1].  The paper went online pre-publication earlier this week.

Congratulations

Prof. Edwin van Teijlingen

CMMPH

The last Christmas present

“On the twelfth day of Christmas ….” the editor  of the Journal of Health Research Ms Sunanta Wongchalee informed us that our paper ‘Silicone use in Nepali transgender women: The hazards of beauty’ has been accepted for publication [1].  That is nice belated Christmas present to receive on January 6th and a good start of the New Year.  The paper is written by FHSS’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen with Sanjeev Raj Neupane in Nepal.  This is the second paper from this unique study on transgender women in Nepal, the first one was published last year in BMJ Open [2].

References:

  1. Regmi, P., van Teijlingen, E.,, Neupane, S. (2020) Silicone use in Nepali transgender women: The hazards of beauty, Journal of Health Research (accepted)
  2. Regmi, P., van Teijlingen, E., Neupane, S., Marahatta, S. (2019) Hormone use among Nepali transgender women: a qualitative study, BMJ Open 9: e030464. doi:10.1136/bmjopen-2019-030464.

 

Nepal’s migrant workers & risk at the workplace

For nearly a decade BU researchers have published widely about the hazards and risk of Nepali migrant workers in Asia and the Middle East [1-9].  Despite the fact that most migrant workers end up in semi-skilled and unskilled jobs in their host countries, only a minority report poor working environments.  For example, in Pratik Adhikary’s PhD study in FHSS only just over a fifth of migrant workers reported that their work environment in the Middle East or Malaysia was poor or very poor [4].  This relatively high level of satisfaction appears to seems contradict reports in local media on the risks associated with Nepali migrants working abroad, especially focusing on the football world cup in Qatar [7], official reports that many hundreds of bodies of dead Nepali migrants return home every year [10], and the fact that many of these Nepali migrant workers end up doing the jobs the local populations finds too dirty, dangerous and demeaning (colloquially referred to as 3D-jobs).  Why do so many who travel abroad take to do risky, dirty and otherwise undesirable jobs, but still assess their working environment as not too bad?

More theoretical papers on the drivers of migration have referred to many interconnected factors and links [11-12].  Local drivers in Nepal include poverty, lack of employment opportunities, having a history of work-related migration, a growing culture of migration (i.e. it becomes more or less an expectation) and many more.  One local element that is perhaps too easily ignored is that many Nepali migrant workers would have ended up in dirty, dangerous and demeaning jobs at home too.  And the risk, on for example building sites in Nepal might be even greater than that in Qatar or elsewhere in the Middle East as some of the photos below illustrate.  These photos of an accident involving an external building lift were taken today on a building site in Kathmandu.  

 

 

 

 

 

 

 

 

 

 

References:

  1. Adhikary P., Keen S., van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75. www.hsj.gr/volume5/issue3/532.pdf
  2. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  3. Simkhada, P.P., Regmi, P.R.van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature. Journal of Travel Medicine, 24 (4). https://doi.org/10.3126/nje.v9i3.25805
  4. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105 https://doi.org/10.1108/IJMHSC-12-2015-0052
  5. Regmi, P.van Teijlingen, E.Mahato, P.Aryal, N., Jadhav, N., Simkhada, P., Zahiruddin, Q.S., Gaidhane, A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. International Journal of Environmental Research and Public Health, 16 (19). https://doi.org/10.3390/ijerph16193655
  6. Aryal, N., Regmi, P.R., Faller, E.M., van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia. Nepal Journal of Epidemiology, 9 (3), 788-791. https://doi.org/10.3126/nje.v9i3.25805
  7. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  8. Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks, Journal of Environmental Research & Public Health 16(19), 3655; doi:10.3390/ijerph16193655.
  9. Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2019) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health https://link.springer.com/content/pdf/10.1007/s10903-019-00960-z.pdf
  10. Ministry of Labour and Employment, Government of Nepal. (2018) Labour migration for employment: a status report for Nepal: 2015/2016 – 2016/2017. In. Kathmandu, Nepal: Ministry of Labour and Employment.
  11. Van Hear, N., Bakewell, O., Long. K. (2018) Push-pull plus: reconsidering the drivers of migration, Journal of Ethnic & Migration Studies, 44:6, 927-944, DOI: 10.1080/1369183X.2017.1384135
  12. Iqbal, M., Gusman, Y. (2015) Pull and Push Factors of Indonesian women migrant workers from Indramayu (West Java) to work abroad. Mediterranean Journal of Social Sciences, 6(5): 167   https://www.mcser.org/journal/index.php/mjss/article/view/7893

CMMPH represented at The European Midwives Association (EMA) conference

EMA held its 6th triennial education conference in Malmo, Sweden from the 28-29 November 2019. Dr. Luisa Cescutti-Butler and Professor Sue Way had three abstracts accepted, two of which highlighted units of learning in our midwifery undergraduate programme (Evaluating the student experience of introducing newborn infant physical theory into a pre-registration midwifery programme in the UK and An evaluation of the student experience of peer facilitated learning) and a further one which was focused on a national collaborative project on grading practice (Developing a set of key principles to achieve consistency in assessing pre-registration midwifery competency in practice in the UK). The opening keynote speaker at the EMA Conference was Fran McConville – Midwifery Expert at WHO.  Fran presented on ‘Strengthening Quality Midwifery Education for Universal Health Coverage 2030’. Our takeaway message from her presentation was the following important statement: “When midwives are educated to international standards, and midwifery includes the provision of family planning……more than 80% of all maternal deaths, stillbirths and neonatal deaths could be averted”.

On the social side we were privileged to a hear a woman from the Sammi tribe in Sweden sing three traditional songs and a tradition adopted from Syracuse in Sicily which was the ‘Santa Lucia’ group of singers celebrating the start of Christmas who sang  Xmas Carols in Swedish. We were also able to network with some significant and contemporary midwifery leaders such as Gill Walton (CEO of the Royal College of Midwives), Fran McConville (WHO) and Grace Thomas, Reader and Lead Midwife for Education (Cardiff University).

What makes a Bournemouth University publication?

Last week the IOM (International Organization for Migration) in Nepal, the UN Migration Agency published a new report online: Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal.  This report mentioned the input and advice of Bournemouth University (BU) staff, including Dr. Nirmal Aryal, who worked on the report prior to his appointment at BU and who is listed as Co-Investigator, furthermore listed as Resource Persons are: Dr. Pramod Regmi and Prof. Edwin van Teijlingen.  Working with the charity Green Tara Nepal (GTN) on this study has been good for IOM and BU.  All of use have worked on the report in different kind of ways and to different degrees.  The publication suggested a corporate authorship as ‘International Organization for Migration’, which is great for the status of the report as it is a UN agency.  We feel part of this as BU academics and feel we are part of the team despite this not being a BU publication!

 

 

Professor Edwin van Teijlingen

CMMPH

 

Reference:

International Organization for Migration (2019) Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal, Kathmandu, Nepal: International Organization for Migration.  Available at : https://nepal.iom.int/sites/default/files/publication/Research_on_The_Health_Vulnerabilities_of_The_Cross_Border_Migrants_from_Nepal_0.pdf

Powerless Responsibility: A feminist study exploring women’s experiences of caring for their late preterm babies

A new publication by Dr. Luisa Cescutti-Butler (FHSS) and her co-authors (Professor A Hemingway & Dr. J. Hewitt-Taylor) which explores women’s experiences of caring for a late preterm baby using feminism as a research methodology has just been published in the Australian Women and Birth Journal (October 2019). Her research found that women who become mothers’ of late preterm babies have a complex journey. It begins with separation, with babies being cared for in unfamiliar and highly technical environments where the perceived experts are healthcare professionals. Women’s needs are side-lined, and they are required to care for their babies within parameters determined by others. Institutional and professional barriers to mothering/caring are numerous. For example: some of the women who were separated from their babies immediately after birth had difficulties conceiving themselves as mothers, and others faced restrictions when trying to access their babies. Women described care that was centred on their babies. They were allowed and expected to care for their babies, but only with ‘powerless responsibility’. Many women appeared to be excluded from decisions and were not always provided with full information about their babies. The research concludes by recommending that women whose babies are born late preterm would benefit from greater consideration in relation to their needs, rather than the focus being almost exclusively on their babies.

Luisa is Senior Lecturer in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Lead for Examination of the Newborn in the Faculty of Health & Social Sciences. If you would like any further information please email Luisa on lcbutler@bournemouth.ac.uk

References: 

Cescutti-Butler, L.D. Hewitt-Taylor, J. and Hemingway, A., 2019. Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies. Women and Birth, DOI: https://doi.org/10.1016/j.wombi.2019.08.006

Cescutti-Butler, L.D., Hemingway, A., and Hewitt-Taylor, J., 2018. “His tummy’s only tiny” – Scientific feeding advice versus women’s knowledge. Women’s experiences of feeding their late preterm babies. Midwifery, DOI:  https://doi.org/10.1016/j.midw.2018.11.001

More pilots please!

“More pilots please!” is not a call from British Airways, Ryanair or the Royal Air Force.  No, it a reminder to students to do more piloting in their postgraduate research projects.  Between us we have read many (draft) theses and examined over 60 PhD theses external to Bournemouth University, and it is clear to us that many students do not do enough pre-testing or piloting of their research instruments.  Perhaps they did some piloting or feasibility work for their projects but don’t write enough about it.  Or they present some feasibility or piloting in their thesis but haven’t added references to methodological texts.

The term ‘pilot studies’ refers to mini versions of a full-scale study (also called ‘feasibility’ studies), as well as the specific pre-testing of a particular research instruments such as data collection tools (i.e. questionnaire or semi-structured interview schedule). Pilot studies are key to good study design [1-6].  Conducting a pilot study does not guarantee success in the main study, but it does increase the likelihood of success. Pilot studies have several of important functions in research design and can provide valuable insights to the researcher on both tools and research processes.  We think it is telling that our most cited paper on Google Scholar is not one of our papers reporting research findings but a methods paper highlighting the importance of pilot studies [2].

 

Professors Vanora Hundley & Edwin van Teijlingen

CMMPH

 

References:

  1. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
  2. van Teijlingen E, Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  3. van Teijlingen E, Hundley, V.(2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: www.nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  4. Hundley, V., van Teijlingen E, (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74.
  5. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Lewis-Beck, M., Bryman, A. & Liao, T. (eds.) Encyclopaedia of Social Science Research Methods, Vol. 2, Orego, Sage: 823-24.
  6. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.