Tagged / CMWHblog

New HIV paper by BU PhD student

The editor of HIV Research & Clinical Practice informed us that the paper ‘Stigma in UK health care: A key barrier to reaching zero HIV transmission by 2030’ has been accepted for publication [1].   This paper is based on the PhD research currently conducted by Mr. Tom Weeks in the Faculty of Health, Environment & Medical Sciences (HEMS).  Tom’s thesis focuses on the perceptions of stigmatisation of People Living with HIV in care settings in the UK and the kind of education health care staff (clinical and non-clinical) receive in relation to HIV.  His long-term aim in the PhD is to help improve education to reduce such stigma.  Tom is being supervised by Dr. Pramod Regmi and Prof. Edwin van Teijlingen. 

Both supervisors have a long experience in studying social and health promotion aspects of HIV and AIDS.  Thirty years ago Prof. van Teijlingen worked in the NHS as a researcher in the Centre for HIV/AIDS and Drugs Studies based in Edinburgh.  Whilst Dr. Regmi conducted his PhD research on sexual health and health promotion in young people in Nepal.  Both supervisors themselves have published widely on the topic of HIV and AIDS [2-23].  The first of these many publication was a letter on community care for people living with HIV in the community which was published in the Lancet in 1993 [2]

 

 

References

  1. Weeks, T., Regmi, P., van Teijlingen, E. (2026) Stigma in UK health care: A key barrier to reaching zero HIV transmission by 2030, HIV Research & Clinical Practice (accepted).
  2. Huby, G, van Teijlingen E, Porter M., Bury, J (1993) Care for HIV in community (letter) Lancet 342: 1297-1298.
  3. Huby, G, van Teijlingen, E, Robertson J, Porter, AM (1993) Community care & support for women, In: Johnson F & Johnstone M. (Eds.) HIV Infection in Women, Edinburgh: Churchill Livingstone, 123-32.
  4. Bury, J.K., Ross, A., van Teijlingen, E., Porter, AMD, Bath, G. (1996) Lothian GPs, HIV infection & Drug Misuse: Epidemiology, Experience & Confidence 1988-93 Health Bulletin, 54: 258-269.
  5. Huby, GO, van Teijlingen E, Porter, AMD, Bury, J. (1997) Co-ordination of care on discharge from hospital into the community for patients with HIV/AIDS in Lothian, Health Bulletin, 55:338-50.
  6. van Teijlingen, E, Huby, G. (1998) Evaluation within a policy-making and contracting culture: reflections of practice, In: Barbour R.S., Huby G. (Eds.), Meddling with mythology: AIDS & the social construction of knowledge, London: Routledge, 218-33.
  7. Lowis, G, van Teijlingen, E, Sheremata, W. (2000) AIDS in developing countries: A comparative epidemiological analysis, In: Rose, J. (Ed.), Population Problems, Reading: Gordon & Breach Science Publishers: 133-61
  8. Scotland, G., van Teijlingen E., van der Pol, M, Smith, WCS. (2003) A review of studies assessing costs & consequences of interventions to reduce mother-to-child HIV transmission in sub-Saharan Africa, Aids, 17: 1045-52.
  9. Nicholson, D., van Teijlingen E. (2006) Comparing level of expenditure on HIV health promotion & incidence of HIV in Greater Glasgow & Lothian Health Boards (1988-98), Salusvita, 25(1): 13-22 usc.br/Edusc/colecoes/revistas/salusvita_pdf/salusvita_v25_n.1_2006.pdf
  10. Regmi, P., Simkhada, P., van Teijlingen E. (2008) Sexual & reproductive health status among young people in Nepal: opportunities & barriers for sexual health education & service utilisation, Kathmandu University Medical Journal 6(2): 248-256.
  11. Wasti, S.P., Simkhada, P.P, Randall, J., van Teijlingen E. (2009) Issues & Challenges of HIV/AIDS Prevention & Treatment Programme in Nepal, Global Journal of Health Science 1(2): 62-72. http://ccsenet.org/journal/index.php/gjhs/article/viewFile/2460/3474
  12. Regmi P, Simkhada PP, van Teijlingen E (2010) “Boys Remain Prestigious, Girls become Prostitutes”: Socio-Cultural Context of Relationships & Sex among Young People in Nepal, Global Journal of Health Science 2(1): 60-72.
  13. Regmi P., Simkhada, P., van Teijlingen E. (2010) “There are too many naked pictures found in papers and on the net”: Factors encouraging pre-marital sex among young people of Nepal. Health Science Journal 4(3): 162-174. hsj.gr/volume4/issue3/437.pdf
  14. Regmi, P., Simkhada, P., van Teijlingen E. (2010) Dating and Sex among Emerging Adults in Nepal. Journal of Adolescence Research 26 (6): 675-700.
  15. Regmi, P., van Teijlingen, E, Simkhada, P., Acharya, D. (2010) Barriers to sexual health services for young people in Nepal. Journal of Health Population & Nutrition 28: 619-27.
  16. Wasti, SP, Simkhada, PP, van Teijlingen E (Eds.) (2015) Socio-Cultural Aspects of HIV/ AIDS. The Dynamics of Health in Nepal, Kathmandu: Soc Sci Baha/Himal Books: 47-62.
  17. Aryal, N., Regmi, P.R., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, G.K. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV, SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  18. Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: systematic review. African Health Sciences 17(3): 753-61.
  19. Sathian, B., Sreedharan, J., Asim, M., Menezes, R.G., van Teijlingen, E., Unnikrishnan, B. (2018) Estimation of burden of people living with HIV/AIDS in Kerala state, India. Nepal Journal of Epidemiology 8(3): 738-44.
  20. Hamidi, A., Regmi, P., van Teijlingen, E. (2021) HIV epidemic in Libya: Identifying gaps, Journal of the International Association of Providers of AIDS Care, 20 :1-5 https://doi.org/10.1177/23259582211053964 .
  21. Regmi, P.R., van Teijlingen, E.R., Silwal, R.C., Dhital, R. (2022) Role of social media for sexual communication and sexual behaviors: A focus group study among young people in Nepal. Journal of Health Promotion, 10(1):153–166. https://doi.org/10.3126/jhp.v10i1.50995
  22. Hamidi, A., Regmi, P., van Teijlingen, E. (2023) Facilitators and barriers to condom use in Middle East and North Africa: a systematic review, Journal of Public Health, 32: 1651-81 https://doi.org/10.1007/s10389-023-01923-3
  23. Hamidi, A., Regmi, P, van Teijlingen, E. (2024) Islamic perspectives on HIV: a scoping review, Discover Social Science & Health 4:6 https://link.springer.com/content/pdf/10.1007/s44155-024-00063-7.pdf

Four BU students at national midwifery conference

This week four postgraduate midwifery students from Bournemouth University attended the Royal College of Midwives annual Education & Research conference in London.  Their contributions included studies on: (1) ‘A Unique Approach to Smoking Cessation During Pregnancy’ by Ph.D. student Louise Barton; (2) Investigating how women make decisions about prescribed psychiatric medication use during pregnancy by M.Res. student Jessica Correia; (3) Harnessing midwives’ research delivery expertise to encourage medics’ participation in research’ by M.Res. student Susara Blunden; and (4) ‘Personalised care for women of advanced maternal age, from conception to postnatal care: A mixed-methods study’ by Ph.D. student Joanne Rack. Joanne was also at this conference in her capacity of the newly appointed Editor-in-Chief of The Practising Midwife. 

Congratulations to these postgraduate students and their supervisors.

Profs. Vanora Hundley & Edwin van Teijlingen

 

Prof Marahatta promoting BU-Nepal collaboration

On Monday 9th March Prof. Sujan Marahatta visited Bournmouth University (BU) to speak about ‘Strengthening BU-Nepal collaboration AND Nepal’s experience of competency-based health professional education’.  Prof. Marahatta is the Director of the Medical Education Commission in Nepal overseeing the education of health professionals in 15 areas including Medicine, Physiotherapy, Nursing and Midwifery. He spoke about long partnership between Manmohan Memorial Institute of Health Sciences (MMIHS) and BU.  This partnership is formalised in a Memoradum of Agreement (MoA) and over the years it has included joint research projects, staff-student exchanges (funded by ERASMUS+ and Turing scheme) and offering guest lectures at each others institutions.

One of the jointly conducted studies which Prof. Marahatta highlighted was the work on CPD (Continuous Professional Development) in nursing and midwifery in Nepal.  Research on CPD started a decade ago and culminated in several papers [1-4]. The research was combined with sustained advocacy and stakeholder engagement, and resulted in the Nepal Nursing Council (NNC) formally introduced mandatory CPD as a requirement for nursing and midwifery re-registration earlier this year (15 January 2026).  The National Guideline on Continuing Nursing and Midwifery Education (CNME) CPD for Nurses and Midwives refer to our work conducted by academics based at Bournemouth University.  This is the foundation for one of BU’s REF Impact Case Studies for 2029.

Amongst other studies, Prof. Marahatta also highlighted a recent publication which was  jointly authored between BU’s professors Clark and Hundley and himself on pain catastrophising in nulliparous women in Nepal, the importance for childbirth [5].  Prof. Marahatta’s  visit was held in the Faculty of Health, Environment & Medical Sciences (HEMS) in the Bournemouth Gateway Building.

References:

  1. Simkhada B, Mackay S, Khatri R, Sharma CK., Pokhrel T, Marahatta SB., Angell C, van Teijlingen E, Simkhada P. (2016) Continual Professional Development (CPD): Improving Health Prospect15 (3):1-3.
  2. Khatri, RJ, van Teijlingen, E, Marahatta, SB, Simkhada, P, Mackay, S and Simkhada, B. 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. 2021 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.
  5. Clark CJ, Marahatta SB, Hundley VA. (2024) The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth. PLoS ONE 19(8): e0308129. https://doi. org/10.1371/journal.pone.0308129.

Interdisciplinary research: Not straightforward?

Worldwide there is a growing interest in interdisciplinary research, especially to help deal with large questions in life, the so-called wicked problems.  These wicked problems (or questions) include climate disasters and global warming, globalisation, the drop in biodiversity, inequalities and international conflicts.  Interdisciplinary research increasingly popular and widely promoted by grant-giving bodies, the UK REF (Research Excellence Framework), research councils and universities, to name but a few stakeholders.

However, it is often ignored, that interdisciplinary research presents significant challenges for discipline-specific experts.  Doing interdisciplinary research requires specialised skills, team-player personality traits, and the ability to transcend one’s own academic boundaries.  We have highlighted in the past that common barriers include managing conflicting research philosophies, navigating, and overcoming, methodological, and communication differences [1].  Those who have been involved in interdisciplinary research will agree that is not an easy option for the individual discipline expert. It requires individual skills, ability to see beyond one’s discipline and perhaps personality characteristics such as a great team player. Interdisciplinary research may involve a mixed-methods approach underpinned by conflicting, and according to some incommensurable, research philosophies.

It is also the case that some disciplines are perhaps more familiar with interdisciplinary working, disciplines such as Public Health [2] are traditionally less theory focused and more solution driven.  But even in Public Health as a broad-ranging discipline covering sub-disciplines such as epidemiology, health education, law, management, health psychology, medical statistics, sociology of health & illness and a wide-range of research methods, conducting interdisciplinary research is not necessarily easy [3].

 

 

Prof. Edwin van Teijlingen & Dr. Pramod Regmi both are in the School of Health & Care, and Dr. Shanti Farrington, who is based in the School of Psychology.

 

References:

  1. Shanker S, Wasti SP, Ireland J, Regmi PR, Simkhada PP, van Teijlingen E. (2021) The Interdisciplinary Research Team not the Interdisciplinarist. Europasian Journal of Medical Science. 3(2):111-5.
  2. Wasti, S. P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences, 6(1):21-22.
  3. van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7. https://doi.org/10.3126/hprospect.v18i1.19337

BU academics in the news in Nepal

Yesterday (5th March) Dr. Pramod Regmi and Prof. Edwin van Teijlingen published a topical piece in an online newspaper in Nepal called ‘NepaliLink.  This newspaper article coincided with the national elections taking place in the country.  This is the first general election since Gen Z protests overturned the Government of Nepal in the autumn of 2025.  Migrant labour is key to Nepal’s economy as no country in the world relies so much on workers going abroad to work and sending money home.  The latter is called remittance and the total amount sent home comprises more than a quarter of the national income.

Dr. Regmi and Prof. van Teijlingen have conducted a great number of studies on the health and well-being of migrant workers from Nepal. This includes a paper ‘A comparison of chronic kidney risk among returnee Nepalese migrant workers in the countries of Gulf and Malaysia and non-migrants in Nepal: a population-based cross-sectional study’ whixh was recently accepted for publication in BMC Nephrology. With a grant from the COLT Foundation, our BU team led the first large-scale population-based interdisciplinary study examining kidney health among Nepalese migrants. Conducted in mid-2023 in one of Nepal’s highest out-migration districts, the forthcoming study compared risks between migrants and non-migrants from the same community [1].  Our study identified significantly higher rates of hypertension, diabetes, and obesity among male migrant workers compared to non-migrants. Interestingly, smoking and alcohol consumption were more common among non-migrant men. However, one in seven male migrants reported consuming potentially hazardous counterfeit or home-brewed alcohol while abroad. The findings suggest that both adverse working environments and lifestyle factors may contribute to increased heart disease among migrant workers.

Both Dr. Regmi and Prof. van Teijlingen are based in the Faculty of Health, Environment & Medical Sciences (HEMS) and in the last five years alone they have published over twenty publications about the health and well-being of migrant workers [2-21].

 

References

  1. Aryal, N., Regmi, P., Sedhain, A., Bhattarai, S., KC, R.K., Mishra, S.K., Caplin, B., Perce, N., van Teijlingen E. (2026) A comparison of chronic kidney risk among returnee Nepalese migrant workers in the countries of Gulf and Malaysia and non-migrants in Nepal: a population-based cross-sectional study, BMC Nephrology 1186/s12882-026-04872-7 (forthcoming)
  2. Paudyal, P., Wasti, S.P., Neupane, P., Sapkota, J.L., Watts, C., Kulasabanathan, K., Silwal, R., Memon, A., Shukla, P, Pathak, R.S., Michelson, D., Beery, C., Moult, A., Simkhada, P., van Teijlingen, E., Cassell, J. 10, (2025) Coproducing a culturally sensitive storytelling video intervention to improve psychosocial well-being: a multimethods participatory study with Nepalese migrant workers, BMJ Open 15:e086280.
  3. Regmi, P., Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K., van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems. PLoS ONE 19(8): e0309203.
  4. Paudyal, A.R., Harvey, O., Teijlingen, E. van, Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion12(1), 125–132. https://doi.org/10.3126/jhp.v12i1.72713
  5. Regmi, P.Aryal, N.van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
  6. Aryal, N.Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
  7. Simkhada, P.P., van Teijlingen, E., Gurung, M., Bhujel, S., Wasti, S.P. (2024) Workplace harassment faced by female Nepalese migrants working aboard, Global Health Journal 8(3): 128-32. https://doi.org/10.1016/j.glohj.2024.08.001
  8. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
  9. Regmi, P.Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
  10. Khanal, S.P., van Teijlingen, E., Sharma, M., Acharya, J., Sharma, C., Kharel, S., Gaulee, U., Bhattarai, K., Pasa, R.B., Bohora, P. (2024) Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India. KMC Journal6(1): 313–330
  11. Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P.Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
  12. Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P.Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
  13. Gyawali, K., Simkhada, P., van Teijlingen, E.R., Manandhar, S., Silwal, R.C. (2023). Sexual Harassment Among Nepali Non-Migrating Female Partners of International Labor Migrant Men. Journal of Health Promotion, 11(1): 22–31
  14. Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
  15. Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
  16. Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
  17. Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
  18. Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
  19. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
  20. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.

New CMWH paper on maternity care

The editor of Frontiers in Public Health have accepted our latest article from the EPPOCH study.  This latest paper ‘Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors‘ focuses on the use of substances in pregnancy in the UK during the COVID-19 pandemic [1].  Our previous EPPOCH paper, in line with several other population-based studies, highlighted that COVID-19 was associated with high levels of depression and anxiety during pregnancy in the UK [2].

This new publication reports on a cross-sectional analysis of baseline EPPOCH data (n = 3292; June – Nov. 2020). Participants reported alcohol, tobacco, cannabis, and illicit drug use before and after recognition of pregnancy, alongside validated measures of depression, anxiety, pregnancy-related anxiety, and pandemic stressors. Linear regression models examined associations between mental health, COVID-19 stressors, and substance use after pregnancy recognition. A qualitative thematic analysis of 380 open-ended responses explored perceptions of substance use post-pregnancy recognition. Results: Alcohol was the most commonly used substance before pregnancy. Following pregnancy recognition, tobacco (8.75%) and alcohol (8.60%) were the most frequently reported substances, followed by cannabis (1.49%) and illicit drugs (0.12%). Tobacco use after pregnancy recognition was associated with higher levels of depressive symptoms and pandemic stressors, including perceived personal health threat and not receiving necessary care. Prenatal co-use of substances was associated with higher depressive symptoms and pandemic-related financial difficulties. Qualitative themes included continued substance use until pregnancy detection, vaping as a perceived safer-use strategy, and midwifery advice influencing prenatal substance use decisions.

In this large UK pregnancy cohort recruited during the COVID-19 pandemic, substance use following pregnancy recognition – particularly tobacco – was linked to depression and pandemic-related stressors. These findings highlight the importance of equipping midwives and other healthcare professionals with clear, evidence-based guidance on prenatal substance use, particularly during global health crises.

This interdisciplinary project is led by Dr. Melanie Conrad in Germany.  The lead author for the paper is Ph.D. candidate Swarali Datye, whilst three members of the Centre for Midwifery & Women’s Health (CMWH): Dr. Latha Vinayakarao and Prof. Minesh Khashu both working in University Hospitals Dorset NHS Foundation Trust (UHD) and both Visiting Faculty at BU and Prof. Edwin van Teijlingen are team members and co-authors on this paper.

 

References:

  1. Datye, S., Peters, E.M.J., Windhorst, A.C., van Teijlingen, E., MacRae-Miller, A., Vinayakarao, L., Khashu, M., Fahlbusch, F.B., Conrad, M.L. (2026) Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors Frontiers in Public Health. (forthcoming)
  2. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

A different way of external examining

Last month I had the honour of chairing a committee to review the first three years of the MSc in Midwifery in the Netherlands.  Since all Higher Education Institutions (HEI) in the Netherlands offer this joint degree there is only one in the country.  This national collaboration meant there were very few academics working in the field of midwifery who can claim to be independent.  All midwifery educators/academic midwives are employed by one of the HEIs participating in the joint Master’s degree. Hence, two of the four committee members, including myself came from abroad.

Today’s blog highlights that there is a different way to the UK version of external examining as a form of quality control in Higher Education.  In the UK each undergraduate programme, or year in a programme, or module has its own external examiner, who is appointed typically for three years to act as independent assessor.  External examiners typically reviews all education aspects of the programme/module and discuss their assessment examiners’ meetings held at the host university.  For more details on external examining in the UK, see also:”Acting as External Examiners in the UK: Going Beyond Quality Assurance[1].

The Netherlands and Flemish-speaking Belgium has a single cross-national organisation which is responsible for assessing the quality of higher education degrees.  This organisation, the NVAO [Accreditation Organisation of the Netherlands and Flanders], has an accreditation system that covers Associate Degree, Bachelor’s, and Master’s programmes in the Netherlands.   First, there is the need for initial accreditation of a new programme, valid for a period of six years.  Secondly, the accreditation of an existing programme, which, following a positive assessment, is valid indefinitely, as long as the programmes passes the six-yearly assessment by a panel of independent experts (peers engaged by the NVAO).  Between these periodic assessments there is no equivalent of the UK’s annual external examiners’ meeting.

Reference:

  1. Poobalan, A., Simkhada, P. & van Teijlingen, E. (2021), “Acting as External Examiners in the UK: Going Beyond Quality Assurance“, In: Sengupta, E., Blessinger, P., Ssemwanga, A. & Cozza, B. (Ed.) The Role of External Examining in Higher Education: Challenges and Best Practices (Innovations in Higher Education Teaching and Learning, Vol. 38), Emerald Publishing Limited, Bingley, pp. 13-23. https://doi.org/10.1108/S2055-364120210000038002

Prof. Edwin van Teijlingen

BU PhD student newly appointed journal editor

Congratulations to Joanne Rack, PhD student (Clinical Doctorate) in the Faculty of Health , Environment & Medical Sciences (HEMS) who has been appointed this month as the new Editor in Chief of The Practising MidwifeJoanne is doing her Clinical Doctorate in the Centre for Midwifery & Women’s Health (CMWH) specialising in personalised care for women of advanced maternal age (AMA).  This PhD study is matched-funded by University Hospitals Dorset (UHD) NHS Foundation Trust and Bournemouth University.  Her PhD is supervised and supported by Profs. Vanora Hundley and Edwin van Teijlingen at BU and former BU Professor Ann Luce (who has recently moved to the University of the West of Scotland) and Dr. Latha Vinayakarao in Bournemouth Maternity Hospital.

Well done!

Prof. Vanora Hundley & Edwin van Teijlingen

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.

On Christmas Day in the Morning…

On Christmas Day (25 December 2025) the Journal of Mixed Methods Studies published Dr. Orlanda Harvey’s latest paper ‘Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids[1]. The Journal of Mixed Methods Studies is an Open Access journal, hence this paper is freely available to anybody with internet access.

Dr. Harvey is a Senior Lecturer in Social Work in the Faculty of Health, Environment & Medical Sciences. This is the latest in a series of publications based on Orlanda’s Ph.D. work at Bournemouth University.  She has published a steady stream of papers over the past six years [2-7].

Congratulations!

Prof. Edwin van Teijlingen

References:

  1. Harvey, O., van Teijlingen, E., Parrish, M. (2025). Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids. Journal of Mixed Methods Studies, 11: 43–60. https://doi.org/10.59455/jomes.42
  2. Harvey, O., van Teijlingen, E., Parrish, M. (2024) Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online 29(1): 221–232 https://journals.sagepub.com/doi/pdf/10.1177/13607804221142212
  3. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they accessBMC Public Health 19: 1024
  4. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  5.  Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2022) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29(3):276-288.
  6. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  7. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health 10(3) August, 100230