BU Research Blog

10 June 2019

Breastfeeding paper published today

NHS, PG research, Publishing, student research, writing Edwin van Teijlingen

The journal Women and Birth (by Elsevier) published the latest academic paper by Dr. Alison Taylor today. Alison’s paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers’ had been online as a pre-publication for a while but today in appeared officially in print [1]. Alison is a Senior Lecturer in Midwifery in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and this scientific paper is part of her completed PhD research project.

The paper is based on a large number of video clips recorded by new mothers. The total recording time exceeded 43 hours. This paper focuses on one theme, the therapeutic role of the camcorder in qualitative research. Four subthemes are discussed highlighting the therapeutic impact of talking to the camcorder: personifying the camcorder; using the camcorder as a confidante; a sounding board; and a mirror and motivator. Dr. Taylor and colleagues conclude that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic. Further research needs to explore how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.

This is the second paper originating from Alison’s PhD research, the first one appeared in Midwifery (also published by Elsevier) [2]. Dr. Taylor’s PhD thesis was supervised by Prof. Emerita Jo Alexander, Prof. Edwin van Teijlingen (in CMMPH) and Prof. Kath Ryan at the University of Reading.

[Drawing of Breastfeeding Woman by Allison Churchill.]

REFERENCES:

Taylor AM, van Teijlingen E., Alexander J, Ryan K. (2019) The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women & Birth 32(3):276-83. https://www.sciencedirect.com/science/article/pii/S1871519218300064
Taylor A, van Teijlingen E, Ryan K, Alexander J (2019) ‘Scrutinised, judged & sabotaged’: A qualitative video diary study of first-time breastfeeding mothers, Midwifery 75: 16-23.

7 June 2019

Applications Open! Re-commissioning the Research Centres

plynch

Following a recent review by the Research Performance Management Committee (RPMC) applications are now open for the establishment of new Research Centres. This process is open to all groups of academic staff, each led by a member of the Professoriate, to put forward proposed Research Centres. Applications can be from established Research Centres, new groupings or new amalgamations of groupings (old and/or new). The new Research Centres will be launched in September when existing Research Centres will cease to exist unless they have applied under this process (except where exempt).*

Research Centres are the public face of BU’s research. They bring together individuals and research teams from across the University to form collaborative and interdisciplinary groupings which, through the development and delivery of world-leading research, strengthen and underpin the delivery of the BU2025 vision. They offer an opportunity for the Professoriate to engage in leadership of research that can contribute significantly to the aims of BU2025 – see leadership role descriptor – and provide a genuine platform for innovation and the achievement of critical mass.

Research Centres provide opportunities for staff at all levels to become members, benefitting from dynamic, creative relationships which cut across the perceived boundaries of discipline, Department and/or Faculty. Research Centres provide members with the opportunity to be a part of an interdisciplinary research community, which enables individuals to join and establish interdisciplinary relationships and networks which can facilitate and strengthen their own research.

The Process

Applications (see pages 6 – 9) are to be completed and submitted to the Faculty Research and Professional Practice Committee (FRPPC) for approval. As part of the application process Research Development and Support (RDS) will provide a data set of the KPI’s relating to the proposed membership for the past year. This means that there are two deadlines – the first being to allow time for the data set to be prepared and the second for final submission to FRPPC. Arrangements and the dates for submission vary between Faculties and are shown in the table below:

Faculty	D/L for proposed membership list	D/L for completed application to FRPPC	D/L for approval by Faculty
FMC	5th July 2019 A Faculty meeting on 5th July 2019 will discuss and finalise Research Centre compositions. Proposed Centres and membership lists should be brought to this meeting.	14th July 2019 Details of submitting completed applications to be decided at this meeting but the deadline is 14th July and will be submitted for FRPPC via DDRPP (ethorsen@bournemouth.ac.uk)	18th July 2019
FHSS	14th June 2019 Proposed membership lists to be sent directly to Project Delivery Manager (plynch@bournemouth.ac.uk) by 14th June who will provide data set by 21st June	5th July 2019 Deadline for submission of completed applications to DDRPP (vhundley@bournemouth.ac.uk)	21st July 2019
FoM	28th June 2019 Completed applications (including membership lists) to be sent directly to Project Delivery Manager (plynch@bournemouth.ac.uk) by 28th June 2019.	28th June 2019 Same as deadline for membership list. Project Delivery Manager will forward to DDRPP (msilk@bournemouth.ac.uk)	19th July 2019
FST	21st June 2019, 5 pm Completed applications (including membership lists) to be sent to DDRPP tzhang@bournemouth.ac.uk	21st June 2019 Same as deadline for membership list.	4th July 2019

For an overview of the approval process please see this flowchart.

If you have any questions please contact me, (plynch@bournemouth.ac.uk EXT 68265), or the DDRPP for your Faculty.

*Institutes will be exempt from this process and addressed later. The following entities are exempt from this process for the reasons stated: NCPQSW and NCCA as they are externally recognised national centres; DMC, CoPMRE, Centre for GP Practice, Centre for Digital Entertainment and BUCRU as their purpose and remit exceeds the scope of the Research Centres policy and therefore the re-commissioning process

7 June 2019

NIHR Clinical Research Network Portfolio

NHS Suzy Wignall

The National Institute for Health Research (NIHR) is one of the largest funders of clinical research in Europe and have a number of funding streams that you can apply for in order to conduct health-related research. The NIHR then has a number of Clinical Research Networks or ‘CRNs’ that are spread out to each region of England. The local CRN is Wessex, based in Hedge End, Southampton.

The ‘Portfolio’

At the heart of CRN activities is the NIHR CRN Portfolio of studies. This consists of high-quality clinical research studies that are eligible for consideration for support from the CRN in England. Adoption onto the portfolio has a number of benefits for researchers, such as help in identifying potential research sites, access to patients and the public to carry out ‘PPI‘ and advice on recruitment strategy at any point during the study. The CRN offers support to researchers via their Study Support Service and likewise via each portfolio manager and their team. You can see a breakdown of each portfolio here on the Wessex CRN page.

The Portfolio and the NHS

Portfolio adoption is usually vital to participating NHS Trusts when considering the research studies they wish to undertake, as they are reimbursed for the resource given to conduct the study (e.g. research nurse support, data manager time). As a result, it is strongly advised that external funding is considered for BU clinical research projects – the amount of funding doesn’t have to be substantial.

Each CRN is given a budget for the financial year by the NIHR, which is then distributed to sites based on their recruitment figures.

Requirements

In order to be eligible for portfolio adoption, there are three criteria a study must meet:

The study must be ‘research’ (this is stipulated, as often what’s classed as research outside the NHS setting, is sometimes a service evaluation, quality improvement etc. within the NHS – see this table);
Have appropriate ethical approval; and Health Research Authority (HRA) Approval where required;
Have full research funding – this has to have been awarded via open competition and by the NIHR, other areas of central Government, or an NIHR non-commercial partner (for which there is a list). If the study has received support from multiple funders, then it will be still considered automatically eligible, if one of the funding streams is the NIHR, an area of central Government or a non-commercial partner.

You can read more about study eligibility here, including research funded by overseas partners.

The Portfolio and BU

The source of research funding is the principal determinant of eligibility for NIHR CRN support and so it is encouraged that researchers seek external funding where possible and appropriate, from the NIHR, another area of central Government or one of their non-commercial partners. The amount of funding doesn’t need to substantial in order to be eligible.

For any queries to do with the portfolio or for guidance regarding implementing your research in a healthcare setting, take a look at the Clinical Governance blog. You can also get in touch with BU’s Research Ethics team with any queries.

5 June 2019

Setting up NHS / HSC research in the UK– changes from TODAY

Guidance, NHS, Research Ethics Suzy Wignall

The new ‘UK Local Information Pack‘ has been introduced today, 5th June to support the set-up of NHS / HSC research in the UK.

The ‘UK Local Information Pack’ is the set of documents that NHS / HSC organisations use to formally start preparing to deliver the study. You can find more information here, including what comprises the pack. All researchers wishing to set-up their study at an NHS/HSC site from today, 5th June, need to be aware of this change.

The Organisation Information Document

Researchers and research teams may be aware of a document called the ‘Statement of Activities’ – this is essentially a document that allows the sponsor to make clear to the research site, what activities will be undertaken locally. The document can also act as the agreement between the sponsor and site.

From today the Statement of Activities has been replaced by a document called the ‘Organisation Information Document‘. For non-commercially sponsored studies, that are not clinical trials or clinical investigations, the ‘Organisation Information Document’ should be used as the agreement between sponsor and participating NHS / HSC organisation.

A new delegation log template

Another feature of the new UK Local Information Pack is the inclusion of a delegation log template, which is intended to be used at participating NHS / HSC organisations. This will allow NHS/HSC organisations to locally record who will be working on the study and who is authorised to undertake study tasks. The delegation log can be found here and should be used for studies submitted for approvals from today.

Schedule of Events or Schedule and Events Cost Attribution Tool (SoECAT)

For non-commercially sponsored studies studies an IRAS Schedule of Events or a SoECAT will be a part of the IRAS Form submission and is used in the UK Local Information Pack as a way of providing clarity to participating NHS / HSC organisations on the cost attributions associated with a study.

Further help and guidance

Guidance on the use of the new UK Local Information Pack has now been published in the Site Specific page of IRAS Help to help applicants get ready for the change.

If you are making an IRAS Form submission or planning to set up research in an NHS / HSC organisation from today, 5th June 2019 please read the transition guidance so that you prepare the correct materials.

If you have any queries regarding any of the information provided above, or would like some guidance with regard to implementing your research in a healthcare setting – please get in touch with BU’s Research Ethics team.

You can also take a look at the Clinical Governance blog for documents, links and training opportunities.

3 June 2019

NIHR Research Participant Experience Survey 2018/19 – final report

Knowledge Exchange, NHS Suzy Wignall

You may have seen the blog post back in April regarding the results from a recent patient research experience survey, conducted by National Institute for Health Research (NIHR) Clinical Research Network (CRN) Wessex.

The survey results showed that across the 10 NHS organisations in Wessex, from the 400 responses received, 96% of participants had a good experience of taking part in research. It also showed that 98% of research participants surveyed had all the information that they needed in relation to the study.

The NIHR have released a recent report that shares the results of the Research Participant Experience Survey 2018-19, which was also conducted across the other 14 Clinical Research Network areas in England. You can take a look at the report here.

31 May 2019

Public event – Living well with dementia: Tai Chi, creative drama and independence at home

Public engagement Adam Morris

Come to this public event on Wed 19 June to hear the latest results from 3 dementia research projects:

The benefits of Tai Chi for people with dementia
Dr Samuel Nyman, chief investigator for The TACIT Trial – TAi ChI for people with demenTia, will present the results of a 3-year study that investigated the benefits of Tai Chi for people with dementia and their informal carers living in their own homes in the Dorset, Southampton, and Portsmouth areas.
Supporting independent living for people with dementia (Project: AD-Autonomy)
As part of a 2-year European funded project (September 2017-August 2019), Dr Ben Hicks has been working with European partners to establish an online information portal to provide guidance on supporting people to maintain their independence while living with dementia. Dr Hicks will discuss the development of the information portal and provide attendees the opportunity to engage with it.
The benefits of creative drama and storytelling for people with dementia (Project: Story to Remember)
As part of another 2-year European funded project (September 2018-August 2020), Dr Ben Hicks has been working with European partners to explore the use of creative drama and storytelling as mediums for enhancing social inclusion in people with dementia. Dr Hicks will present the findings from the first stage of the project.

After the talks, come and meet some of our researchers to hear more about dementia research at Bournemouth University over a free light lunch.

Schedule:
Wednesday 19 June

10:15 Doors open
10:30 Introduction by Professor Jan Weiner, co-head of the Ageing and Dementia Research Centre
10:35 Public lecture by Dr Samuel Nyman on the TACIT Trial
11:20 Short break
11:30 Public lecture by Dr Ben Hicks on AD-Autonomy and Story to Remember
12:15 – 13:00 light lunch and an opportunity to meet the researchers

Register now

Please share the link for this public event dementia-and-living-well.eventbrite.co.uk with anyone who might be interested.

28 May 2019

CoPMRE Spring Visiting Faculty morning – Surgical Futures

conferences, Fusion, international, Knowledge Exchange, NHS adixon

CoPMRE held its Spring Visiting Faculty Morning at the EBC with a theme of Surgical Futures. One of our guest speakers was Dr Jason Moore, Associate Professor in Mechanical Engineering, The Pennsylvania State University (USA) who presented his research on how robotics can enhance the training of future surgeons. He discussed the mechanical development of an advanced robotic medical simulation training system which allows the user to virtually practice on a diverse number of human anatomies whilst offering guided feedback. . A full report for this event can be found here VF Report Spring 2019

The next event will be held on 3rd December 2019.

20 May 2019

Trekking guides paper well read

open access, Publishing, writing Edwin van Teijlingen

Today ResearchGate alerted us that our paper ‘Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour’ [1] has been cited 300 times. This paper links between Tourism and Public Health in the field of sexually transmitted infections in travellers and tourism workers. This article, in an Open Access journal, is co-authored by BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen with BU Visiting Faculty Prof. Padam Simkhada and Psychology colleagues from the University of Southampton.

This study assessed sexual behaviour, knowledge and condom use among male trekking guides in Nepal. A questionnaire (n=324) was administered to Nepali men working as mountain trekking guides. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-marital sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman.

The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

Reference:

Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., & Stone, N. (2015). Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour. J Manmohan Memorial Inst Health Sci, 1(4), 35-42. https://doi.org/10.3126/jmmihs.v1i4.12000

15 May 2019

Setting up NHS / HSC research in the UK– upcoming changes

NHS, Research Ethics Suzy Wignall

The UK Local Information Pack

A ‘UK Local Information Pack‘ will be introduced on the 5 June 2019 to support the set-up of NHS / HSC research in the UK.

The ‘UK Local Information Pack’ is the set of documents that NHS / HSC organisations use to formally start preparing to deliver the study. You can find more information here, including what comprises the pack. All researchers wishing to set-up their study at an NHS/HSC site from 5 June, will need to be aware of this change.

The Organisation Information Document

Researchers and research teams may be aware of a document called the ‘Statement of Activities’ – this is essentially a document that allows the sponsor to make clear to the research site, what activities will be undertaken locally. The document can also act as the agreement between the sponsor and site. Researchers setting up their study before 5 June should continue to use this document.

From 5 June the Statement of Activities will be replaced by a document called the ‘Organisation Information Document‘. For non-commercially sponsored studies, that are not clinical trials or clinical investigations, the ‘Organisation Information Document’ should be used as the agreement between sponsor and participating NHS / HSC organisation.

A new delegation log template

Another feature of the UK Local Information Pack is the inclusion of a delegation log template, which is intended to be used at participating NHS / HSC organisations. This will allow NHS/HSC organisations to locally record who will be working on the study and who is authorised to undertake study tasks.

Schedule of Events or Schedule and Events Cost Attribution Tool (SoECAT)

For non-commercially sponsored studies studies an IRAS Schedule of Events or a SoECAT will be a part of the IRAS Form submission and is used in the UK Local Information Pack as a way of providing clarity to participating NHS / HSC organisations on the cost attributions associated with a study.

Further help and guidance

Guidance on the use of the UK Local Information Pack has now been published in the Site Specific page of IRAS Help to help applicants get ready for the change.

If you are making an IRAS Form submission or planning to set up research in an NHS / HSC organisation from 5 June 2019 please read the transition guidance so that you prepare the correct materials.

If you have any queries regarding any of the information provided above, or would like some guidance with regard to implementing your research in a healthcare setting – please get in touch with BU’s Research Ethics team.

You can also take a look at the Clinical Governance blog for documents, links and training opportunities.

7 May 2019

Paper in top 30 most cited Journal Advanced Nursing articles

international, Publishing, writing Edwin van Teijlingen

BU’s Dr. Bibha Simkhada’s paper ‘Factors affecting the utilisation of antenatal care in developing countries: a systematic review of the literature’ [1] is currently the 27th most cited paper in the Journal of Advanced Nursing. This is great achievement considering that the journal has published nearly ten thousand articles since its inception (to be precise 9,847). The Journal of Advanced Nursing (published by Wiley) is one of the prestigious journals in the nursing field. This extremely well-cited paper was part of Bibha’s Ph.D. study at the University of Aberdeen. Dr. Bibha Simkhada is Lecturer in Adult Nursing in the Department of Nursing and Clinical Sciences. One of her co-authors also works at BU, Prof. Edwin van Teijlingen and a second co-author, Prof. Padam Simkhada from Liverpool John Moores University is Visiting Professor in the Faculty of Health & Social Sciences. The third co-author Dr. Maureen Porter retired a few years ago.

Reference:

Simkhada, B., van Teijlingen E., Porter, M., Simkhada, P. (2008) Factors affecting the utilisation of antenatal care in developing countries: a systematic review of the literature, Journal of Advanced Nursing 61(3): 244-260.

7 May 2019

Future frameworks for international collaboration on research and innovation – Call for evidence

BU Challenges Lisa Andrews

Overview

The Secretary of State for Business, Energy and Industrial Strategy and the Minister of State for Universities, Science, Research and Innovation have commissioned Professor Sir Adrian Smith to provide independent advice on the design of future UK funding schemes for international collaboration, innovation and curiosity-driven blue-skies research. There is a written call for evidence to inform this advice, and BU is preparing an institutional response to this call.

Further information can be found in the call for evidence document, and associated Terms of Reference.

How to contribute

If you would like your feedback to be included in the institutional response, please complete the feedback form and send to Lisa Andrews, RDS Research Facilitator by Wednesday 15^th May.

6 May 2019

Top ten cited paper in MIDWIFERY

international, NHS, writing Edwin van Teijlingen

Looking at the SCOPUS data for 5 May 2019 on the International Day of the Midwife showed that the theoretical paper ‘Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care’ [1] is in the top ten mosted quoted articles in Midwifery. Now in its 35th year, Midwifery is an international journal published by Elsevier. Since its inception in 1985 it has published 2,626 papers, and our paper ”Risk, Theory, Social & Medical Models’ has now been cited by 108 papers, making it the eighth most cited article.

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

Reference:

MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.

1 May 2019

NorNAM (Nordic Network of Academic Midwives)

conferences, international, PG research, Publishing, Training Edwin van Teijlingen

Today BU’s professor Edwin van Teijlingen and FHSS (Faculty of Health & Social Sciences) and Visiting Faculty Jillian Ireland presented their work at NorNAM (Nordic Network of Academic Midwives). The newly created network met in Reykjavik, Iceland for a three-day course on theories and models for midwifery. Prof. van Teijlingen spoke about the medical/social model of pregnancy & childbirth and Jillian, who is also Professional Midwifery Advocate at Poole Hospital NHS Foundation Trust, presented the A-EQUIP model which is widely used in the UK.

Social scientists can bring different perspectives and theoretical understandings to research into midwifery and maternity care. Today’s focus was on the social and medical model [1-5]. The medical model is ‘easy’ to understand, widely used in the media, based on medical science and claims to rely largely on objective measurement of symptoms and clinical observation. It offers individual treatment solutions for individual patients. The social model argues that there is inter-dependency between the ill person and their immediate and wider environment. The social model focuses on everyday life and the social, socio-economic, cultural and environmental aspects of health. It considers a wider range of factors that affect health, such as lifestyle, gender, poverty (or health inequality more generally), discrimination, and where and how we live. The social model is generally not individualist, but complex and multi-dimensional and often does not offer easy solutions. Solutions to health problem can be found at a population level and hence can be political or social as well as, for example, changes in the individual’s lifestyle.

The social model maintains that pregnancy and childbirth are largely physiological events that occur in most women’s lives. Following this line of thinking, the social model argues that pregnancy and childbirth do not normally need medical intervention or the transfer to hospital. A social model of care accepts childbirth as a normal social event in which preventative measures can be used. The medical model portrays a different view, namely that childbirth is potentially pathological, and therefore every woman is potentially at risk when she is pregnant and/or in labour. In short the medical model wants us to believe that pregnancy and childbirth are only safe in retrospect.

The medical model is often portrayed in the media as the most appropriate and hence ‘safe’ approach to pregnancy and childbirth and not only ‘controls’ women, but also their families, friends and health care providers. Understanding key sociological models of pregnancy and childbirth can help politicians, journalists, policy-makers, midwives, doctors, and other health care providers, childbirth activists as well as pregnant women and new mothers (and their partners) to put issues around ‘normal birth’ into perspective.

References:

Brailey, S., Luyben, A., Firth, L., van Teijlingen, E. (2017) Women, midwives and a medical model of maternity care in Switzerland, Int J Childbirth 7(3): 117-125.
van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19 (2): e73-e74
MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, Practising Midwife 16 (11): 17-20.
van Teijlingen E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociol Res Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html

30 April 2019

#whywedoresearch Tweetfest 2019 13th- 24th May

international, Knowledge Exchange, NHS Suzy Wignall

‘The #WhyWeDoResearch campaign was established in December 2014 by Claire Whitehouse (@ClaireW_UK), Lead Nurse for Research at The James Paget University Hospitals NHS Foundation Trust (JPUH). The aim is to raise research awareness and opportunities to staff, patients and the public, and to start a conversation about research between all involved. ‘

The #whywedoresearch Tweetfest is back with 2 weeks worth of a wide range of topics, all exploring why or how we do research. The topics vary from ‘reaching out to involve communities in research’, to ‘digital health & research’, to ‘Clinical Academic careers’.

The Tweetfest is scheduled to being Monday 13th May with the last day being Friday 24th May.

Join in by clicking this link, which shows the range of topics on offer and when to take part. Happy tweeting!

26 April 2019

HRA Research Transparency Strategy Group minutes available

NHS, open access, Research Ethics Suzy Wignall

The Health Research Authority (HRA) has formed the Research Transparency Strategy Group in response to the House of Commons Science and Technology Committee Report on clinical trials transparency.

You can read more about the first meeting of the expert group, including the minutes by clicking here

In relation to this, the HRA’s Director of Policy, Juliet Tizzard has released a blog post entitled What’s the point of research transparency? You can read the post here.

BU has access to the ClinicalTrials.gov system so get in touch if you would like access. This is a great opportunity to register your study and study results in the public domain. On ClinicalTrials.gov, it is free to do so.
Despite the name, the system may be used for other clinical research projects.

24 April 2019

BU migration health stakeholders’ meetings in Malaysia

Fusion, international, Public engagement, Publishing, writing Edwin van Teijlingen

BU’s researchers Dr. Pramod Raj Regmi and Dr. Nirmal Aryal have recently visited Malaysia for a consultation meeting. They organised meetings with stakeholders working on migration health related and Nepali migrant workers as Public Patient Involvement (PPI ) in Malaysia. These meetings discussed risk factors for sudden nocturnal deaths and kidney disease among Nepali migrant workers in Malaysia.

More than 350 Nepali migrant workers die in Malaysia every year. Nearly one-fourth of them die from cardiovascular problems often during their sleep, many without previous signs or illnesses. This also seems to be the case in South Asian workers in the Middle-East. The cause of death is hitherto unknown. During a consultation meeting on 19^th April, participants suggested several possible causes of these deaths and strongly supported the idea of carrying out verbal autopsy with close friends, employers, roommates, etc. The emerging health issue of kidney health risk among Nepali migrant workers and its risk factors were also discussed. A total of 25 participants attended the meeting. Participants from many different disciplines [1], including from migration health researchers from several universities, migrant workers’ non-governmental organizations (NGO), the Malaysian Ministry of Health, and International Organization for Migration (IOM) Malaysia. FHSS’s Drs Aryal and Regmi facilitated the consultation workshops.

On the same day, Dr. Regmi and Dr. Aryal met with the Nepali ambassador to Malaysia Mr. Udaya Raj Pandey and his team and discussed migration issues. The Nepali Embassy in Malaysia is aware of these health problems and the ambassador committed to provide any support required for further investigation in these issues.

On 20^th April, another PPI was carried out among Nepali migrant workers at their living quarters. Around 20 Nepali migrant workers participated. During this meeting, issues of sudden nocturnal deaths and acceptability and feasibility of verbal autopsy tools, problem of kidney disease and its possible triggers were discussed. The research into the usefulness of verbal autopsy tool as a good example of BU’s FUSION, since research can lead to a change in practice regarding health of migrant workers through better education of the migrant community, their left-behind families and NGOs working in the field.

These consultation meeting and PPI were intended to develop basis for further research in these area and build collaboration in Malaysia. The NGOs North-South Initiatives (Mr. Adrian Pereira and his team) and Migrant Workers’ Health Alliance (Dr. Erwin Martinez Faller and his team) have locally co-ordinated these events. These activities were conducted from the QR pump-priming fund awarded to Dr. Aryal this year in FHSS.

Finally, on 21^st April, Dr. Regmi and Dr. Aryal were invited to the Philippine Embassy to share knowledge on mental health risk among migrant workers. They have presented findings of previous BU’s research on it as well as existing evidence on mental health risk on migrant workers and their left-behinds. More than 60 Filipino migrant workers attended the event.

As Malaysia is a popular destination for migrant workers from Asia Pacific and South Asia (there are currently more than 700,000 Nepali workers in Malaysia), these consultations will play a significant role in designing and developing grant applications to promote health and wellbeing of migrant workers. This consultation meeting builds on recent work on the topic conducted at BU [2-14] as highlighted in the recent Research Brief Migration and Health (Jan. 2019).

References:

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.
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahat, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia J Public Health 8 (1): 38-41.
Adhikary P, Sheppard Z., Keen S. van Teijlingen E (2018) Health and well-being of Nepalese migrant workers abroad, Int J Migration, Health Social Care 14(1): 96-105
Simkhada, P.P., van Teijlingen, ER., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East & Malaysia, BMC Int Health Human Rights 18(1):4.
Adhikary P, Sheppard Z, Keen S, van Teijlingen E (2017) Risky work: Accidents among Nepali migrant workers in Malaysia, Qatar & Saudi, Health Prospect 16(2): 3-10
Simkhada P, Regmi, P, van Teijlingen E, Aryal N (2017) Identifying gaps in Nepalese migrant workers’ health & well-being: A review of literature J Travel Med 24(4): 1-9
Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury & Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific J Public Health 28(8): 703-705.
Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC J Tuberculosis, Lung Diseases HIV/AIDS 8(1):9-15.
Joshi, S., Prescott, G., Simkhada, P., Sharma, N., Bhurtyal, Y. (2014). Knowledge and Risk Perceptions about HIV/AIDS among Nepalese Migrants in Gulf Countries: a Cross-sectional Study. Health Sci J, 8 (3) pp 350-36
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Sci J 8(1):57-74.
Joshi S, Simkhada, P, Prescott, G (2011) Health problems of Nepalese migrants working in three Gulf countries, BMC Int Health Human Rights, 2011, 11:3
Adhikary P, Keen S, van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Sci J 5: 169-75.
van Teijlingen E, Simkhada, P, Adhikary P. (2009) Alcohol use among the Nepalese in UK. BMJ Rapid Response www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
Adhikary, P., Simkhada, P., van Teijlingen, E., Raja, A. (2008). Health and Lifestyle of Nepalese Migrants in the UK; BMC Int Health Human Rights, 8(6).

23 April 2019

Introduction to Good Clinical Practice – 15th May 2019

NHS, Research Ethics, Training Suzy Wignall

Are you interested in running your own research project within the NHS? Good Clinical Practice, or ‘GCP’, is a requirement for those wishing to work on clinical research projects in a healthcare setting.

GCP is the international ethical, scientific and practical standard to which all clinical research is conducted. By undertaking GCP, you’re able to demonstrate the rights, safety and wellbeing of your research participants are protected, and that the data collected are reliable.

The next GCP full day session is scheduled for Wednesday 15th May, at Bournemouth University, Lansdowne Campus (Bournemouth House) – 8:45am – 4:30pm.

The day will comprise of the following sessions:

Introduction to research and the GCP standards;
Preparing to deliver your study;
Identifying and recruiting participants – eligibility and informed consent;
Data collection and ongoing study delivery;
Safety reporting;
Study closure.

If you’re interested in booking a place, please contact Research Ethics.

Remember that 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.

20 April 2019

Medical science, humanising care & sociology

BU Challenges, innovation, NHS, Publishing Edwin van Teijlingen

This week saw the successful launch of an important new partnership between Bournemouth University (BU), the local NHS, charities and industry. The aim is using innovation to drive forward improvements in healthcare outcomes for people across Dorset. This ‘Transforming Healthcare Through Innovation’ event marked the start of a formal partnership between BU and Dorset’s Integrated Care System (ICS), which is a partnership of all NHS and local authorities in the county. This partnership fits very well with BU’s Strategic Investment Area (SIA) Medical Science. The development of Medical Science is a core component of BU2025.

It was widely recognised that the social and behavioural sciences are essential to health and health care. Dr. Phil Richardson from the NHS Dorset Clinical Commissioning Group, who leads the ICS, stressed the importance of moving from a medical model of public health to a more social model. This ties in closely with sociological work on the medical/social model conducted at BU in maternity care [1-6].

Also at the launch event Dr. Caroline Ellis-Hill highlighted the importance of humanising care in a hands-on session. BU academics in have developed a philosophically-driven approach to caring, health and wellbeing based on humanising practices. The theoretical underpinning was originally developed by BU Prof. Les Todres and colleagues [7-11]. Humanising practice is supported by work settings that encourage connection to personal experience and research which privileges subjective experience and knowing; such as phenomenology, narrative, auto-ethnography, embodied knowing and arts–based approaches.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

References:

van Teijlingen E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociological Research Online, 10 (2)
MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
Brailey, S., Luyben, A., Firth, L, van Teijlingen, E. (2017) Women, midwives & medical model of maternity care in Switzerland, International Journal of Childbirth 7(3): 117-125.
van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19(2): e73-e74
Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x
Taylor, A., van Teijlingen, E., Ryan, K., Alexander, J. (2019) ‘Scrutinised, judged and sabotaged’: A qualitative video diary study of first-time breastfeeding mothers, Midwifery 75: 16-23.
Todres, L., Galvin, K.T., Holloway, I. (2009) The humanization of healthcare: A value framework for qualitative research, International Journal of Qualitative Studies on Health and Well-being, 4:2, 68-77, DOI: 10.1080/17482620802646204
Galvin, K., Todres, L. (2013) Caring and Wellbeing. London: Routledge.
Hemingway, A, Scammel, J., Heaslip, V. (2012) Humanising nursing care: a theoretical model. Nursing Times 108 (40) / www.nursingtimes.net
Scammel,J ,Hemingway, A., Heaslip,V. (2012) Humanising values at the heart of nursing education. Nursing Times 108 (41)/ www.nursingtimes.net
Scammell, J., Tait, D. (2014) Using humanising values to support care. Nursing Times 110 (15) / www.nursingtimes.net

Tagged / collaborative research

Applications Open! Re-commissioning the Research Centres

The Process