Tagged / Dr. Preeti Mahato

The importance of understanding mixed methods

BU research, international, Research communication, Research news, Uncategorized

Earlier this week ResearchGate alerted us that the paper ‘The Growing Importance of Mixed-Methods Research in Health‘ has been read 900 times on that platform [1].  This methods paper focuses on  the growing importance of mixed-methods research to a wide range of health disciplines ranging from nursing to epidemiology.

Mixed-methods approaches requires not only the skills of the individual quantitative and qualitative methods but also a skill set to bring two methods/datasets/findings together in the most appropriate way. Health researchers need to pay careful attention to the ‘best’ approach to designing, implementing, analysing, integrating both quantitative (number) and qualitative (word) information and writing this up in a way that enhances its applicability and broadens the evidence-based practice. This paper highlights the strengths and weaknesses of mixed-methods approaches as well as some of the common mistakes made by researchers applying mixed-methods for the first time.

Our team in the Centre for Midwifery & Women’s Health (CMWH) has written several other methods papers on the importance of mixed-methods research in community-based health studies [2-5].  We have, of course, conducted and published many mixed-methods studies over the past two decades [see for example 6-10].

 

Prof. Edwin van Teijlingen

 

 

References:

  1. Wasti, S. P., Simkhada, P., van Teijlingen, E., Sathian, B., & Banerjee, I. (2022). The Growing Importance of Mixed-Methods Research in Health . Nepal Journal of Epidemiology, 12(1), 1175–1178.
  2. Simkhada, P., van Teijlingen, E., Wasti, S.P., Sathian, B. (2014) Mixed-methods approaches in health research in Nepal, Nepal Journal of Epidemiology 4(5): 415-416.
  3. Mahato, P., Angell, C., van Teijlingen, E., Simkhada, P. (2018) Using Mixed-methods Research in Health & Education in Nepal, Journal of Health Promotion 6: 45-8.
  4. 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.
  5. MacKenzie Bryers, H., van Teijlingen, E. Pitchforth, E. (2014) Advocating mixed-methods approaches in health research, Nepal Journal of Epidemiology 4(5): 417-422. http://www.nepjol.info/index.php/NJE/article/view/12018/9768
  6. Pitchforth, E, Watson, V, Tucker, J, Ryan, M, van Teijlingen E, Farmer, J, Ireland, J, Thomson, E, Kiger, A , Bryers, H. (2008) Models of intrapartum care and women’s trade-offs in remote and rural Scotland: A mixed-methods study BJOG: An International Journal of Obstetrics & Gynaecology, 115(5): 560-569.
  7. Wasti, SP, Simkhada, P., Randall, J, van Teijlingen, E, Freeman, J. (2012) Factors influencing adherence to antiretroviral treatment in Nepal: a mixed-methods study. PLoS ONE 7(5): e35547. doi:10.1371/journal.pone.0035547.
  8. Simkhada, P., van Teijlingen, E., Devkota, B., Pathak, RS, Sathian, B. (2014) Accessing research literature: A mixed-method study of academics in Higher Education Institutions in Nepal, Nepal Journal of Epidemiology 4(4): 405-14.
  9. Dost, S., Arnold, R., van Teijlingen, E. (2023) Management capacity in the Afghan Ministry of Public Health pre-Taliban: A mixed-methods study of political and socio-cultural issues, Razi International Medical Journal, 3(1): 9–18
  10. Sharma, S., van Teijlingen, E, Hundley, V., Stephens J., Simkhada, P., Angell, C., Sicuri, E., Belizan, J.M. (2013) Mixed-methods evaluation of maternity care intervention in rural Nepal: measuring what works, Poster P.2.3.004(A), Tropical Medicine & International Health 18(Suppl. 1): 183-184.

Dr Rachel Arnold on Appreciative Inquiry

BU research, Research communication, Research news, Uncategorized

In March of this year I had the pleasure of announcing in a BU Research Blog the publication of Dr. Rachel Arnold’s contribution to the book Appreciating Health and Care: A Practical Appreciative Inquiry Resource for the Health & Social Care Sector  [1].  There is also a supplementary eBook, called Appreciating Health and Care: AI in practice [2], which introduces more professional experiences of using AI (not Artificial Intelligence, but Appreciative Inquiry) in the health and care sector.  Rachel is the lead author of the contribution ‘Let’s get messy! Where to start with using Appreciative Inquiry’ and her co-authors are Dr. Jo Hartley, Prof. Edwin van Teijlingen and Dr. Preeti Mahato.  ‘Let’s get messy! Where to start with using Appreciative Inquiry’ is a case study which reflects on our experiences of using Appreciative Inquiry to explore staff well-being in an NHS maternity service during the COVID-19 pandemic. We explain how we adapted and overcame some of the challenges, strategies that worked, and practical ideas for anyone interested in using Appreciative Inquiry in health or social care.

 

References:

  1. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024a)  Appreciating Health and Care: A practical Appreciative Inquiry resource for the Health and Social Care sector, Forres: Appreciating People; ISBN: 978-1-9160267-6-6
  2. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024b) Appreciating Health and Care: AI in practice, Forres: Appreciating People.

 

 

Methods or Methodology?

BU research, international, PG research, Research news, Uncategorized

Yesterday our latest methodological paper ‘Methods or Methodology: Terms That Are Too Often Confused’ appeared online. [1]  We recently published a methods paper outlining the difference between Methods and Methodology as so many postgraduate students manage to get it wrong or don’t understand the distinction between the two.  There is a distinct difference between methodology and methods in research. However, too many students, researchers, and authors of academic papers do not seem to pay attention to the crucial difference. This is true not only in education research but also in many other academic disciplines. In simple terms, the term methods refers to the research tools and techniques; for example, in the qualitative field, interviews are a tool to collect data, and in the quantitative field, a questionnaire-based survey is an example of a data collection tool. Methodology is a broader concept as it refers to the overall approach to the research, includes a justification for this approach, and links to research philosophy, i.e., how we produce knowledge. This methodological note aims to explain the confusion, drawing on examples from the published literature in education research and beyond. It also considers the complexities and crossovers. The final section ends with key advice to researchers and authors on key mistakes to avoid regarding the difference between methods and methodology, including covering this in early supervision discussions.

Our interdisciplinary team, based in the UK and Nepal, comprises Dr. Orlanda Harvey in BU’s Department of Sociology & Social Work, Dr. Pramod Regmi in BU’s Department of Nursing Science, Dr. Preeti Mahato from Royal Holloway, University of London, Dr. Shovita Dhakal Adhikari, London Metropolitan University, Dr. Rolina Dhital, based at Health Action & Research in Nepal and Prof. Edwin van Teijlingen in BU’s Department of Midwifery & Health Sciences.  In addition it is worth mentioning that both Preeti and Shovita are both former member of staff in the Faculty of Health & Social Sciences (FHSS) at BU.  Finally, although the official publication date is Sept 2023, it only appeared online yesterday.  This new methods paper is part of growing series of methods papers by members of this team of academics [2-12].

 

References:

  1. Harvey, O., Regmi, P. R., Mahato, P., Dhakal Adhikari, S., Dhital, R., van Teijlingen E. (2023) Methods or Methodology: Terms That Are Too Often Confused. Journal of Education & Research, 13(2): 94-105.
  2. Regmi, P.R., Waithaka, E., Paudyal, A., Simkhada, P., van Teijlingen, E. (2016) Guide to the design and application of online questionnaire surveys. Nepal Journal of Epidemiology 6(4): 640-644. http://www.nepjol.info/index.php/NJE/article/view/17258
  3. Regmi, PR., Aryal, N., Kurmi, O., Pant, PR., van Teijlingen, E, Wasti, PP. (2017) Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics 17(2):84-89.
  4. Mahato, P., Angell, C., van Teijlingen, E., Simkhada, P.P. (2018) Using Mixed-methods Research in Health & Education in Nepal, Journal of Health Promotion Official Publication of Health Education Association of Nepal (HEAN), 6: 45-48.
  5. 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
  6. Dhakal Adhikari, S., van Teijlingen, E., Regmi,P., Mahato, P., Simkhada, B., Simkhada, P. (2020) The presentation of academic self in the digital age: the role of electronic databases, International Journal of Social Sciences & Management 7(1):38-41.
  7. Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences 3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
  8. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7. https://doi.org/10.18332/ejm/147444
  9. Mahato, P., Tamang, P., Simkhada, B., Wasti, S. P., Devkota, B., Simkhada, P., van Teijlingen, E.R. (2022) Reflections on health promotion fieldwork in Nepal: Trials and tribulations. Journal of Health Promotion 10(1): 5–12. https://doi.org/10.3126/jhp.v10i1.50978
  10. Khatiwada, S., Gautam, P., Koju, A., Niraula, B., Khanal, G., Sitaula, A., Lamichhane, J., Regmi, P., van Teijlingen, E (2023). Patient and Public Engagement in Health Research: Learning from UK Ideas. Journal of Manmohan Memorial Institute of Health Sciences, 8(1): 28–35. https://doi.org/10.3126/jmmihs.v8i1.57268
  11. Thapa, R., Regmi, P., van Teijlingen, E., Heaslip, V. (2023) Researching Dalits and health care: Considering positionality, Health Prospect 21(1): 6-8.
  12. 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

An Appreciate Inquiry into NHS Maternity Services

BU research, Featured academics, NHS, Research communication, research methods, Research news, Uncategorized, writing

 

 

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

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

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

 

References:

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

It is all about experience

BU research, Delicious links, Featured academics, international, Knowledge Exchange, PG research, Publishing, research methods, student research, Uncategorized, Women's Academic Network, writing

This week we published a paper on the experience of conducting fieldwork in the public health field in the Journal of Health Promotion. [1] Fieldwork is usually a crucial part of PhD research, not only in the health field. However, few researchers write about this, often challenging, process. This paper highlights various occasions where fieldwork in the area of public health, health promotion or community health was more difficult than expected or did not go as planned. Our reflections on working in the field are aimed at less experienced researchers to support them in their research development. Moreover, this paper is also calling upon health researchers to share more details about the process of doing fieldwork and its trials and tribulations. Our key advice is to be inquisitive and open-minded around fieldwork, followed by: be prepared for your fieldwork, conduct a risk assessment of what might go wrong, and consider your resources and options to overcome such trials and tribulations. Fieldwork can be unpredictable.  We believe it is important to share practical lessons from the field which helps other to better understand these tribulations, and learn from them. Finally, sharing such information may guide new researchers and help them identify strategies that can address those issues and challenges in their future studies.

Dr. Preeti Mahato (at Royal Holloway, University of London), Dr Bibha Simkhada and Prof. Padam Simkhada (both based at the University of Huddersfield) are all BU Visiting Faculty.  Moreover, I have had the pleasure of acting as PhD supervisor for five of my co-authors.  I have included in this blog what is probably my favourite fieldwork photo taken a decade ago by former BU PhD student Dr. Sheetal Sharma.

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

References:

  1. Mahato, P., Tamang, P., Simkhada, B., Wasti, S. P., Devkota, B., Simkhada, P., van Teijlingen, E.R. (2022) Reflections on health promotion fieldwork in Nepal: Trials and tribulations. Journal of Health Promotion 10(1): 5–12. https://doi.org/10.3126/jhp.v10i1.50978

Congratulations to Dr. Rachel Arnold on her latest paper

BU research, COVID-19, Featured academics, nhs, NHS, open access, Publishing, Uncategorized, writing

Congratulations to Dr. Rachel Arnold in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication today of her  paper ‘Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service‘ [1].  This methodological paper is co-authored with Dr. Clare Gordon who holds a has joint clinical academic post at UCLan and Lancashire Teaching Hospitals NHS Trust, with a focus on developing clinically focused stroke research, education and improvement. Clare is also a former BU Ph.D. student.  Further co-authors from CMMPH are Professors Sue Way and Edwin van Teijlingen.  The final co-author, Dr. Preeti Mahato, finished her post in CMMPH two days ago to start her Lectureship in Global Health at Royal Holloway (part of the University of London).

The paper highlights that selecting the most appropriate research method is an important decision in any study. It affects the type of study questions that can be answered. In addition, the research method will have an impact on the participants – how much of their time it takes, whether the questions seem important to them and whether there is any benefit in taking part. This is especially important when conducting research with staff in health services. This article is a reflection on the process of using Appreciative Inquiry (AI) in a study that explored staff well-being in a UK maternity unit. The authors  discuss our experience of using AI,the strengths and limitations of this approach, and conclude with points to consider if you are thinking about using AI. Although a study team was actively involved in decisions, this paper is largely based on reflections by dr. Arnold, the researcher conducting the field work in the maternity services.

 

Reference:

Arnold, R., Gordon, C., van Teijlingen, E., Way, S., Mahato, P. (2022). Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service. European Journal of Midwifery, 6(May), 1-7. https://doi.org/10.18332/ejm/147444

Latest BU publication on academic writing

Featured academics, Guidance, international, open access, Publishing, Research news, Research Training, writing

Today the Nepal Journal of Epidemiology published our latest paper on academic writing, under the title ‘The Art of the Editorial’. [1]  This editorial highlights the importance of writing and publishing editorials in scientific journal.  Writing editorials seems sometimes to be a dying art.  This is perhaps due to more and more online journals not publishing regular issues, but adding papers online as and when they have been reviewed, revised and accepted. This paper is co-authered by Bournemouth University’s Professors Vanora Hundley and Edwin van Teijlingen, two of their four co-authors are also BU Visiting Faculty: Prof. Padam Simkhada based at the University of Huddersfield and Dr. Brijesh Sathian based in the Geriatric Medicine Department, Rumailah Hospital, Hamad Medical Corporation in Qatar.  This paper is an Open Access publication.

This paper on the art of writing editorials follows on from a series of papers on a wide-range of aspects of academic writing and publishing by FHSS (Faculty of Health & Social Sciences) authors [2-18].  FHSS co-authors on aspects of academic writing include: Dr. Orlanda Harvey [2], Dr. Pramod Regmi [2-3,4,16], Prof. Vanora Hundley [1,3,5,6,12-14], Dr. Nirmal Aryal [3-4], and Dr. Shovita Dhakal Adhihari [4,16], Dr. Preeti Mahato [3,16].

 

References:

  1. van Teijlingen, E., Hundley, V, Sathian, B., Simkhada, P., Robinson, J., Banerjee, I. (2022) The Art of the Editorial Nepal J Epidemiol, 12(1): 1135–38.
  2. Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing Health Prospect 21(1):1-3.
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., Hundley, V. with Shreesh, K. (2022) Writing and Publishing Academic Work, Kathmandu, Nepal: Himal Books
  4. van Teijlingen, E.R., Dhakal Adhikari, S., Regmi, P.R., van Teijlingen, A., Aryal, N., Panday, S. (2021). Publishing, identifiers & metrics: Playing the numbers game. Health Prospect, 20(1). https://doi.org/10.3126/hprospect.v20i1.37391
  5. Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, BD. (2013) Writing an Abstract for a Scientific Conference, Kathmandu Univ Med J 11(3): 262-65. http://www.kumj.com.np/issue/43/262-265.pdf
  6. van Teijlingen, E, Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, J Advanced Nurs 37(6): 506-11.
  7. Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
  8. van Teijlingen, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10(1): 1-4.
  9. van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
  10. Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
  11. Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11(1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
  12. van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 4(1): 344-347.
  13. van Teijlingen E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
  14. Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
  15. Sathian, B., Simkhada, P., van Teijlingen, E., Roy, B, Banerjee, I. (2016) Grant writing for innovative medical research: Time to rethink. Med Sci 4(3):332-33.
  16. Adhikari, S. D., van Teijlingen, E. R., Regmi, P. R., Mahato, P., Simkhada, B., & Simkhada, P. P. (2020). The Presentation of Academic Self in The Digital Age: The Role of Electronic Databases. International J Soc Sci Management, 7(1), 38-41. https://doi.org/10.3126/ijssm.v7i1.27405
  17. Pradhan, AK, van Teijlingen, ER. (2017) Predatory publishing: a great concern for authors, Med Sci 5(4): 43.
  18. van Teijlingen, E (2004), Why I can’t get any academic writing done, Medical Sociol News 30(3): 62-63. britsoc.co.uk/media/26334/MSN_Nov_2004.pd