Tagged / Edwin-blogpost

BU student’s M.Res. paper read 500 times

Yesterday ResearchGate alerted us that our paper ‘The importance of positionality for qualitative researchers‘ [1] has been read 500 times. This methods paper was only written last year by Bournemouth University M.Res. student Hannah Gurr, her M.Res. supervisors Dr. Orlanda Harvey, Dr. Louise Oliver and Prof. Edwin van Teijlingen in collaboration with Prof. Madhusudan Subedi from Patan Academy of Health Sciences in Nepal.

In the paper we remind qualitative researchers about the importance of critical reflection, and why they need to explain their positionality to readers of their work. This account can be relatively straightforward, but there are occasions when this process of reflection and outlining one’s positionality is much more complicated. This method-paper explains this process. It outlines, using examples of different occasions and situations, where and why such complications may arise, for example, around values and personal experiences. It concludes with further practical advice on writing the section on positionality for novice social scientists.

Well done Hannah!

Dr. Lou Oliver, Dr. Orlanda Harvey & Prof. Edwin van Teijlingen

 

Reference:

  1. Gurr, H., Oliver, L., Harvey, O., Subedi, M., & van Teijlingen, E. (2024). The Importance of Positionality for Qualitative Researchers. Dhaulagiri Journal of Sociology and Anthropology18(1): 48–54. https://doi.org/10.3126/dsaj.v18i01.67553

BU conference presentation Federalisation & Nepal’s health system

The health system in Nepal’s unique federalisation experiment will be presented by Prof. Edwin van Teijlingen at a three-day conference at the Far Western University, Nepal on Saturday 8th February.  Nepal’s introduction of its federal system in the 2015 Constitution changed the way society, including its health system, was organised.  It meant that political changes and health systems changes occurred in parallel.  Prof. Edwin van Teijlingen explores the impact of federalisation on Nepal’s health system as part of an interdisciplinary mixed-methods study* called ‘The Impact of Federalisation on Nepal’s Health System: A longitudinal Analysis’.

First, implementing a new federal system is a slow, resource intensive process. While building new federal structures is important, challenging the status quo through strategic “unlearning and undoing” of old tendencies is also essential, as this creates spaces for new approaches that are more in line with federalism. This requires attention to emotional and political spheres, and not just structural or technical ones.

Federalisation, generally, brought decision making, resources and service delivery closer to the people, yet the process remains challenging and incomplete. Importantly, at the same time as federalism was being introduced, Nepal’s health system had to respond to COVID-19, making it difficult to disentangle the effects of the pandemic from those of federalisation. The health system is also part of a broader, complex, and interdependent set of socio-political, economic, legal, and cultural systems.

We found that the impact of federalisation varied across the six WHO building blocks and pre-existing conditions, e.g. wealthier regions often benefit disproportionately, exacerbating inequities in health.  Our study further highlighted: (a) the importance of leadership and governance, combined with financing mechanisms; (b) insufficient planning and misalignment between central and local levels resulting in inefficiencies; (c) weak health information systems hinder the ability to measure long-term effects.  Overall, unlocking the full potential of federalism will require political will and commitment at all three levels of government.

To date eight papers have been produced based in this project [1-8].

 

References:

  1. Koirala, B., Rushton, S., Adhikary, P., Balen, J., et al. (2024) COVID-19 as a challenge to Nepal’s newly federalised health system: capacities, responsibilities, and mindsets, Asia Pacific Journal of Public Health (online first) https://doi.org/10.1177/1010539524125012.
  2. Sapkota, S., Rushton, S., van Teijlingen, E., et al. (2024) Participatory policy analysis in health policy and systems research: reflections from a study in Nepal. Health Research & Policy Systems22 (No.7) https://doi.org/10.1186/s12961-023-01092-5 .
  3. Wasti, S.P., van Teijlingen, E., Simkhada, P., et al. (2023) Selection of Study Sites and Participants for Research into Nepal’s Federal Health System, WHO South-East Asia Journal of Public Health 12(2):116-119.
  4. Sapkota, S., Dhakal, A., Rushton S., et al. (2023) The impact of decentralisation on health systems: a systematic review of reviews. BMJ Global Health 8:e013317. doi:10.1136/bmjgh-2023-013317.
  5. Wasti, S.P., van Teijlingen, E.Rushton, S., et al. (2023) Overcoming the Challenges Facing Nepal’s Health System During Federalisation: An Analysis of Health System Building Blocks, Health Research Policy & Systems 21(117https://doi.org/10.1186/s12961-023-01033-2
  6. Sapkota, S., Panday, S., Wasti, S.P., et al. (2022) Health System Strengthening: The Role of Public Health in Federal Nepal, Journal of the Nepal Public Health Association 7(1):36-42.
  7. Adhikary, P., Balen, J., Gautam, S., et al. (2020) The COVID-19 pandemic in Nepal: Emerging evidence on the effectiveness of action by, and cooperation between, different levels of government in a federal system, Journal of Karnali Academy of Health Sciences (3): 1-11.
  8. Rushton, S., Pandey, S., van Teijlingen, E., et al. (2021) An Investigation into the Impact of Decentralization on the Health System of Nepal. Journal of Manmohan Memorial Institute of Health Sciences7(1): 3–14. https://doi.org/10.3126/jmmihs.v7i1.43146

Thinking about interdisciplinary research

Thank you very much for all those who attended last Wednesday’s monthly online session organised by BU’s Centre for Midwifery & Women’s Health (CMWH).  This event featured PhD student Mr. Shafkat Hossein who spoke about his thesis research ‘Using Human-Centred Design (HCD) to develop community-led interventions to prevent drowning among children under the age of 2 in rural Bangladesh’.  His work is part of an interdisciplinary study called ‘Sonamoni’ in which BU collaborates with CIPRB (Centre for Injury Prevention and Research, Bangladesh), the University of the West of England (in Bristol), the University of Southampton, the Royal National Lifeboat Institution (RNLI), and Design Without Borders (DWB) in Uganda.  Sonamoni aims to design and develop interventions to reduce the number of  young children drowning in Bangladesh.

This public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.

The second speaker at the CMWH event was Prof. Edwin van Teijlingen, who spoke about trials and tribulations of conducting, running and managing interdisciplinary studies.  His talk was largely based on three three published papers co-written with BU academic and Faculty of Health & Social Sciences Visiting Faculty members on interdisciplinary or multidisciplinary working [1-3].  There are, of course, differences between multidisciplinary, and interdisciplinary and the even more integrated level of working called transdisciplinary.  At the same time the individual member of an interdisciplinary team needs to have individual field-based expertise in their own discipline, e.g. sociology, nursing, chemistry or law to bring required knowledge and skills to that team.

 

 

References:

  1. 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
  2. Wasti, S. P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences6(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 Prospect18(1), 4-7. https://doi.org/10.3126/hprospect.v18i1.19337

Last publication of 2024

The Nepal-based Dhaulagiri Journal of Sociology and Anthropology published its latest issue today, the last day of 2024, with an editorial on the hot topic of ‘The Use of Artificial Intelligence (AI) in Academic Writing and Publishing Papers’  [1].

In this editorial, the authors made it very clear that the complete text in Box 1 is generated by AI. Which is appropriate considering the focus of this editorial is on questions raised by the potential use of academic writing.  The authors argue that AI should be used with consideration to avoid misuse. Any use of AI should be done transparently, ethically, and professionally, and the authors should take full responsibility for the accuracy of the information.

 

Prof. Edwin an Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. van Teijlingen, E., Subedi, M., Parker, S., Khattri, M.B. (2024) The Use of Artificial Intelligence (AI) in Academic Writing and Publishing Papers Dhaulagiri Journal of Sociology & Anthropology, 18(2): 1-4.   https://www.nepjol.info/index.php/DSAJ/article/view/73358

Appreciating Appreciative Inquiry

Prof. Gabriele Bammer, the editor of the i2Insights blogs, highlighted in her ninth annual review that a post created by Bournemouth University academics was one of the website’s  most popular contributions in 2024.  This BU contribution ‘Learning to use Appreciative Inquiry‘ by Dr. Rachel Arnold is in the top eight most viewed this year – in fact it’s the second most viewed blog!

Dr. Rachel Arnold has been lead author on several research papers in the field of Appreciative Inquiry [1-2], in collaboration with current and former Bournemouth Academics, Professor Emerita Sue Way, Dr. Preeto Mahato (now at Royal Holloway, University of London) and Prof. Edwin van Teijlingen.   Rachel has also been a contributor to a major textbook in the field [3-4].

References:

  1. Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2024) “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 InquiryWomen & Birth 37: 128-136. 
  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 serviceEuropean Journal of Midwifery (May): 1-7.
  3. 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 sectorForres: Appreciating People; ISBN: 978-1-9160267-6-6
  4. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024b) Appreciating Health and Care: AI in practice, Forres: Appreciating People.