Tagged / Health

BU midwifery paper cited in WHO report

international, Knowledge Exchange, Publishing, writing

Last week the Regional Office for South East Asia of the WHO (World Health Organization) published its strategy for strengthening midwifery [1].  The report highlights how Bangladesh, India and Nepal have recently introduced midwifery education. They joined DPR Korea, Myanmar, Sri Lanka and TimorLeste in establishing midwives as an independent cadre of the health workforce.

This report cited our 2015 paper on midwifery developments in Nepal which appeared in the Journal of Asian Midwives [2].  The lead author Jillian Ireland is a Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Professional Midwifery Advocate at Poole Hospital NHS Foundation Trust, my other co-author, Joy Kemp, is Global Professional Adviser at the Royal College of Midwives (RCM).  The paper reflects on the RCM Global Midwifery Twinning Project in Nepal.  The paper argues that the presence of a strong professional association of midwives in a country yields double benefits. On one side, the association provides inputs into framing policies and developing standards of care, and on the other, it ensures quality services by continuously updating its members with information and evidence for practice.

Bournemouth University’s work in Nepal is ongoing with a project run by CMMPH helping to develop midwifery education and training the trainers funded by the German aid organisation GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit).

 

References:

  1. World Health Organization. Regional Office for South-East Asia (2020) Regional Strategic Directions for strengthening Midwifery in the South-East Asia Region 2020–2024, Delhi: World Health Organization. Regional Office for South-East Asia.
  2. Ireland, J., van Teijlingen, E, Kemp J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33. http://ecommons.aku.edu/jam/vol2/iss1/5/

 

COVID-19 Outbreak Expert Database – update

Knowledge Exchange, NHS

According to Parliament’s Knowledge Exchange Unit (KEU), more than 3,500 researchers from across the UK have signed up to its  COVID-19 Outbreak Expert Database, which includes a number of BU academics across all faculties.  

The KEU reports that it is already making use of the database and, later this week, will be directly contacting experts to ask them to share their insights into the COVID-19 pandemic and its short, medium and long-term impacts. Where possible, the KEU aims to acknowledge researchers’ contributions publicly.

If you haven’t already signed up, it’s not too late, as it is a live database. Follow the link and please email your faculty impact officer to let them know, so we can track BU involvement.

Signing up does not commit you to contributing in any way, it’s simply so that Parliament has your details to hand and can contact you very rapidly; if they contact you and you aren’t able to respond, they will fully understand.

The topic areas where Parliament may need to be able to access research expertise are listed below, and found on the sign up page. If you identify an area that has not been listed, please do feel free to give details on the sign-up form in ‘other’:

Agriculture and farming, Airlines/airports, Arts, Behavioural science, Burial and cremation, Brexit, Business, Charities, Children and families, Civil contingency planning and management, Climate change, Communicating uncertainty, , Consumer protection, Coronavirus, Coroners, Countryside, Courts, Criminal justice, Criminal law, Crisis communications, Critical national infrastructure, Data protection, Death, Defence, Economics, Education – higher and further, Education – schools, Elections, Emergency planning, Emergency services, Employment, Employment law, Energy, Environment, European Union, Financial services, Financial systems and institutions, Foreign policy, Government, Health economics, Health services, Housing, Human rights, Immigration, Immunology / vaccinology, Industry, Infection control, Inflation, Insolvency, International law, IT, Law, Legal aid, Leisure and tourism, Local government, Medicine, National security, Package holidays, Pandemics, Pensions, Police powers, Ports and maritime, Prisons, Public expenditure, Public finance, Public health, Public order, Railways, Registration of deaths, Religion, Social security and tax credits, Social services, Sports, Surveillance , Taxation, Trade, Transport, Unemployment, Virology, Waste, Water, Welfare, Welfare benefits.

New FHSS nutrition publication

international, Publishing, writing

Congratulations to FHSS academics Dr. Fotini Tsofliou and Prof. Carol Clark on the acceptance for publication of their latest article ‘Effects of lunch club attendance on the dietary intake of older adults in the UK: a pilot cross-sectional study’ [1].  This paper is forthcoming in the journal Nutrition & Health (published by SAGE).

 

Reference:

  1. Tsofliou, Fotini; Grammatikopoulou, Maria; Lumley, Rosie; Gkiouras, Konstantinos; Lara, Jose ; Clark, Carol (2020)  Effects of lunch club attendance on the dietary intake of older adults in the UK: a pilot cross-sectional study.  Nutrition & Health (accepted)

Research in the NHS during the COVID-19 pandemic – HRA update

Guidance, NHS, Research Ethics

You may have seen an earlier blog post with regard to a halt on the review and approval of undergraduate and master’s clinical research projects. The HRA have released another update with regard to all other research and the state of play due to COVID-19.

To recognise the significant pressures on the NHS at this time, the National Institute of Health Research (NIHR) announced that all new and existing studies supported through its Clinical Research Network would be paused to focus instead on COVID-19 research. You can read the full statement on the NIHR website.

The full HRA statement can be viewed here. If you have any queries mai in Research Development & Support.

Research Development & Support are also updating the following help page regularly for academics and researchers.

COVID-19 Pandemic: Public Health Implications in Nepal

international, open access, Publishing, writing

Our editorial today in the Nepal Journal of Epidemiology highlights some of the key issues related to COVID-19 related to a low-income country such as Nepal [1].  There are various Public Health challenges to preventing the spread of COVID-19 in South Asia including Nepal. Learning from the  COVID-19 outbreak in China, there will be slowdown of economic activity with damaged supply chains which impact upon the public health systems in Nepal. Moreover, there is limited coordination among different stakeholders in healthcare management with few policies in place for infection prevention and control, shortage of testing kits and medical supplies (shortages of masks, gloves), and poor reporting are major challenges to be tackled in case of the COVID-19.

All South Asian countries are vulnerable to a mass outbreak with high population density in cities which is challenging to create social distancing, made worse by generally poor hygiene and often low (health) literacy. Additionally, some COVID-19 cases remain asymptomatic; so it is difficult to predict the epidemic outbreak that may introduces further difficulty in diagnosis of newer cases. Finally, healthcare workers across the globe were infected at high rates during the MERS and SARS outbreaks, so Nepal has to initiate health workers’ training including simulation exercises to provide health staff with a clearer picture of the complexities and challenges associated with COVID-19 and containing potential outbreaks.

This editorial has a very different time span between submission and publication than the one highlighted last week on the BU Research Blog (see details here!).  This  COVID-19 editorial took exactly one month between submission and publication, the one mentioned last week took  three-and-a-half years between submission and publication.

 

Prof. Edwin van Teijlingen

CMMPH

Reference:

  1. Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269

Congratulations to Psychology colleagues

open access, Publishing, writing

This week the journal BMC Pregnancy & Childbirth  accepted a new paper written by three Bournemouth University Psychologists.  The paper ‘Be Quiet and Man Up: A Qualitative Questionnaire Study into Men Who Experienced Birth Trauma’ is written by Emily Daniels, Emily Arden-Close and Andrew Mayers [1] . The paper, using online questionnaires, argues that fathers reported that witnessing their partner’s traumatic birth affected them. They felt this affected their mental health and relationships long into the postnatal period. However, there is no nationally recognised support in place for fathers to use as a result of their experiences. The participants attributed this to being perceived as less important than women in the postnatal period, and maternity services’ perceptions of the father more generally. Implications include ensuring support is available for mother and father following a traumatic birth, with additional staff training geared towards the father’s role.

This paper adds to the growing pool of publications by Bournemouth University staff on men and maternity care.  Earlier research work has been published in The Conversation [2] and  the Journal of Neonatal Nursing [3-4].

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal health (CMMPH) and Associate Editor BMC Pregnancy & Childbirth

 

References:

  1. Daniels, E., Arden-Close, E., Mayers, A. (2020)  Be Quiet and Man Up: A Qualitative Questionnaire Study into Men Who Experienced Birth Trauma, BMC Pregnancy & Childbirth  (accepted).
  2. Mayers, A. (2017) Postnatal depression: men get it too, The Conversation, 20 November https://theconversation.com/postnatal-depression-men-get-it-too-87567
  3. Ireland, J., Khashu, M., Cescutti-Butler, L., van Teijlingen, E., Hewitt-Taylor, J. (2016) Experiences of fathers with babies admitted to neonatal care units: A review of the literature, Journal of Neonatal Nursing 22(4): 171–176.
  4. Fisher, D., Khashu, M, Adama, E, Feeley, N, Garfield, C, Ireland, J, Koliouli F, Lindberg, B., Noergaard, B., Provenzi, L., Thomson-Salo, F., van Teijlingen, E (2018) Fathers in neonatal units: Improving infant health by supporting the baby-father bond & mother-father co-parenting Journal of Neonatal Nursing 24(6): 306-312 https://doi.org/10.1016/j.jnn.2018.08.007

COVID-19: health and social care research projects for educational purposes

NHS, Research Ethics, student research

The HRA have therefore decided stop reviewing applications for individual undergraduate and master’s student projects from now until further notice.

Please see this new guidance which relates to health and social care research projects conducted by undergraduate and master’s students: https://www.hra.nhs.uk/planning-and-improving-research/research-planning/student-research/

Latest CMMPH publication by Dr. Alison Taylor

international, open access, Publishing, writing

Congratulations to Dr. Alison Taylor in the Centre for Midwifery,Maternal & Perinatal Health (CMMPH) whose third PhD paper  has just been accepted by the International Breastfeeding Journal.  Alison’s paper ‘Commercialisation and commodification of breastfeeding: video diaries by first-time mothers’ reminds us that many of aspects of our lives are increasingly commercialised in post-modern society.  Although breastfeeding is perhaps a late comer to this process in recent years, it too has seen significant commercialisation facilitated by social media and our obsession with celebrity culture.

This paper explores how the commercialisation and commodification of breastfeeding impacts mothers’ experiences of breastfeeding.  The paper highlights that women preparing for breastfeeding are exposed to increasing commercialisation.  When things do not go to plan, women are even more exposed to commercial solutions. The impact of online marketing strategies fuelled their need for paraphernalia so that their dependence on such items became important aspects of their parenting and breastfeeding experiences.   Dr. Taylor and her co-authors  offer new insights into how advertising influenced mothers’ need for specialist equipment and services. Observing mothers in their video diaries, provided valuable insights into their parenting styles and how this affected their breastfeeding experience.

The International Breastfeeding Journal is an Open Access journal owned by Springer.

 

References:

  1. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K. (2020) Commercialisation and commodification of breastfeeding: video diaries by first-time mothers, International Breastfeeding Journal (accepted).
  2. 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.
  3. Taylor, A.M., 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

Nepal reproductive health paper published yesterday

international, Publishing, student research, writing

Congratulations on the latest paper published yesterday by Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Reproductive Health (CMMPH) and colleagues.   This paper ‘Factors associated with contraceptive use in rural Nepal: Gender and decision-making’ [1], is freely available for the next 49 days through our personalized link: click here! 

 

This research paper in the journal Sexual and Reproductive Healthcare reports on a secondary analysis of pas a quantitative cross-sectional study in four villages of a hilly district in Nepal.  This authors found that gender was associated with current/ever use of contraceptives but decision-making was not found associated with current/eve use of contraceptives.  And, as perhaps was to be expected, socio-economic factors such as husband’s and wife’s education; and indicators showing sharing of childcare responsibilities were found to be associated with contraceptive use.   the paper concludes that educational, health promotional and family planning programmes involving husbands are needed to promote use of contraceptives.


Preeti’s co-authors are based at Dorset County Hospital in Dorchester, at CMMPH and at Singapore Clinical Research Institute/Duke-NUS Graduate Medical School, Singapore.

 

Reference:

  1. Mahato, P., van Teijlingen, E., De Souza, N., Sheppard, Z. (2020) Factors associated with contraceptive use in rural Nepal: gender and decision-making, Sexual & Reproductive Healthcare 24: 100507 https://doi.org/10.1016/j.srhc.2020.100507

 

Medical textbook translated into Spanish

Centre for Excellence in Learning, international, Publishing, writing

This week saw the publication of Psicología y sociología aplicadas a la medicina [1].  This is a translated version of the fourth edition of Psychology & Sociology Applied to Medicine: An Illustrated Colour Text  [2] which was published last year by the international publishing house Elsevier.  This textbook for medical students is edited by Bournemouth University’s Prof. Edwin van Teijlingen, who is a Medical Sociologist and Prof. Gerry Humphries, who is Professor in Health Psychology at the School of Medicine, University of St Andrews.

Una sólida herramienta que aporta a los lectores valiosos conocimientos sobre los provesos psicológicos y sociológicos, fundamentales para proporcionar una atención personalizada.  Obra extremadamente relevatne para el currículo y la práctica médica actual, donde se hace cada vez más hincapié en el lugar que ocupa la medicina en la sociedad y en la enfermedad como producto de las circunstancias psicológicas y sociales, más que como un mero fenómeno biológico.   Los temas se presentan resumidos visualmente enuna doble página. Se acompañan con casos que refuerzan la comprensión de los conceptos fundamentales y con cuadros resumen y cuestiones para la reflexión.   Ayuda a apreciar el lado “no científico” de la medicina; lo importante que es entender de dónde viene el paciente, geográfica e ideológicamente. Además, aborda a la perfección temas tan actuales, como las dificultades sociales derivadas de las pruebas genéticas.

References:

  1. van Teijlingen, E. & Humphris, G. (Eds.) (2020) Psicología y sociología aplicadas a la medicina (Spanish translation), Madrid: Elsevier España [ISBN 978-84-9113-674-3/eISBN 978-84-9113-713-9].
  2. van Teijlingen, E. & Humphris, G. (Eds.) (2019) Psychology & Sociology Applied to Medicine: An Illustrated Colour Text (4th Edn), Edinburgh: Elsevier.

COVID-19 guidance for clinical researchers

NHS, Research Ethics

The Health Research Authority have released guidance for clinical researchers, sponsors and sites with regard to COVID-19 (Coronavirus) – please read this guidance if you are currently conducting your project or are in the planning stages/set-up of the study (so you are aware of the current situation).

This guidance is subject to change and will be updated as and when required by the HRA.

You can read the guidance in the link provided above, but for convenience, these are the most likely situations BU clinical researchers may face. Please ensure that in planning amendments that these do not create additional burden to NHS staff or resources.

Amendments to existing studies impacted by wider COVID-19 response 

  • Example – Where changes to administrative arrangements are required to reduce burden or physical contact with sites – for example, changes to monitoring arrangements.

How this should be handled – these are non-substantial amendments that do not require HRA/HCRW approval or NHS R&D agreement. Where the study involves the NHS, they will be marked by the sponsor as a category C amendment not requiring assessment, and sent directly to the sites. The site should implement the amendment on the date specified by the sponsor.

  • Example – Where changes are made to how or when patients are seen to avoid exposing patients or to reduce burden on clinical services – for example, changing site visits to phone calls or postal questionnaires.

How this should be handled – these are non-substantial amendments that do not require HRA/HCRW approval or NHS R&D agreement. The same procedure as the first example should be followed.

  • Example – Where a temporary halt needs to be placed on some or all of the study, or the duration of the study needs to be extended.

How this should be handled – these are non-substantial amendments that do not require HRA/HCRW approval or NHS R&D agreement. The same procedure as above should be followed.

  • Example – studies that need to be closed.

How this should be handled – for studies not involving provision of treatment to participants, a notification to the REC or study-wide review (for non-REC studies) should be provided, and an end of study report should subsequently be provided.
For any studies involving provision of treatment to participants, careful consideration should be given to post-study care. If this cannot be in line with the information provided in the participant-information sheet, a substantial amendment should be submitted.

To support sites in implementing the amendments it is important that:

  • The changes and local implications are made clear
  • Any changes to documentation are provided in tracked changes
  • In England and Wales All correspondence to sites should be copied to R&D/I department and the PI and delivery teams
  • Where indicated above, the sponsor should include the category and confirm that no assessment is required.

There may be some instances in which the site may raise issues or changes that need to be made. If they do, please inform the Sponsor as soon as possible.

What to do next

If you think that you may need to implement any changes or amendments to your study due to COVID-19 please get in touch with us as soon as possible. If you have any concerns or queries then please also get in touch to discuss these.

Latest NIHR-CRN podcast

Knowledge Exchange, NHS, Research Ethics

The latest podcast in the Health Research Futures series comes from Professor Julie Lovegrove. Professor Lovegrove is from the University of Reading and talks about the challenges of conducting nutritional research and overcoming them.