Tagged / HEMS

Verbal autopsy paper published two days ago

international, open access, Publishing, writing

Over the weekend the Nepal Journal of Epidemiology published our latest article on the health and well-being of migrant workers in Nepal, under the title Investigating the unresolved causes of sudden cardiac deaths among Nepalese labour migrants in Malaysia: A verbal autopsy study.  The lead author, Dr. Pramod Regmi, is Principal Academic-International Health in BU’s Faculty of Health, Environment & Medical Science.  His international co-authors are former BU academic Dr. Nirmal Aryal, Green Tara Nepal’s researcher Mr. Sankalpa Bhattarai, Prof. Erwin Faller who is Academic Director of Holy Child Central Colleges in the Philippines, Mr. Adrian Pereira and Mr. Bed Kuma Khatiwada from the North South Initiative (NSI) based in Malaysia, as well as BU’s Prof. Edwin van Teijlingen.  HEMS academics have been collaborating for a long time with Green Tara Nepal and NSI, both are non-governmental organisations working for marginalised groups.

The paper explored (a) the circumstances surrounding unexplained deaths of Nepalese migrant workers in Malaysia and (b) potential contributing factors.  Following public and patient involvement and engagement (PPIE) activities with key stakeholders and Nepalese migrant communities in Malaysia, we conducted a verbal autopsy study of 57 friends, roommates, and relatives of 40 Nepalese nationals who had died unexpectedly in Malaysia.

Since the overwehelming majority of Nepalese labour migrants is male, it was not surprising that most of the deceased were men (92.5%, n=37), with a mean age of 34.5 years (SD 8.3) and a mean duration of employment in Malaysia of 5.9 years (SD 4.4). Only 40.0% (n=16) reportedly received a regular weekly rest day, while 80.0% (n=32) worked more than 8 hours per day. Among those who consumed alcohol (n=33), one-third (33.3%, n=11) drank daily. More than half of the deceased (55.0%, n=22) had at least one pre-existing health condition, most commonly hypertension (32.5%, n=13), followed by diabetes (7.5%, n=3).  The authors conclude that circumstances surrounding sudden deaths among Nepalese migrant workers in Malaysia suggest a potential contribution from cardiovascular risk factors, lifestyle behaviours, and adverse working conditions. Reducing this burden will require targeted health-promotion interventions, improved prevention and management of cardiovascular risk factors, stronger occupational health protections, and measures to prevent the production and consumption of counterfeit alcohol.

The Nepal Journal of Epidemiology is an Open Access journal hence the paper will be freely available to anybody interested in the health and well-being of migrnat workers.   

Reference

  1. Regmi, P.R., Aryal, N., Bhattarai, S., Faller, E.M., Pereira, A., Khatiwada, B.K., van Teijlingen, E. (2026). Investigating the unresolved causes of sudden cardiac deaths among Nepalese labour migrants in Malaysia: A verbal autopsy study. Nepal Journal of Epidemiology, 16(3), 1534-1547. https://doi.org/10.3126/nje.v16i3.99396 16(3), 1534-1547. https://doi.org/10.3126/nje.v16i3.99396

Three CMWH presentations at Berlin conference

international, PG research, student research, Women's Academic Network, writing

Two Ph.D. students and one member of staff from Bournemouth University’s Centre for Midwifery & Women’s Health (CMWH)  presented their work at the 25th International Normal Labour and Birth Research Conference held in mid-September 2026 in Berlin.  Ph.D. student and CMWH midwifery lecturer Kate Burgess presented her poster ‘Sustaining Maternity Care: Intrapartum Leadership, Teamwork and Workforce Wellbeing’.  This poster shared her on-going literature review on how leadership and teamwork influence midwives’ courage and capacity to provide personalised care during labour. 

Whilst Joanne Rack presented work from her clinical doctorate ‘Beyond the Risk Label: Communication, Autonomy and Care for Women of Advanced Maternal Age’.   Joanne’s Ph.D. research (the ParentAge Study) started from an important observation: births to women aged 40+ are at record levels in the UK, these women consistently experience increased morbidity and yet report limited risk discussions, unmet information needs, and anxiety-provoking encounters with maternity services. This, combined with the last three MBRRACE reports, that have repeatedly identified this as a discrete and growing population at increased risk of poorer mortality outcomes.

Furthermore, CMWH academic Dr. Dominique Mylod presented ‘The Early Labour App as a Digital Solution: Ten Lessons Learned’ based on midwifery research conducted with Prof. Vanora Hundley.  The Early Labour App is in development as an innovative digital tool which combines evidence-based strategies to support families in preparing for early phase labour. It includes a dedicated website, an educational video to promote birth ball use and a Slow and Deep Breathing visual graphic. The project has been underpinned by co-creation since its inception, involving women, birth partners and midwives, with the recognition that current service users are the first digital natives. This collaboration has validated the app concept and informed the content, structure and design of the app.

 

Well done!

Prof.Edwin van Teijlingen

 

BU PhD student presented at World Safety Conference in South Africa

conferences, international, PG research, student research

PhD student Mr. Md. Shafkat Hussain was invited to present at the World Conference on Injury Prevention and Safety in South Africa at the beginning of September.  Shafkat based in the Faculty of Health, Environemnt & Medical Science (HEMS) is conducting hs PhD on the use of human-centred design in drowing prevention interventions and programmes aimed at children under the age of two, which is part of our NIHR-funded Sonamoni project.

The SONAMONI Project is a large interdisciplinary research project co-ordinated by Bournemouth University (BU) and CIPRB (Centre for Injury Prevention and Research, Bangladesh) to help reduce drowning in young children (under the age of two) in rural Bangladesh.  The SONAMONI project is a collaboration between BU, CIPRB, the University of the West of England, the University of Southampton, the RNLI (Royal National Lifeboat Institution) and Design Without Borders (Uganda).

This £1.6m project has been made possible thanks to a UK grant from the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. This exciting four-year project will run until February 2027.

Three NIHR Internships awarded at BU

Awarded & submitted bids, NHS, PG research, Women's Academic Network

Congratulations to Susara Blunden, Christinia Bempomaah and Rebecca Lovedale who has been awarded an NIHR Internship starting the end of September at Bournemouth University (BU).
Christinia Bempomaah is cancer nurse at University Hospitals Dorset NHS Foundation Trust (UHD) her supervisor will be Dr. Lindsay Welch, Associate Professor of Nursing Practice, in a joint BU-UHD appointment, with a second supervisor to be appointed.
Susara is a research delivery midwife with UHD as well as a M.Res. student at BU.  During her internship she will be undertaking PPIE looking at the acceptability of using AI to measure blood pressure in pregnancy. This will focus on working with communities whose maternal and neonatal outcomes are most affected by hypertensive diseases of pregnancy in coastal and rural communities.  Susara will be supported by Dr. Kate Jupp and Prof. Mel Hughes at BU’s Public Involvement in Education & Research (PIER) team, Dr. Lindsay Welch, and Prof. Edwin van Teijlingen.

Whilst Rebecca Lovedale is an Advanced Nurse Practitioner at Dorset HealthCare University NHS Foundation Trust (DHCUFT) her focuses for the NIHR internship with be on urgent care and her supervisors will be Dr. Lindsay Welch as well as BU’s Senior Lecturer In Paramedic Science, Dr. Pete Phillips.
Congratulations to all.

Prof. Dr. Edwin van Teijlingen

UKCGE Recognised Research Supervisor

New paramedic science paper by BU’s Dr. Ursula Rolfe

NHS, writing

Congratulations to Dr. Ursula Rolfe in the Faculty of Health, Environment & Medical Science on the publication of her latest paper ‘Paramedics’ management of people experiencing mental health issues: An investigation of knowledge gaps and support needs in England‘ [1].  The paper is co-authored with colleagues from the University of Southampton and the NIHR Applied Research Collaboration, Wessex.  The paper highlights that demand for mental health care from U.K. ambulance services is increasing, yet paramedics report feeling underprepared to manage these presentations. This study aimed to identify knowledge gaps, educational needs, and systemic factors shaping frontline paramedics’ ability to provide mental health care in England, examining: (1) mental health education and training at pre- and post-registration levels; and (2) paramedics’ experiences of managing mental health presentations. A two-phase mixed-methods design was employed across the country.
Congratulations!
Prof. Edwin van Teijlingen
Centre for Midwifery & Women’s Health
Reference:
Zecchinato, F., Rolfe, U., Sloan, H, Campling, N. (2026) Paramedics’ management of people experiencing mental health issues: An investigation of knowledge gaps and support needs in England, Paramedicine [ONLINE FIRST]   https://doi.org/10.1177/27536386261467717

BU academics publish in Nepal national newspaper

Delicious links, international

Dr. Pramod Regmi and prof. Edwin van Teijlingen had a long article published today related to their work on migrant workers in Nepal.  The article ‘Nepal’s migrant workers: Data the new government can’t ignore’ appeared in both the print edition and the online version of The Kathmandu Post, which is one of the three English-language national papers in Nepal.  Both academics are based in the Faculty of Health, Environment & Medical Sciences.
https://kathmandupost.com/columns/2026/04/15/working-abroad-comes-at-a-cost-to-migrant-workers-health

New BU Physiology paper

BRIAN, PG research, writing

Congratulations to HEMS’s Dr. Malika Felton, Dr. Vikram Mohan and Prof. Vanora Hundley on the recent publication of their academic paper ‘Acute cardiovascular responses to slow and deep breathing in normotensive men and women‘ [1].  The BU authors outline that there differences in cardiovascular responses to different methods of slow and deep breathing (SDB) delivery.  They query whether utilising a multi-parametric approach to measuring cardiovascular variables reveal new/different responses.  Their key findings are that all SDB conditions elicited similar cardiovascular responses to each other when compared with spontaneous breathing. However, lower breathing frequencies elicit greater blood pressure oscillations, and higher breathing frequencies (∼8 breaths min−1) may not fully optimise cardiovascular responses. This has implications on the practice of SDB for management of hypertension.

Well done!

Prof.Edwin van Teijlingen

Reference:

  1. Felton, M., Mohan, V., & Hundley, V. A. (2026). Acute cardiovascular responses to slow and deep breathing in normotensive men and women. Experimental Physiology, 01–24. https://doi.org/10.1113/EP093086

Prof Marahatta promoting BU-Nepal collaboration

international, Publishing, writing

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

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

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

References:

  1. Simkhada B, Mackay S, Khatri R, Sharma CK., Pokhrel T, Marahatta SB., Angell C, van Teijlingen E, Simkhada P. (2016) Continual Professional Development (CPD): Improving Health Prospect15 (3):1-3.
  2. Khatri, RJ, van Teijlingen, E, Marahatta, SB, Simkhada, P, Mackay, S and Simkhada, B. Exploring the Challenges and Opportunities for Continuing Professional Development for Nurses: A Qualitative Study with Senior Nurse Leaders in Nepal. Journal of Manmohan Memorial Institute of Health Sciences. 2021 7(1):15-29. 
  3. Simkhada B, van Teijlingen E, Pandey A, Sharma CK, Simkhada P, Singh DR (2023) Stakeholders’ Perceptions of Continuing Professional Development among Nepalese Nurses: A Focus Group Study Nursing Open.10(5).
  4. Simkhada B, van Teijlingen E, Sharma C, Pandey A, Simkhada P. (2023) Nepal needs Continuing Professional Development for Re-registration in Nursing and Midwifery Journal of Nepal Health Research Council, 21(60):541-42.
  5. Clark CJ, Marahatta SB, Hundley VA. (2024) The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth. PLoS ONE 19(8): e0308129. https://doi. org/10.1371/journal.pone.0308129.

Interdisciplinary research: Not straightforward?

Fusion themes, international, Publishing, REF Subjects, writing

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

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

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

 

 

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

 

References:

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

BU to contribute to international midwifery workshop in 2026

Awarded & submitted bids, international, Women's Academic Network

This week Dr. Laura Iannuzzi, who is Senior Lecturer in the Centre for Midwifery & Women’s Health, was informed by the International Confederation of Midwives (ICM) that the proposed workshop ‘Rest or arrest? A workshop to advance knowledge and skills to support women, families and teams when dealing with a slowing or pausing of labour’ has been accepted for the ICM conference in 2026.  This workshop in Portugal will be run in collaboration with Laura’s international colleagues Prof. Marina Weckend and Ms. Anna Maria Rossetti.  

Congratulations!

Prof. Edwin van Teijlingen