- Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.
This week we had this enviable record of two academic papers on health topics being rejected the day after submission. The first paper was submitted on Monday to Issues in Mental Health Nursing. Our paper reported the Content Analysis of a review of the nursing curricula on mental health and maternity care issues in Nepal. The journal editor emailed us the next day to inform us that the topic was interesting, but not relevant enough to the journal’s readers.
The second paper submitted by a different configuration of staff was submitted last Friday to the Journal of Youth & Adolescence. The second paper reported a qualitative study on students views on abortion in the south of England. This journal’s rapid reply came the next day (yesterday) stating that:
Unfortunately, the editors have completed an internal review of your study and have deemed your manuscript inappropriate for our journal. Although your manuscript has important strengths, the journal has moved away from supporting qualitative work (unless it would be part of a journal special issue). Please rest assured that our decision has nothing to do with the quality of your study or findings.
On both occasion we had discussed potential journals and we thought we had targeted appropriate journals for the respective manuscripts. Moreover, in both manuscripts we managed to cite at least one paper published in the journal to which we had submitted it. The general message to my colleagues is that it does not matter how many papers you have written and submitted, you will: (1) occasionally opt for the wrong journal; (2) continue to face regular rejection by journal editors; and (3) have an opportunity to submit to another journal.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Congratulations to BU PhD student Dimitrios Vlachos who had his PROSPERO protocol published . Dimitrios working on a project promoting the Mediterranean-style diet in childbearing age, he is supervised across faculties by Dr. Fotini Tsofliou and Prof. Katherine Appleton.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Congratulations to Denyse King, who is currently attending the Future Technologies Conference, FTC 2018; Vancouver, BC; Canada (15-16 November). Her conference paper ‘NoObesity apps – From approach to finished app’ has been published in Advances in Intelligent Systems and Computing . Denyse is part of the Centre for Midwifery, Maternal & Perinatal Health (CMMHP) where she is a Lecturer (Academic) in Midwifery based at BU’s campus in Portsmouth ,
Obesity is still a growing public health problem in the UK and many healthcare workers find it challenging to have a discussion with service users about this sensitive topic. They also feel they are not competent to provide the relevant heath advice and are seeking easily accessible, evidence-based, mobile health learning (mHealth). mHealth applications (apps) such as the Professional NoObesity and Family NoObesity (due for release late 2018), have been designed to: support families with making sustainable positive behaviour changes to their health and well-being, ease pressure on practitioners’ overweight and obesity care related workloads, as well as to support the education of professionals, students and service users. This paper describes the process of designing the apps from the inception of the idea, through the stages of research, app builds and testing. The processes of collaborative working to design and develop the apps to meet the needs of both service users and health professionals will also be reflected upon. Childhood obesity is an complex problem and whilst it is recognised that the NoObesity apps cannot singlehandedly resolve this health crisis, it is proposed that they can support families to identify and reduce the barriers that prevent them from living healthier, happier lives.
King D., Rahman E., Potter A., van Teijlingen E. (2019) NoObesity Apps – From Approach to Finished App. In: Arai K., Bhatia R., Kapoor S. (eds) Proceedings of the Future Technologies Conference (FTC) 2018. FTC 2018. Advances in Intelligent Systems and Computing, vol 881. Springer, Cham, pp. 1145-1157.
Congratulations to Lesley Milne, senior lecturer in midwifery, on the acceptance of her latest paper on maternity care in Nepal. This new paper ‘Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal’ will appear soon in the Open Access publication: Journal of Asian Midwives . This is the second publication from a qualitative research study undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff .
The study received financial support from Wellbeing of Women and the RCM (Royal College of Midwives) as Lesley won their first International Fellowship Award. The study was a collaboration led by Lesley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with two of FHSS’s Visiting Faculty, namely Prof. Padam Simkhada who is based at Liverpool John Moores University and Jillian Ireland, Professional Midwifery Advocate based at Poole NHS Hospitals Foundation Trust.
Profs. Vanora Hundley & Edwin van Teijlingen
Congratulations to Amy Miller! At the British Chiropractic Council’s annual conference 13-14th October, Bournemouth University PhD student Amy Miller was awarded the British Chiropractic Association’s award of ‘Chiropractor of the Year 2018-19’ for her contributions to research and engagement.
Amy is based in the Faculty of Health & Social Sciences (FHSS). Her PhD is investigating an inter-professional student-led breastfeeding clinic for student learning, and breastfeeding outcomes and experiences. Amy is supervised by Associate Professor Sue Way, Senior Lecturer in Midwifery Dr. Alison Taylor and Prof. Edwin van Teijlingen all based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The British Chiropractic Association’s award for Chiropractor of the Year recognises individuals who have made a significant contribution to the profession.
As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal. The journal is fully Open Access and does not charge a submission or processing fees! All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository. The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles. Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.
What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations. Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B. The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers. Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
Nursing and midwifery both featured in Parliament last week.
Last Wednesday the First Minister of Scotland, Nicola Sturgeon, announced an increase in bursaries (to £10,000) for Scottish student midwives and nurses to help cover accommodation and living expenses.
The Royal College of Midwives Scotland Director, Mary Ross Davie, commented: “This is great news and a forward thinking and important announcement…Let us not forget that in England student midwives and nurses do not get any bursary at all, which makes this increase for Scotland even more progressive. This also comes on the back of the best pay award for NHS midwives and nurses in the UK, another important step to ensuring we retain the midwives we have…I would urge the government in England to rethink their decision to take away bursaries in England.”
Suzanne Tyler, Executive Director for Services to Members at the Royal College of Midwives, responded to the announcement: “The announcement is simply great news for student midwives in Scotland…It frankly should shame the Government in England who have taken away bursaries for England’s student midwives, who also have to pay tuition fees. This leaves them tens of thousands of pounds in debt when they qualify.
This is even more worrying given the large shortage of midwives in England, and sits at odds with the Government’s commitment to bring 3000 more midwives into the NHS in England. The RCM [Royal College of Midwives] repeats its call for this Government to give our student midwives and nurses their bursaries back. So that we can attract people into the profession and so that the Government can meet their promise of 3000 more midwives for England.”
There were also two relevant parliamentary questions:
Q – Paula Sherriff: To ask the Secretary of State for Education, how many mental health nursing students have started degree apprenticeships in the 2018-19 academic year.
A – Anne Milton: In the 2017/18 academic year reported to date (from August 2017 to April 2018), 260 apprenticeship starts were recorded for the standard ‘Registered Nurse’. This is the level 6 degree apprenticeship approved for delivery on 9 May 2017. Mental health nursing remains an optional element within the nursing apprenticeships.
Additionally, there have been 640 apprenticeship starts reported to date (from August 2017 to April 2018) for the standard ‘Nursing Associate’ (level 5 apprenticeship standard, approved for delivery on 20 November 2017; note that we class apprenticeships at level 6 and above as ‘degree-level’). There were no starts on these standards in the 2016/17 academic year. Full final year data for the 2017/18 academic year will be available in November 2018 and data covering 2018/19 will be available in January 2019.
In England, there have been 64,830 apprenticeship starts in the Health, Public Services and Care sector subject area reported to date in the first three quarters of the 2017/18 academic year (August 2017 to April 2018). This data can be accessed at the following link: https://www.gov.uk/government/collections/further-education-and-skills-statistical-first-release-sfr .
We want to increase the number of nursing apprenticeships and now have a complete apprentice pathway from entry level to postgraduate advanced clinical practice in nursing. This will support people from all backgrounds to enter a nursing career in the National Health Service (NHS).
We are working closely with employers, Health Education England and ministers in the Department of Health and Social Care to make sure the NHS is fully supported to recruit apprentices, both in nursing and in a range of various occupations.
Q – Paula Sherriff: To ask the Secretary of State for Health and Social Care, how many students started mental health nursing degree courses in the 2018-19 academic year.
A – Matt Hancock: The Universities and Colleges Admissions Service (UCAS) collect data on acceptances to mental health nursing degree courses.
Acceptances for 2018/19 entry can still be made until the end of clearing on 23 October 2018.
The final number of acceptances for mental health nursing degree courses for 2018/19 will be available following the publication of end of cycle data by UCAS in December 2018.
Congratulations to Dr. Alison Taylor whose PhD paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers‘ has just appeared online . This paper, in Women and Birth (published by Elsevier), was co-authored with her PhD supervisors Prof. Emerita Jo Alexander, Prof. Kath Ryan (University of Reading) and Prof. Edwin van Teijlingen.
The paper highlights that despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly. Alison’s study explored in a novel way the everyday experiences of first-time breastfeeding mothers in the early weeks following birth. Five UK mothers were given a camcorder to capture their real-time experiences in a video diary, until they perceived their infant feeding was established. This meant that data were collected at different hours of the day by new mothers without a researcher being present. Using a multidimensional approach to analysis, we examined how five mothers interacted with the camcorder as they shared their emotions, feelings, thoughts and actions in real-time. In total mothers recorded 294 video clips, 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. The paper concludes that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic and that more research is needed into how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.
Alison is Senior Lecturer in Midwifery and a member of the Centre for Midwifery, Maternatal & Perinal Health.
We were pleased to announce earlier in the year that the National Institute for Health Research (NIHR) has awarded us a further five years of funding to continue our work as the RDS South West. Today marks the beginning of our third five-year contract.
This NIHR funding allows RDS advisers in the South West to continue offering free and confidential advice, drawing on a unique breadth of experience and established track record in improving funding applications.
Please see our latest BUCRU/CoPMRE newsletter or find out more about how we could help you by visiting RDS SW website or contacting the RDS South West Bournemouth Office hosted within BUCRU (Bournemouth University Clinical Research Unit):
Room R505, Royal London House
Dorset, BH1 3LT
Tel: 01202 961939
Congratulations to Dr. Rachel Arnold on the acceptance by Social Science & Medicine (published by Elsevier) of the second paper based on her PhD on maternity care in Afghanistan . This interesting ethnography explores the experiences, motivations and constraints of healthcare providers in a large public Afghan maternity hospital. Arnold and colleagues identify barriers and facilitators in the delivery of care. Under the surface of this maternity hospital, social norms were in conflict with the principles of biomedicine. Contested areas included the control of knowledge, equity and the primary goal of work. The institutional culture was further complicated by pressure from powerful elites. These unseen values and pressures explain much of the disconnection between policy and implementation, education and the everyday behaviours of healthcare providers.
Improving the quality of care and equity in Afghan public maternity hospitals will require political will from all stakeholders to acknowledge these issues and find culturally attuned ways to address them. The authors argue that this notion of parallel and competing world-views on healthcare has relevance beyond Afghanistan. The paper co-authored by (a) Prof. Kath Ryan, Professor of Social Pharmacy at the University of Reading and Visiting Professor in FHSS, and BU’s Professors Immy Holloway and Edwin van Teijlingen.
Two days ago the Open Access journal BMC Pregnancy & Childbirth published an important article on women with disabilities and their experiences with the maternity services when pregnant . The new paper ‘Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ has been co-authored by BU’s Dr. Jenny Hall (Centre for Excellence in Learning/CEL) and Prof. Vanora Hundley (Centre for Midwifery, Maternal & Perinatal Health/CMMPH) in collaboration with Dr. Bethan Collins (formerly of BU and now based at the University of Liverpool) and BU Visiting Faculty Jillian Ireland (Poole NHS Foundation Trust). The project was partially funded by the charity Birthrights and Bournemouth University.
Women’s experiences of dignity and respect in childbirth revealed that a significant proportion of women felt their rights were poorly respected and that they were treated less favourably because of their disability. The authors argue that this suggests that there is a need to look more closely at individualised care. It was also evident that more consideration is required to improve attitudes of maternity care providers to disability and services need to adapt to provide reasonable adjustments to accommodate disability, including improving continuity of carer.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
Congratulations to PhD student Mrs Preeti Mahato who has a research methods paper published based on her PhD study in Nepal . In the areas of health promotion and health education, mixed-methods research approach has become widely used. In mixed-methods research, also referred to as multi-methods research, researchers combine quantitative and qualitative research designs in a single study. This paper introduces the mixed-methods approach for use in research in health education. To illustrate this pragmatic research approach the paper includes Preeti’s thesis as an example of mixed-methods research as applied in Nepal.
The paper, in the Journal of Health Promotion, is co-authored by Preeti’s PhD supervisors Dr. Catherine Angell and Prof. Edwin van Teijlingen (both in the Centre for midwifery, Maternal &Perinatal Health) and BU Visiting Faculty Prof. Padam Simkhada.
Congratulations to Prof. Vanora Hundley of FHSS on the publication of her ‘Editorial midwifery special issue on education: A call to all the world’s midwife educators!’ in Midwifery (Elsevier). This editorial is co-authored by midwives Franka Cadée of the International Confederation of Midwives (ICM) and Mervi Jokinen of European Midwives Association (EMA). The editorial was written to accompany a Special Issue of the journal focussing on midwifery education. The Midwifery Special Issue addresses a wide range of topics from across the globe. Whilst the editorial explores the challenges for midwifery educators from three diﬀerent midwifery perspectives: (1) political; (2) academic ; and (3) professional association.
Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics. The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany. Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).
Prof. Edwin van Teijlingen
In the first week of July Bournemouth University ran its second international midwifery education conference in the Executive Business Centre. This year’s conference was called ‘What works in midwifery education? A conference run by midwifery educators for midwifery educators.’ CMMPH (Centre for Midwifery, Maternal & Perinatal Health) brought together nearly 100 delegates on Thursday and Friday (July 5-6). There were presentations and posters from midwifery educators based in in all four countries of the UK, Germany, Belgium, Switzerland and Australia, resulting in lively stimulating debates.
The conference organisers has teamed up with the leading scientific journal in the field Midwifery (published by Elsevier). To coincide with BU’s conference Midwifery published this month its special issue on Midwifery Education. This special issue was introduced at the conference by Dutch midwife Dr. Ans Luyben, one of the special issue’s editors.
The conference awarded two prizes for the best poster. One prize was for the best academic poster and one voted by the conference audience. The former prize was won by a poster from NHS Education for Scotland. The public’s poster prize was won by a poster from the University of Bradford jointly produced by film students and student midwives.
The main conference organisers Dr. Catherine Angell and Dr. Sue Way from CMMPH said afterwards that the success of the conference means that CMMPH will organise a third midwifery education conference run for and by educators in three years’ time.
Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in poorer countries. The paper addresses mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. This exciting paper has 51 references including several linking to BU publications on research in Africa [2-3] and several papers related to South Asia [4-6], particularly highlighting the recently completed THET project that was led by BU [4-5].
The authors highlight that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. The authors suggest that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal and Perinatal Health (CMMPH)
Click here to view the full publication.