Tagged / Prof. Edwin van Teijlingen

Successful Introduction to Research Day at BU

Yesterday Dorset Healthcare University NHS Foundation Trust held an away day for its clinical staff to learn more about health research.  The event was hosted by the Faculty of Health & Social Sciences on its Lansdowne Campus.  The organiser, Dr. Ciarán Newell, a Consultant Nurse Eating Disorders as well as Dorset Healthcare’s Facilitator for Research and Development organised the event to increase research collaborations between Dorset Healthcare and Bournemouth University. 

Our guests were offered a very varied programme with many FHSS staff (as well as one of our Psychology colleagues) presenting their own research or research-related services available at the university.  We hope this event will lead to further fruitful collaborations between the NHS and the university in the near future.

TIME SESSION FACILITATOR
9.30am Welcome Dr. Ciarán Newell
9.40am What research means to me: Patient Research Ambassador (PRA) Anna Glanville-Hearson
10.10am Health & Social Care Research at BU: overview

·        Strategic Investment Areas

·        Departments / Research Centres

Prof. Edwin van Teijlingen
10.30am Research at Dorset HealthCare University NHS Trust: an overview Dr Paul Walters   Clinical Lead, R&D
10.50am Research Design Service & BU Research Support Prof. Peter Thomas
11.00am COFFEE BREAK
11.15am Mixed-methods & qualitative research Prof. Edwin van Teijlingen
11.30am What Bournemouth University Library can offer Caspian Dugdale
11.50am Postgraduate Studies at BU Dr. Sharon Docherty
12.20am Research into health of BAME communities Dr. Bibha Simkhada
12.30pm LUNCH
1.30pm Trust Research & Development team: how can we help you with your research? Dr. Ciarán Newell, Facilitator, R&D

Irene Bishton, Lead Research Nurse

2.15pm

2.25pm

2.35pm

Research into: Nutrition/Dementia/Ageing

Pain research

Smoking cessation & baby dolls

Prof. Jane Murphy

Dr. Carol Clark

Dr. Humaira Hussain

2.45pm TEA BREAK
3.00pm Clinical Academic Support (links to Wessex) Prof Vanora Hundley
3.15pm Academic Writing & Publishing Prof Edwin van Teijlingen
4.15pm Psychology: Mental health research Dr. Andy Mayers
4.30pm Close – Questions & Answers Prof. Edwin van Teijlingen / All

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

Migration & health research in Middle East & Malaysia

Yesterday the Journal of Immigrant and Minority Health published the final version of Dr. Pratik Adhikary’s paper ‘Workplace Accidents Among Nepali Male Workers in the Middle East and Malaysia: A Qualitative Study’ [1].  This is the fourth paper originating from Pratik’s Ph.D. research conducted in the Faculty of Health & Social Sciences, the first three papers appeared in the period 2011-2018 [2-4].

The paper highlights that many Nepali men work in the Middle East and Malaysia and media reports and anecdotal evidence suggests they are at a high risk of workplace-related accidents and injuries for male Nepali workers.   Pratik’s Ph.D. study used face-to-face interviews to explore the personal experiences of twenty male Nepali migrants of unintentional injuries at their place of work.  His study found that almost half of study participants experienced work-related accident abroad. The Participants suggested that the reasons behind this are not only health and safety at work but also poor communication, taking risks by workers themselves, and perceived work pressure. Some participants experienced serious incidents causing life-long disability, extreme and harrowing accounts of injury but received no support from their employer or host countries.

The paper concludes that Nepali migrant workers are at a high risk of occupational injuries owing to a number of interrelated factors poor health and safety at work, pressure of work, risk taking practices, language barriers, and their general work environment. Both the Government of Nepal and host countries need to be better policing   existing policies; introduce better legislation where necessary; ensure universal health (insurance) coverage for labour migrants; and improve preventive measures to minimize the number and severity of accidents and injuries among migrant workers.

 

References:

  1. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  2. Adhikary P., Keen S., van Teijlingen E (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75. www.hsj.gr/volume5/issue3/532.pdf
  3. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  4. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105.  https://doi.org/10.1108/IJMHSC-12-2015-0052

 

BMC blog on latest HSS paper

Dr. Rachel Arnold’s recent paper in BMC Pregnancy & Childbirth was highlighted in a blog promoted by the publisher.  The paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care‘ reports on the everyday lives of maternal healthcare providers working in a tertiary maternity hospital in Kabul, Afghanistan (1). BMC Pregnancy & Childbirth is an Open Access journal so the paper is available free of charge to anybody in Afghanistan (and elsewhere) with an internet connection.  The aim was to understand the staff’s notions of care, their varying levels of commitment to providing care for women in childbirth, and the obstacles and dilemmas that affected standards, and thereby gain insight into their contributions to respectful maternity care, whether as ‘villains’ or as ‘victims.’

Dr. Arnold is Postdoctoral Midwifery Researcher in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  This is the third paper from Rachel’s excellent PhD project, the previous two papers appeared in BJOG and Social Science & Medicine (2-3).

Click here for BMC Blog post:

Villains or victims? The role of maternity staff in decreasing or enhancing respectful care

Reference:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care, BMC Pregnancy & Childbirth 19 :307 https://rdcu.be/bPqlj
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. 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.

 

Promoting Nursing CPD in Nepal

Bournemouth University facilitated a Strategic planning meeting to develop a Continuing Professional Development (CPD) Framework for Nepal last week in Kathmandu. The planning meeting was held on 30th July 2019 at the Institute of Medicine IOM Maharajgunj Nursing Campus.  Midwifery is not formally recognised in Nepal, i.e. as a profession separate from nursing, therefore when refer to nursing CPD in this blog we mean both ‘nurses’ and ‘nurse-midwives’.

Bournemouth University is collaborating in this project with Liverpool John Moores University (LJMU) in the UK, the IOM Nursing Campus, the Nursing Association of Nepal (NAN), MIDSON, the Nepal Nursing Council (NNC) and several other key stakeholders in Nepal to support nursing regulatory bodies to establish mandatory CPD and/or post-registration training programmes relevant to their current practice in nursing. 

The Bournemouth team (led by Dr. Bibha Simkhada with Prof. Edwin van Teijlingen and Dr.Pramod Regmi) argued that CPD offers nurses the opportunity to maintain, improve and broaden knowledge, expertise and develop their personal and professional qualities to enhance practice and career development. Nepal has had limited process and progress in ensuring CPD for nurses and the uptake of post-registration education and training  programmes or CPD tends to be ad hoc.  Generally, CPD in Nepal remains under-developed as showing evidence of having received CPD is not currently a requirement of nurses when they re-register every five year.

This project is a good example of a BU FUSION project as our earlier Research in the form of a needs assessment will to the introduction of CPD which is of course, post-registration Education in nursing, helping to improve Practice in a low-income country.  We think we have had at least some impact on nursing in Nepal as the general feeling of our strategic planning meeting positive towards introducing CPD in the near future in Nepal.

 

 

BU PhD student Peter Wolfensberger has article accepted in Brit J Mental Health Nursing

Congratulations to FHSS PhD student Peter Wolfensberger whose article ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’ was accepted yesterday by the British Journal of Mental Health Nursing [1].   The paper introduces the concept of ‘uncertainty in illness’, which is a well-known concept in health care literature  and a considerable volume of research has investigated how people adapt to different health conditions and how the concept of uncertainty in illness relates to those populations. However, while there is substantial literature focusing on coping strategies and personal recovery, there is a paucity of research about uncertainty in illness among people living with mental ill health. 

This paper therefore, explores uncertainty in illness among mental health nurses and to provide an understanding of its relevance to people living with mental ill health.  The paper concludes that even though mental health nursing does not directly address uncertainty, the concept and its implications need to be considered and raised further among mental health professionals in order to improve support for people living with mental ill health in their process of personal recovery.

This paper originated from Peter’s PhD research on insights into mental health nursing in Switzerland, which has had input from Prof Fran Biley (before he passed away) and Dr. Zoe Sheppard (before she moved to her new job in Dorchester).  His current BU supervisors are: Dr. Sarah Thomas and Prof. Edwin van Teijlingen and his Swiss supervisor is Prof. Sabine Hahn (Berner Fachhochschule/ Bern University of Applied Sciences).

 

Reference:

  1. Wolfensberger P. Thomas, S., Sheppard, Z., Hahn, S, van Teijlingen, E.  ‘Uncertainty in illness among people living with mental ill health – a mental health nursing perspective’  British Journal of Mental Health Nursing (Accepted)

 

 

 

 

Congratulations on academic paper by BU PhD student Orlanda Harvey

Congratulations to Orlanda Harvey, PhD student in the Faculty of Health & Social Sciences on her PhD publication “Support for people who use Anabolic Androgenic Steroids: A Systematic Scoping Review into what they want and what they access” in the Open Access journal BMC Public Health [1].  Since there is a paucity of research on support for people using Anabolic Androgenic Steroids (AAS), this article searched and synthesised the available evidence in this field. Gaining an understanding of the support both accessed and wanted by recreational AAS users will be of use to professionals who provide services to intravenous substance users and also to those working in the fields of public health and social care, with the aim to increase engagement of those using AAS.

This systematic scoping review identified 23 papers and one report for review, which indicated that AAS users access a range of sources of information on: how to inject, substance effectiveness, dosages and side effects, suggesting this is the type of information users want. AAS users sought support from a range of sources including medical professionals, needle and syringe programmes, friends, dealers, and via the internet, suggesting that, different sources were used dependent on the information or support sought.

The authors argue that AAS users tended to prefer peer advice and support over that of professionals , and access information online/specialist fora, reflecting the stigma that is experienced by AAS  users. These tendencies can act as barriers to accessing services provided by professionals.  The paper concludes that support needs to be specific and targeted towards AAS users. Sensitivity to their perceptions of their drug-use and the associated stigma of being classified in the same sub-set as other illicit drug users is relevant to facilitating successful engagement.

 

Reference: 

  1. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMS Public Health 19: 1024      https://rdcu.be/bMFon

 

 

New CMMPH publication on health promotion in post-earthquake Nepal

Today saw the publication of a new paper from an international research team from the UK, Japan and Nepal.  Our research article ‘Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal’ has been published in the Open Access journal PLoS ONE [1]. 

The paper reminds us that natural disasters often disrupt health systems affecting the whole population, but especially vulnerable people such as pregnant women, new mothers and their babies. Despite the global progress in maternal, newborn and child health (MNCH) programmes over the years, emergency responses after a disaster are often poor. Post-disaster health promotion could play an important role in improving MNCH outcomes. However, evidence remains limited on the effect of post disaster health promotion activities in low-income countries such as Nepal.

The paper reports on an post-disaster intervention study aimed at women in Nepal following the 2015 earthquake. In total, 364 mothers were recruited in the pre-intervention group and 377 in the post-intervention group. The post-intervention group was more likely to have knowledge of at least three danger signs in pregnancy (AOR [Adjusted Odds Ratio] = 2.96, P<0.001), at least three danger signs in childbirth (AOR = 3.8, P<0.001), and at least five danger signs in newborns (AOR = 1.56, P<0.001) compared to the pre-intervention group. The mothers in the post-intervention group were also more likely to ever attend ANC (AOR = 7.18, P<0.001), attend a minimum of four ANC sessions (AOR = 5.09, P<0.001), and have institutional deliveries (AOR = 2.56, P<0.001).

Religious minority groups were less likely to have knowledge of all danger signs compared to the majority Hindu group. Mothers from poorer households were also less likely to attend four ANC sessions. Mothers with higher education were more likely to have knowledge of all the danger signs. Mothers whose husbands had achieved higher education were also more likely to have knowledge of danger signs and have institutional deliveries.  The paper concludes that the health promotion intervention helped the disaster-affected mothers in improving the knowledge and behaviours related to MNCH. However, the authors also comment that vulnerable populations need more support to benefit from such intervention.

 

Reference:

Dhital R, Silwal RC, Simkhada P, van Teijlingen E, Jimba M (2019) Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal. PLoS ONE 14(7): e0220191. https://doi.org/10.1371/journal.pone.0220191

Dr. Rachel Arnold’s first paper as BU staff

Congratulations to Dr. Rachel Arnold in the Centre for Midwifery, Maternal & Perinatal Health who had her first paper accepted since she started working at BU two months ago. Her paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care’ is co-authored with her former PhD supervisors Professor Kath Ryan (BU Visiting Faculy), Professor Emerita Immy Holloway and CMMPH’s Professor Edwin van Teijlingen [1].  The paper is Open Access funded by Bournemouth University’s Open Access Fund which will help promote the visibility of the paper before REF 2021.

I was tempted to head this blog ‘Dr. Arnold only two months at BU and first paper published’, but I decide this would perhaps send the wrong message to other new BU staff.  Rachel completed her PhD in CMMPH and this is paper is the third publication from her thesis.  The other academic publications by Dr. Arnold on Afghanistan have been in BJOG and Social Science & Medicine [2-3].

 

References:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care ,     BMC Pregnancy and Childbirth (accepted).
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. 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.

New collaborative paper BU-NHS colleagues

The month saw the publication of the latest collaborative paper between FHSS academics, BU Visiting Faculty and NHS clinicians.  Our paper ‘Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom’ [1] is available for a free download from Elsevier until August 28, 2019. Till then no sign up, registration or fees are required, click here.

The authors, as part of the Modified Obstetric Warning Score (MObs) Research Group, lead by BU Visiting Faculty Richard Isaac, argue that obstetric observation charts in the UK contain poor design features. These charts have common errors such as an inappropriate use of colour, poor alignment and axes labelling.  Consequently, these design errors render charts difficult to use and could compromise patient safety. The article calls for an evidence-based, standardised obstetric observation chart, which should integrate ‘human factors’ and user experience.

This research team, earlier published ‘Vital signs and other observations used to detect deterioration in pregnant women: Analysis of vital sign charts in consultant-led maternity units’. [2]

References:

  1. Isaacs, R., Smith, G., Gale-Andrews, L., Wee, M., van Teijlingen, E., Bick, D.E., Hundley, V. on behalf of the Modified Obstetric Warning Score (MObs) Research Group. (2019) Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom, International Journal of Obstetric Anesthesia 39:60-67.
  2. Smith, G., Isaacs, R., Gale-Andrews, L., Wee, M., van Teijlingen, E., Bick, D., Hundley, V. (2017) Vital signs and other observations used to detect deterioration in pregnant women: Analysis of vital sign charts in consultant-led maternity units. International Journal of Obstetric Anesthesia 30: 44-51.

 

An epidemic of invitations

Once you have submitted you manuscript to a scientific journal, the editor has a (quick) look at it and sends it out for review.  As I remind students and colleagues in training sessions on academic writing and publishing, the editor and the peer reviewers are academics like me and my colleagues who do both the editing and the reviewing, for free and over and above the day job.  Being an editor and a reviewer are part of being any academic’s so-called scholarly activity.  We are expected to do this as part of the wider scientific community for the benefit of our academic discipline(s).

When an academic receives an invitation to peer review, the journal will send you a copy of the paper’s abstract.  On reading this abstract you then decide whether you wish to do the review.  If the paper sounds interesting and it is in your field and you have the time you may volunteer to conduct a review.  Once you have agreed you will get the full paper (or more likely you are send a link to the publisher’s website).  The requirements of the review report varies between disciplines and often between journals. Some follow an informal structure, but others have a more formal approach, sometimes with scoring systems for sections of the paper.

Unfortunately, academics across the globe are experiencing an ‘epidemic’ of invitations to review for scientific journals.  And I am not talking about so-called predatory publishers, i.e. journals and publishers that are only in it for the monetary gain, no I am talking about legitimate journals sending out invitations to review for them.   Especially scholars with a few decent publications receive several emails a week from often high quality scientific journals.  The photo of my email inbox shows three invitations in a row I received in the space of two hours last week (10th July), two are even from different Associate Editors for the same journal!

I would like to stress that doing peer reviews is very important.  It is the backbone of academic publishing.  Reviewing is part of our overall scholarly responsibility so we all do it, although some more than others.  We all have are favourite journals to review for, perhaps because the journal is high quality, or we like to publish in it ourselves, because we know the editor, or our reviewing is recognised on websites like KUDOS.  I would like to urge colleagues who don’t manage to review at least once a month to step up and agree to review a wee bit more often.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Congratulations to PhD student Alice Ladur

FHSS PhD student Alice Ladur has been awarded a small but very competitive grant by FfWG, the Funds for Women Graduates.  FfWG is the trading name of the BFWG Charitable Foundation and the BFWG (British Federation of Women Graduates), which is affiliated to the International Federation of University Women.

Alice is based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  Her PhD research in Uganda is supervised by Prof. Vanora Hundley and Prof. Edwin van Teijlingen. Her thesis research has already resulted in an academic paper published in the international journal BMC Pregnancy & Childbirth, which Open Access.