BU Research Blog

14 July 2017

New publication on Community Hospitals

international, Knowledge Exchange, open access, Publishing, writing Edwin van Teijlingen

The Health Services Journal published a commentary this week on Community Hospitals [1]. This online article is written by Dr. Emma Pitchforth who is based at RAND Europe in Cambridge (& BU Visiting Faculty), Prof. Edwin van Teijlingen (Faculty of Health & Social Sciences) and Dr. Ellen Nolte based at the European Observatory on Health Systems and Policies.

The authors highlight the recently completed NIHR study on Community Hospitals [2]. The notion of a Community Hospital in the UK is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.

With ease of access and a sense of homeliness, there is potential for Community Hospitals to be better integrated into NHS in England. The authors suggest that a more strategic role for ‘traditional’ Community Hospitals might be timely within the NHS in England. They further conclude that if challenges around Community Hospitals are addressed and their within the English health system is properly defined, they could provide positive benefits to the health service. It seems that, if done correctly, Community Hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.The full NIHR report is Open Access and can be found here!

Last year the research team had already published a scoping review article from the NIHR study [3].

References:

Pitchforth, E., van Teijlingen, E., Nolte, E. (2017) Community hospitals: a traditional solution to help today’s NHS? Health Services Journal (11 July) https://www.hsj.co.uk/community-services/community-hospitals-a-traditional-solution-to-help-todays-nhs/7020019.article#/scientific-summary
Pitchforth, E., Nolte, E., Corbett, J., Miani., C, Winpenny., E, van Teijlingen, E., Elmore, N,, King, S,, Ball, S,, Miler, J,, Ling, T. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
Wimpenny, E.M., Corbett, J., Miami, C., King, S., Pitchforth, E., Ling, T., van Teijlingen, E. Nolte, E. (2016) Community hospitals in selected high income countries: a scoping review of approaches and models. International Journal of Integrated Care 16(4): 13 http://dx.doi.org/10.5334/ijic.2463

8 July 2017

Tenth anniversary PLOS ONE

BRIAN, international, open access, Publishing, writing Edwin van Teijlingen

On the tenth anniversary of the international Open Access journal PLOS ONE we received an email to inform us that one of our articles was among the top ten per cent of most cited articles in this journal. The email referred to our paper ‘Factors influencing adherence to antiretroviral treatment in Nepal: A mixed-methods study’ [1]. Not bad considering that PLOS ONE has published over 4,300 articles since its inception.

Prof. Edwin van Teijlingen

4 July 2017

New paper Dr. Jenny Hall

Publishing, Women's Academic Network, writing Edwin van Teijlingen

Congratulations to Dr. Jenny Hall in the Faculty of Health & Social Sciences (FHSS) on her new published discussion paper ‘Educating student midwives around dignity and respect’ in the international journal Women and Birth (published by Elsevier). The paper, co-authored with Mary Mitchell (University of the West of England), discusses the issue that there is currently limited information available on how midwifery students learn to provide care that promotes dignity and respect.

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Reference:

Hall, J., Mitchell, M. (2017) ‘Educating student midwives around dignity and respect’, Women & Birth 30(3): 214-219.

24 June 2017

“New” FHSS paper on obesity published July 2017

open access, Publishing, writing Edwin van Teijlingen

The American Journal of Men’s Health published our latest paper on obesity prevention in men. The paper ‘Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)’ originates from a collaboration between BU and various universities in Scotland, led by the University of Aberdeen [1].

This systematic review paper found that reducing diets produced better weight loss than physical activity alone. The most effective interventions combined reducing diets, exercise, and behaviour change techniques . Group interventions produced favourable weight loss results. The paper reports that once engaged, men remained committed to a weight loss intervention.

The paper concludes that weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behaviour change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed. This paper is the thirteenth paper from a large NIHR grant [2-13].

The American Journal of Men’s Health is an open access, peer-reviewed resource for cutting-edge information regarding men’s health and illness. It is, however worth noting that although our paper is formally published in July 2017 it has been online for two years! The journal’s website states clearly that the article was first published online on June 30, 2015 BUT the issue in which it appears is published is July 1, 2017!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123. http://journals.sagepub.com/doi/full/10.1177/1557988315587550
Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, Boyers, D., Stewart, F, Boachie, C, Fioratou E., Wilkins, D, Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
Stewart, F., Fraser, C., Robertson, C., Avenell, A., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase, Systematics Reviews 3,78.
Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
Robertson, C., Avenell, A., Boachie, C., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) Should weight loss programmes be designed differently for men and women? The ROMEO Project, Appetite 87: 374.
Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of long-term weight management randomized controlled trials for obese men. The ROMEO Project, Appetite 87: 374.
Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of weight loss interventions in the UK. The ROMEO Project, Appetite 87: 375.
Boyers, D., Avenell, A., Stewart, F., Robertson, C., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., (2015) A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Appetite 87: 375.
Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Avenell, A., Stewart, F., Robertson, C., (2015) A qualitative evidence synthesis on the management of male obesity. The ROMEO Project, Appetite 87: 381.
Avenell, A., Robertson, C., Boachie, C., Stewart, F Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E. (2016) Sex based subgroup differences in randomized controlled trials: empirical evidence from Cochrane meta-analyses BMJ 355:i5826 http://www.bmj.com/content/355/bmj.i5826/rapid-responses
Avenell, A., Robertson, C., Stewart, F., Boyers, D., Douglas, F., Archibald, D., van Teijlingen, E., Hoddinott, P., Boachie, C. (2016) Sex can affect participation, engagement, and adherence in trials, BMJ 355:i6754 http://www.bmj.com/content/bmj/355/bmj.i6754.full.pdf

22 June 2017

New BU publication: Centre of Postgraduate Medical Research &Education

Knowledge Exchange, Publishing, writing Edwin van Teijlingen

Congratulations to Dr. Sam Rowlands, Visiting Professor in the Faculty of Health & Social Sciences, who published an interesting Commentary in the BJOG together with Prof. Roger Ingham from the University of Southampton. Their paper ‘Long-acting reversible contraception: conflicting perspectives of advocates and potential users’ argues that a patient-centred approach to contraceptive care is fundamental to women’s autonomy. The authors remind the readers that it needs to be appreciated that unintended pregnancy is most likely to be reduced by fulfilling the unmet need for contraception and encouraging those not using any form of contraception, or condoms only, to use a method of their choice accompanied by adequate instruction (where necessary) in correct usage.

21 June 2017

Review published on BU co-edited academic book

international, Publishing, writing Edwin van Teijlingen

Sometimes we use the BU Research Blog to report on our own research and publications, sometimes post blogs about the works of colleagues. Occasionally we have the pleasure to report on something written about, or in reply to, our own studies. This book review in The Practising Midwife [1] falls in the latter category as it reviews our recently published edited volume New Thinking on Improving Maternity Care: International Perspectives. This volume is edited by academic from across the varies countries [2]. The book is the result of years of comparative international research, funded by the EU (European Union) through its COST Action. The book sets out to generate the best possible evidence across a range of childbirth practices, contexts, and issues in Europe (and beyond).

The reviewer is Sophie Clare a Staff Midwife at Wexford General Hospital finds it an insightful book which is “a collection of chapters examining issues pertinent to maternity care and midwifery practice across cultures and continents.” She concludes that our book “demonstrates the value of international comparative research in learning what kind of care is best and for whom, in any given setting.”

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

References:

Clare, S. (2017) New Thinking on Improving Maternity Care: International Perspectives, Sarah Church, Lucy Firth, Marie-Claire Balaam et al (ads) 2017, Pinter and Martin Ltd, 216pp, £24.99, pbk, ISBN 978 178066 240 4 [book review], The Practising Midwife 20(6):36.
Church, C., Firth, L., Balaam, M-C., Berg, M., Smith, V., van der Walt, C., Downe, S., van Teijlingen, E. (Eds.) (2017) New Thinking on Improving Maternity Care: International Perspectives, London: Pinter & Martin

18 June 2017

New BU publication in Public Health

international, open access, Publishing, writing Edwin van Teijlingen

This week the Oxford Encyclopaedia published our contribution on religious organisations and health promotion [1]. The paper in question ‘Faith Communities and the Potential for Health Promotion’ is co-authored by scholars based in England, Scotland and Canada. This new publication is part of a growing number of publications at Bournemouth University on the contribution of faith communities to public health.

Faith communities often have multiple resources, existing networks and an infrastructure that can be applied to health promotion programmes for their own membership or as an outreach to the wider community. Health programmes in a faith community in high-income countries may include targeted initiatives, ranging from walking groups or weight checks, health events, or health assessments, to diabetes self-management. These activities can be organised by charities and NHS organisation and held at local churches, synagogues or mosques which is referred to as faith-placed health promotion. If the health promotion is part of the ministry of the religious organisation it is referred to as faith-based health promotion.

On top of this encyclopaedia entry, the Open Access journal African Health Sciences [Impact Factor 0.66] accepted our paper in the same field a few weeks ago. This paper ‘Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review’ formed part of the first author’s M.Sc. in Public Health [2]. Our previous papers reported on a study of faith-based and faith-placed health promotion in and around Dundee [3-4].

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Prenatal Health

References

Kiger, A., Fagan, D., van Teijlingen, E. (2017) Faith Communities and the Potential for Health Promotion. In: Encyclopedia of Health and Risk Message Design & Processing, Parrott, R. (ed.) New York, Oxford University Press. (http://communication.oxfordre.com/).
Ochillo, M., van Teijlingen, E., Hind, M. (2017) Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences (accepted June).
Fagan, D., Kiger, A., van Teijlingen E. (2010) A survey of faith leaders concerning health promotion and the level of healthy living activities occurring in faith communities in Scotland. Global Health Promotion 17(4): 15-23.
Fagan, D., Kiger, A., van Teijlingen, E. (2012) Faith communities and their assets for health promotion: The views from health professionals and faith leaders in Dundee, Scotland, Global Health Promotion 19(2): 27-36.

24 May 2017

Press release INASP highlights BU research paper

international, open access, Publishing, writing Edwin van Teijlingen

INASP, an Oxford-based organisation, aims to improve access to, and production and use of, research information and knowledge for sustainable development. Part of their approach is the Journals Online project which increases the accessibility and visibility of developing-country research. The Journals Online project includes a set of journals published Open Access in Nepal, know as NepJOL. On of the journals in the stable of NepJOl is the SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS. Journals selected for inclusion on the Journals Online project must be:

scholarly in content, and contain original research;
peer reviewed and quality controlled;
able to provide all necessary content in electronic format (tables of contents, abstracts and PDFs of full text);
published, managed and developed within their respective country.

Yesterday INASP selected a paper published late last year and co-authored by two Bournemouth University academics for a special press release. The press release can be found here! This press release highlights our recently published paper in the SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS. Our paper ‘Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV’ argues that despite having generally a good knowledge and awareness of HIV and risk associated with migration and HIV; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and other sexually transmitted infections [1].

Dr. Pramod Regmi, Post-Doctoral Research in the Faculty of Health & Social Sciences is quoted in the press release as saying: “knowledge alone would not be sufficient to fight against the spread of HIV/STI among wives of migrant workers.” This paper is an addition to a range of papers on health and well-being of Nepali migrant workers produced by BU academics [2-6].

Prof. Edwin van Teijlingen

References:

Aryal, N., Regmi, P.R., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, G.K. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
Adhikary P., Keen S., van Teijlingen E (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.

5 May 2017

Writing workshops in Nepal

international, open access, Publishing, Training, writing Edwin van Teijlingen

Yesterday and today we offered sessions on academic writing and publishing at two different higher education institutions in Kathmandu. Yesterday we run a session for staff and postgraduate students at Tribhuvan University, in the Department of Health, Physical & Population Education. Staff in the Department of Health, Physical & Population Education are our Nepali key collaborators in a THET-funded project aiming to improve mental health training in community-based maternity care providers in the south of Nepal.

Today’s workshop was held at Manmahon Memorial Institute of Health Sciences (MMIHS). BU’s Faculty of Health & Social Sciences has been running joint research projects with MMIHS for the past three or four years. The sessions are jointly run with BU’s Visiting Professor Padam Simkhada, who is based at Liverpool John Moores University. These workshops are capacity-building among academics and students in Nepal.

Our sessions are based on our experience in academic writing as well as that of acting as peer reviewers and journal editors. Our sessions are also linked to some of the papers we have published ourselves on the process of academic writing. [1-8] Most of these publications on publishing are in Open Access journals. Hence papers are freely available anybody in Nepal, and elsewhere in the world, of course.

Prof. Edwin van Teijlingen

CMMPH

Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11 (2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K.. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11 (1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 4(1): 344-347.
van Teijlingen, E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
Teijlingen van, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10 (1): 1-4.
Teijlingen van, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388

3 May 2017

Training workshop for nurses in Nepal

international, Knowledge Exchange, Publishing, Training, writing Edwin van Teijlingen

On Monday May 1st, the Bank Holiday Monday, we were invited to give three separate training sessions for the Nepal Nursing Council and (hosted by) the Nursing Association of Nepal. The three separate topics were (a) maternal mental health and its relevance to nursing in Nepal; (b) conducting focus group research in nursing; and (c) publishing for nurses in international journals. The international team presenting these three sessions comprised Dr. Andrew Lee from the University of Sheffield (photo top), Dr. Bibha Simkhada (photo bottom) from Liverpool John Moores University (LJMU) who is also Visiting Faculty in BU’s Faculty of Health & Social Sciences. Further members of the teaching team comprised LJMU Prof. Padam Simkhada and also BU Visiting Professor and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

The presentations were well received and the practical part of the focus group training generated a lively discussion. In their teaching the presenters used a range of papers they had published in the three areas: maternal mental health based on a recently funded THET project, [1-3] writing for publication, [4-11] and focus group research. [12-14] The session was concluded with the inevitable certificate of attendance.

Prof. Edwin van Teijlingen

CMMPH

References:

Simkhada, P., van Teijlingen E., Winter, RC., Fanning, C., Dhungel, A., Marahatta SB. (2015) Why are so many Nepali women killing themselves? Review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
Simkhada, P.P., van Teijlingen, E., Marahatta, S.B. (2015) Mental health services in Nepal: Is it too late? (editorial) Journal of Manmohan Memorial Institute of Health Sciences 1(4): 1-2.
van Teijlingen, E., Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, Journal of Advanced Nursing 37(6): 506-511.
Pitchforth, E, Porter, M, van Teijlingen, ER, Forrest Keenan K. (2005) Writing up and presenting qualitative research in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(2): 132-35. http://jfprhc.bmj.com/content/31/2/132.full.pdf+html
van Teijlingen E., Simkhada. P.P., Simkhada, B., Ireland, J. (2012) The long & winding road to publication, Nepal Journal Epidemiology 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
Simkhada, P., van Teijlingen, E., Hundley, V. (2013) Writing an academic paper for publication, Health Renaissance 11(1): 1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
Hundley, V., van Teijlingen, E., Simkhada, P. (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2): 98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal Journal of Epidemiology 4(1): 344-347. http://www.nepjol.info/index.php/NJE/article/view/10138/8265
van Teijlingen, E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
Collard, S., van Teijlingen, E. (2016) Online focus group: New approaches to an ‘old’ research method, Health Prospect 15(3):4-7. http://www.nepjol.info/index.php/HPROSPECT/article/view/16327/13256
van Teijlingen, E., Simkhada, P., Stephen, J. (2013) Doing focus groups in the health field: Some lessons from Nepal, Health Prospect 12(1): 15-17. http://www.nepjol.info/index.php/HPROSPECT/article/view/8722/7111
van Teijlingen E., Pitchforth, E. (2006) Focus Group Research in Family Planning & Reproductive Health Care, Journal of Family Planning & Reproductive Health Care 32(1): 30-32.

1 May 2017

THET-funded mental health training dissemination in Kathmandu

international, Knowledge Exchange, open access, writing Edwin van Teijlingen

On the last day of April we presented our key findings from the THET-funded project on Mental Health Training for Rural Community-based Maternity Care Workers in Nepal. The session in Hotel Yak & Yeti in central Kathmandu was jointly organised by Tribhuvan University with Bournemouth University and Liverpool John Moores University (LJMU). Mental health is high on the global agenda and increasingly so in Nepal. Mental health in pregnant women and new mothers is increasing recognised across the world. However, for many people in Nepal mental health problems are still difficult topics to discuss.

The team presented slides on mental health in maternity care issue, the curriculum review, the intervention and the volunteers and various aspects of the evaluation. The slide (below) highlighting a few mishaps with UK volunteers definitely got the most laughs.

The three universities have been working together training Auxiliary Nurse Midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).

Prof. Vanora Hundley from FHSS was one of the key speakers commenting on the intervention, the research and its findings. The audience also heard from two of the ANMs who had been in the training and the chief nurse in the district about there views on the UK volunteers and their training sessions. To date the work has resulted in three academic publications, all are Open Access journals. [1-3]

Prof. Edwin van Teijlingen

CMMPH

References:

Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

24 April 2017

New publication Dr Jenny Hall

international, Public engagement, Publishing, Research Integritiy, writing Edwin van Teijlingen

Congratulations to CMMPH’s Dr. Jenny Hall, Senior Midwifery Lecturer, on the publication of her scientific paper ‘The Spiritual Journey of Infertile Couples: Discussing the Opportunity for Spiritual Care‘ in the journal Religions, see further details here! Jenny has co-authored this paper with academics from Portugal and Ireland.

Prof. Edwin van Teijlingen

CMMPH

22 April 2017

Nepali migrant workers in India #GlobalFoL17 presentation in Delhi

conferences, Festival of Learning, international, PG research, Publishing, student research, writing Edwin van Teijlingen

On the last day of BU’s Global Festival of Learning-India 2017 Prof. Edwin van Teijlingen presented the following paper: ‘Nepali migrant workers: trials & tribulations’. The Global Festival of Learning-India 2017 took place at Symbiosis School for Liberal Arts in Pune and at the India Habitat Centre in the capital Delhi. The session offered insight from various studies on Nepali migrant workers conducted by Bournemouth University staff and students.[1-3] It included preliminary results from an on-going study of Nepali migrant workers in India. The latter study is a close collaboration between Pramod Regmi and Edwin van Teijlingen) in the Faculty of Health & Social Sciences, Indian colleagues at Datta Meghe Institute of Medical Sciences, Deemed University in India (Quazi Syed Zahiruddin, Abhay M. Gaidhane), and Padam Simkhada at Liverpool John Moores University (LJMU).

The presentation also highlighted some of the key findings form our recently published paper ‘Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature’ in the Journal of Travel Medicine.[1] The paper is co-authored by BU’s Pramod Regmi and Edwin van Teijlingen, and Padam Simkhada (LJMU) and our Nepali colleague Nirmal Aryal based in New Zealand.

Dr. Shweta Sinda Deshpande, who chaired the session, originated from an Indian village a few miles from the Nepali border. Moreover, she is also an anthropologist who had done fieldwork with Nepali migrant workers in India. Her informed contribution was very much welcomed by the audience.

References:

Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24(4): 1-9.
Adhikary, P., Simkhada, P.P., van Teijlingen, E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
Adhikary, P., Keen, S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.

25 March 2017

New midwifery paper by Dr. Jenny Hall

international, Publishing, writing Edwin van Teijlingen

Congratulations to Dr. Jenny Hall in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘Spiritual aspects of living with infertility: synthesis of qualitative studies’. [1] Dr. Hall co-authored this paper in the Journal of Clinical Nursing with colleagues from Ireland and Portugal.

This international team conducted review and synthesis of qualitative research to seek a deeper understanding of the spiritual aspects of patients’ experiences of infertility. They concluded that infertile couples’ experiences of infertility may offer an opportunity for spiritual care particularly related to the assessment of spiritual needs and the promotion of spiritual coping strategies. Moreover, effective holistic care should support couples in overcoming and finding meaning in this life and health condition.

Prof. Edwin van Teijlingen

CMMPH

17 March 2017

New publication: vital signs obstetric charts

PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations on the Faculty of Health & Social Sciences team which had its paper ‘Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led UK maternity units’ accepted by the International Journal of Obstetric Anesthesia (published by Elsevier).
The paper compares: (i) vital sign values used to define physiological normality; (ii) symptoms and signs used to escalate care; (iii) 24 type of chart used; and (iv) presence of explicit instructions for escalating care. The authors conclude that the wide range of ‘normal’ vital sign values in different systems used in the UK and the Channel Islands suggests a lack of equity in the processes for detecting deterioration and escalating care in hospitalised pregnant and postnatal women. Agreement regarding ‘normal’ vital sign ranges is urgently required and would assist the development of a standardised obstetric early warning system and chart. The lead author of this new paper is FHSS Visiting Professor Gary Smith, his co-authors include FHSS staff Vanora Hundley, Lisa Gale_Andrews and Edwin van Teijlingen as well as three BU Visiting Faculty: Debra Bick (King’s College London), Mike Wee (Poole Hospital NHS Foundation Trust) and Richard Isaacs (University Hospital Southampton).

10 March 2017

Dr. Masi Fathi appointed to the board of Sociological Research Online

open access, Publishing, writing Edwin van Teijlingen

Congratulations to Dr. Mastoureh (Masi) Fathi, FHSS Lecturer in Sociology, who has been appointed to the editorial board of Sociological Research Online. Sociological Research Online is a peer-reviewed online sociology journal looking at current social issues, and it is in its twenty-second year.

Well done!

Prof. Edwin van Teijlingen

5 March 2017

One week: five FHSS publications

international, Knowledge Exchange, Knowledge Transfer, PG research, Publishing, Research Ethics, Research Integritiy, Research themes, student research, writing Edwin van Teijlingen

Last week was a good week for FHSS from a publishing perspective. On the last day of February Sociological Research Online published a book review with Dr. Pramod Regmi as first author, which we highlighted in an earlier BU Research Blog (see more here!) [1]. On the same the same day we received news from the Journal of Travel Medicine (published by Oxford University press) that our latest article on research in Nepal was accepted for publication. Our paper ‘Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature’ addresses the health and well-being of migrant health workers and ‘brings’ this to travel medicine specialists [2].

On Thursday our article ‘Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led maternity units’ was accepted by the International Journal of Obstetric Anesthesia published by Elsevier [3]. On Friday The Lancet published correspondence from FHSS Post-Doc. Researcher Dr. Pramod Regmi and FHSS Ph.D. student Folashade Alloh, and BU Visiting Faculty Prof. Padam Simkhada under the title: ‘Mental health in BME groups with diabetes: an overlooked issue?’ [4]. To round off the week on Friday afternoon the editorial office of Kontakt (published by Elsevier) emailed that the editorial ‘The medical and social model of childbirth’ had been accepted for publication [5].

Prof. Edwin van Teijlingen

CMMPH

References:

Regmi, P., van Teijlingen, E. ‘Balanced Ethics Review: A Guide for Institutional Review Board Members’ by Whitney, Simon N., Springer, (2015) ISBN: 9783319207056 (pb) (book review), Sociological Research Online 2017; 22(1) http://www.socresonline.org.uk/22/1/reviews/3.html
Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine (Accepted).
Smith, G.B., Isaacs, R., Andrews, L., Wee, M.Y.K., van Teijlingen, E., Bick, D.E., Hundley, V. Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led maternity units, International Journal of Obstetric Anesthesia (Accepted).
Regmi, P., Alloh, F., Pant, P.R., Simkhada, P., van Teijlingen, E. (2017) Mental health in BME groups with diabetes: an overlooked issue? The Lancet, 389: 904-905.
van Teijlingen, E. The medical and social model of childbirth, Kontakt (Accepted.

4 March 2017

New book review published by Dr. Pramod Regmi on research ethics

international, Publishing, Research Ethics, student research, writing Edwin van Teijlingen

This week saw the publication of the latest issue of the internet-based journal Sociological Research Online. In this issue Dr. Pramod Regmi and Prof. Edwin van Teijlingen published a book review of Balanced Ethics Review: A Guide for Institutional Review Board Members written by the American academic Simon Whitney. [1] In doing so they continue the tradition of FHSS scholars contributing to the research ethics debate. For example, Regmi and colleagues recently had a paper accepted on their insights into research in low-income countries in the journal Developing World Bioethics.[2] Whilst a 2012 FHSS-led paper stressed that researchers conducting research in low-income countries need to apply for research ethics approval to the relevant local authority, if national legislation requires one to do so.[3]

Looking better a little further back, Professor Emerita Immy Holloway wrote about the researcher who may have (potentially) conflicting roles namely those of researcher and health care professional.[4] Whilst a combination of midwifery researchers in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) highlighted the problems faced by practitioners doing research in their field of practice with perhaps the risk of blurring professional and research ethics, as balancing competing ethical concerns between protecting research participants and over-managing the ethical process can be problematic.[5-6] The latter issue of management and regulation of research ethics has recognised as getting more and more cumbersome and bureaucratic.[7-8]

Two further publications by Prof. Ashencaen Crabtree have added to the pool of FHSS publication on research ethics.[9-10] The first one, a book, addressed the problematic issue of gate-keepers in research together with the ethics of critical observation of abuse (potential or actual), as well as the ethics of advocating on behalf of research participants.[9] The second paper covered issues around working with research participants who are regarded as ‘vulnerable’ in a study into the context of care and patient/service user experiences.[10]

Whilst Prof. Parker has highlighted the benefits and dangers of using email and the Internet for social and health research.[11] An even newer research approach is the use of discussion boards as sources of data, which brings its own ethical dilemmas.[12]

In 2010-11 Prof. Parker and colleagues explored in two separate papers the contested meanings and difficulties associated with informed consent, highlighting challenges raised by an almost unquestioned acceptance of biomedical research ethics in social research and questioning whether potential ‘harm’ is different in this context.[13-14]

Prof. Hundley and colleagues discussed the ethical challenges involved in conducting a cluster randomised controlled trial, where getting informed consent can be complication.[15] Whilst it is worth reminding researchers that in issues of informed consent during pregnancy and childbirth one has to consider the potential for harm to two participants.[16]

References

Regmi, P., van Teijlingen, E. (2017) ‘Balanced Ethics Review: A Guide for Institutional Review Board Members’ by Whitney, Simon N., Springer, (2015) ISBN: 9783319207056 (pb) (book review), Sociological Research Online 22(1) http://www.socresonline.org.uk/22/1/reviews/3.html
Regmi, PR., Aryal, N., Kurmi, O., Pant, PR., van Teijlingen, E., Wasti, P.P. (forthcoming Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics.
van Teijlingen E.R., Simkhada, P.P. (2012) Ethical approval in developing countries is not optional, Journal of Medical Ethics 38:428-430.
Holloway, I., Wheeler, S. (1995) Ethical Issues in Qualitative Nursing Research, Nursing Ethics 2: 223-232. http://nej.sagepub.com/content/2/3/223.full.pdf+html
Ryan, K., Brown, B., Wilkins, C., Taylor, A., Arnold, R., Angell, C., van Teijlingen, E. (2011) Which hat am I wearing today? Practicing midwives doing research, Evidence-Based Midwifery 9(1): 4-8.
van Teijlingen, E.R., Cheyne, H.L. (2004) Ethics in midwifery research, RCM Midwives Journal 7 (5): 208-10.
van Teijlingen, E. (2006) Reply to Robert Dingwall’s Plenary ‘Confronting the Anti-Democrats: The unethical Nature of Ethical Regulation in Social Science, MSo (Medical Sociology online) 1: 59-60 www.medicalsociologyonline.org/archives/issue1/pdf/reply_rob.pdf
van Teijlingen, E., Douglas, F., Torrance, N. (2008) Clinical governance and research ethics as barriers to UK low-risk population-based health research? BMC Public Health 8(396) www.biomedcentral.com/content/pdf/1471-2458-8-396.pdf
Ashencaen Crabtree, S. (2012) Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia, London: Whiting & Birch.
Ashencaen Crabtree, S. (2013) Research ethics approval processes and the moral enterprise of ethnography. Ethics & Social Welfare. Advance Access: DOI:10.1080/17496535.2012.703683
Bond, C.S, Ahmed, O.H., Hind, M., Thomas, B., Hewitt-Taylor, J. (2013) The Conceptual and Practical Ethical Dilemmas of Using Health Discussion Board Posts as Research Data, Journal of Medical Internet Research 15(6):e112) Web address: http://www.jmir.org/2013/6/e112/
Parker, J. (2008) Email, ethics and data collection in social work research: some reflections from a research project, Evidence & Policy: A Journal of Research, Debate & Practice, 4(1): 75-83.
Hundley, V., Cheyne, H.C., Bland, J.M., Styles, M., Barnett, C.A. (2010) So you want to conduct a cluster randomised controlled trial? Lessons from a national cluster trial of early labour, Journal of Evaluation in Clinical Practice 16: 632-638
Helmreich, R.J., Hundley, V., Norman, A., Ighedosa, J., Chow, E. (2007) Research in pregnant women: the challenges of informed consent, Nursing for Women’s Health 11(6): 576-585.
Parker, J., Penhale, B., Stanley, D., (2010). Problem or safeguard? Research ethics review in social care research and the Mental Capacity Act 2005. Social Care & Neurodisability, 1(2): 22-32.
Parker, J., Penhale, B., Stanley, D. (2011) Research ethics review: social care and social science research and the Mental Capacity Act 2005, Ethics & Social Welfare, 5(4): 380-400.

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