Tagged / VAN TEIJLINGEN

Nursing Research REF Impact in Nepal

The Nepal Nursing Council has made Continuing Professional Development (CPD) compulsory for all nurses and midwives wanting to re-enrol from tomorrow. Starting on 15th January 2025 all nurses and midwives who want to re-register will have to show evidence of having conducted recent training to maintain and enhance their knowledge, skills, and professional competence.  According to the new provision, licences will not be renewed unless applicants have completed a minimum of 60 hours of training within the preceding six years.  This change in regulation is largely driven by research driven by two UK universities, and BU is one of them.

As early as 2016 the research team called for a move to a system of post-registration with compulsory further learning and regular updating of skills, adding that “the introduction of CPD will be beneficial to all nurses in Nepal” [1].  The key argument was that If Nepal does not establish CPD requirements, only some staff will engage with training activities, it will be ad hoc driven by personal interests rather than service needs.  An even greater concern was that staff will seek only the free training made available by either the government and/or INGOs (International Non-Governmental Organisations) rather than CPD most relevant to their current practices.

To generate the evidence that CPD is vital in Nepal, the team led by Dr. Bibha Simkhada conducted interviews with nurse leader in the country to understand perspectives on existing on-the-job training and Continuous Professional Development more generally [2].  Bibha, currently Reader in Nursing at the University of Huddersfield, worked at Bournemouth University for several years during this research.  Next, the researchers conducted focus group discussions with other relevant stakeholders [3].  These research findings were disseminated to stakeholders in Kathmandu, including the NNC (Nepal Nursing Council), MIDSON (Midwifery Society of Nepal), NAN (Nursing Association of Nepal), and the Ministry of Health & Population as well as to a wider audience through a call under the heading ‘Nepal needs Continuing Professional Development for Re-registration in Nursing and Midwifery’ [4].

These papers all argue that promoting CPD benefits the quality of health care.  Indirectly, it builds confidence in the general population as it is guarantee to the individual patient in Nepal that the nurses and midwives, who are treating them, have up-to-date skills and knowledge. In addition, it strengthens the NNC as it supports to professionalise nursing and midwifery in Nepal and bring the standard of nursing and midwifery practices to a higher and internationally comparable level.

The research work at BU was supported by small amounts of QR funding through BU Centre for Excellence in Learning (CEL) in 2016, the Centre for Midwifery & Women’s Health in 2018 and the Faculty of Health & Social Sciences in 2019.  This shows that well-designed research conducted by researchers who have insight into the political landscape of health services in Nepal can have a great impact with minimal resources.

Prof. Edwin van Teijlingen (BU REF lead UoA3)

&

Dr. Vikram Mohan (UoA3 REF Impact Champion)

 

 

References

  1. Simkhada, B, Mackay, S, Khatri, R., Sharma, C.K., Pokhrel, T, Marahatta, S, Angell, C, van Teijlingen, E., Simkhada, P (2016) Continual Professional Development (CPD): Improving Quality of Nursing Care in Nepal Health Prospect 15 (3):1-3
  2. Khatri R, van Teijlingen E, Marahatta SB, Simkhada P, Mackay S, Simkhada B (2021) 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. 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.

Health promotion paper read 8,000 times

This morning ResearchGate informed us that our paper ‘Understanding health education, health promotion and public health[1] which was published in 2021 has been read 8,000 times.  This thinking piece delves into the differences between the concepts of: (a) health education; (b) health promotion; and (c) public health. This confusion does not limit itself to the individual terms, but also to how these terms relate to each other. Some use terms such as health education and health promotion interchangeably; others see them clearly as different concepts. The paper starts by outlining the authors’ understanding of these individual terms.

They suggest how the five principles of health promotion as outlined by the World Health Organization (WHO, 1984) fit into Tannahill’s (2009) model of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Such schematic overview places health education within health promotion and health promotion itself in the centre of the overarching disciplines of education and public health.  The authors hope their article helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.

 

Prof. Edwin van Teijlingen

CMWH

 

Reference:

  1. van Teijlingen, K. R., Devkota, B., Douglas, F., Simkhada, P., & van Teijlingen, E. R. (2021). Understanding health education, health promotion and public health. Journal of Health Promotion9(01), 1–7. https://doi.org/10.3126/jhp.v9i01.40957

 

Conducting training in Kathmandu by BU academic

This week Dr. Pramod Regmi, who is Principal Academic in International Health in the Faculty of Health & Social Sciences, taught a CPD refresher workshop on systematic reviewing in Kathmandu.  This workshop is part of our long-standing Memorandum of Agreement between Bournemouth University (BU) and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal.  The teaching aimed to refresh knowledge and provide practical training on various aspects of the systematic review process, including literature searching, study selection, data extraction, critical appraisal, and synthesis. The programme, which included both staff and Master students, was jointly organized by MMIHS and BU.

May be an image of 8 people and text that says "HEALTHSCIENCES SCIENCES अफहेलसाराइन्सेज હહર इन्सज"

The staff at MMIHS also welcome BU’s Ph.D. student Ms. Anjana Paudyal.  Anjana is currently in Nepal as part of the UK’s Turing Scheme Traineeship Programme.  Over the past few years MMIHS have kindly hosted several BU students who came to Nepal under the Turing Scheme.  Anjana’s Ph.D. focuses on human trafficking, which is form of modern slavery.  Despite being a global problem, modern slavery is understudied and poorly understood. Victims of modern slavery are exploited and can experience significant physical, psychological, or sexual, and reproductive health problems. Until recently, there has been little research in this field, especially in low-income countries such as Nepal.  Anjana”s Ph.D. fits in with BU’s collaboration with the US-based La Isla Network, the Johns Hopkins University Bloomberg School of Public Health and the Nepal Development Society (for details click here!).   Led by La Isla Network, we are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

BU student’s M.Res. paper read 500 times

Yesterday ResearchGate alerted us that our paper ‘The importance of positionality for qualitative researchers‘ [1] has been read 500 times. This methods paper was only written last year by Bournemouth University M.Res. student Hannah Gurr, her M.Res. supervisors Dr. Orlanda Harvey, Dr. Louise Oliver and Prof. Edwin van Teijlingen in collaboration with Prof. Madhusudan Subedi from Patan Academy of Health Sciences in Nepal.

In the paper we remind qualitative researchers about the importance of critical reflection, and why they need to explain their positionality to readers of their work. This account can be relatively straightforward, but there are occasions when this process of reflection and outlining one’s positionality is much more complicated. This method-paper explains this process. It outlines, using examples of different occasions and situations, where and why such complications may arise, for example, around values and personal experiences. It concludes with further practical advice on writing the section on positionality for novice social scientists.

Well done Hannah!

Dr. Lou Oliver, Dr. Orlanda Harvey & Prof. Edwin van Teijlingen

 

Reference:

  1. Gurr, H., Oliver, L., Harvey, O., Subedi, M., & van Teijlingen, E. (2024). The Importance of Positionality for Qualitative Researchers. Dhaulagiri Journal of Sociology and Anthropology18(1): 48–54. https://doi.org/10.3126/dsaj.v18i01.67553

Race Equity Month: Disparities in maternity care

Race Equity Month – Can the UK finally tackle health disparities in maternity care?

Last week Prof. Hora Sultani, who leads the joint bid submitted by Sheffield Hallam University (SHU) and Bournemouth University (BU) in reply to the ‘NIHR Challenge: Maternity Inequalities funding call’, wrote an article on the website of the Council of Deans for Health.  This piece with the title ‘Race Equity Month – Can the UK finally tackle health disparities in maternity care?‘ can be freely accessed (click here!).  One of Prof. Soltani’s key arguments is that it is vital that national policy makers and service providers collaborate with researchers and communities to co-design and provide practical solutions for such important maternity challenges in UK society.

Prof. Soltani was writing on behalf of  the UK Network of Professors in Midwifery and Maternal and Newborn Health, an organisation to which both Profs Hundley and van Teijlingen belong.