We have recently opened a new research centre at Middlesex University, the Centre for Critical Research in Nursing & Midwifery. The web site is just set up and is here. We plan to start a blog to talk about our work and the ideas that motivate it. We will post the link on this blog when we get it started.
Its another case of ‘I thought it was just me’. I’ve just received this succinct analysis of a rising pressure on university employees. Sarah Stewart-Brown takes the words out of my mind.
I wonder whether you would consider signing this petition
At Warwick we are in a process of ‘restructuring’ based on the single criterion of grant income. This method of making academics redundant is spreading across UK Universities particularly medical schools and is a significant problem for academic medicine and academic public health
A recent BMA News story may provide you with some useful background on the situation there:
It is clear that the use of the single criterion of grant income is spreading and is likely to be more widely used if it is not countered strongly now
This criterion is a potential threat to research led teaching because it makes the clear statement to those on research and teaching contracts that no amount of teaching can compensate for failure to deliver grant income
It is also puts a greater value on certain types of research than others – so biomedical research with significant infrastructure costs and costly RCTs are valued over cheap and cheerful public health research. RCT methodologies are often not suited to the evaluation of public health interventions and approaches. Highly impactful epidemiological research can be delivered without grant income if those undertaking it have a degree of creativity and a knowledge of available datasets. It is often counterproductive for such public health academics to use their time pursuing highly competitive grant income rather than doing the research.
It is also misguided. Research income does not raise significant excess £££ for universities to use elsewhere. A considerable body of research income -particularly funding for ground breaking innovative research which is too risky for risk averse research councils -still creates net costs for universities.
And it is not a good way to judge the value of academics. One of the associate profs at Warwick, a highly productive 4* epidemiologist who was also a skilled and highly contributing teacher and trainer was on the list of those to be made redundant. He has just walked into a Chair Position as Director of a renowned research institute outside the UK
Thank you for any input you feel able to make – signatures to the petition will make a difference . Please feel free to pass on to your networks as widely as possible
With best wishes
Chair of Public Health
University of Warwick
Last week I was involved with selecting which papers will be presented at next year’s Royal College of Nursing international research conference (in Nottingham April 20-22). The number of submitted abstracts was down this year from last at 297. Last year we started to stream the papers by method rather than by topic, a change which caused some controversy. We stuck with that again this time round. I was curious to get some idea of what people were submitting, in terms of method, and had a moment in the proceedings to do a quick count, based on how we had allocated papers to the streams (see picture). This is the result:
Questionnaires and surveys 7
Systematic review 6
Documentary research 3
Case study 3
Thematic analysis 18
Focus groups 6
Issues in research 6
Grounded theory 6
Mixed methods 32
There were quite a few papers that could have been allocated to different streams. We asked people to chose a methodological keyword for their submissions and where they didn’t we opened up the abstract to find out and usually it was possible to find this out. So from this quick count it seems that the most common research approach identified was mixed methods and following that ‘thematic analysis’ – these were qualitative papers. In fact qualitative research appears to dominate. I notice there’s not a single experiment among these papers. I was surprised. I thought nursing research in the UK had moved away from this stereotype. I didn’t get a chance to do the same with the 32 or so posters that we had accepted.
The conference, held in Glasgow, is over for another year.
The part of the programme that I was most interested in was the keynotes on the first and second days by Debra Jackson and Michael West, as well as Peter Carter’s response to Debra, dealing with the pressing issues of nurses working in the UK NHS. Our intention for this conference was to try to address the so called nursing crisis head on rather than live in a parallel universe discussing frankly parochial interests.
Debra has been studying and writing about resilience for many years. Resilience is usually seen as a kind of hoped for quality in people who have faced and-in the oft repeated words-bounced back from adversity and grown. Transferred to nursing work it is sometimes seen as the quality that separates those who remain at the bedside and deliver good care from those who become jaded and can no longer do this. In my minimal reading about the topic I discovered that the word is used by ecologists, town planners and the military to describe and aim to design whole systems that can withstand or rather adapt to unexpected and catastrophic challenge. The worst aspect of contemporary work on resilience is its translation into short training interventions that are design to improve or perhaps prolong individuals’ useful working life in tough and possibly dysfunctional environments.
The dangerous thing when it is discussed and promoted by nurses and those researching them is the tendency to individualise. Also it is a very short distance to the narratives of moral heroism which abound in nursing and were apparent in many presentations at the conference including, I thought, Debra’s impressive body of work with nurses. In fact there’s a parallel heroism often going on in the form of the rescuing researcher whose intervention raises morale and saves the ward. I have yet to hear a presentation of these kinds of intervention that does not end well with improvements on whatever is being measured. And never far from these narratives is sentimentality about nurses and nursing work which was also not absent from these discussions in Glasgow. The trouble with these moral narratives is that when things go wrong, as seems almost inevitable in a hard pressed system with a combination of political pressures, the public and politicians find it easy to also look for explanation to the same narratives but this time a narrative of personal moral failure – compassion deficit – rather than understanding that it is systems that are dysfunctional and possibly huge reorganisations that take up precious energy and time not helping.
General Secretary of the RCN Peter Carter was at the conference and gave a response to Debra’s paper. He focused on nursing shortages and there is some hope that staffing levels are at last being linked to patient care and safety by governments, though there is still a strong sense of victim blaming to be found in some of David Cameron’s speeches about nurses and the idea of performance pay related to compassion demonstrations. But I found his comment that compassion can’t be taught less than helpful, partly because of the same view that it is innate qualities that determine what happens in the NHS and partly because one or two researchers gave impressive accounts of projects based on specific cultural changes that did appear to have the effect of improving patient care. And I think these kinds of initiatives are a much better bet than our current efforts to weed out, during recruitment, people ‘without compassion’.
Next year’s conference will be in Nottingham.
there’s an interesting initiative from a group of UK academics who have set up an ESRC-sponsored series of seminars discussing the role of the social sciences in nursing education and practice. They are http://socialscienceandnursing.com/
Last week I went to the London School of Hygiene and Tropical Medicine’s Health Services Research Unit 25 year celebration. CPNR (Centre for Policy in Nursing Research) was set up within the HSRU with funding from the Nuffield Trust and founded in 1995. Apart from this there’s not much on the web about the work we did there. However, here’s a reunited picture of (L to R) Jenny Stanley, MT and Anne Marie Rafferty.