Tag Archives: practice

Reflections on Vietnam Theatre Nurses Association Conference

By Kevin Crimmons and Karen Evans

kevin crimmons profileIn June Kevin Crimmons and Karen Evans travelled to Vietnam to speak at the Vietnam Theatre Nurses Association Conference, at Hue. The theme of their key note lectures was quality, safety and efficiency and how to balance this with care and compassion for the benefit of patients. The conference was attended by 300 perioperative nurses and consultant and junior surgeons from around the country. This is the Associations only national conference, and gives perioperative nurses an opportunity to share best practice, research and discuss potential service development with their colleagues and surgical leads. The visit included visits to Viet Duc Hospital in Hanoi and Quang Ninh Provincial Hospital in Halong Bay, where Karen and Kevin were able to observe at first hand and discuss with the nurses and doctors the challenges of clinical care delivery in the Vietnamese acute care setting.

The hospitals contrasted greatly from the inner city, Viet Duc with 500 inpatient beds, and 18 operating theatres. It is one of the leading centres for trauma in the country, particularly head trauma, and specialises in ‘septic’ surgery e.g. patients with TB and other chronic infectious diseases. Whilst 500 beds are not notable in comparison to large UK hospitals, it should be noted that length of stay is significantly shorter, so patient turnover is higher. Although not apparent at Viet Duc, bed-sharing is common in many hospitals, with a recent measles outbreak causing reports of 3-4 children in a bed. This is partly to do with the complex and expensive healthcare funding system within regions, and the chronic lack of hospital beds, approximately 20 beds per 10,000 residents, however hospitals are concentrated in the main cities, and travelling 100’s of kilometres and selling worldly goods to fund treatment is not uncommon.

 

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Whilst in Hue, we were lucky enough to be serenaded on an evening boat trip along the Perfume River during a local River Festival

Quang Ninh, by contrast is a larger DGH delivering care in a beautiful tourist setting; Halong Bay where the population doubles during the holiday season. It is built around an old colonial hospital and is in a beautiful position overlooking the Bay. As well as providing acute care, what was apparent was the primary care function that this hospital fulfilled for its local population. The lasting memory was of visiting the Emergency Department, which was confined and small by western standards for the size of the hospital/population, in contrast with the co-located triage and pharmacy areas which had at least 15 bays each. There is no funded community healthcare system in Vietnam and increased outpatient numbers were notable, and those attending appeared more unwell (and patient) than those we would traditionally see in the local GP surgery; perhaps having delayed travel or treatment due to socio-economic impact.

Most notable throughout despite the different catchments and population demographics was theconstant presence and involvement of families in hands-on patient care, even in Intensive Care where relatives provide all non-technical care.

In both hospitals relatives outnumbered Viet Duc the family room, which sadly we did not photograph, was 600 bunk beds in very cramped and spartan surroundings; for which relatives were charged 1 Vietnamese Dong per night. The relatives stay in this accommodation for the duration of the patients stay, if they cannot afford to rent a fold-out bed to sleep beside their relative, which in some cases can be weeks. Although cheap to us, in households with average income under VND 3,120,000 per year (equivalent UK £ 90) are regarded as poor households.

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Nursing Management “Suite” Viet Duc- 1000 nurses are co-ordinated from this office by 4 Nurse Managers, who also arrange and deliver all training and development.

Vietnam has not had the luxury of developing innovation alongside development of its health infrastructure and workforce, unlike those of us in Europe and it was fascinating to observe the advanced surgeries and interventions which are provided in both hospitals without what we may feel are necessary supportive frameworks e.g. physiotherapists. Viet Duc for example performs over 800 open heart surgeries annually. After discussing this with both medics and senior nurses, the challenge is developing a workforce with the expertise to support patients throughout their journey; however, the commitment to this is high and both the medical and nursing workforce actively are seeking to improve care delivery for the benefit of their patients. It was both a stimulating and rewarding experience, the passion and enthusiasm shown by the Vietnamese nurses for learning with and from us, and about our practice was exciting and humbling.

 

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 A VERY early boat trip around Halong Bay (this is about 6 am) with staff from Viet Duc and Quang Ninh plus our very own Joy Notter 

 

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View from Quang Ninh Provincial Hospital

The emphasis on Music Education for All

Written by Ian Axtell, Subject Leader for Music Education, Secondary Partnership Coordinator.Axtell_Ian_main @IanAxtell

The emphasis on Music Education for All is crucial.  Music is powerful, unique and a fundamental right for everyone.

The provision of music education for everyone throughout their compulsory education, promoting “participation, inclusion and diversity” through “democratic engagement and social justice” (Spruce in Harrison & Mullen, 2013: 23), is a shared passion but the politicised discourse surrounding music education has created confusion and uncertainty.  The result is a model of “Progression in Music Education” shared in the NPME (DfE/DCMS, 2011: 18) which is more about achieving excellence for some in the context of instrumental skills rather than providing a rich and inclusive music education for all.

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English education had a very strong vision of music/arts for all developed by The Arts in Schools Project in the 1980’s.  This vision was reflected in the “2000-2010 renaissance in music education” (Spruce in Harrison & Mullen, 2013: 26).  This renaissance focused on the child as an agent in their own musical learning, not devoid of knowledge but active and engaged in music making in terms of performing, composing, listening and evaluating/appraising.

There needs to be a clear articulation of music for all IN ADDITION TO progression routes for those who are particularly talented.  There also needs to be a recognition that “excellence” can be achieved in a rich variety of ways, not just through traditional instrumental routes.   The model shared by Ben Sandbrook (2012: 4) provides an appropriate vision of excellence that includes:

“an array of musical progression journeys”.

However, can everyone achieve the same level of excellence, even if their routes and end points are different?  A utopian glass ceiling perhaps?  I would argue for an open ended vision of music for all.  Not predetermined and limited by closed notions of what “should be” but which provides the potential for what “might be”.

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Current politicised education discourse focuses on the acquisition of knowledge.  The argument is to enable social mobility but at what price?  There is a real danger that thinking is closed.  The teacher simply has to transmit a hegemony of predetermined, formalised knowledge.  Learner agency and engagement are neglected or even ignored.  In music education this has resulted in an emphasis on the acquisition of instrumental skills and the formalised theoretical knowledge associated with reading music.  This knowledge is important, particularly when developing excellence in particular areas of music, but a focus on acquiring this knowledge does not recognise that music is also an open, living art form with the potential to build on what has gone before, look forwards and challenge our perceptions.

Music education makes us think.  It has the potential to be transformative.

I would like to see the music education sector value its rich diversity and reclaim the lost ground in terms of music education for all in the context of compulsory education.  Funding to support instrumental teaching is crucial but not the beginning or the end of an inclusive and diverse music education for everyone.

 References:

DfE/DCMS, (2011), the Importance of Music: A National Plan for Music Education. London: Crown Copyright.

Harrison, C. & Mullen, P. (2013) (eds.) Reaching Out: music education with ‘hard to reach’ children and young people. Salisbury: Music Mark/Addison Design Ltd.

Sandbrook, B. (2012): http://www.bensandbrook.com/sites/default/files/A%20skeleton%20strategy%20for%20progression%20v4.pdf Accessed: 18/08/2015.

 

Supporting Effective HE Transitions

This one-day symposium at Birmingham City University brings together findings from three QAA funded projects and the longitudinal Leverhulme ‘Paired Peers’ project to explore the factors that make the transition experiences of non-traditional HE entrants successful. The event is relevant to practitioners across the disciplines who are either preparing students for HE or supporting students in the early stages of HE progression. The day will provide practical opportunities to review and evaluate your current practice (individual, departmental, institutional) and to design take away actions for development.

Keynote: The Paired-Peers Project – Richard Waller University of Western England

Click here: QAA Transitions Event Birmingham to download the full information.

Tuesday 1st December
Birmingham City University
Curzon Building C502/503

To reserve your place please contact Wendy.Ross@bcu.ac.uk

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Relationship-based early intervention services: lessons from New Zealand

Written by Dr Carolyn Blackburn, Research Fellow in Early Childhood Studies, Centre carfor Research in Education.

Background
Early Intervention (EI) has the potential to improve children’s long term outcomes socially, emotionally and educationally as noted by recent English policy reports. However, there is a paucity of specialist EI services and educator training for children with complex disabilities, such as those with Foetal Alcohol Spectrum Disorders or children born extremely prematurely (Carpenter et al., 2011).

The Champion Centre (picture above) provides relationship-based EI services to infants and young children with complex disabilities. Parents and children visit the Centre each week and have one-on-one individualised sessions with each of the members of a multi-disciplinary team. Children who attend the Champion Centre in their early years are more likely to subsequently attend mainstream primary education than children who have not received comparable EI services.

The project ord
The aim of this project is to capture effective and best practice by talking to practitioners and parents at the Champion Centre and observing children’s therapeutic sessions. An additional aim is to build international relationships within an interdisciplinary context that could be mutually beneficial for all stakeholders concerned with children with complex disabilities in the UK.

During her visit Carolyn will also work with Positive Path International to identify further educational settings that support children with complex disabilities to enrich her data and deliver CPD to educators in New Zealand.

The project is the outcome of a Winston Churchill Memorial Trust 2015 Fellowships that will provide the funds for Carolyn to visit New Zealand for one month with the aim of “travelling to learn and returning to inspire.”

Follow the project on Carolyn’s blog

 

My HE ‘Double Life’

Written by Ian McDonald, Research Officer, Faculty of Computing, Engineering and the Built Environment (CEBE) and ‘dabbling’ educational researcher

ianI’m not sure if such thing as a ‘normal’ researcher exists, but if such a thing does exist I’m certainly not one – I don’t have an ‘academic’ contract and am employed in research support in the Faculty of Computing, Engineering and the Built Environment (CEBE). I tend to describe myself as a ‘hobby’ researcher, a ‘twilight’ researcher or an ‘accidental’ researcher.

Firstly I should explain how I got into dabbling in academia. Whilst I was the Undergraduate Course Administrator in the (then) School of Property, Construction and Planning, a colleague who led a module about ‘society’ on the MSc Construction Project Management course, asked me, as a Social Policy graduate, to give a lecture to his students on political ideology. I survived (!) and enrolled on the Postgraduate Certificate – Learning and Teaching course which I passed. I then moved to my current job as Research Officer in CEBE and continued to study the remainder of the M.Ed. A combination of these factors resulted in the research ‘bug’ biting, but initially I wasn’t sure how to take the interest further and develop it. I saw an advert for a new pedagogical journal, based at a little known university in North Carolina which asked for papers and book reviewers. I contacted the editor and ended up writing a review of Stefan Collini’s ‘What are Universities for?’ for them. I was also fortunate enough to have the opportunity to write an M.Ed assignment in the style of a journal paper which, after some kind guidance from the editor and one of my colleagues, was published in an higher educational research journal. Following on from this, I’ve been fortunate enough to recently have a second journal paper published, be involved in some conference papers and a current project with two academics in CEBE, which is examining the state of the Faculty’s ‘research culture’. However, my most prolific form of writing is in the form of book reviews which I churn out quite a number of, for higher education journals, but more often for church history/theology journals – another academic interest of mine.

So, what would be my advice to support staff who are interested in experimenting with research?

  1. Book Reviews. These are a great place to start and to experiment. Many journals are crying out for book reviewers, especially young keen ones who can complete reviews on time. As well as getting published you’ll also get free books, which is a bonus too.
  2. Don’t say “I’m just an administrator”. We have as much to say about education as academics and it can be just as useful – some would say more so at time! In an era of greater professionalism in higher education administration, we are often as educated and intellectually capable as those in learning/teaching and research roles, so please don’t feel inferior. There are journals (such as Perspectives –Policy and Practice in Higher Education) which are specifically aimed at administrators/managers and want papers based on their practice and research.
  3. Find helpful and supportive academic colleagues. I’ve been fortunate enough to be actively encouraged by ‘sympathetic’ academics. There are lots out there who will be more than happy to encourage you.
  4. Remember what you’re paid to do. A slightly cautionary word – I believe it’s important to remember what you are actually employed to do and not to take advantage of people’s support and encouragement.

 

 

I am Geof Hill

Written by Geof Hill, Senior Research Fellow, HELS.

I am the new Senior Research Fellow in the faculty and I have moved from Australia with my wife Suzanne who has recently retired from being an Early Childhood (Nursery School) teacher.

I completed my Ed. D. in 2002. My study was to inquire into the practices of writing, supervision and examination that flow on from new paradigms in research practice. My inquiry adopted an auto ethnographic approach based on my lived experiences of geof hillundertaking an M.Sc. (Hon) using action inquiry and the concurrent lived experiences of undertaking an Ed. D.

I presented some of my Ed.D research in a cabaret entitled ‘Doing a Doctorate’.

Following my graduation I secured a part-time post-doctoral appointment working in the Office of Research at the university through which I had graduated as an Ed. D., and for the following twelve years provided a range of professional development programs for research supervisors. I established a blog called ‘The research supervisor’s friend’ (https://supervisorsfriend.wordpress.com/ ) which I have been writing now for about four years. In the past twelve months I have written about issues related with nurturing creativity in research students and responding to desires to be creative by research students.

In the remainder of my professional life I ran a Management Consultancy called The Investigative Practitioner that delivered services to industry (Education, Mining, Health, Government) to help professionals explore their professional practices. This consultancy continued a professional line that had been established in my 20’s when I trained as a Work Study Analyst. Although this background and my undergraduate degree in Psychology give the impression of being a traditional researcher, through my M.Sc (Hon) I embraced action inquiry with gusto and I now live and breathe the ethos of post-positivist inquiry. The second doctoral degree I am currently undertaking in the Graduate Business School at University of Queensland (Australia) was/is a lived experience of exploring practice-led inquiry (where the starting point is the practitioner’s practice) in a Business Environment.

I enjoy theatre and cooking and walks in forest (bush walking) and travel.

Suzanne and I have been married for twenty years and we have no children. We love to travel and she has undertaken two international teacher exchanges (one to Minnesota, U.S.A and the other to U.K. where she taught for a year at Rickmansworth Royal Masonic School for Girls). Together we have undertaken two mini teacher exchanges to Tennessee, U.S.A. and to Mosbach, Germany, as well as numerous overseas trips to Canada, U.S.A. and Europe for a range of educational (conference) opportunities. I have been visiting U.K. as a visiting academic for the past twenty years and undertook a sabbatical in 2012 at Coventry University Academic Writing Centre. I drive a network of academics in U.K. interested in creative approaches to research supervision and for the past few years have toured with my various cabarets.

Geof.hill@bcu.ac.uk Extension 7376 Room 101 in Attwood

A personal journey through RIME 2015

Axtell_Ian_mainWritten by Ian Axtell, Subject Leader for Music Education, Secondary Partnership Coordinator.

Have you ever been to the University of Exeter?  I was lucky enough to visit whilst attending the international Research into Music Education (RIME) conference. For me there was a very strong sense of place.  The main campus is on the side of a hill with some amazing views. We were lucky enough to experience these views in brilliant sunshine from Holland Hall, probably one of the best spots for a hall of residence at any university. But these views were just for starters!  When we went into the city we found the area around the Cathedral. Perhaps it was a combination of good food and good company combined with a sense of history and culture but the area was stunningly beautiful, particularly in the sunshine.exeter-uni1

This sense of place came alive when I began to interact with other people.  The desire to share and explore knowledge was tangible.  Not simply to grab knowledge so it can be regurgitated at some given moment in time but much more about developing and refining ways of knowing. There was a real sense of connecting with people through their history and culture, through rich and meaningful discourse in the field of music education.  I had the privilege of joining a powerful community of thinking whose participants were open to critical academic enquiry.  Enormous respect was held between people who share different views because they have the insight and maturity to realise that progress and transformation are not achieved by conflict and ridicule but through the critical dialogue, generated through ethical, reflexive and even recursive discourse.  It would be wonderful if our education system could reflect this open dialogic approach, where thinking and learning are prioritised over the gathering of data to measure performance.

I initially misjudged this approach, probably because I was a little in awe of the people I was meeting and I wanted my voice to be heard.  I started by being egocentric.  We were sitting in a pub opposite the Cathedral and an American music educator who had joined us starting talking about “American Music”.  Immediately my ears pricked up and I wanted to challenge the view that music can be given such labels and even framed into particular hierarchies.  Was she suggesting that some music is more important than other music?  Was she suggesting that music is created in isolation away from any other cultural or historical influences?  At the time I was quite assertively arguing the point that music is diverse and thus inclusive.  We shouldn’t impose our own enculturation or habitus (Bourdieu, 1977) on other people as though “our music” is more important.  Ethically this is very unsound and music is in fact a powerful way of creating community cohesion by bringing ideas and people together.

I misinterpreted the situation based on my own preconceptions and personal perceptions. She was not making a fixed assertion but posing a question to promote thinking. I had assumed that she was talking about American music in the context of Western Art Music which is my own field of expertise. I made this assumption based on who I saw (she was a middle class white American) and my own habitus.  If I had listened more carefully and allowed her to share her thinking in a bit more detail before jumping in and imposing my own thinking on the situation, I would have realised that she was in fact posing the question: Why is music created by Black American musicians not recognised as having a significant influence on the musical world? She was, in fact, being ethical and in her approach.  She was demonstrating epistemic vigilance by empathising with musicians from outside her own cultural experiences, outside her own habitus. She was being sensitive to other people’s point of view. There wasn’t a simple answer to her question but one that merited further exploration and research. When I realised what was happening this became a magical moment for me.  It helped to frame the way I approached the rest of the week.  I needed to maintain an open mind, to listen carefully to what was being discussed and recognise that education research is not about proving absolutes or asserting certainties but creating the conditions for transformative learning. Ethics through empathy and care underpin effective education research which in turn help to promote continuous growth and development.

I worry that the discourse surrounding the education system in England is increasingly being based on egocentricism and doxa (which Bourdieu (1977) identified as “uncontested truths”). This discourse is being led by inexperienced career politicians making bold statements based their own ideological perspectives. Their thinking is underpinned by an orthodoxy based strong opinions rather than careful, ethical research.  It is as though our education system is being built on personal beliefs driven by elitist social capital and simplistic binary thinking (this is “right” and this is “wrong”).  Any voices that might challenge or critique this orthodoxy, particularly in university based Schools of Education, are being attacked as enemies of promise.

This very negative and even Machiavellian approach towards development was completely absent at RIME. The education research I experienced was based on rigorous ethical principles underpinned by epistemic reflexivity and vigilance.  Care was taken to value other opinions and, in the context of the field, there was a willingness to be humble and recursive in the context of the broader discourse.  “Did what I said make sense?” was a common question.

This approach was exemplified by two music educators who both came from New Zealand.  They respected each other enormously but had opposing views in terms of what should prioritised in music education. One expressed his concern about the lack of Western Art Music in an increasingly informal learning environment in school classrooms whilst the other highlighted the power of what he called contemporary (or Popular) music in the curriculum.  Bernstein’s (1999) perspective of vertical and horizontal discourse linked to formal and informal learning in music education were discussed in an open and critical manner, recognising the complexity and variety that forms the ontological reality of music from around the world and even in one particular country.  This discourse reflected a willingness to move beyond simplistic binary thinking and recognise that both orthodoxy and heterodoxy exist the field of music education.

RIME exemplified the perspective of a field that Bourdieu (1977) shared when outlining a theory of practice:

We need to maintain this “universe of discourse” to ensure that we are not just being self-recursive based on our own narrow perceptions.  I was very pleased to have a positive response to my presentation at RIME, largely because my methodology reflected a willingness to engage with listening to others.  I used phenomenography or research that describes people’s experiences of the world (Marton 1991).  The aim was to recognise and value the complexity of people’s perceptions and improve my own practice as a result.  I would have been easier to impose my ideas on others, my extensive experience legitimises this, but I have always been wary of a limited and self-centred approach.  As a teacher I was much more interested in heutagogy (Hase & Kenyon, 2007) which sees the learner as a major agent in their own learning through their own personal experiences.

I hope RIME and similar conferences centred on university based education research can continue. It is important that our politicians keep challenging those in the field of education to improve the life chances of the children and young people that we serve. However, these improvements are put under threat if one of the most powerful agents for change, namely ethical university based education research, is silenced because of the fear of complexity and multi-voiced contradictions. Education research is in fact an ethical catalyst for change rather than a barrier to improvement.  It is essential.

References:

Bernstein, B. (1999) Vertical and Horizontal Discourse: An Essay. British Journal of Sociology of Education, 20 (2): 157-173.

Bourdieu, P. (1977) Outline of a Theory of Practice: Cambridge Studies in Social and Cultural Anthropology. Cambridge: Cambridge University Press.

Hase, S. and Kenyon, C. (2007) Heutagogy: a child of complexity theory. Complicity: an
international journal of complexity and education, 4 (1): 111–118.

Marton, F. (1981) Phenomenography: Describing perceptions of the world around us. Instructional Science,10 (2): 177-200.