Tense days in Hong Kong

HONG KONG INTERNATIONAL AIRPORT—It cannot have escaped any reader’s notice that Hong Kong has been volatile lately. My introduction to the “Umbrella Movement” was pictures of tear gas and riot police on BBC news reports. I instantly recognised Hong Kong’s administrative district, known as Central, thus the #OccupyCentral hashtag on Twitter.

Having been in Hong Kong for a week, I made sure I visited the site of the protesters, now relocated slightly to the district of Admiralty. It was a moving occasion. I was moved because I was here with my wife in 2003 when protesters first took to the streets—peacefully—and a million people marched through Admiralty and Central. I was impressed by the fact that the protesters made room for the bus we were on. We were traveling in the opposite direction, and they simply parted and let us through.

Protesters occupy Admiralty district of Hong Kong.

Umbrella Movement banner at the university.

Night view above Umbrella Movement protesters.

This time round, things have been brought to a standstill. Pictures that accompany this entry show some of the scenes I photographed. My government has been quiet about all this, except to express that Mainland China—to whom sovereignty was transferred in 1997—is showing restraint. Ironically, citizens of Hong Kong now have more democracy—albeit limited—then under British colonial rule. We did not allow them to vote at all.

Why we are here

As usual for this time of year, I have been teaching, together with Mark Hayter, PhD, RN, FAAN, my University of Hull colleague, at Hong Kong Polytechnic University (HKPU). It was a delight to be accompanied by Theofanis Fotis, PhD, senior lecturer, School of Health Sciences, from the University of Brighton. I first met Theo in Singapore (blog passim), and it was good fun to show him our version of Hong Kong.

Mark and I taught first-year students in HKPU’s Master of Nursing programme, dividing qualitative methods (Mark) and quantitative methods (me) between us. We also consulted with second-year students about their research projects.

I made a point of asking each group about the Umbrella Movement, and the reactions and responses were interesting. In typical Hong Kong fashion—modest, quiet, and unobtrusive, especially with “seniors”—they were reluctant to talk, but when I said I had visited the protesters, they opened up. Most had joined in at some point. Uncertain about the future, they were hopeful that nothing violent would take place. It is not my “fight,” but I am not hopeful. I cannot envisage China bending at all, and I worry, if it continues, how it will end.

Frequent flyers

Mark and I entertained Linda Sim, the head of Cathay Pacific’s frequent flyer Marco Polo Club—to dinner. We make this a regular feature of our visits to Hong Kong, to thank her and her team for excellent individualised service and to raise any concerns and questions we have. Frequent flying is serious business. We went to another of Hong Kong’s high-rise restaurants, Wooloomooloo Prime in Tsim Tsa Tsui. The view was stunning.

Buildings in Hong Kong are, for the most part, confusing to navigate—even after many years. Mark and I both had the experience of leaving our offices to attend a meeting, with a destination office number written on a slip of paper, only to realise after wandering about for a while that the meetings were being held in our own offices. If I told you Mark knocked on his own door, you would not believe me, but he did.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

Australian Capital Territory: Like DC, only different

CANBERRA, Australia—Canberra, Australia’s capital city, divides opinion; there are those who love it and those who hate it. This is a planned city, designed by Walter Burley Griffin, an American, and the similarities to America’s capital city are striking.

Canberra, Australian Capital Territory (ACT), is more modern than Washington, District of Columbia (DC), and has some splendid art deco buildings—my favourite architecture. It also has more post-art deco structures, some of which, frankly, look like they came from the notebook of Albert Speer. Wide boulevards and the fact that the site of the Australian Parliament is called Capital Hill complete the effect. (In Washington, it’s spelled Capitol Hill.)

Walter Burley Griffin is again very much in the public eye here. Fifty years have passed since they named a nearby body of water Lake Burley Griffin. But Burley was Griffin’s middle name, not part of a double-barrelled surname, thus the campaign to rename Lake Burley Griffin simply Lake Griffin.

I get the impression that not much happens here in Canberra. All the political action on Capital Hill is reported in the national press, and The Canberra Times conveys a picture of rural idyllic living. That said, I’m putting my cards on the table and stating that—from my very limited experience of the place—I like Canberra. Being accommodated by ACT Health in the five-star luxury of Hyatt Hotel Canberra helps. Steeped in history, this hotel has been, for decades, the haunt of Australian politicians, many who resided here.

Fantastic art deco stairway in Hyatt Hotel Canberra. 

With its large, comfortable rooms, the hotel is a triumph of art deco style. My bathroom has French windows and is larger than many hotel rooms I have stayed in. The weather has been uncommonly cold—wet on my arrival—so I open the windows only to place my training shoes outside after returning from a run and to retrieve them before my next run, thus preventing the “what’s that smell?” smell my hotel rooms often get after a week or so. Running here is superb, and a loop, approximately four miles in length, goes from my hotel over two bridges that stand at either end of a section of the aforementioned Lake Burley Griffin. I was out at 6 a.m. this morning, and, along the south side of the lake, fitness classes were well underway with group and personal trainers.

ACT Nursing and Midwifery Research Centre Conference

I am here at the generous invitation of Australian Capital Region Health to give a keynote at the 3rd Biennial ACT Nursing and Midwifery Research Centre Conference. I gave that keynote yesterday and titled it “The path to publication.” On the previous day, I presented two workshops on social networking, including blogging, at the University of Canberra and Canberra Hospital.

This morning’s keynote address was presented by Christine Duffield, PhD, RN, who has an excellent track record in conducting nursing workforce research. Today’s address, probably the most authoritative lecture I have heard on the subject, ranged from the place of “assistants in nursing” (Duffield’s generic term for the unqualified, unlicensed “nursing” workforce) to advanced nurse practitioners. She provided a thorough look at nurse-patient ratios in Australia, the United States, the United Kingdom, and Ireland.

At dinner last night, we were entertained by speaker Matina Jewell. This outstandingly intelligent and articulate lady has an incredible story about her time in Lebanon as an unarmed United Nations treaty monitor, the horrific injuries she received in a military vehicle, and the death of all her comrades. Although she tells the story most nights, she is still moved to tears in retelling it. Her message is about recovering from hitting rock bottom with depression over the loss of her military career and survivor guilt over the loss of comrades she had been leading. She is on Twitter @matinajewell—as I write, I see she has just tweeted me a message—and she deserves more followers than she has.

Hanging smart

I have done little climbing this year and, for the first year since a horrific accident that took place eight years ago, none outdoors. But my genes have been climbing. My oldest daughter, Hannah, recently spent a week in the Pre-Pyrenees in Spain, and her sister Emily has just returned from the Bavarian Alps. I seem to find little time to climb these days, and two trips each to Hong Kong and China, together with trips to Puerto Rico, Qatar, and Saudi Arabia before the first quarter of 2015, will probably further limit climbing. However, the spirit is willing even if the flesh is usually in an airport.

The extent to which my family travels is now becoming a standing joke. At dinner last weekend, my oldest daughter asked where I was flying to this week, and I responded “Dubai,” which was my first stop on the way to Australia. I asked her the same and she said, “Dubai!” We were in Dubai airport within 12 hours of each other.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

Still in the UK

I returned to the United Kingdom from Italy, via London, on Friday, 26 September, and spent one night in the Waldorf Hilton in central London, courtesy of the Saudi Arabian Cultural Bureau. On Saturday morning, the 27th, I gave a talk to several hundred Saudi Arabian students about challenges faced in building a research career and being an editor. This was the inaugural conference of the Scientific Society for Saudi Students in the UK—the next one will convene at the end of January—and the conference was addressed by Saudi Cultural Attaché Faisal Abalkhail. Later, I was interviewed for a film clip that will be used in future publicity.

It was interesting to share with the students that I had visited Saudi Arabia before, during the First Gulf War as a member of the British Forces Middle East, and that I had visited their country since and was planning to again visit in April 2015. Two days later, I was back in London for a meeting of the Lancet Commission on UK Nursing, and two days after that I was back for my first meeting of the Army Nursing Research Professoriate.

Some members of the Lancet Commission on UK Nursing hard at work.

The Lancet Commission is taking shape. We hope to have a substantial amount of writing done by the end of the year and to spend 2015 finalising our report and filling in any gaps in our background information. The proceedings will remain confidential until we publish the report. Once the Research Excellence Framework meetings are finished—and I will be in London next week for the final one—the Lancet Commission moves to the top of my agenda.

Members of the Army Nursing Research Professoriate, notably: Col. Alan Finnegan, front left; Hugh McKenna, chair, 2014 Research Excellence Framework, second row, right; and Col. Breckenridge-Sproat, front, second right.

The Army Nursing Research Professoriate exists to bring together military and civilian people who have an interest in military nursing research. The group was initiated and is led by Col. Alan Finnegan, PhD, QARANC, who is also an honorary professor at the University of Chester in the UK and a member of the Lancet Commission. We were very lucky to have a member of U.S. military personnel present, Col. Sara Breckenridge-Sproat, PhD, RN, regional nurse executive, Europe Regional Medical Command, the Army Surgeon General’s consultant for nursing research.

In the evening, we were invited to the annual cocktail party of Queen Alexandra’s Royal Army Nursing Corps (the QAs), which was held at the Royal Hospital Chelsea, home of the famous Chelsea pensioners. Col. Finnegan had the pleasure of meeting my daughter Lucy, an officer in the QAs, at the hospital in Camp Bastion, Afghanistan, while on a visit there during her tour of duty. The professoriate has ambitious plans for research and publication, and, already, there are several very interesting projects underway with publications beginning to appear.

One more week in the United Kingdom, and my travels start again with a short visit to Canberra, Australia, from where I will post my next entry.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

At 'Oxbridge' and other seats of learning

GENOA, Italy—Despite the location of this entry, I have been mainly in the United Kingdom since my last post, which was from Australia. I made one brief visit to Dublin, Ireland, but otherwise have been in Cambridge and Oxford—two major seats of learning known collectively as “Oxbridge”—and Birmingham, the UK’s second-largest city and, arguably, also a major seat of learning. If you are not familiar with the very British TV comedy “Blackadder,” this YouTube clip will provide a sample and explain, at the expense of my own University of Hull, where Oxbridge is positioned in the UK educational hierarchy.

My visit to Cambridge was to attend part of the NET2014 conference and to present with Karen Holland, editor of Nurse Education in Practice, a workshop on writing for publication. The NET conference, formerly named the Nurse Education Tomorrow conference, evolved out of the journal Nurse Education Today. The conference was the idea of Jean Walker, a former colleague of mine from the University of Edinburgh, and one of its earliest proponents was Elisabeth ‘Liz’ Clarke, PhD, formerly of the Royal College of Nursing of the United Kingdom and now of the Open University. In her keynote address, Clarke, who is not a nurse but a psychologist by background, reflected on the conference’s 25 years and challenged nurse educationists with these questions:

• What are the greatest achievements in health care education of the past 25 years?
• What are the big issues we must tackle?
• What do we need to do to demonstrate our positive contribution to health care services, higher education, and society as a whole?
• What are the priorities for our future scholarship agenda?

The conference was held in Churchill College, named after our great Second World War prime minister, whose papers are lodged there in a special archive. The college is relatively modern, built in the 1960s, and accommodations seem to have changed little since those days. I must be getting old and soft, but an unsprung student bed with a thin mattress is not what I am used to.

The purpose of my visit to Oxford was to meet with fellow Journal of Advanced Nursing (JAN) editors and the management team from Wiley headquarters. This time, I can report excellent accommodation in a large hotel that incorporates a former Knights Templar hospital. I concluded these knights were not very tall, as I bumped my head several times on massive ceiling beams upon entering—and usually when leaving—the bathroom.

The JAN management-team meetings are one of the most enjoyable events of the year for me. Wiley looks after us very well, and the JAN editors are the best team in the world to work with. During two intensive days, every aspect of the journal is analysed, and our performance in terms of impact factor, downloads, and international outreach is scrutinised. Change always follows these meetings, but this is always positive and agreed to by the whole team. Our vision for the journal is ambitious, and we hope that this becomes obvious in the year ahead. Amongst other things, we hope to increase traffic to our blog, which has been renamed JAN interactive.

Birmingham was the venue for the penultimate meeting of the 2014 Research Excellence Framework (REF) subpanel for dentistry, allied health professions, nursing, and pharmacy, to which I have referred previously. I love working with this team, too, but I don’t think many of us will miss these events, as membership on these panels involves very hard work. The eyes of the UK academic community are on the REF panels and subpanels with the outcome—scores awarded to UK universities for excellence in research—eagerly awaited. The world is also watching and waiting, because this exercise was the first to include research impact. There will be international scrutiny to see how we did it and what we found, and it is my expectation that research impact will form part of research assessment in several of the countries I visit regularly.

I’m in Genoa—also known as Genova—for the usual reasons (blog passim): to meet research students at the University of Genoa and to collaborate with colleagues here. In the middle of the week, my dean, Steven Ersser, PhD, RN, makes a visit. I had better be on my best behavior.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

'And this is winter?'

My daughter’s first words on stepping outside at the Sydney airport form the title to this entry. It gets “cold” here, and there is even snow on the mountains, but what the average Australian considers cold would be an above-average summer day back home in the UK. I have lost count of my visits to Australia, but this is the first time my wife has been here, and I love to see old places through new eyes.

Two of my sons and another of my daughters have already been here, so my wife decided to see what all the fuss was about. In my view, part of the “fuss” is the unique combination of early morning frost in the suburbs of Sydney against the background of a deep blue sky that seems uniquely Australian. By midday, it’s officially warm—by UK standards—yet the locals are in coats and scarves, and, because I am mainly in shirtsleeves, I’m always being asked, “Aren’t you cold?”

View from my hotel.

University of Western Sydney

As mentioned in previous entries from Australia, I’ve been based at the University of Western Sydney (UWS). As the name suggests, the university serves the western side of Sydney but, in fact, it is not really in Sydney at all. It has campuses in Campbelltown, Paramatta and Hawkesbury, with an outpost in Liverpool, the Centre for Applied Nursing Research. During my recent two weeks in Sydney, I visited all the campuses where nursing is provided.

These visits often involve drives that would take you from one side of the UK to another. As with my sense of what is hot and cold here in terms of weather, I have to adjust my sense of distance in this vast country. I told someone I used to drive 60 miles to work and back, trying to instil a sense of horror at this daily feat. They looked at me with a “so what?” expression.

I was really pleased recently to notice that UWS had made the Times Higher Education list of the top 100 universities less than 50 years old (ranked 87th), alongside a very interesting list of younger universities across the world. While here, I have held scholar-in-residence consultations, given two seminars, and I had time to post online slide presentations about open access publishing and the uses and abuses of impact factor. This evening, in the presence of Rhonda Griffiths, dean of nursing and midwifery at the University of Western Sydney, and Scott Holmes, deputy vice chancellor for research and development at the school, I address a function at the university for senior people from local hospitals and health authorities. My topic is “The Francis Report: You simply could not make it up.”

Australia and onwards

This is the first of two visits to Australia this year. In October, I return to Canberra to speak at the 2014 Australian Capital Region Nursing and Midwifery Research Conference.

Aunt Jean, at age 90, the oldest member of the party,
meets the youngest, Rebecca, age 15.

In addition to the professional aspects of my trips here, the past few years of regular visits have enabled me to connect with my extended family of cousins and one remaining aunt. I was especially pleased that my wife and daughter (Rebecca) were able to meet my Aunt Jean, who turned 90 in February.

Tomorrow, we leave Australia for Hong Kong and, after two days, we return to the United Kingdom. August is relatively quiet, but September and October will be intensive with final scores and report writing for the 2014 Research Excellence Framework, after which I must turn my attention to the slightly neglected Lancet Commission on UK Nursing.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be published.

Working on the Italian Riviera

HULL, United Kingdom—Last week, I made my third visit to Italy and my second to Genova this year. It is a pleasure to visit that historic and beautifully situated city. The weather was superb and, despite a classic running injury—plantar fasciitis—I managed two 10K runs along the two-mile esplanade called the Corso Italia. I had to make several loops but, because the sea was clear and blue and the sun was shining, this was no hardship.

You do not have to go far to experience a different culture, and this became evident in three incidents in which I was a customer—in two restaurants and a shop.

In the first incident, I took a table, asked the waiter for a beer, and, just as I began to say, “and could I see the menu?” was berated for my ignorance. This was not a bar, he informed me, but a restaurant. If I wanted a beer, I should go next door to the bar. I stood up, shrugged my shoulders, and walked out.

I then tried to buy some gelato and liked the look of the yogurt-flavoured variety. My idea of the perfect ice cream is one with no “bits” in it, or any other kind of adulteration. The vendor—who sensed I was not local—simply looked at me and told the person next to me in the queue that I ought to be trying something more typical of Italy or Sicily, from where he originated. So I pointed to some brightly coloured bitty concoction at the back of the display, which he seemed happy to serve me. I left muttering loudly, “So why do you have the yogurt-flavoured gelato?” And the one I bought was truly terrible. I made a mental note that, within a short time of my arrival, at least one restaurant and one shop were out of bounds in the future.

The final incident involved me buying coffee—which I did not want—after dinner, albeit I was able to have decaf. The coffee was “special,” explained the proprietor. It was made with limoncello, a highly alcoholic lemon drink. The coffee was terrible, too! But the restaurant was very good and an interesting place—a former, and I emphasise “former,” house of ill repute. (I can see the tweet now: Travelling professor visits a brothel.) I’ll say no more than that because, although the establishment’s mission had drifted, the decor remained what I imagine—I emphasise imagine—what one of those places may have looked like.

The University of Genova

I was not in Genova to report on local hostelries but to work for a few days at the University of Genova. I met PhD students to teach and discuss various aspects of research, including writing for publication. This time, I gave three sessions—open access publishing, impact factor, and the process of proceeding from data to published paper. While there, I also spent time with colleagues, advising on their research and publication strategies and looking for areas of common interest with our research at Hull.

One specific area of interest in health promotion is related to avoidance of melanoma, and the vast layers of seminaked bodies on the beaches of Genova suggest they may have a significant melanoma problem in Italy. In Australia, to cite one example, sunbathing, though not eliminated, has become almost a thing of the past. People there are very “sun-safe,” using clothing and protective creams to good effect. Italians have not yet gotten the message. Why we have such an interest in melanoma at Hull, where the sun rarely shines, is a mystery. But we do, and I hope my colleagues can begin to visit Genova and establish some collaboration.

There is one final incident to report, and that was running into a street demonstration while en route from Genova to the airport. The protestors—trade unionists—were blocking the road, and we had to stop. They had also blocked side roads leading to the main road. My anxiety level rose slightly, but we took an impromptu tour of the back streets of Genova, which was fascinating, and we arrived at the airport via a route I had never taken and from a direction I considered impossible. I have no complaints about Genovese taxi drivers, possibly the fastest and most intrepid in the world.

In case anyone wonders if I actually ever work at Hull, I was here the week before I went to Italy, and I am here this week. I am in the process of preparing a new online module in quantitative research methods for our Master’s of Research (MRes) students. MRes is something possibly unique to the UK. It is a genuine master’s degree, which can be taken as an exit point or, after graduation, for the first year of a PhD. Other master’s degrees, if the student graduates, oblige the student to start in the first year of a PhD. This module will be entirely online and asynchronous, a model that works very well, I think, for master’s students.

The rest of the month is taken up with a week in Stratford-on-Avon, the birthplace of William Shakespeare, at a Research Excellence Framework subpanel meeting. Then I head to Hong Kong for the 25th International Nursing Research Congress, sponsored by the Honor Society of Nursing, Sigma Theta Tau International. Of course, you’ll be hearing about my time there. Maybe you’ll even be in my next blog.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

Middle East to UK to Far East

HONG KONG, SAR, China—I am always happy to visit a new country, and, last week, I was in Oman for the first time. I was examining at the College of Nursing at Sultan Qaboos University in Muscat. Muscat, located on the northeast coast of Oman, faces the Gulf of Oman, which separates the Persian Gulf to the north from the Arabian Sea to the south.

I have to stoop to superlatives to describe the weather. The temperature was over 50 degrees Celsius (122 Fahrenheit), with humidity that exceeded anything I have experienced in the Far East and Southeast Asia. Leaving any air-conditioned building was like being hit in the face with a wet, warm sponge. One evening, at an outdoor cocktail party, I decided to check my phone for messages, and the phone, which had been in my air-conditioned room for hours, simply started dripping with water. I survived and even managed to run, at 0530, but my GPS watch was a victim of the humidity and stopped working—permanently.

The view from my hotel in Oman.

Sultan Qaboos

Sultan Qaboos University is enormous and located on the same campus as Sultan Qaboos University Hospital (SQUH). Together, they serve as a major centre of medical and nursing education for the region. My own University of Hull has a long-standing relationship with both the College of Nursing and the hospital. One of my colleagues at Hull was a recent examiner at SQUH; colleagues from SQUH visit Hull and our local hospitals—my daughter has looked after them on the local cardiothoracic intensive care unit; and, over the next few years, we plan to take several cohorts of staff members into our post-registration, undergraduate degree program me.

In Oman, I met members of a recent delegation to Hull, who enthused about the personal and detailed care they received while at Hull. Although they visited many centres in the UK, they chose us because of our hospitality—crucial in Arab culture—and we have my colleague, Jeremy Jolley, PhD, RN, international coordinator, to thank for this. Jeremy preceded me as examiner at the Sultan Qaboos University College of Nursing, and his legendary sense of humour and easy way with international colleagues meant I had a lot to live up to. I don’t yet know if I passed the test, but will conclude I did if I am invited back.

New friends

I was not examining alone; I was reunited with my colleague from Bahrain, Seamus Cowman, PhD, RN, FAAN, head of nursing at the Royal College of Surgeons in Ireland–Medical University of Bahrain. Also, I was delighted to meet, for the first time, Marilyn Lotas, PhD, RN, FAAN, associate professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA, and Shadia Yousuf, PhD, RN, assistant professor, King Abdulaziz University Faculty of Nursing, Jeddah, Saudi Arabia, who gave me news about two of my previous PhD students, now working in Jeddah.

We examined the students in the clinical areas, presenting patient cases and interacting with patients, and following up with a series of very demanding oral examinations. We do nothing like this in the United Kingdom and, while I questioned the value and sustainability of some of the examination procedures (suitable for small numbers but probably unworkable for large numbers), I also wondered if we were not a bit “soft” on our own students.

Professor Cowman and I with male nursing students in Oman.

Hong Kong … again

I returned to the UK for a day to remind my wife and family what I look like and then left for Hong Kong. This week, I am working for the University Grants Committee of the Hong Kong Special Administrative Region (SAR). Specifically, I am serving on the humanities and social sciences committee, reviewing research grant proposals related to health.

The view from my hotel in Hong Kong.

I know Hong Kong well and have many friends and colleagues to see. Last night, I went to one of the best places here to get a haircut, the YMCA Salisbury Hotel. If your image of the YMCA is one of old sports halls with table tennis, pool, and a song by Village People, think again. The YMCA has two very good hotels here, and I often use them. In a few weeks, on the way back from Australia, I will be staying at one of them with my 15-year-old daughter.

The haircut at the YMCA reminds me of one of my funniest moments in Hong Kong. The first time I decided to have my hair cut there, I went in and an older Hong Kong lady was sweeping the hair from the floor. Nobody else was there. I asked about a haircut and, with no English, she pointed to me to sit down and proceeded to cut my hair—very well. I asked about the cost, and she said “one hundred dolla’,” meaning HK$100, which I gave her. She put the note in her pocket, and I thought no more about it until my next visit a few weeks later. The lady was still sweeping the floor, but there was also a young man there, who proceeded to cut my hair. At the end, I took out a HK$100 note and handed it to him. “No,” he said. ‘You must pay at the shop,” and handed me a bill for HK$110. I stole a glance at the hair-sweeping lady on the way out. I think I saw her smiling!

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted. 

Finland to United Kingdom to Bahrain

MANAMA, Bahrain—There could be no greater contrast than between the lush greenness and clean air of Finland and the scorched, dehydrated, and dusty landscape of Bahrain. That contrast is even more striking when you have only 24 hours between the two places with a very short visit home. The visit home was even shorter than planned, due to being stranded in Helsinki by one airline, having to transfer to another airline and another city in the UK, and finding my way home after public transport was closed. Such are the joys of international travelling, which some look upon in envy. As ever, I thoroughly enjoy what I do around the world, but the process of getting there can be tedious.

Finland

I was in Turku, as I was last year at this time, to give sessions on writing for publication to postgraduate research students at the University of Turku. This time, it was a Journal of Advanced Nursing (JAN) show, as I was with fellow editor and Hull colleague Mark Hayter, PhD, FAAN, professor of sexual and reproductive health at the University of Hull. The sessions were enjoyable, and the students interacted well.

The weather was fantastic, the food excellent, and it is always good to catch up with international colleagues. If there is a link between Turku and Bahrain, it is the open-access journal I edit, Nursing Open. One of the editors, Riitta Suhonen, PhD, RN, works in Turku, and, here in Bahrain, I am with Seamus Cowman, PhD, FAAN, who is now head of nursing at RCSI Bahrain, affiliated with the Royal College of Surgeons in Ireland (RCSI). Cowman is another editor of Nursing Open and, incidentally, the first Irish nurse to be elected a fellow of the American Academy of Nursing.

Bahrain

Bahrain continues to develop since my previous visit and, despite the desiccated landscape and dusty Middle Eastern backdrop, it has paradisiacal elements as land is reclaimed along the coast and small, exclusive communities emerge. I should be used to living in hotels—not all of which are five-star, believe me—but the luxury of the Gulf Hotel, Bahrain, and the tranquility and service of its Platinum Club provide an insight into a lifestyle that, but for generous hosts, I will never be able to afford. The dilemma is: Do you eschew it for fear of getting used to it and missing it; or do you indulge, knowing it will rarely be on offer again? As I stare out over the night lights of Bahrain from the top floor of the hotel and the waitress pours me another (free) drink, I think you see how I solved the dilemma. I’m going to miss this one day!

The purpose of my visit to Bahrain is to work as an external examiner on the master’s in nursing programme at the RCSI. I examine the same programme in Dublin, and part of the job is to ensure that the same standards are applied in both locations, on behalf of the RCSI and on behalf of the National University of Ireland, which is the degree-awarding body.

The Nursing Open theme continues, as one of the editorial board members, Catherine McCabe, PhD, RN, assistant professor, Trinity College, Dublin, Ireland, arrives today in her capacity as external examiner for the undergraduate nursing programme. I am very pleased that my contract has been extended for another year and that I will also be starting as an examiner next month at Sultan Qaboos University, Oman. By sheer coincidence, my fellow examiner is none other than Cowman from RCSI. The Honor Society of Nursing, Sigma Theta Tau International (STTI), is represented here by the relatively newly formed Rufaida Honor Nursing Society, which is seeking to become a full chapter of STTI. Catherine O'Neill, senior lecturer, RCSI Bahrain, played a major role in establishing it, along with local colleagues.

Running, climbing, and football

My efforts to get out on the rocks are being thwarted by an inordinate amount of travel, both in and out of the United Kingdom. This is probably the busiest year of my life. However, I continue to train indoors, and combine rock climbing with running. Finland was a joy to run in, but my 0530 run today in 30 degrees Celsius (86 degrees Fahrenheit) to avoid the sun, had me almost at my physiological limits. I don’t understand why this should make your legs feel as if they had lead weights attached. In addition, the expatriate workers waiting for their transport to work shared incredulous looks as I panted past. To make a living, they are forced to work in this heat. I could be in bed in an air-conditioned room.

Finally, the UK football (soccer) season has ended, and the highlight of the English season, the Football Association (FA) Cup included, for the first time in the club’s 110-year history “The Tigers,” my local Hull City team. The match was played at Wembley, the 90,000-seat national football stadium in North London. The opposition was the mighty Arsenal, a North London club, and 25,000 of us made the journey south to watch the game, including the three Watsons pictured.

We lost, but only after taking a 2-0 lead and taking them into a period of extra time. Nobody expected that, and I think we were happier than the Arsenal fans. We stayed to see Prince William award the FA Cup runners-up medals and departed, elated. My voice took a week to recover, and I look back on what was, surely, a once-in-a-lifetime experience.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

Another quick visit to Rome

I was in Rome again this week to attend a conference. I missed by one day the 4 million visitors who were here for the double papal canonisation (Pope John XXIII and Pope John Paul II) on 23 April in St. Peter's Square. To non-Catholics, these events are unfathomable, and the ordinary “Catholic in the street” would have difficulty explaining the criteria, the significance, and the effect, if any, on their lives. As one of them, I won’t try to enlighten you.

The weather in Rome was a pleasant change from the U.K., where we are still having subzero Centigrade nights and the garden (the “yard”) is still a place to be endured rather than enjoyed. The conference, held in the Italian Ministero della Saluta (Ministry of Health), was run under the auspices of IPASVI (Nursing Board of Rome) and showcased the work of the Centre of Excellence for the Development of Nursing Research.

The research theme focused on the importance of nurses in feeding patients and contributing to health, and Gennaro Rocco, president of IPASVI, outlined the work of the centre. Since 2010, they have produced an impressive 82 publications from 48 funded projects, a great many in top journals and most in collaboration with other disciplines. Italian colleagues bemoan the poor state of academic nursing in Italy. I know everything is not perfect, but something seems to be working, and this is largely due to President Rocco.

The location of my accommodation was not ideal for running, but I managed to piece together two 3-mile runs early in the morning. Following my first half-marathon (see previous entry), I realised I was not as fit as I thought I was. So, I’ve been studying Run Fast: How to Beat Your Best Time—Every Time, by Hal Higden, and learning the difference between repeats and intervals—not the same thing—and what “fartlek” training is. If you sniggered at fartlek, go to the back of the class. It’s a real word; Google it.

Another review of UK nursing

I tried, without success, to take some days off at Easter, but, at least, I was mainly able to work at home. Once again, just when I thought it safe to read the newspapers without risk of stroke or heart attack, I see another review of nursing education has been commissioned by the U.K. government. The review will be led by Lord Willis, who led a commission on behalf of the Royal College of Nursing a few years ago. That commission looked at preregistration nursing education and came to the conclusion that there is no evidence that being an educated nurse means you are an uncaring nurse. It seems that this new commission will review all aspects of nursing education with a view to recruiting into nursing older candidates with the “right attitude.”

This strays into the territory of the Lancet Commission I will be leading, which I do not mind, but this newly commissioned review begins with the premise that there is a problem—that nurses are not caring enough and that they have little regard for patient dignity. These things may be true, but I am determined that the Lancet Commission is distinguished by the fact that it is not out to solve problems. It does not start from the premise that there is a problem—we don't deny there may be one. Instead, we want to see—whatever the current state of nursing—how best we can prepare nurses from registration throughout their careers to meet the challenges of the next 20 to 30 years.

Bad news

I mentioned in a previous entry that I was revising a research grant application for the Alzheimer’s Society. The proposal was duly revised, resubmitted, and rejected. I have never expressed irritation to a grant-awarding body in the past, but I did this time on the basis that I considered they had wasted my time. Everyone feels angry and let down when a research proposal representing months of works and investment of time and hope is rejected, but the task I was given was huge and the space in which it could be accomplished a challenge, and I failed—apparently. Back to the proverbial drawing board.

On the bright side, I have had several papers published, the most recent being one where, along with my co-authors David R Thompson, PhD, FAAN, Wenru Wang, PhD, RN, and Rob R. Meijer, PhD, we looked at issues affecting measurement of a property called invariant item ordering in the Mental Health Inventory. It was published in Personality and Individual Differences. Reviewer comments were extensive and very helpful, and, in the process of revision, we were asked to consider something that was new to me—person-item fit (PIF).

I contacted my Mokken scaling colleague Rob Meijer in the Netherlands, who has written about this. It just happened that he was developing software to analyse the kind of data I was looking at. In fact, he ran it for me and joined in authorship of the paper. Since then, his colleague Jorge Tendeiro, PhD, provided me with a link to the software and the syntax to run it. 

They also provided me with a draft article (“Practical Guide to Check the Consistency of Item Response Patterns in Clinical Research through Person-Fit Statistics: Examples and a Computer Program”) they wrote for people like me who may not, unlike them, have the programming and statistical knowledge to do these things without a lot of help. In fact, the paper quoted what I said to Meijer when I read one of his papers on PIF: “I have read the 2001 paper; frankly, most of this is beyond me and Google is not much help.” My ignorance has spurred a paper, and I was glad to be of service.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those promoting products or services will not be posted.

A very strange week!

HULL, United Kingdom—Last week I was in London at a Research Excellence Framework subpanel meeting and then in Glasgow at the 2014 Annual International Nursing Research Congress, sponsored by the Royal College of Nursing of the United Kingdom. In Glasgow, I launched, together with Wiley colleagues, Nursing Open with a huge cake bearing a facsimile of the journal’s cover. I have not had my name on a cake since my childhood birthdays.

The conference was very good. I spent the first day in the registration and exhibition hall, where I was able to do some very valuable networking, catch up with old friends and colleagues, and answer questions about Nursing Open and Journal of Advanced Nursing. At the end of the day, I co-presented a workshop on the use of social networking in nursing. Led by my good friend Alison Twycross, PhD, RN, head of Department for Children’s Nursing, London South Bank University, and my new friend, Calvin Moorley, PhD, RN, senior lecturer, London South Bank University (we had only previously met on Twitter), the workshop was well attended and generated a good discussion.

The evening began with a reception at the magnificent Glasgow City Chambers, followed by dinner with Wiley colleagues at Glasgow’s excellent Urban Bar and Brasserie. I had black pudding starter and haggis sausages, and you probably don’t want to know what either of these Scottish delicacies contain.

On my second day, I lined up some research sessions to attend, and I was not disappointed. I gravitate towards sessions on quantitative research, and there were some excellent methodological sessions on Rasch analysis, questionnaire development, and stress and burnout in nursing. In particular, I enjoyed meeting Nina Geuens, PhD student, Karel de Grote-Hogeschool, Belgium, and her supervisor, Erick Franck, professor in applied psychology in health care, Universiteit Antwerpen, Belgium. My long journey home by train was filled with thoughts of the Sheffield half marathon I was due to run on Sunday, 6 April, which brings me to Part 2 of this entry.

Nina Geuens, Yours Truly, and Erick Franck

Rebel runners

My early mornings in London and Glasgow were taken up with final preparatory runs. I followed a very strict half-marathon training programme by Hal Higdon. As my children would say, I was “up for it.” If you Google “Sheffield half marathon” or, on Twitter, go to “#sheffieldhalfmarathon” or “#rebelrunners,” you will immediately see what an interesting day this turned out to be.

My wife and I arrived at the starting line, along with more than 5,000 others, at the appointed time and were then held there for 50 minutes without explanation. Rumours abounded but, as it turned out, insufficient water had been supplied for the number of runners involved and, at 9:50 a.m., the run was cancelled. What followed will go down in running history. A predominantly middle-class, law-abiding crowd of runners expressed its disgust the only way we could: We started running, and the police were unable to stop us. I don’t advocate civil or any other kind of disobedience, but this was one of the most moving events of my life. I think Mahatma Ghandi would have been very proud of us.

The general public of Sheffield, which had waited for more than an hour to watch us run, went into their houses, food shops, and coffee bars and emptied fridges and cupboards of all the bottles of water they could find. There were bottles of water on the top of parked cars and runners—normally a selfish and competitive bunch—were handing half-finished bottles to other runners. Where the official water stands were closed by race officials, people stood nearby handing out bottles and paper cups, along with the runners’ best friend: Jelly Babies. These incredible, high calorie-sweets are made in Sheffield, and they are exactly what you need halfway round a long route. If you eat them when you are not taking exercise, the sugar high that results is unique.

The intrepid Dr. Watson

Did I hear you ask how we fared in the race? Well, my wife dropped out, as she has to save herself for official races and has another one coming up soon. When I realised that the police had backed down and saw that the crowd of runners was beginning to snake its way through the town, I decided to complete the course, which was my first half-marathon. I enjoyed the first 10 miles but realised, at that point, that my plan for a fast final three miles was not going to happen. By 11 miles, I was considering ending it all by jumping into the oncoming traffic and, at 12 miles, had it not been for my wife and sister-in-law shouting my name, I might have knelt down and cried. But I carried on to the finish line and was glad to see that the organisers had decided to stay and hand out running vests, water, and medals.

My ambition was twofold: to remain standing at the end and to complete the run within two hours. My time: 1 hour, 47 minutes and 28 seconds and, with wobbly legs and bleeding nipples (exceedingly painful), I was still standing. Some might consider my inability to speak for a considerable length of time another positive result.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.