Dr Tina Harris

Job: Lead Midwife for Education/Principal Lecturer

Faculty: Health and Life Sciences

School/department: School of Nursing and Midwifery

Research group(s): Reproduction Research Group

Address: De Montfort University, The Gateway, Leicester, LE1 9BH.

T: +44 (0)116 257 7804

E: tiharris@dmu.ac.uk

W: www.dmu.ac.uk/hls

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Personal profile

Tina Harris is Lead Midwife for Education, Faculty Head of Research Students and Principal Lecturer in Midwifery within the School of Nursing and Midwifery at De Montfort University in Leicester.

Tina completed her nursing and midwifery training in the early eighties and then worked in hospital and community posts as a midwife. She completed an Advanced Diploma in Midwifery in 1986 and, following a three year period working in parent education in the USA, completed her honours degree in education in 1993. At this time she moved into an academic post as a midwifery lecturer.

In 2005 Tina successfully defended her PhD thesis, a grounded theory study which explored practice variation and decision making in third stage care among midwives. Her academic interests are now focused on supervising and supporting PhD students, researching and leading midwifery education at De Montfort University.

Tina’s research interests focus on the development of theory for midwifery practice and education utilising qualitative methodologies, with a particular interest in Grounded Theory approaches.

Research group affiliations

Nursing and Midwifery Research Centre

Reproduction Research Group

Mary Seacole Research Centre

Publications and outputs

National Maternity and Perinatal Audit: Organisational Report 2019
National Maternity and Perinatal Audit: Organisational Report 2019 Blotkamp, Andrea; Aughey, Harriet; Carroll, Fran; Gurol-Urganci, Ipek; Harris, Tina; Hawdon, Jane; Heighway, Emma; Jardine, Jennifer; Knight, Hannah; Mamza, Lyndsey; Moitt, Natalie; Pasupathy, Dharmintra; Thomas, Nicole; Thomas, Louise; van der Meulen, Jan; Harris Maternity and neonatal services in England, Scotland and Wales are going through an eventful time. Wide-ranging transformation plans are being implemented as a result of the English national maternity services review and the Scottish maternity and neonatal services review,1,2 and an updated Welsh vision for maternity care is in preparation at the time of writing. Services are being reconfigured and changes made to ways of working across the three countries. The second organisational survey of the National Maternity and Perinatal Audit (NMPA) maps current service provision as of January 2019 across England, Scotland and Wales. This report describes how services have changed since the last survey in January 2017, where service provision has improved and where further improvement is still needed in order to meet recommendations. It is hoped that this report will help inform the transformation and other improvement initiatives which are underway. open access report
National Maternity and Perinatal Audit
National Maternity and Perinatal Audit Forrester, M.; Harris, Tina This session will give participants an overview of the National and Maternal Perinatal Audit. We will explore the relevance of the audit to clinical practice and look at how findings can be applied to improve the quality of care provided to women and babies. Learning outcomes Participants will • gain an understanding of the National and Maternal Perinatal Audit • learn how to relate findings to their own trust/board • learn how to apply audit outcomes to clinical practice
The National Maternity and Perinatal Audit
The National Maternity and Perinatal Audit Harris, Tina The National Maternity and Perinatal Audit (NMPA) is a national audit of the NHS maternity services across England, Scotland and Wales, commissioned in July 2016 by the Healthcare Quality Improvement Partnership (HQIP). The overarching aim of the NMPA is to produce high-quality information about NHS maternity and neonatal services which can be used by providers, commissioners and users of the services to benchmark against national standards and recommendations where these exist, and to identify good practice and areas for improvement in the care of women and babies. The first clinical report of the NMPA includes analysis of almost 700,000 births which took place between 1/4/15 and 31/3/16. During this presentation, midwives will be introduced to the NMPA and the first Clinical Report which will include the characteristics of women giving birth in Britain today, the audit findings relating to labour and birth, the variation identified and how midwives can use this information to consider improvements in care. The aim of the session is to inform and inspire midwives to use the audit findings to stimulate thought, ask challenging questions and to reflect on local regional and national findings to identify priority areas for improving the care of women and their babies
National Maternity and Perinatal Audit: Clinical Report 2017 - revised version
National Maternity and Perinatal Audit: Clinical Report 2017 - revised version Blotkamp, A.; Cromwell, D.; Dumbrill, B.; Gurol-Urganci, I.; Harris, Tina; Hawdon, J.; Jardine, J.
Making comparisons
Making comparisons Blotkamp, A.; Harris, Tina
The maternity map
The maternity map Blotkamp, A.; Harris, Tina As the first organisational report of the NMPA is published, Andrea Blotkamp and Tina Harris reveal the picture that has emerged. The NMPA is led by the RCOG in partnership with the RCM, the RCPCH and the London School of Hygeine and Tropical Medicine. The file attached to this record is the author's final version.
National Maternity and Perinatal Audit: Organisational Report 2017
National Maternity and Perinatal Audit: Organisational Report 2017 Blotkamp, A.; Cromwell, D.; Dumbrill, B.; Gurol-Urganci, I.; Hawdon, J.; Jardine, J.; Harris, Tina; Knight, H.; McDougal, L.; Moitt, N.; Pasupathy, D.; van der Meulen, J. Organisational report 2017 - A snapshot of NHS maternity and neonatal services in England, Scotland and Wales in January 2017
Evaluating the care we provide: the role of the National Maternity and Perinatal Audit
Evaluating the care we provide: the role of the National Maternity and Perinatal Audit Harris, Tina; Blotkamp, A. The Healthcare Quality Improvement Partnership (HQIP) have commissioned the Royal College of Obstetrics and Gynaecology, (in collaboration with the Royal College of Midwives, the Royal College of Paediatrics and Child Health and the London School of Hygiene and Tropical Medicine) to undertake a National Maternity and Perinatal Audit across England, Scotland and Wales. Funded for 3 years, the audit will encompass the care of healthy women and babies as well as those with complex conditions or circumstances. This paper discusses the value of auditing maternity services to explore variation in care delivery and how the audit will undertake this project. Aiming to evaluate a broad range of care pathways and outcomes, the NMPA will map the care journey from the beginning of pregnancy, during the antenatal, intrapartum and postnatal period across England, Scotland and Wales. This includes the care of healthy women and babies and those with more complex health and social care needs, across midwifery-led and obstetric units, at home and in the community.
Noting midwives' notes
Noting midwives' notes Harris, Tina; Blotkamp, A. The new national maternity and perinatal audit (NMPA)is using routinely collected data to improve maternity care. Tina Harris and Andrea Blotkamp explain more.The Healthcare Quality Improvement Partnership (HQIP) have commissioned the Royal College of Obstetrics and Gynaecology, (in collaboration with the Royal College of Midwives, the Royal College of Paediatrics and Child Health and the London School of Hygiene and Tropical Medicine) to undertake a National Maternity and Perinatal Audit across England, Scotland and Wales. Funded for 3 years, the audit will encompass the care of healthy women and babies as well as those with complex conditions or circumstances. This paper discusses the value of auditing maternity services to explore variation in care delivery and how the audit will undertake this project. This includes the first organisational survey of maternity services across three countries and the collection of data from all units delivering maternity services in the three countries via their maternity information systems for analysis. The file attached to this record is the author's final peer reviewed version.
Care in the third stage of labour
Care in the third stage of labour Harris, Tina After reading this chapter you will be able to: Describe the physiology of the third stage of labour Differentiate between expectant and active management Identify variations in management of the third stage of labour and their potential benefits and limitations Explore the debate between expectant and active management and the implications for midwifery practice Identify how to examine the term placenta and membranes

Click here to view a full listing of Tina Harris' publications and outputs.

Research interests/expertise

Midwifery practice
Midwifery education
Decision making in clinical care
Practice variation
Care of childbearing women from ethnic minority and migrant backgrounds
Parent education
Obesity.

Areas of teaching

NRMW 3010 Professional Enquiry Module
MPHE 5007 Dissertation Module
Supervision of undergraduate students completing their dissertations
Supervision of postgraduate students completing their dissertations
Supervision of MPhil and PhD students
Undergraduate and post graduate teaching in midwifery.

Qualifications

PhD, RN, RM, ADM Recordable Teaching Qualification

BSc Hons Education Studies (Midwifery) 1st Class

Courses taught

BSc Hons Midwifery
BSc Hons Midwifery (shortened)
MSc Midwifery Practice
BSc Hons Nursing

Membership of external committees

Member of validation panel as external reviewer for Masters in Midwifery programme at Liverpool John Moores University 2004
External advisor on research project at Liverpool John Moores University with Irene Walton: A study of the decision making processes of the midwife in the care of low risk women in labour 2005-2007
Member of the LME Strategic Reference Group at the NMC 2006-date
Member of panel for revalidation of curriculum at University of Manchester on 2 occasions as external reviewer 2008/2009
Participant in NMC consultation on changes to the constitution rules 2008
External examiner University of Bedfordshire 2007-2009
External examiner University of Bournemouth 2009-present
External advisor for periodic review at University of Manchester 2009
External specialist advisor for revalidation of midwifery programmes 2008/9
UCLAN 2009
External Specialist advisor for revalidation of graduate degree and postgraduate diploma in midwifery. University of Hull 2009
Leader for Initial and Higher Education Group of the Education Standing Committee for the International Confederation of Midwives 2009-date
Member of Leading Midwifery Services Programme Advisory Panel NHS East Midlands Strategic Health Authority 2010
Expert Advisor to the NHS Evidence (NICE) specialist collection on ethnicity and health 2011-
Member of ICM Midwifery Research Advisory Network 2003 to date
Member of ICM Midwifery Education Advisory Network 2008 to date
Specialist member of validation panel for revalidation of curricular Edgehill 11/3/11
Specialist member of validation panel for revalidation of midwifery curriculum Liverpool John Moores University 30/6/11

Membership of professional associations and societies

CMB/UKCC/NMC 1982 to date
RCM 1982 to date
NATFE which became UCE 1996 to date
ILT which became HEA 2000 to date
ICM Midwifery Research Advisory Network 2003 to date
ICM Midwifery Education Advisory Network 2008 to date

Professional licences and certificates

Certificate in Research Supervision De Montfort University, Leicester June 2003
Update attended 2011
Advanced Diploma in Midwifery Birmingham Maternity Hospital (ADM) 1986
State Certified Midwife (SCM) King’s College Hospital, London 1982
State Registered Nurse (SRN) Normanby College, London 1980

Conference attendance

Harris T (2000) Oral presentation “Midwifery Practice in the third stage of labour” Midwives Marking the Millennium: the diversity of Practice. Two day International Conference 8-9 June, Highcliffe Hotel, Bournemouth.
Crompton A and Harris T (2000) Oral presentation “Defining and understanding birth to skin-to-skin” Are Midwives losing the art of keeping birth normal? Conference 27 November Hayes Conference Centre, Swanwick, Derbyshire.
Harris T (2001) Oral presentation “The use of an egalitarian paradigm in a qualitative research project entitled Midwifery Practice in the Third Stage of Labour” 2nd International Qualitative Evidence-Based Practice Conference 14-16 May 2001 Coventry.
Harris T (2002) Lecture "Midwifery practice in the third stage of labour" International Confederation of Midwives 26th triennial Congress April 14-18 2002 Vienna Austria Centre, Vienna.
Harris T (2002) Oral presentation "The use of qualitative research to inform midwifery practice" International Confederation of Midwives 26th triennial Congress April 14-18 2002 Vienna Austria Centre, Vienna.
Harris T (2002) Poster presentation."Normality for the third stage of labour" International Confederation of Midwives 26th triennial Congress April 14-18 2002 Vienna Austria Centre, Vienna.
Harris T (2002) Oral presentation “Deciding what we mean by active and expectant management of the third stage of labour” 1st Normality in Midwifery Conference. 29th October 2002 University of Central Lancashire, Preston .
Harris T (2002) Oral presentation. “The use of qualitative research to inform midwifery practice on the third stage of labour”. 3rd Annual International Research Conference: Transforming healthcare through research, education and technology 13-15 November 2002. University of Dublin Trinity College, Dublin
Harris T (2002) Oral presentation. “Practice variation among midwives during the third stage of labour”. 3rd Annual International Research Conference: Transforming healthcare through research, education and technology 13-15 November 2002. University of Dublin Trinity College, Dublin.
Harris T (2002) Poster presentation. “Normality for the third stage of labour: a critique of active management in women at low risk”. 3rd Annual International Research Conference: Transforming healthcare through research, education and technology 13-15 November 2002. University of Dublin Trinity College, Dublin.
Harris T (2006) Poster presentation “Midwives decision making in third stage care” RCM annual conference 9-12 May 2006 Riviera International Conference Centre, Torquay.
Harris T (2006) Oral presentation “An explanation for third stage practice variation: the theory of contingent decision making Normal Labour and Birth: 3rd Research Conference 7-9 June 2006Grange Hotel, Grange-over-Sands.
Harris T (2006) Oral presentation in concurrent session “Midwifery practice in the third stage of labour”. 6th European Qualitative Research Conference in Health and Social Care 4-6 September 2006 : Bournemouth University, Bournemouth .
Harris T (2006) Oral presentation in maternity care stream “Models of care among midwives and their influence on the management of the third stage of labour: results from a grounded theory study”. 7th Annual Interdisciplinary Research Conference: transforming healthcare through research, education and technology. 8-10 November 2006.
Doughty R, Harris T and McLean M (2006) Oral presentation at concurrent workshop “Tripartite Assessment of Learners during Practice Placements in Midwifery Pre-Registration Programmes”. UVAC Annual Conference. 30/11/06-1/12/06. Royal York Hotel, York.
Harris T ( 2008) Third stage practice variation-midwives individualising care? ARM Annual conference. Mencap: Sheffield. Keynote speaker.
Muxlow A, Harris T (2008) Aspects of organisational culture which enable midwifery practice. ICM 28th Triennial Congress: Midwifery: A worldwide commitment to women and the newborn. 1-5 June 2008: Glasgow SEEC Oral presentation within concurrent session.
Harris T, Doughty R, Addo A, Mee K (2008) The return of the midwifery viva: an innovation to assess fitness for practice. ICM 28th Triennial Congress: Midwifery: A worldwide commitment to women and the newborn. 1-5 June 2008: Glasgow SEEC Oral presentation within concurrent session.
Harris T and Garratt R (2008) Grading of practice at De Montfort University. LME workshop on grading clinical practice. Invited speaker. City University, London. 30 September 2008.
Bawadi H, Culley L, Harris T (2008) Migrant Arab Muslim women’s experience of childbirth in the UK. Concurrent paper 11th Annual conference. Making midwives and women’s health matter. 2 October 2008. Liverpool Women’s Hospital.

Consultancy work

As an experienced midwifery lecturer with a recordable teaching qualification, Tina is regularly invited to be a member of revalidation and periodic review panels for midwifery programmes across the UK. She is also an active member of the Lead Midwives for Education Strategic Reference Group and leads the Initial and Higher Education group for the International Confederation of Midwives Education Standing Committee. She is an external examiner at Bournemouth University.

Tina has a number of years experience successfully supervising PhD students to completion and has also examined PhD students. She has been a specialist advisor on research projects with other Universities and has worked collaboratively across institutions on research projects.

Tina is available as a consultant in the following areas:

Midwifery education
Midwifery practice
Midwifery research (including PhD supervision and examining)
Qualitative research methodologies, particularly grounded theory
Practice variation in clinical care
Decision making in clinical care

Current research students

Fran Mills (1st supervisor)
Rowena Doughty (2nd supervisor)
Aveen Haji Mam (1st supervisor)

Externally funded research grants information

An evaluation of the effect of NHS Trust financial support on pre-registration mentorship and preceptorship in midwifery – a collaborative project with Nottingham University and University of Northampton East Midlands Healthcare Workforce Deanery funded project 2008

Internally funded research project information

Breast feeding baby ‘on the go’ – A De Montfort University funded project as part of the University Square Mile project. £6050 2011-date
Evaluation of the tripartite assessment process in midwifery A De Montfort University funded project £1500 2012-date

Professional esteem indicators

Reviewer for Journal of Advanced Nursing 2003-date
Reviewer for Nurse researcher 2009-date
Reviewer for Midwifery 2009-date
Reviewer of ICM abstracts for Triennial ICM Congresses 2005-date
Invited speaker at the RCM debate “The quest for graduate education has led to the demise of the midwifery profession and the loss of the essence of being with woman”. 30 April 2012 National Liberal Club London – presented opposing the motion