Dr Tina Harris

Job: Faculty Head of Research Students / Principal Lecturer

Faculty: Health and Life Sciences

School/department: School of Nursing and Midwifery

Research group(s): Reproduction Research Group, Nursing and Midwifery Research Centre, Mary Seacole Research Centre

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

T: +44 (0)116 257 7804

E: tiharris@dmu.ac.uk

W: http://www.dmu.ac.uk/hls

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Personal profile

Tina Harris is 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: Clinical report 2019. Based on births in NHS maternity services between 1 April 2016 and 31 March 2017
National Maternity and Perinatal Audit: Clinical report 2019. Based on births in NHS maternity services between 1 April 2016 and 31 March 2017 Aughey, Harriet; Blotkamp, Andrea; Carroll, Fran; Geary, Rebecca; Gurol-Urganci, Ipek; Harris, Tina; Hawdon, Jane; Heighway, Emma; Jardine, Jen; Knight, Hannah; Mamza, Lindsey; Moitt, Natalie; Pasupathy, Dharmintra; Thomas, Nicole; Thomas, Louise; van der Meulen, Jan In the wake of national maternity and neonatal reviews and other improvement initiatives, changes are being implemented in the delivery of care to mothers and their babies in England, Scotland and Wales. Use of electronic records for maternity care is constantly developing, and provides a rich source of data to understand and evaluate these changes. The National Maternity and Perinatal Audit (NMPA) uses these data to produce information that can usefully support the improvement of maternity and perinatal care. This report presents measures of maternity and perinatal care based on births in English, Welsh and Scottish NHS services between 1 April 2016 and 31 March 2017. The report also provides contextual information describing the characteristics of women and babies cared for by NHS maternity services during this time period. The majority of the measures presented in this report are the same as presented in our previous report on 2015/16 data. One measure has been removed: early elective delivery without documented clinical indication. Four measures have been added. The first is birth without intervention, a composite measure to describe births that start and proceed spontaneously. The other new measures relate to babies admitted to a neonatal unit following birth: the proportions of term and late preterm babies who are admitted to a neonatal unit; the proportion of term babies who receive mechanical ventilation in the first 72 hours of life; and the proportion of babies who develop an encephalopathy in the first 72 hours of life. The results in this report are presented at trust/board level, rather than by site with an obstetric unit, as was the case for most measures in the previous report. This follows feedback from clinical services to the NMPA team,* and enables a more balanced inclusion of births in freestanding midwifery units and at home, as these can be included in trust level results but not as individual sites owing to low numbers.† The majority of trusts have a single obstetric unit and for those trusts this reporting change makes little difference. Site level results continue to be reported on the NMPA website.
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 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
Technical Report: linking the National Maternity and Perinatal Audit Data Set to the National Neonatal Research Database for 2015/16
Technical Report: linking the National Maternity and Perinatal Audit Data Set to the National Neonatal Research Database for 2015/16 Aughey, Harriet; Blotkamp, Andrea; Carroll, Fran; Cromwell, David; Gurol-Urganci, Ipek; Harris, Tina; Hawdon, Jane; Jardine, Jen; Knight, Hannah; Mamza, Lindsey; Moitt, Natalie; Pasupathy, Dharmintra; van der Meulen, Jan 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) on behalf of NHS England, the Welsh Government and the Health Department of the Scottish Government. The NMPA is led by the Royal College of Obstetricians and Gynaecologists (RCOG) in partnership with the Royal College of Midwives (RCM), the Royal College of Paediatrics and Child Health (RCPCH) and the London School of Hygiene & Tropical Medicine (LSHTM). 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. This short report from the NMPA explores the feasibility of linking the NMPA data set, which contains data relating to the majority of women who give birth, to the National Neonatal Research Database (NNRD), which contains detailed information about the majority of babies admitted to a neonatal unit. This feasibility study is limited to linkage between neonatal records and maternity records in England, as a pilot for developing this linkage across England, Scotland and Wales. The linkage of neonatal data to maternity data offers many potential advantages. In particular, it allows the exploration of associations between maternal antenatal and intrapartum factors and neonatal outcomes. It also offers the potential to use one or more neonatal outcomes, such as admission to neonatal care, as an outcome measure of maternity care, and to explore variation in neonatal outcomes between maternity settings. The purpose of this report is to describe the feasibility of linking the NMPA data set with the NNRD data set. It describes the technical process of linking these data sets and explores whether this linked data set can be used on an annual basis to construct clinically relevant measures of maternity care.
Maternity admissions to intensive care in England, Wales and Scotland in 2015/16: A report from the National Maternity and Perinatal Audit.
Maternity admissions to intensive care in England, Wales and Scotland in 2015/16: A report from the National Maternity and Perinatal Audit. Jardine, Jen; Aughey, Harriet; Blotkamp, Andrea; Carroll, Fran; Gurol-Urganci, Ipek; Harris, Tina; Hawdon, Jane; Knight, Hannah; Mamza, Lindsey; Moitt, Natalie; Pasupathy, Dharmintra; van der Meulen, Jan 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) on behalf of NHS England, the Welsh Government and the Health Department of the Scottish Government. The NMPA is led by the Royal College of Obstetricians and Gynaecologists (RCOG) in partnership with the Royal College of Midwives (RCM), the Royal College of Paediatrics and Child Health (RCPCH) and the London School of Hygiene & Tropical Medicine (LSHTM). The overarching objective of the NMPA is to produce high-quality information about NHS maternity and neonatal services that 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. This report focuses on maternal admissions to intensive care in England, Wales and Scotland. The NMPA, and the data it holds, offers a unique opportunity to link maternity data, which contain information about the mother, her pregnancy and her baby, to data from national data sets for intensive care admissions. The purpose of this report is to describe the feasibility of linking the NMPA’s maternity data to intensive care data and to evaluate the suitability of rates of maternal admission to intensive care as an indicator of care quality. It also describes the demographics of women admitted to intensive care and the reasons for admission.
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

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

NURS3001 Dissertation Module
REST7016 Introduction to the Faculty of health and Life Sciences for postgraduate research students.
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

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 2006-2015
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
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
Member of ICM Education Standing Committee 2011 - 2017
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
Member of Leicester University Board of Studies 2013
CQC Clinical Specialist Advisor
Registrant member of the Midwifery Committee, Nursing and Midwifery Council 2014- date
External examiner Trinity College, Dublin (pre-registration midwifery programme) 2014 to date
National Maternity and Perinatal Audit Programme Senior Clinical Lead (Midwifery) 2016 - date

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
ICM Education Standing Committee

Professional licences and certificates

Certificate in Research Supervision De Montfort University, Leicester June 2003
Certificate IN research Supervision Update De Montfort Univeristy, 2011
Advanced Diploma in Midwifery Birmingham Maternity Hospital (ADM) 1986
Registered Midwife with recordable teaching qualificatin

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.
Harris T, Nyombi S, Doughty R, Norrie P (2012) An evaluation of student midwife knowledge of breast feeding following involvement in a student led activity in the community. NICER Conference Nottingham 7/8 September 2012 University of Nottingham

Harris T (2012) The quest for graduate education has led to the demise of the midwifery profession and the loss of the essence of being with woman”. RCM Debate Invited speaker. 30^th April 2012 National Liberal Club London – presented opposing the motion.

Harris T, Doughty R, Norrie P, and Nyombi S (2012) Student midwives making a difference in the local community supporting breast feeding; a De Montfort University Square Mile project. Invited speaker. RCM Annual Conference 13^th-14^th November 2012 Brighton.

Harris T, Anthony D, Doughty R and Fowler J (2012) Two’s company. Three’s a crowd? The assessment of practice in midwifery. Invited Speaker. RCM Annual Conference 13^th-14^th November 2012 Brighton.

S. Nyombi, T. Harris, R. Doughty. (2014) Service learning with student midwives: giving something back. The breast feeding baby on the go square mile project at DMU. ICM 30^th Triennial Congress 1-5^th June 2014. Prague. Concurrent paper

G. Mulheron and T. Harris. (2014). A grounded theory study of midwives experiences of supporting women to have a lotus birth. ICM 30^th Triennial Congress 1-5^th June 2014. Prague. Concurrent paper

Recent research outputs

Harris, T (2015) Grounded Theory. Nursing Standard. 29(35) 37-43. 29^th April.

Harris T (2016) “Care in the third stage of labour” in Mayes’ Midwifery: a textbook for midwives 15^th edition. In Press.

Key research outputs

Harris T (2005) “ Midwifery practice in the third stage of labour” PhD thesis. Leicester : De Montfort University

Doughty R, Harris T, McLean M (2007) “Tripartite Assessment of Learners during Practice Placements in Midwifery Pre-Registration Programmes Education and Training Volume 49 Issue 3 p227-235

Khodayar Oshvandi¹, Vahid Zamanzadeh, Fazlollah Ahmadi,

Eskandar Fathi-Azar^,Denis AnthonyandTina Harris (2008) “Barriers to Nurse Job motivation”. Research Journal of Biological Sciences 3(4) 426-434

Harris T (2011) “Care in the third stage of labour” in Mayes’ Midwifery: a textbook for midwives 14^th edition. Edinburgh : Bailliere Tindall

Harris, T (2015) Grounded Theory. Nursing Standard. 29(35) 37-43. 29^th April.

Harris T (2016) “Care in the third stage of labour” in Mayes’ Midwifery: a textbook for midwives 15^th edition. In Press.

dd key research outputs information here]

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 a member of a number of national and international committees relating to midwifery research, education and practice:

National Maternity and Perinatal Audit Programme (Senior Clinical Lead (Midwifery), Royal College of Obstetricians and Gynaecologists Lindsay Stewart centre

Midwifery Committee, Nursing and Midwifery Council (Registrant member)ICM

Education Standing Committee

Education Advisory Network (ICM)

Research Advisory Network (ICM)

Tina is also a clinical specialist advisor for the Care Quality Commission and an external examiner for Trinity College, Dublin (pre-registration midwifery programmes)

Tina has a number of years experience successfully supervising and examining 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

Rowena Doughty - The experience of obesity in childbearing
Aveen Haji Mam - The effects of an antenatal education programme for obese women on pregnancy outcomes.
Azza Alqaabi - Factors which influence the choice of health care careers among Emeratis.
Nicky Genders - 30 years of Learning disabilities nursing in England: a narrative study

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

Midwifery education worldwide – a collaborative project with Kuldip Bharj (University of Leeds) 2010

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. 2011

Evaluation of the tripartite assessment process in midwifery A De Montfort University funded project 2012

Professional esteem indicators

Reviewer for Journal of Advanced Nursing 2003-date
Reviewer for Nurse researcher 2009-date
Reviewer for Midwifery 2009-date
Reviewer for Nursing Inquiry 2010 - 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