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How to publish your PhD thesis in 6 easy steps

Whilst I am sure that there are many reputable companies who will publish your thesis out there, I wanted to share with you all how I published mine.

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First of all, I believe that if you have a PhD then your work must be adding some original knowledge to the world. That means that your work is of value, and should therefore be published and disseminated widely. This is also true for students, whose work is of great value to the academic community.

See my post here about ‘Why Midwifery and Nursing Students Should Publish their Work and How’

But here, I wanted to map out one way to publish your thesis. It is the way I published mine.

Step one…

Publish background literature reviews to outline how you arrived at your research questions. Much of this work will summarize the first chapters of your thesis. It will also help you refine your ideas if you publish as you write.

My initial chapters were published as follows:

Pezaro, S The midwifery workforce:  A global picture of psychological distress – Article inMidwives: Official journal of the Royal College of Midwives (2016): 19:33

Pezaro S Addressing psychological distress in midwives. Nursing Times (2016): 112: 8, 22-23.

Pezaro, S., Clyne, W., Turner, A., Fulton, E. A., & Gerada, C. (2015). ‘Midwives overboard! ‘Inside their hearts are breaking, their makeup may be flaking but their smile still stays on. Women and Birth 29.3 (2016): e59-e66.

Step two…

Publish your ideas around the theories used in your work.

I did this by publishing a blog on theories of work-related stress. I also published a paper exploring the ethical considerations of what I was trying to do entitled ‘Confidentiality, anonymity and amnesty for midwives in distress seeking online support – Ethical?’. Opening this up for discussion meant that my thesis was much stronger overall.

Step three…

Publish your methods via research protocols.

Not only does this mean that you have claimed the idea for yourself in the academic world, but you also then get the benefit of a wider peer review of your work. I published the protocol of my Delphi study as follows:

Pezaro, S, Clyne, W (2015) Achieving Consensus in the Development of an Online Intervention Designed to Effectively Support Midwives in Work-Related Psychological Distress: Protocol for a Delphi Study. JMIR Res Protoc 2015 (Sep 04); 4(3):e107

Step four…

Publish each chapter of your work as you go.

Again, this gives your work added peer review in the process of developing your thesis. I published the two largest pieces of research in my thesis as follows:

Pezaro, S, Clyne, W and Fulton, E.A  “A systematic mixed-methods review of interventions, outcomes and experiences for midwives and student midwives in work-related psychological distress.” Midwifery (2017). DOI: http://dx.doi.org/10.1016/j.midw.2017.04.003

Pezaro, S and Clyne, W “Achieving Consensus for the Design and Delivery of an Online Intervention to Support Midwives in Work-Related Psychological Distress: Results From a Delphi Study.” JMIR Mental Health3.3 (2016).

Step five…

Publish summaries of your work for different audiences

Once you begin to pull together your entire thesis, you will begin to discuss the findings and arrive at certain conclusions. You can summarise these in a series of blogs and papers as you go. I published the following summary papers to reach both national and international audiences.

Pezaro, S (2018) Securing The Evidence And Theory-Based Design Of An Online Intervention Designed To Support Midwives In Work-Related Psychological Distress (Special Theme on Women in eHealth). Journal of the International Society for Telemedicine and eHealth. Vol 6, e8. 1-12.

Pezaro, S “The case for developing an online intervention to support midwives in work-related psychological distress.” British Journal of Midwifery 24.11 (2016): 799-805.

Step six…

Use info graphics to map out key points in your thesis

Once complete, your thesis will be published in full. Mine can be accessed here via the British Library and via Coventry University’s open collections. But it’s a mighty big document. Therefore, I produced the following infographic to map out my PhD journey for those looking for a shorter, yet engaging summary.

PhD infographic

…and there you have it. A fully published PhD thesis via a variety of avenues. I hope that you enjoy publishing your PhD thesis, and that publishing it helps you to defend it.

Also…If you need a co-author, let me know!🎓😉

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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10 Top tips for caring for women with Hypermobile Ehlers-Danlos Syndrome in pregnancy for International Day of the Midwife #IDM2018 & #EDS awareness month

 or ‘International Day of the Midwife’ falls on May the 5th of every year. The theme for 2018 in three languages is…

  • Midwives leading the way with quality care
  • Sages-femmes, ouvrons la voie avec la qualité des soins
  • Matronas liderando el camino con un cuidado de calidad 

Also… Every May is Ehlers-Danlos Syndrome (EDS) awareness month around the world.

As such….for , and EDS awareness month… I shared 10 top tips for caring for women with hypermobile Ehlers Danlos Syndrome (hEDS) during pregnancy birth and beyond. These tips come from my latest paper, authored in partnership with Dr. Gemma Pearce (@GemmaSPearce) and Dr. Emma Reinhold (@DrEReinhold ), entitled …

Hypermobile Ehlers-Danlos Syndrome during pregnancy, birth and beyond

Here, we present care considerations for midwives and the multidisciplinary team caring for this unique subgroup of childbearing women. However, we hope that women with hEDS will also benefit from this paper, as they make decisions in partnership with their professional health care teams. You can read the press release from this paper here.

I would personally like to thank the board members of the British Journal of Midwifery for making this article FREE for all to read. I would also like to thank the Royal college of Midwives for sharing news of the article here…and the Nursing Times for sharing further news here.

So what can midwives do to maximize the quality of care given to women with hEDS throughout pregnancy birth and beyond?…First of all….Know the facts…

  • There have been no prevalence studies since EDS received a major reclassification in 2017
  • Earlier estimates from 2006 suggest a prevalence rate of 0.75-2% for hyper mobile EDS
  • hEDS is the most common form of EDS
  • Up to 78% of women with hEDS could also have a diagnosis of Postural Orthostatic Tachycardia Syndrome (POTS)
  • POTS predominantly occurs in women of childbearing age
  • EDS is considered to remain largely under diagnosed.

Tips for midwives

  1. Discuss individual needs with women, as no two cases will be the same. Do this early, and always in partnership with the woman and the wider multidisciplinary healthcare team.
  2. Consider early referral to obstetric, physiotherapy and anaesthetic teams in partnership with the woman.
  3. Consider the need for alternate maternal positioning during pregnancy, birth and beyond. To minimise the risk of injury, positioning should be led by the mother.
  4. As wound healing can be problematic, the use of non-tension, non-dissolvable, deep double sutures, left in for at least 14 days is advisable.
  5. Wait longer for local anaesthetics to take effect and consider giving maximum dosage. Always be led by the mother on whether pain relief is sufficient
  6. Always consider the significance of a routine observation in light of existing POTS and/or EDS symptoms
  7. Promote spontaneous pushing rather than directed pushing during birth
  8. Promote effective pain management and the use of therapeutic birthing environments to promote reductions in stress
  9. Consider additional joint support for newborns suspected of having hEDS
  10. Document all joint dislocations and bruising marks on the newborn from birth to avoid misdiagnosis and/or wrongful accusations of mistreatment.

Research into EDS and childbearing is in it’s very early stages. We hope to build on this work to make a difference for all women with hEDS during pregnancy, birth and beyond.

pregnant belly

If you would like to follow the progress of this work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

 

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Being Examined: Tips for your viva

This wisdom comes from the 10th annual ‘Life beyond the PhD’ conference () hosted at Cumberland Lodge. I was lucky enough to win a scholarship to attend and gather a multitude of hints and tips for my academic career…Now I plan to share them here for those who wish to read them…I have also experienced a viva voce examination…so these viva tips also come from me too.

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What is a viva voce?

In a nutshell it is the oral assessment of your PhD Thesis.

So your first viva tip would be….know how a PhD/doctorate/thesis is defined!…Here is a sample of some of the key phrases and expressions relating to ‘doctorateness’:

  • worthy of publication either in full or abridged form;

  • presents a thesis embodying the results of the research;

  • original work which forms an addition to knowledge;

  • makes a distinct contribution to the knowledge of the subject and offers evidence of originality shown by the discovery of new facts and/or the exercise of independent critical power;

  • shows evidence of systematic study and the ability to relate the results of such study to the general body of knowledge in the subject;

  • the thesis should be a demonstrably coherent body of work;

  • shows evidence of adequate industry and application;

  • understands the relationship of the special theme of the thesis to a wider field of knowledge;

  • represents a significant contribution to learning, for example, through the discovery of new knowledge, the connection of previously unrelated facts, the development of new theory or the revision of older views;

  • provides originality and independent critical ability and must contain matter suitable for publication;

  • adequate knowledge of the field of study;

  • competence in appropriate methods of performance and recording of research;

  • ability in style and presentation;

  • the dissertation is clearly written;

  • takes account of previously published work on the subject.

Source: Searching for ‘Doctorateness’.

The problem is…..that a range of literature has pointed out the variability in examination processes across universities, individual examiners, disciplines. Yup, this can be a fairly subjective process. So it is your job within your thesis and within your viva to make your case and convince your examiners that your work is indeed doctoral work.

Within Wellington’s (2013) framework for assessing ‘Doctorateness’, there are seven categories listed for which doctorates may contribute original knowledge. Therefore, in order for ‘Doctorateness’ to be unequivocally established for your thesis, it is important to apply the categories of this framework to each component of your research. The table below was added to my own thesis in order to prove how and why my work was indeed doctoral work.

Category number Category description Evidence
1 Building new knowledge, e.g. by extending previous work or ‘putting a new brick in the wall’. The Delphi method has been used previously to assess the workplace needs of midwifery populations (Hauck, Bayes and Robertson 2012). Yet the views and opinions of an expert panel about the design and development of an online intervention designed to support midwives in work-related psychological distress have been gathered and presented for the first time within this thesis.
2 Using original processes or approaches, e.g. applying new methods or techniques to an existing area of study. As the Delphi study presented within this thesis was a modified one, where the identity of experts remained unknown to the researcher, and free text response options accompanied each statement, it has also applied somewhat original processes and approaches to an existing area of study.

 

3 Creating new syntheses, e.g. connecting previous studies or linking existing theories or previous thinkers. Chapter one presents the first narrative review to integrate studies of midwives in work-related psychological distress (Pezaro et al. 2015). This original knowledge demonstrates how midwives working in rural, poorly resourced areas who experience neonatal and maternal death more frequently can experience death anxieties, where midwives working in urban and well-resourced areas do not. This creation of new syntheses connects previous studies and existing theories together to form new knowledge.

 

The mixed-methods systematic review presented within chapter three is the first of its kind to collate and present the current and available evidence in relation to existing interventions targeted to support midwives in work-related psychological distress (Pezaro, Clyne and Fulton 2017).

 

4 Exploring new implications, for either practitioners, policy makers, or theory and theorists. Chapter two makes an original contribution to ethical decision making, and may be extrapolated and applied to other healthcare professions who may also now consider the provision of confidential support online.
5 Revisiting a recurrent issue or debate, e.g. by offering new evidence, new thinking, or new theory. The original research presented in chapter two contributes to an ongoing academic dialogue in relation to ethical decision making.
6 Replicating or reproducing earlier work, e.g. from a different place or time, or with a different sample. The mixed-methods systematic review, presented in chapter three somewhat replicates earlier work from a different place, time, and with a different inclusion sample (Shaw, Downe and Kingdon 2015).

 

7 Presenting research in a novel way, e.g. new ways of writing, presenting, disseminating. The results of this research have been disseminated via popular media publications throughout. A further summary of this research is planned for publication. Furthermore, this research has also informed new guidance, published by the Royal College of Midwives, who also present the findings of this research in a new way. This new guidance is intended to guide heads of midwifery to support midwives experiencing work-related stress. Evidence of this can be found in Appendix 15.

 

Adapting this table to fit your own work should assist you in realizing how your own research can be argued to be doctoral work, both in your thesis and in your viva. Once this argument is clear in your own mind, your confidence should rise and enable you to direct your thoughts towards a really positive goal. Getting your PhD!…and not just because you want it, but because you are worthy of it! You have worked really hard for this opportunity, and seeing your work match up to this framework can really help you to visualize your successes. But now there are other things you can do to help you prepare…

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Viva tips

Just because you have submitted your thesis, this does not mean you can sit back a relax until your viva day. Following a short break, and with fresh eyes, you should be revisiting your thesis and getting to know it really well. Also, be sure to keep up to date with any new research arising in your field, it may well be discussed in your viva!

Get to know your university’s policies and procedures. This will help you to prepare for how the viva voce may play out on the day. As your examiners will be drawing upon their own expertise, make sure that you also have a broad knowledge of their work!

Pick your battles. Fighting every point can be really jarring for everyone in the room, and your examiners need to see that you can accept constructive criticism and reflect. Decide what you will really defend, and what you are willing to let go of. This means that you will need to anticipate what your examiners may ask you. Here, it is a good idea to mock up some practice questions. Try defending the questions you fear most. This will help you to face your demons and formulate your arguments….constructively. An extra tip here would be to record yourself arguing your points. How do you sound? are you believable? How do you come across?

Having your supervisor with you can be very reassuring and comforting, although they may well not be allowed to speak during your viva voce. However, try to have them sit next to you or behind you, as eye contact or some other gestures, however well meaning may put you off your game.

Once you get to the viva, be prepared to break the ice. Your examiners are not ogres. They want you to pass! Starting your viva with a warm greeting can set the tone for the session, so don’t start with your defensive wall up too high! You can also set the scene with a short presentation to cover some broad points you anticipate coming up. Use this time to also show your knowledge and demonstrate your own unique way of thinking and working.

If there has been a long gap between your thesis submission and your viva, you may now have moved on to new ways of thinking or changed your original work to move on to a new project. Remember that this new work does not count in your viva. You must remain focused on what you submitted.

If the discussion moves to really complex debates, it is important to keep your cool, remain professional and don’t turn into a robot who has learnt their responses off by heart. Also, don’t be overly humble or point out your own weaknesses directly…if they are raised by the examiners, then you can show respectful considerations to other methods, but it is still important not to shoot yourself in the foot.

Your viva can last a good few hours…it is basically a brain marathon! So you will need to prepare both mentally and physically. This means de-stressing, eating and sleeping well…and generally giving time to your own self care regime. If you need a break during the session, don’t be afraid to ask for one. If you feel overwhelmed at any time, take a constructive pause to write or read and deliberate. It can’t be an extremely emotional and draining experience.

However, some people can enjoy their viva. After all, you will be speaking about your own work with experts in the field for some time. This is a chance to show off, be proud of what you have achieved and even learn more! Thinking in this positive way may make the viva experience not seem so daunting.

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I personally found my own viva experience very daunting, emotional and stressful. However, my examiners were not ogres…they too wanted me to pass and to help me make the best of my work… Following the submission of my revised thesis, I realized how much better my thesis now is because of this viva process and the input of my examiners. Having now gone beyond the viva process, I believe that I have truly earned my PhD. I worked hard for it. It didn’t come easy. It was a brain marathon. But would a PhD really be worth having if it was easy to achieve?

I can also now reflect on this process and learn from it. It is an experience that will certainly stay with me and enrich my future work. I hope it will also enable me to improve my own examination and supervisory skills in future.

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

 

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Highlights from the Third Annual #BirthTrauma conference #birthtrauma18

birth trauma study day

Image credit: Scriberia Ltd (@scriberian).

The first week back in January and I am invited by the wonderful becca moore @dr_bjm to share some research thoughts and ideas at the 3rd annual birth trauma study day in London = 

First of all..thank you for arranging and facilitating this day. It really is growing in strength and popularity year on year as this topic gathers momentum. You are a true #maternityleader for making this happen. Thank you also to those who participated in such important debates and discussion…and to those supported me to present my work as a new mum (baby Loveday is now 6 weeks old and as you can see….she was able to join her mum on stage 🙂

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The discussions that followed on Twitter were also pretty awesome and continue to thrive online. I can see may collaborations being born out of this day…what change may come I wonder? – #BirthTrauma19 will be even bigger and better…that’s for sure!

What struck me most about the speakers involved in this conference, is that every one of us was drawing from some kind of personal experience. Our past traumas had been turned into passion…fire and fury to make a change in the world…to make is better for the next person in some way.

“We had turned our wounds into wisdom.” – Me

Thank you to those who engaged in my presentation. I was thrilled to share some of my PhD work and the findings of other research studies to raise awareness of psychological distress in midwifery populations. The beautiful images below capture some of the key messages from my slides.

selfcare

Image credit: Scriberia Ltd (@scriberian).

small things

Image credit: Scriberia Ltd (@scriberian).

64%

Image credit: Scriberia Ltd (@scriberian).

Further statistics around midwives at work can be found here.

Traumatised midwives

Image credit: Scriberia Ltd (@scriberian).

compassion fatigue

Image credit: Scriberia Ltd (@scriberian).

I also really enjoyed the ethical debates around providing online anonymity and confidentiality for midwives in psychological distress who wish to seek help. You can read the wider arguments for this here. Do you have any further thoughts on this? I would love to hear them!

Once again…Thank you so much to everyone for making this event so amazing. The quote that I believe summed up the vibe in the room was this…shared by @millihill .

 

“If we can find ways of harvesting the energy in women’s oceanic grief we shall move mountains.” –Germaine Greer

🎓🌟😀

Overall take home messages…

  • Tailored care is needed for every family
  • A healthy baby is not ALL that matters
  • Good outcomes include good psychological outcomes
  • Kindness and compassion cost nothing yet can really make a difference
  • Appropriate use of language can make or break the birthing experience
  • The power of listening can never be underestimated
  • We must remember that fathers and wider family members may also be affected by trauma in the birth room.
  • A traumatic experience is always subjective. What is traumatic for some, may be unremarkable for others.
  • Mothers can have a positive experience of a clinically complicated birth, or a traumatic experience of a seemingly straightforward birth.
  • Any past trauma can always be re-awoken
  • The best care is delivered by a workforce that is healthy and cared for.

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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5 career tips for a successful academic application

This wisdom comes from the 10th annual ‘Life beyond the PhD’ conference () hosted at Cumberland Lodge. I was lucky enough to win a scholarship to attend and gather a multitude of hints and tips for my academic career…Now I plan to share them here for those who wish to read them…

Tip One: Potential employers will want to know how they will benefit from having you work with them as much as, if not more than, how you will benefit from working with them. Why should they invest their money in you? Will they be able to tolerate you on a daily basis? This means that you will need to come across as unselfish, and avoid saying the same thing as everyone else…be different!

Tip Two: Avoid jargon, and make sure you back up your claims with lived examples! For instance..It is no use saying that your I.T skills are fabulous if you don’t back this up with a real lived example of how you have used your I.T skills to do something of real value.

Tip Three: A potential employer will only take a few seconds to scan your CV. Therefore, you need to cut out the gimmicks, reduce it to no more than a couple of pages and make sure that you have used clear and easy to read formatting. Everything on your CV should be in reverse chronological order, and tailored to the job you are applying for. Your cover letter should never be a replication of your CV, yet it should hold lived examples of the skills you have presented.

Tip four: Within your interview,  it will not necessarily matter what answer you give to any awkward interview questions, as long as your answers are void of generic jargon and backed up with a sound rationale for your choice. Also, it is important not to pretend that either you or your research is impervious to failure…what matters is how you handle things and learn.

Tip five: Be yourself, and be honest about any career gaps…being evasive over these issues will only arouse suspicions…the truth is always far more welcome….It’s often not as big a deal as you think, and a good employer will appreciate what you are planning to do to get back on track.

For further hints and tips see this early career researcher blog.

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

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Top tips for #FreshersWeek #freshers2017 #Uni #StudentLife from an academic midwife

Tis that time of year again when students from all over the world descend upon university campuses to embark upon a fun filled journey of learning, adventure and growth.

Having been in education now for a number of years, I think this must be close to my tenth freshers week! Every year I get the same buzzy feeling of excitement as the freshers week commences…

(Unless that is the same feeling of excitement you get when Santa is coming…oh come on…Autumn…I am already thinking about the festive season!)

The streets are full of vibrant things to do and get involved in…people are making friends and connections and everyone is ready to take on a new challenge in life!

The sad thing is…whether I wear my student ID badge, or my staff ID badge..I am seemingly passed by when the invites for the foam parties and other nights out are being dished out…(grump)!…hmm…I wonder why? 🤔🎓 Maybe it will be different this year…and if you do see me on campus…I would love to hear about your plans!

I will be involved in the #CovHLSFreshers Twitter takeover this year..Ooh..snazzy!

 

As well as other survival guides out there, I wanted to share some of my own hints and tips for freshers.

Tip One:

No matter how scared or excited you are during freshers week….I think there are a few quotes that you should memorize and repeat to yourself in times of need….

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Tip Two:

Remember that there is no need to justify your course choice to anyone but yourself. This is your journey, your life now….trust yourself to make your own life choices. You got this!

Tip Three:

Find your tribe….Not necessarily those who look and talk like you…but those who will hear your voice, sing with you and lift you up. This could be your relevant student society or Twitter community..it could even be those you meet through doing what you love….hold on tight to these people for the ride…and make sure to lift each other up!

Tip Four:

Document your journey and take time to reflect. This experience will be over all too quickly and it’s going to be amazing! reflecting will help you to be mindful about your own situation and recognize your own achievements as your hard work pays off. Be grateful for 1 thing every day…however big or small…and celebrate the achievements of yourself and others every chance you get.

Tip Five:

Look after yourself. Self care can make your university experience a million times better. Take breaks, help yourself before you help others…and as for romance……

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See->

10 Tips for Success & Self-Care for Academics

Category Archives: Student Tips 🎓

❤Welcome all!❤

See you on campus!

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤