MNU Dissertations - އެމް. އެން. ޔޫގެ ދަސްވެނީންގެ ޑިޒަރޓޭޝަންތައް
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Item Factors affecting nurse turnover in public hospitals in Male’, Maldives: a phenomenological study to understand why nurses resign(School of Nursing, The Maldives National University, 2022-01-29) Rameez, Rafaahath; ރަފާހަތް ރަމީޒުNurses leaving their jobs or leaving the profession, commonly known as turnover, is a significant issue of concern universally (Dewanto & Wardhani, 2018). Nationwide, the average registered nurse turnover rate is estimated to be 15% to 36% per year (Halter et al., 2017). Shortages of nurse’s due to high turnover lead to burnout and job dissatisfaction among nurses, decreases in staff morale, a decline in consideration for patients, increased errors and patient dissatisfaction related to new inexperienced staff (Gess et al., 2017). Therefore, it is significant for health care organizations to identify the main causes of turnover and promote effective interventions to reduce nurse turnover (Yamaguchia et al., 2016). The purpose of this qualitative, phenomenological study is to explore the experiences of nurses in order to identify the main factors that contributed to leaving their job in public hospitals in Male’. An advantage of identifying these contributing factors is that it could help healthcare organizations to implement successful strategies and workplace solutions in order to improve nurse retention, which will also save organizations costs on nurse recruitment, motivate present employees enhancing their job satisfaction and improve the standard of care given to patients in in public hospitals in Male’. Chapter 1 of this research study will consist of a brief background of the topic along with relevance and justification, problem statement and conceptual definitions of some of the main terms used in the study.Item Knowledge, attitude and practice wards management of Gestational Diabetes Mellitus (GDM) among antenatal women visiting for antenatal care at reproductive health center, Indira Gandhi Memorial Hospital(School of Nursing, 2022-12) Sheeza, AishathBACKGROUND: Gestational diabetes mellitus (GDM) is a global health problem compromising maternal and fetal health. The aim of this study is to examine the level of knowledge, attitude and practice towards management of GDM among antenatal women. METHODS: This is a cross-sectional descriptive correlational study involving 197 antenatal women visiting for antenatal care at Reproductive Health Center (RHC) of Indira Gandhi Memorial Hospital (IGMH). Participants were selected using random sampling in one-month period between August to September 2022. Pearson correlation was used to evaluate relationship between knowledge, attitude and practice towards management of GDM. RESULTS: Research findings indicate 68% respondents had low knowledge, 16.8% and only 15.2% had high knowledge of GDM. Majority of 80.2% had moderate attitude whereas 16.2% and 3.6% antenatal women were found to have high and low attitude towards GDM respectively. Practice level towards management of GDM were found to be poor in 59.9% participants and good in only 1% of participants. Pearson product correlation indicated significant and moderately positive correlation (r = .404, p < .001) between knowledge and attitude, statistically significant and weakly positive correlation (r = .284, p < .001) between attitude and practice. No correlation was found between knowledge and practice towards management of GDM. CONCLUSION: The results of this study can aid healthcare professionals in developing effective strategies to raise awareness of GDM prevention in the Maldives and in carrying out health promotion activities related to GDM successfullyItem The experiences of Treetop Hospital (TTH) nurses in covid-19 pandemic in the Maldives(School of Nursing, 2020) Simany, KhadhiyyaThis paper aims to explore nurses' experiences in providing nursing care for COVID-19 patients in the TTH COVID-19 facility. The study examined the preparation of nursing care, nursing routine changes, and the challenges in providing nursing care. Based on the research paradigm and supportive literature, the author employed a descriptive phenomenological approach of inquiry. The author conducted semi-structured face-to-face interviews using purposive convenience sampling of nurses with nursing experience in the TTH COVID-19 facility. The nursing experience of the TTH nurses during the pandemic is identified through this study. The significant themes developed was; preparation for the new challenge, combatting infection control, meeting daily patient needs, challenges in caring and rising above and psychological impact of working in a pandemic. The study’s findings are supported through literature as nursing in a pandemic is more focused on infection control and requires polices and guidelines. The findings also suggest the need to have practical skill and knowledge development for nurses. Furthermore, the study recommends developing of mentally and physically healthy nurses, to assess nurses prior to pandemic nursing care, during care and post care. The study recommends adaptation to challenges in nursing care and use of innovate tools for nursing care. It also emphasize on empowering nurses, creating support systems for nurses and motivate nurses through supportive leadershipItem Knowledge, attitude, and perceived barriers to medication administration error reporting among registered nurses in a private hospital(School of Nursing, 2023-05) Azeemath, MariyamTopic: knowledge, attitude, and perceived barriers to medication administration error reporting (MAER) among registered nurses in a private hospital in the Maldives. Background: The failure to report medication administration errors (MAE) is a worldwide problem associated with patient safety. The first step towards increasing the reporting rate is recognizing nurses' attitudes toward errors and perceived barriers to reporting. Hence, this study explores the knowledge, attitude, and perceived barriers to medication administration error reporting from the nurses’ perspective. Methods: In this descriptive, correlational study, a structured, self-administered questionnaire was distributed to a sample of 172 randomly selected nurses at ADK hospital, Maldives. IBM® SPSS Statistics (Version 26) was used to analyze the data and level of knowledge and attitude were categorized using Bloom’s cut-off point. Results: Total of 164 nurses participated in this study, with a response rate of 95.93%. 87.8% (n=144) of the participants had a good to excellent level of knowledge. There was a positive attitude towards reporting medication administration errors among 54.9% (n=90) of the participants. A 50.5% (n=83) of the participants agreed or highly agreed that "Nurses could be blamed if something happens to the patient because of the medication error" as a barrier to medication error reporting. The results showed a statistically significant strong negative relationship between MAER attitude and perceived barriers to MAER, r (163) = -.818, p = <. 01. While there was a statistically significant weak negative relationship between MAER attitude and perceived barriers to MAER, r (163) = -.187, p = < .05. Conclusions: The findings revealed that most of the participants possessed good to excellent levels of knowledge in MAE and had a positive attitude toward medication administration error reporting. Blame due to adverse events to patients were considered the top-ranked barrier to MAER among nurses in the study. Thus, efforts to enhance MAER by creating a safe organizational culture and developing a confidential, anonymous, fast, and simple-to-use reporting system is crucial to eliminating these barriers.Item Exploring the factors contributing nurses turnover in Indhira Gandhi Memorial Hospital(School of Nursing, 2019-02-02) Waheed, HasrathOBJECTIVE : Objective of this study was to explore the factors contributing nurses turnover in Indhira Ghandhi Memmorial Hospital METHOD : The design selected for research was descriptive qualitative study. Sampling method chosen for the study was purposive convenient sampling method. Population of the study was Maldivian registered nurses who have resigned from IGMH last five years. This study was carried out in Indhira Gandhi Memorial Hospital Male, Maldives. Total numbers of seven nurses were included in the study. Data collection method was face to face interview. Semi structured interview guide was used to collect data. All the interviews were audio taped and field notes were made during the interview. The length of interviews varied from 10 to 20 minutes. Participants who has given interview in Dhivehi language was translated to English with the help of translator. Data in this study was analyzed by using Collaizi’s (1978) method. RESULT : From the analysis of this study five themes were identified. They are lack of opportunities for job advancement and career development, in adequate support from practice environment, Low pay and compensation practices, Heavy workload and unconventional working hours and difficulty in balancing family and work life. CONCLUSION: Findings from the research revealed that there are many factors that contribute nurses turnover. It was identified that salary and allowances are unsatisfactory, training and development opportunities are not adequate, workload is too high and there were no supportive working environment. Moreover study indicated lack of recognition, appreciation and rewarding systems makes staff to leave the organization. These factors need to be adequately addressed and proper management system and retention strategies to be formulated to retain nurses.Item ސިޔާސީ މީހުންގެ ވާހަކަދެއްކުމުގައި މެޓަފަރ ބޭނުންކުރަނީ ކިހައިވަރަކަށް އަދި ކޮން ބޭނުމަކު ހެއްޔެވެ؟(ފެކަލްޓީ އޮފް އާރޓްސް, 2015-11) ސަޢީދާ, މަރްޔަމް; Saeeda, Maryamދިވެހިރާއްޖެއަށް ޑިމަކްރަސީ ތަޢާރަފުވުމާ ގުޅިގެން، ސިޔާސީ ޕާރޓީތަކާއި ސިޔާސީ މީހުންނާއި ސިޔާސީ މީހުނގެ ވަހަކަތައް ދިވެހީންގެ ތެރޭގައި މަޤްބޫލުވުމުގެ ސަބަބުން ސިޔާސީ ފަރާތްތަކަށްދައްކާފައި ހުންނަ ވާހަކަތަކާއި ބުނުންތަކަށްވެސް އާއްމުންގެ ސަމާލުކަން ލިބެމުންދެއެވެ. ބައެއް ފަހަރު މިފަދަ ބުނުންތަކުގެ ސަބަބުން، އެބުނުން ބުނި ފަރާތަށް އާއްމުންގެ ތަޢުރީފުގެ ބަސްތައް ލިބޭފަދައިން ބައެއްފަހަރު މަލާމާތުގެ ބަސްތައްވެސް ލިބޭކަން ފާހަގަ ކުރެވެއެވެ. ވުމާއެކު، މިދިރާސާ އަމާޒުކުރެވިފައިވަނީ، ސިޔާސީ މީހުންގެ ވާހަކަދެއްކުމުގައި މެޓަފަރ ބޭނުންކުރާ މިންވަރާއި، މެޓަފަރ ބޭނުންކުރާ ބޭނުން ދެނެގަތުމަށެވެ. މިގޮތުން މިދިރާސާގެ މައިގަނޑު މަޤްޞަދަކީ، ސިޔާސީ ފަރާތްތަކުން، ސިޔާސި ޕޯޑިއަމްގައި ތިބެގެން ދައްކާ ވާހަކައިގައި، މެޓަފަރ ބޭނުންކުރާ މިންވަރާއި، މެޓަފަރ ބޭނުންކުރ ބޭނުން ހޯދައި ދެނެގަތުމެވެ. ވުމާއެކު ސިޔާސީ ފަރާތްތަކުން، ރައްޔިތުންގެ ރުހުމާއި ތާއީދު ހޯދުމަށްޓަކައި، ވާހަކަ ދައްކަމުންދާއިރު ބަސްމަގު ހުންނަ ގޮތް ދެނެގަތުމަށާއި، މިފަދަ މީހުންގެ ވާހަކަދެއްކުމުގައި މެޓަފަރ ބޭނުންކުރަނީ ކިހައި މިންވަރަކަށްކަމާއި ކޮން ބޭނުމަކުކަންވެސް އެނގިގެންދާނީ މިފަދަ ދިރސާއަކުން ކަމަށްވާތީ މިއީ ކުރުން މުޙިއްމު ދިރާސާއެއްކަން ގައިމެވެ. މިދިރާސާއަށް ބޭނުންވާ މަޢުލޫމާތު ހޯދުމަށް މިދިރާސާ ކުރެވުނީ މިކްސް މެތަޑް އެޕްރޯޗުންނެވެ. މިދިރާސާ ކުރުމަށްޓަކައި، 2013 ވަނައަހަރުގެ ރިޔާސީ އިންތިޚާބުގެ ދުވަސްވަރު ސިޔާސި ފަރާތްތަކުން ދައްކާފައި ހުރި ވާހަކަތަކުގެ ތެރެއިން، ތެރެއިން 6 މީހުންގެ ވާހަކަދެއްކުމަށް ބެލުނެވ. ހަމަމިއާއިއެކު، ސިޔާސީ ޕޯޑިއަމްތަކުގައި ވާހަކަދައްކާ ފަރާތްތަކުގެ ތެރެއިން 5 ފަރާތަކާ ސެމީ-ސްޓްރަކްޗާރޑް އިންޓަރވިއުވެސް ކުރެވުނެވެ. މިދިރާސާއަށް ސާމްޕަލް ނަގާފައިވަނީ ޕާޕޯސިވް ސާމްޕަލިންގް ދަށުންނެވެ. ދިރާސާގެ ހުރިހާ ބައިވެރިންވެސް މެޓަފަރ ބޭނުންކުރާކަމާއި، މެޓަފަރގެ ވައްތަރުތަކުގެ ތެރެއިން ފަސް ވައްތަރެއްވެސް ބޭނުންކުރާކަން ހާމަވިއެވެ. ބައެއް ފަރާތްތަކުން ގަސްތުގައި މެޓަފަރ ބޭނުންކުރާއިރު، ގަސްތަކާއި ނުލާ މެޓަފަރ ބޭނުންކުރާ ފަރާތްތައްވެސް ވާކަން މިދިރާސާއިން ފާހަގަ ކުރެވުނެވެ. ހަމަމިއާއިއެކު، ސިޔާސީ ފަރާތްތަކުގެ ވާހަކަދެއްކުމުގައި، އަންނައުނާއި ހަށިގަނޑުގެ އިތުރުން ދަތުރުފަތުރާއި ސިޔާސީ މީހުންގެ ވާހަކަދެއްކުމުގައި މެޓަފަރ ބޭނުންކުރަނީ ކިހައި މިންވަރަކަށް އަދި ކޮން ބޭނުމަކު ހެއްޔެވެ؟ ފުޓުބޯޅައާ ގުޅުވައިގެން މެޓަފަރ ބޭނުންކުރާކަންމި ދިރާސާއިން ދައްކައެވެ. މެޓަފަރ ބޭނުންކުރަނީ، ދައްކާ ވާހަކައިގެ އަސަރާއި ފޯރި ގަދަކުރުމަށް ކަމަށްވެފައި، މިކަމަށްޓަކައި ހާލަތާ ގުޅުވައިގެން މެޓަފަރ ބޭނުންކުރުމަކީ ކުރަންޖެހޭ ކަމެއްކަން ދިރާސާއިން ހާމަވިއެވެ. މީގެ އިތުރުން ސިޔާސީ މީހުންގެ ވާހަކަތަކުގައި މެޓަފަރ ބޭނުންކުރުމުގެ ސަބަބުން ބައެއް ފަހަރު، ނޭދެވޭ އަސަރު ކުރާކަންވެސް މިދިރާސައިން ހާމަވިއެވެ. އެހެންކަމުން، ސިޔާސީ ފަރާތްތަކުން ވާހަކަތައް އަޑުއަހައި އެފަދަ ވާހަކަތައް ބައްޓަންކޮށްފައި ހުންނަ ގޮތާމެދު ވިސްނުން ގެންގުޅޭ ފަރާތްތަކަށް، މިދިރާސާއަކީ ބޭނުންތެރި އެއްޗަކަށް ވާނެއެވެ.Item The knowledge, attitude and practice regarging(regarding) the use of oral contraceptive pills among the ever married women in H.Dh.Kumundhoo(The Maldives National University, 2014-06) Adam, Ali; އަލީ އާދަމްIn South and South East Asia one third of pregnancies are not plan which results from low use of contraception, contraceptive method failure and the high unmet need for contraception (Sebastian, 2005). The main objectives of this study were to determine the level of knowledge, explore the attitudes and identify the practices regarding the use of Oral Contraceptive Pills (OCPs) among the ever married women in H.Dh.Kumundhoo. A cross-sectional study was conducted using a structured questionnaire and the sample size was 155 ever married women in H.Dh.Kumundhoo. The sample was selected randomly and the study was conducted from 26th April 2014 to 30th April 2014. The participants were interviewed about their knowledge on OCPs, their perception and attitudes to use OCPs and the practice regarding the OCPs. The study found that 14.2% (n=21) of the respondents were using OCPs while 85.8% (n=127) of them were not using any type of OCPs. Most of the participants had negative attitudes towards the usage of OCPS due to fear of side effects and husband’s disapprovals. The majority of the women heard about OCPs and almost half of them knew the regular intake of OCPs. However, the knowledge about the side effects and the correct period to start OCP was low. Despite 100% availability of OCPs at the health facility, the use of OCPs were considerably low due to negative attitudes and low knowledge on OCPs including the side effects, misinformation about the correct usage and other beliefs.Item Reasons for the withdrawal of foreign specialist doctors from public health facilities in the islands of Maldives(The Maldives National University, 2013-11) Mujthaba, Ahmed; އަހްމަދު މުޖުތަބާMaldives is facing the problem of local human resource problem and currently the lack of medical specialist shortage crisis reached epidemic level. This cross sectional study aims to probe the reasons for withdrawing specialist doctors to work in the islands of Maldives. The subjects for this study were all specialist foreign doctors who work at the public health facilities of all islands of Maldives excluding the capital male’ city. A total (n= 14, 28.57%) subjects were (11 males, 3 females) participated voluntarily in this study. Even though there was good association between salary and the problem, insecure working environment was found to be the main cause of the problem from this study. This study also reveals that there were other contributing factors that needed to be probed including poor transportation system and lack of internet and other technologies in the islands.Item How the background characteristics influences demand and unmet need of child spacing among women of Maldives(The Maldives National University, 2013-05) Zamua, Fathumath; ފާތުމަތު ޒަމުއާChild spacing is a human right for all those who are in need. Therefore, child spacing methods should be supplied according to the demand of the certain community. Unmet need for child spacing is produced when the demands for child spacing services are not met in the community. The background characteristics that influences the demand and unmet need for child spacing includes, age; residence; region; education and wealth quintile of a women. This characteristic creates variation in the demand and unmet need for child spacing by increasing or decreasing the demand and unmet need for child spacing among women. In order to support this fact, secondary dataset from Maldives Demographic Health Survey 2009 is been used to acknowledge how the background characteristics influences demand and unmet need for child spacing. Both inferential and descriptive statistics are used to analyze the result and local and foreign literature was reviewed to support the reasons behind the trends of the analyzed data. It was known that, as age of women increases both demand and unmet need for child spacing decreases while the increase in education level of the women increases the demand and unmet need for child spacing in Maldives. As wealth quintile and residence show not much difference in the indicators, the south region of Maldives tends to have higher unmet need comparing to the rest of the Maldives, requiring for more studies to be done.Item The effect that maternal employment and maternal home-stay have on children's academic performance in selected schools of Male'(The Maldives National University, 2014-06) ޢަބްދުލް ޢަޒީޒް ޒަކަރިއްޔާ; Zakariyya, Abdul AzeezThe aim of this dissertation is to identify the effect that maternal employment and maternal home-stay have on children’s academic performance in selected schools of Male’. Social cognitive theory has been used to conduct the research which explains how mothers obtain and uphold certain behavioral patterns through behavioral, personal and environmental factors. This correlation study has used case-control approach to examine the student’s academic performance as there were two survey groups with varied outcomes that would be compared to one another. A sample size of 112 children has been taken to this study from 5th graders of the 4 selected schools in Male’. Structured questionnaire was used to collect data and the response rate of the survey was 98.21%. Findings of the study show that there is significant relationship between maternal working status and children’s academic performance with p-value significant at 0.01. The dissertation then identifies the other maternal factors such as mother’s education level and time spend with children have influence on the children’s educational performance with p-value significant at 0.01. In a detailed discussion section the dissertation delivers mothers with useful practical tips to improve their children’s academic performance and have provided other non-maternal factors need to be studied and address in order to improve children’s academic performance. In conclusion, the findings witness that there is a relationship between maternal working status and children’s academic performance since children of working mothers perform academically better than the children of non- working mothers.