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.