Thesis & Dissertations - ތީސީސް އަދި ޑެޒަޓޭޝަން
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Item An archaeological study of the Maldive Islands : inestigating the Islamic period settlements(University of East Anglia, 2019) Jaufar, Shiura; ޝިއުރާ ޖައުފަރުThis thesis presents an archaeological investigation of the remote Indian Ocean islands of the Maldives during the medieval Islamic period, through the excavation of three selected sites. The importance of the Maldives in medieval Indian Ocean trade networks, due to their geographical position at a crucial transit point and their exportation of cowry shell money (Monetaria moneta), is well known. However, these islands have received limited archaeological research, and that has focused largely on the pre-Islamic period. An archaeological study is important because the existing historical sources are on the whole relatively late and there has been a tendency to extrapolate them uncritically to earlier periods. Moreover, the Maldivian archaeological heritage faces various threats from development and environmental issues. Therefore, with the aim of documenting heritage at risk and filling some of the existing gaps in knowledge, the research is underpinned by four objectives: (1) investigating the landscape history and archaeology of the Islamic period in the Maldives; (2) creating a detailed typology of the pottery excavated; (3) examining the extent of intra-regional differences in the material culture; and, (4) shifting the focus away from the capital Male’ towards the poorly studied rural islands. The research objectives are addressed through the study of three archaeological sites dating to the Islamic period, discovered in the course of this doctoral research and located in the north, central and far central regions of the Maldives. The core dataset is the pottery recovered, and this thesis presents the first typological study of a scientifically excavated, stratigraphically contextualized and dated pottery assemblage recovered from medieval contexts in the Maldives. Other items of material culture recovered, including faunal remains and non-ceramic material culture, are also discussed. Together, these allow an exploration of the role of the Maldives and of their place in the Indian Ocean trade system during the medieval period. Indeed, both material culture and historical sources provide evidence for connections, over the longue durée, to several regions of the world, such as South Asia, China, Arabia, Persia and Europe. The thesis concludes that the Maldives were a nation with a strong maritime identity and suggests that Maldivian communities played an active and autonomous role in the Indian Ocean trade network.Item A failed education system : issue with low achievers(2025) Ahmed, Zameer; ޒަމީރު އަހުމަދުThis article is about the Maldives Education system. In this article, the issue with low achievers has being discussed. How to overcome the major issue in education. The article is backed with literature.Item Resilience، islandness and food systems in small island developing states : a study of the Maldives(2024) Mariyam Anaa Hassan; މަރިޔަމް އަނާ ހަސަންItem 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 Socio-economic, political and social capital factors that influence the state expenditure: a comparison of rural communities in the Maldives(School of Public Administration : National Institute of Development Administration, Bangkok, 2019-10) Zahir, Mohamed; މުހައްމަދު ޒާހިރުThe Maldives is a nation in the Indian Ocean that includes approximately 1200 coral islands in 21 clusters known as atolls. For administrative purposes, these atolls are grouped into seven provinces located geographically in the Central, Northern, and Southern areas. These island communities operate as groups, which explains to some extent the unequal allocation of resources among the rural communities and Central city, as many studies have supported. Therefore, to understand the unequal distribution of wealth in rural communities, it is very important to determine the factors associated with the provision of public funding as a whole. This study’s goal was to use multidimensional variables to estimate the factors that determine the provision of public funding, and economic, political, and social capital factors were combined to determine their relation to the Maldives’ total expenditures. More interestingly, after 2010, many rural areas have made huge improvements in their education level, healthcare services, and infrastructure development. The constitutional reform in 2008 that mandates multiparty democratic elections are suspected to be the root cause of these improvements. Ideally, citizen participation and engagement are intended to foster any state’s development. The Maldives government always has been criticized for its process of electing government officials, specifically influences on the part of candidates and other stakeholders, either by mutual benefits or malfeasance. However, it is clear that there is an expectation on both sides’ part. This basically indicates that public spending will be higher when it caters to the public’s demands. However, to what extent is this statement true in the case of rural development? Therefore, this study attempted to analyze the provision of public funding at both the island and provincial levels, and two models were developed to investigate these relations.Item Implementation of blended learning in higher education : a case study of adoption and diffusion(University of Wollongong, 2022-08) Ali, Ramiz; ރާމިޒް އަލީBlended learning has the potential to provide learners with multiple advantages such as increased access to learning, increased flexibility, and enhanced learner engagement. The pedagogic method has been prevalent in higher education in recent years, especially since the COVID-19 pandemic. Despite the growth of interest in institutional initiatives, our knowledge about the adoption and diffusion of blended learning at the institutional level remains limited. Knowledge about adoption and diffusion processes at the university level is imperative for university leaderships to inform policy, provide appropriate support to teachers and other staff, and ensure and sustain positive and equitable student experiences. Using an embedded case study method, the current study aims to understand user perceptions and beliefs of blended learning and describe the process of blended learning adoption leading to diffusion across a university. This study is guided by the Diffusion of Innovation Theory (DoI), and the Technology Acceptance Model (TAM). Participants were 407 students, 99 teachers, and six university executives who were involved in an institutional initiative employing blended learning in 2019. Data were collected through questionnaires, interviews, and focus groups. The questionnaires were administered to students and teachers. Interviews were conducted for teachers and the executives while focus groups were held for students. In addition, relevant university documentation was gathered and analysed for the purpose of data triangulation. In line with the convergent mixed method, the quantitative and qualitative data were collected in parallel, analysed separately, and were then merged.