Browsing by Author "Subedi, Samjhana"
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Publication A Follow-up Study of Proficiency Certificate Level Nursing Graduates from Kathmandu Model Hospital School of Nursing(Public Health Concern Trust-Nepal (phect-NEPAL), 2024) Subedi, Samjhana; Pathak, Sumita; Maharjan, Gyanu; Tuladhar, SanuAbstract: Introduction: Nursing plays a vital role in healthcare, encompassing preventive, promotive, curative, and rehabilitative services based on scientific knowledge and skills acquired through education. The Kathmandu Model Hospital School of Nursing (KAMHSON), established in 2002, offers a Proficiency Certificate Level (PCL) Nursing program affiliated with the Council for Technical Education and Vocational Training (CTEVT). This study aims to assess the employment status of PCL nurse graduates and their absorption within and outside the country. Methods: This descriptive cross-sectional study targeted PCL nurse graduates from the academic years 2065 to 2073 among 360 graduates. Data was collected through telephone surveys using contact information from student records, supplemented by secondary sources for unreachable participants. Participants were informed of the study’s objectives, and verbal consent was obtained. Data collection done after ethical clearance from the IRC between 2076 and 2078, with analysis done using Microsoft excel and SPSS version 20. Results: A total of 360 PCL graduate nurses were surveyed. Of these, 242 (67.22%) reside in Nepal, while 118 (32.78%) are abroad, primarily in Australia (76), followed by the USA (19) and the UK (16). Among those abroad, 63 work as professional nurses, 26 in non-professional roles, and 27 are studying. In Nepal, 137 graduates work in hospitals within the Kathmandu Valley, with others in home care and NGOs. Additionally, 26 are pursuing bachelor’s degrees, and 12 are processing visas for overseas employment. Conclusion: Most KAMHSON graduates work in Nepal, primarily in hospitals, while less than half are abroad, predominantly in Australia. Over half of those abroad are employed as professional nurses, reflecting strong employment both nationally and internationally.Publication Computer Literacy among Undergraduate Nursing Students of Kathmandu Model Hospital School of Nursing(Public Health Concern Trust-Nepal (phect-NEPAL), 2024) Manandhar, Palpasha; Subedi, SamjhanaAbstract: Introduction: Information and computer literacy are essential to nursing’s future in the modern era. In health science departments, flexible learning and information technology (IT) have been introduced successively. This study aimed to assess the basic computer literacy among undergraduate nursing students in Kathmandu Model Hospital School of Nursing. Methods: A descriptive cross-sectional study was adopted in 112 nursing students with total enumerative sampling technique being used. Data was collected via self- administered questionnaire method and analyzed using IBM SPSS. Data was obtained from ethical clearance from IRC phect-NEPAL. Results: This study found out that 49 (43.75%) had high level literacy and, half of the respondents, 57 (50.89%) had expert level competency. Furthermore, more than half of the respondents responded that additional courses for computer classes was needed in nursing curriculum where, 34 (30.36%) represented 1 month course to be added in the curriculum. Conclusion: Even though overall competency had about half of the respondents with expert level competency, there was still a need of improvement required in excel sheet and browsing internet. Furthermore, a month course of computer classes should be added in nursing curriculum.Publication Employment Status of Nursing Graduates of Kathmandu Model Hospital School of Nursing(Public Health Concern Trust-Nepal (phect-NEPAL), 2025) Subedi, Samjhana; Pathak, Sumita; Maharjan, GyanuAbstract: Introduction: Nursing is a vital healthcare profession centered on caring for the sick, injured, and vulnerable, while also promoting health at both individual and community levels. Beyond clinical roles, nurses contribute significantly to research, management, policy-making, and advocacy. Those with advanced education often deliver independent primary and specialized care. While nursing plays a foundational role in global health systems, challenges such as unemployment, underemployment, migration, and skill-role mismatches affect the employment of new graduates, especially in developing countries. This study aimed to assess the employment status of Bachelor of Science in Nursing (BSN) graduates from Kathmandu Model Hospital School of Nursing (KAMHSON). Now, it has become Phect Institute of Health Sciences. Methods: A cross-sectional study design was used to assess the employment status of BSN graduates from the years 2074 to 2080 B.S. Data were collected via a structured questionnaire using a Google survey form, following ethical approval from the IRC of phect-Nepal. Descriptive statistics were applied for data analysis. Results: Among 103 respondents, (73.8%) were employed full-time, (16.5%) part-time, and 1.9% were self-employed. A minority were unemployed (4.9%) or pursuing further studies (2.9%). Most graduates (62.8%) worked in hospitals, mainly as clinical nurses (71.8%), with (67%) in the private sector. Over (70%) secured jobs within six months post-graduation, with (57.3%) employed in Nepal. Others were employed in countries including Australia, the USA, Canada, and the UK. Most reported average workloads (62.1%), but over half (52.4%) were dissatisfied with their income. While (69.9%) intended to continue in nursing, (5.8%) planned to switch careers. Personal interest was the leading motivation for choosing nursing (75.7%) followed by a desire to help the sick (38.8%), with others citing career opportunities abroad, social respect. Conclusion: Most BSN graduates gained employment within six month of graduation primarily in clinical roles. However, dissatisfaction with income and retention issues highlight the need for better policies, professional development, fair pay, and supportive academic environments.Publication Knowledge on Legal and Ethical Aspect of Nursing among Nurses Working in Kirtipur Hospital(Public Health Concern Trust-Nepal (phect-NEPAL), 2025) Subedi, Samjhana; Dhital, NishaAbstract: Introduction: Nurses frequently encounter a range of legal and ethical challenges while caring for individuals through critical life events such as birth, illness, recovery, suffering, and death. Legal guidelines help nurses act appropriately and professionally, while ethical principles govern standards of behavior and moral decision-making. This study aimed to evaluate the level of knowledge of nurses regarding the legal and ethical aspects of their profession. Methods: A cross-sectional study was carried out involving 111 nurses at Kirtipur Hospital. Data collection commenced following ethical approval from the phect-NEPAL Institutional Review Committee. Probability Proportional to Size (PPS) sampling techniques was employed to select the nurses from each department within the hospital. Data were gathered using a semi-structured, self-administered questionnaire and descriptive and inferential statistics is utilized and data was analyzed using the Statistical Package for the Social Sciences (SPSS). Results: The study findings reveal that nurses possessed an overall average level of knowledge regarding the legal and ethical aspects of nursing. Only 25 (22.5%), demonstrated a high level of knowledge, while 62 (55.9%), had a moderate level, only 24 (21.6%) showed a low level of knowledge. A significant association was observed between the nurses’ level of knowledge and their years of experience as well as their respective areas of work. Conclusions: This study identified that even though majority had average knowledge on legal aspects of patient care, only a small percentage had good knowledge on legal and ethical aspect. So based on this study, Kritipur hospital should plan educational, and training programs about legal and ethical aspect of nursing.