Status of Pass-out M.Sc. Nursing Students

Status of Pass-out M.Sc. Nursing
Students from BP Koirala Institute
of Health Sciences Nepal
Mehta RS1, Karn B2, Shrestha E3.
College of Nursing
BP Koirala Institute of Health Sciences, Nepal
Email: ramsharanmehta@gmail.com
Contact Address: Prof. Dr. Ram Sharan Mehta, Head, MSND, CON, BPKIHS
Prof. Dr. Ram Sharan Mehta, BPKIHS 1

Introduction:
• Continuing changes in health and social care policy and
practice have affected and changed the way in which nursing
is practiced.
• Now a days, post-graduate education faces multiple
challenges in terms of demand, supply, quality and returns.2
• Flexibility in working arrangements appear to be a key
factors influencing nurses decision to leave. Lack of
autonomy, support and feeling valued also important while
making the decision.11

Objectives:
• The objective of this study was to assess the status of
pass-out M.Sc. Nursing graduates from BPKIHS.

Methods and Materials:
• Descriptive cross-sectional study design was adopted to
conduct this study among students graduated from 2008-
2017 batches from BPKIHS.
• Using convenient sampling technique total 91 subjects were
included in the study.
• Pre-tested questionnaire was used to collect data by using
Google Drive Online System.
• The data was analyzed using Google Drive Online System
and SPSSv16.

Results
Table 1: Distribution of Respondents according to their batch of Admission (n= 91)
Characteristics Category Frequency Percentage
Batch of
Admission
2008 2 2.2
2009 1 1.1
2010 3 3.3
2011 7 7.7
2012 4 4.4
2013 14 15.4
2014 9 9.9
2015 17 18.7
2016 19 20.9
2017 15 16.5
Total 91 100Prof. Dr. Ram Sharan Mehta, BPKIHS 5

Table 2: Socio-Demographic Characteristics of Respondents (n= 91)
Age Group (Years) 21 23.1
26-30 21 23.1
31-35 49 53.8
Designation
(Current Post)
Lecturer 55 59.9
Assistant Professor 06 6.54
Nursing Officer 05 5.45
Others:(Asso. Professor/
PhD/Matron/supervisor)
25 27.25
Marital Status Married 82 90.1
Unmarried 8 8.8
Divorced 1 1.1
Occupation of Husband
(if Married) n=82
Doctor 18 19.8
Job 7 7.7
Others: business/student 57 62.7

Table 2: Socio-Demographic Characteristics of Respondents (n= 91)…
Current Address: City Kathmandu 19 20.9
Lalitpur 5 5.5
Dharan 9 9.9
Chitwan 5 5.5
Biratnagar 9 9.5
Others 33 36.3
Abroad 11 12.1
Interested for further
education
Yes, interested 77 84.6
Ongoing 6 6.6
No 8 8.8
Total experience in
nursing field
<10 45 49.5
10-15 28 30.8
>15 18 19.8
Name of University from
where B.Sc. Nursing
Completed
PU 23 25.3
TU 20 22.0
KU 18 19.8
BPKIHS 13 14.2
Others 17 18.7
Average monthly income
(Rs)
<50000 40 44.0
50000-100000 42 46.2
>100000 9 9.8

Table 3: Motivating Factors Ultimate aim of Carrier and Reasons for Choosing
Nursing Profession among the Respondents (n=91)
Motivating factors to join the
currently working Institute
Big organization 49 53.8
Attractive salary. 36 39.6
As I have no Job Else where 24 26.4
Chance of further education 16 17.6
Non-transferable job 14 15.4
Ultimate aim of career Stick to nursing service 72 79.1
Switch to other profession 7 7.7
Plan to go aboard / foreign 6 6.6
Not yet decided 5 5.5
Reason for you Choosing
nursing profession
For easy access to job 38 41.8
Interested to become a nurse 32 35.2
Parents pressure 28 30.8
Failure in MBBS entrance 18 19.8
To serve sick people 28 30.8
There is glamour in this profession 4 4.4
Due to financial problems 0 0
Thinking I would join other profession later 0 0
Due to peer pressure 0 0
As it is unable to labour hard 0 0
Better chance to go abroad 0 0
No planning, just chance factor 0 0
Good image of nursing profession
in society
0 0

Table 4: Status of Nursing Profession and Reasons for Migration abroad
among the Respondents (n= 91)
Status of a Nurse According
to their people
Very high 2 2.2
High 18 19.8
All right / average 37 40.7
Low 18 19.8
Very low 0 0
Status of nursing profession
in the working place
Very high 6 6.6
High 23 25.3
All right / average 48 52.7
Low 8 8.8
Very low 6 6.6
Reasons for migration to
abroad, if in abroad (n=11)
(MR)
Carrier advancement 11 12.1
To earn more money 10 11.0
Situation of the country 10 11.0
Due to marriage 5 5.5
Workload Status Too much 11 12.1
All right 79 86.8
Not enough 1 1.1

Table 5: Job Satisfaction of the Respondents in various aspects (n=91)
Characteristics Category Responses
Fully
Satisfied
Moderately
Satisfied
JustSatisfied
NotSatisfied
atall
No % No % No % No %
Job Satisfaction in
following aspects
of job
Job security 18 19.8 27 29.7 18 19.8 28 30.8
Pay scale 9 9.9 34 37.4 29 31.9 19 20.9
Allowances and other monetary benefits 7 7.7 29 31.9 31 34.1 24 26.4
Prestige of organization 19 20.9 49 53.8 23 25.3 - -
Recognition of good work 10 11 36 39.6 35 38.5 10 11
Opportunity for promotion and development
12 13.2 27 29.7 26 28.6 26 28.6
Interpersonal relations 22 24.2 55 60.4 12 13.2 2 2.2
Achievements 6 6.6 43 47.3 29 31.9 13 14.3
Work it self 21 23.1 50 54.9 18 19.8 2 2.2
Responsibility given 20 22 48 52.7 20 22 3 3.3
Organizational policies 10 11 29 31.9 31 45.1 11 12.1
General administration 6 6.6 38 41.8 37 40.7 10 11
Nursing administration 8 8.8 38 41.8 31 34.1 14 15.4
Supervision to you 8 8.8 35 49.5 30 33 8 8.8
Working conditions 10 11 47 51.6 31 34.1 3 3.3
Attitude of employee 13 14.3 52 57.1 24 26.4 2 2.2
Communication channel 12 13.2 39 42.9 29 31.9 11 12.1
Appreciation of individual performance 14 15.4 36 39.6 33 36.3 8 8.8
Health insurance policy or health care service 10 11 28 30.8 20 22 33 36.3Prof. Dr. Ram Sharan Mehta, BPKIHS 10

Table 5: Job Satisfaction of the Respondents in various aspects (n=91)…
Job Satisfaction in
following aspects
of job
Category Responses
Fully
Satisfied
Moderately
Satisfied
Just
Satisfied
Not
Satisfiedat
all
No % No % No % No %
Duty hour
36 39.6 40 44.0 12 13.2 3 3.3
Cooperation with doctor
18 19.8 41 45.1 25 27.5 7 7.7
Quarter allotted or Residence
facilities 11 14.3 7 7.7 16 17.6 55 60.4
Evaluation system
10 11 30 33.0 29 31.9 22 24.2
Job description 9 9.9 39 42.9 32 35.2 11 12.1
Relation with immediate supervisor 30 33 41 45.1 20 22 - -
The effect of your job on your
personal life 16 17.6 50 54.9 17 18.7 8 8.8
Inter & Intra-departmental
relationship 16 17.6 42 46.2 30 33 3 3.3
Communication system of the
institute 11 12.1 39 42.9 25 27.5 16 17.1
Provision for training & higher study
10 11 22 24.2 22 24.2 37 40.7
Provision for conference and
workshop 6 6.6 24 26.4 21 23.1 40 44

Overall satisfaction
with job
Fully satisfied
(80-100%)
7 7.7
Satisfied
(60-80%)
45 49.5
Just satisfied
(40-60%)
32 35.5
Dissatisfied
(20-40%)
7 7.7
Not satisfied at all
(0-20%)
0 0
Table 6: Overall Job Satisfaction of the Respondents (n=91)

Table 7: Association between Socio-demographic Variables and Various aspects of
Profession and Job satisfaction (n=91)
Out Come Variables Socio-demographic Characteristics
Age group Marital Status Total Nursing Exp. Work Place
≤30 >30 P M UM P ≤10 >10 P
Nepal
Abroad
P
Aim of Carrier Stick to nursing service
43 28
0.361
66 5
0.303
45 26
0.893
64 7
0.545
Switch to other profession
5 3 6 2 4 4 8 0
Plan to go abroad 4 3 6 1 4 3 7 0
Not yet decided 5 0 5 0 3 2 5 0
Status of Nurse Very high 32 16
0.223
45 3
0.467
30 18
0.268
35 3
0.029
High 15 6 19 2 11 10 19 2
All right/ average 7 10 14 3 10 7 17 0
Low 3 2 5 0 5 0 3 2
Status of Nursing
Profession
Very high 33 24
0.224
51 6
0.693
31 26
0.106
57 0
0.001
High 17 5 21 1 14 8 17 5
All right/ average 4 1 5 0 5 0 5 0
Low 3 4 6 1 6 1 5 2
Achievements Fully satisfied 5 1
0.237
6 0
0.251
3 3
0.277
5 1
0.329
Moderately satisfied
16 13 24 5 18 11 28 1
Just satisfied 30 13 41 2 24 19 38 5
Not satisfied at all 6 7 12 1 11 2 13 0
Satisfaction with
Responsibility
Fully satisfied 11 9
0.823
18 2
0.643
13 7
0.916
18 2
0.463
12 8 17 3 11 9 20 0
Just satisfied 32 16 45 3 30 18 43 5
Satisfaction with
Administration
Fully satisfied 4 4
0.603
8 0
0.159
6 2
0.290
6 2
0.033
17 14 26 5 15 16 31 0
Just satisfied 16 22 37 1 25 13 33 5

Table 7: Association between Socio-demographic Variables and Various aspects of
Profession and Job satisfaction (n=91)…
Out Come Variables Socio-demographic Characteristics
Age group Marital Status Total Nursing Exp. Work Place
≤30 >30 P M UM P ≤10 >10 P
Nepal
Abroad
P
Working Condition Fully satisfied 4 6
0.418
9 1
0.952
8 2
0.128
9 1
0.621
19 12 28 3 15 16 13 1
Just satisfied 32 15 43 4 13 17 32 5
Duty hour Fully satisfied 18 18
0.166
13 6
0.168
26 10
0.296
31 5
0.307
10 2 11 1 6 6 12 0
Just satisfied 27 13 39 1 23 17 38 2
Evaluation System Fully satisfied 5 5
0.009
9 1
0.601
9 1
0.161
7 3
0.019
16 13 26 3 18 11 29 0
Just satisfied 26 4 29 1 15 15 27 3
Job description Fully satisfied 4 5
0.306
7 2
0.206
6 3
0.895
7 2
0.297
19 13 31 1 18 14 30 2
Just satisfied 15 24 36 3 25 14 36 3
Satisfaction to be nurse Fully satisfied 18 12
0.170
29 1
0.252
18 12
0.525
28 2
0.706Partially satisfied 2 4 6 0 5 1 6 0
Job Satisfaction Fully satisfied 0 7
0.003
7 0
0.127
6 1
0.503
7 0
0.127
7 0 5 2 5 2 6 1
Just satisfied 15 17 28 4 19 13 32 0
Dissatisfied 20 25 43 2 26 19 39 6Prof. Dr. Ram Sharan Mehta, BPKIHS 14

Suggestions to college of Nursing for better Job status of graduates in Future (n=91)
1. Proper Guidance and supervision during clinical posting = 9.81
2. Exposure to workshop/conference/seminars = 8.72
3. Curriculum should be revised = 8.72
4. Conflict among faculties should not hamper students learning = 6.54
5. Periodic meeting among Students, faculty and coordinator = 6.54
6. Exposure posting to NGO/INGO = 5.45
7. Opportunity of networking during academic period = 5.45
8. One separate Biostatistics teacher at college itself = 5.45
9. Involve students in multiple exposure of learning environment = 4.36
10. Exposure in geriatric centers = 1.09

Suggestions to enhance the image of nursing profession (n=91)
1. Professional body (NAN) should be strong = 17.44
2. Unity among all nurses for professional solidarity = 14.17
3. Advocacy for nursing profession = 13.08
4. Strict accreditation of nursing colleges = 10.9
5. Develop good ideal leaders = 10.9
6. Focus on quality education =9.81
7. Start Specialty courses = 8.72
8. Proper designation in GON/private as per degree = 8.72
9. Separate nursing division in ministry of health and population = 8.72
10. Conduct adequate quality nursing research = 7.63
11. Provision of regular CNE/CME/workshop for nurses = 7.63
12. Focus on standard nursing care = 7.63
13. Clear nursing policy at national level =6.54
14. Proper salary for nurses as per leve =5-5.4
15. Proper supervision to juniors’ =4.36
16. Develop standard placement criteria = 4.36
17. Promote evidenced based practice = 4.36
18. Linkage between service, education and research = 3.27
19. Participation in political level = 3.27
20. Develop autonomy = 3.27

Effect of Covid-19 Pandemic in personal and professional life
1. Yes, a lot = 18.53
2. Yes = 58.86
3. A little bit = 10.9
4. No = 10.9

Discussion:
• Majority of the nurses were satisfied with their job. Study
conducted by Burton9, Yamashita13, and Murrels14 reported
the similar findings.
• There was significant association between work place (Nepal
& Abroad) with status of nursing profession, satisfaction with
administration and evaluation system. Similar findings were
reported by Tzeng4, Gleason6 and Gaur7.

Conclusion:
• Based on the findings of the study it can conclude that most
of the pass-out graduates were satisfied with their job. Work
place (Nepal and Abroad) of the graduates were significantly
associated with status of nursing profession, satisfaction with
administration and evaluation system.

References
1. Eighth Annual Report. Addressing New Challenges Facing Nursing Education: Solution for a Transforming Health Care Environment. National Advisory
Council on Nurse Education and Practices (NACNEP), US department of Health and Human Science, 2010.
2. Syllabus and Regulation M.Sc. Nursing. Indian Nursing Council, 2012.
3. Kearney ML. The Role of Post-Graduate Education in Research System. Workshop Report. Dublin City University, Ireland, UNESCO, 2008.
4. Diomidus M, Mantas J.Assessing the progress of the M.Sc. Course in Health Informatics under the ERASMUS Programme. Int J Med Inform. 1998 Jun;
50(1-3):159-63.
5. Treng HM, Ketefian S & Redman RW. Relationship of nurse’s assessment of organizational culture, job satisfaction, and patient satisfaction with
nursing care. Int J Nurs stud. 2001: 22:13-14.
6. Watanabe RN. Effect of age on job satisfaction and intention to turnover among female nursing home care workers. Journal of Policy Studies. 2005;
19: 75-89.
7. Gleason WP, Mindel CH. A proposed model for predicting job satisfaction among nursing home social workers. J Geronto Soc Work. 1999; 32:65-79.
8. Gaur L, Chandler B, Burton B, Kolditz D. Institutional loyalty and job satisfaction among nurse aides in nursing homes. Journal of Aging and
Health.1991; 3:47-65.
9. Mason D. Letters: Who’s watching nurses? Am J Nurs. 2009 [Serial online] 2009 March [cited 2009 July 17] 14: Available from: URL:
http://hinari_gw.who.int
10.Burton EC, Burton DT. Job expectations of senior nursing students. J Nurs Adm. 2014; 12(3):11-17.
11.Storey C, Cheater F, Ford J; Leese B. Retention of nurses in the primary and community care workforce after the age of 50 years: database analysis and
literature review. J Adv Nurs.2009; 65(8):1596-1605.
12. Weisman CS. Recruit from within: hospital nurse retention in the 1980’s. J Nurs Adm 1982; 12(5):24-31.
13.Yamashita M. Job satisfaction in Japanese Nurses. J Adv Nurs. 1995; 22(1):158-164.
14.Murrells T, Robinson S, Griffiths P. Job satisfaction trends during nurses' early career, BioMed Central. 2008(7)7.
15.Singh A. Students’ Perception of Academic Courses in B.Sc. Nursing at Nursing Campus Maharajgunj at Nursing Capus Maharajgunj,Kathmandu.
JMCJMS; 2017, 5(1): 49-54.
16.Mehta RS, Yadav R. Professional satisfaction among the B.Sc. Nursing graduates of an institute. JNMA. 2012, 52(187):122-6.
17.Mehta RS, Karn BK. M.Sc. Nursing Programme in BP Koirala Institute of Health Sciences Nepal. NJBPKIHS. 2015, 1(1): 50-53.
18.Gunawan J, Aungsuroch Y, Sukarma A, Wahab. Nursing Students Plan after graduation: a qualitative study. J Educ Helath Promot.2008; 7:1.
19.Paudel K. Report of Status of Nurses in Nepal. Nepal Health Research Council.2010

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