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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Fakultas Keguruan dan Ilmu Pendidikan UNISA Kuningan Nama jurnal : International Journal of Education and Humanities Arus Jurnal Psikologi dan Pendidikan TAKSONOMI Tarbiyah bil Qalam : Jurnal Pendidikan Agama dan Sains Journal of Humanities and Social Studies Jurnal Pengabdian Masyarakat dan Riset Pendidikan Jurnal Kesehatan An-Nuur Jurnal ATSAR UNISA Kuningan ETNOPEDAGOGI: Jurnal Pendidikan dan Kebudayaan Sinergi : Jurnal Ilmiah Multidisiplin
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Journal : Sinergi : Jurnal Ilmiah Multidisiplin

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Pelatihan Pengisian Modified Early Obstetric Warning Score (MEOWS) sebagai Lembar Observasi dan Pengaktifan Sistem Peringatan Dini Pasien Obstetrik Kritis pada Asuhan Keperawatan Maternal di Rumah Sakit Tipe B di Kota Cimahi Darmayanti
Sinergi : Jurnal Ilmiah Multidisiplin Vol. 1 No. 1 (2025): Sinergi: Jurnal Ilmiah Multidisiplin
Publisher : PT. AHLAL PUBLISHER NUSANTARA

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Maternal mortality remains a critical challenge in healthcare systems, often caused by delayed detection of clinical deterioration in obstetric patients. The Modified Early Obstetric Warning Score (MEOWS) is a standardized scoring tool based on physiological parameters designed to facilitate early identification of maternal complications. This study aimed to evaluate the effectiveness of MEOWS training in improving the knowledge and practical skills of nurses and midwives in maternal care. A pre-experimental one-group pre-test and post-test design was applied, involving 30 participants from the maternal care unit at B-Type Hospital, Cimahi. The intervention included lectures, case-based simulations, and supervised clinical practice, assessed through a 15-item multiple-choice questionnaire and structured observation of MEOWS form completion. The results showed a significant improvement in knowledge scores from a pre-test mean of 7.2 to a post-test mean of 10.8, with 92% of participants demonstrating accurate MEOWS documentation. Initial difficulties in interpreting respiratory rate and consciousness parameters were resolved through additional simulations. Participant feedback indicated high relevance and satisfaction, along with suggestions for institutional support such as written SOPs, integration into electronic medical records, and regular refresher training. These findings suggest that MEOWS training is effective in enhancing clinical vigilance, promoting patient safety, and supporting the implementation of responsive, standardized maternal care systems. ABSTRAK. Angka Kematian Ibu (AKI) masih menjadi tantangan serius dalam sistem pelayanan kesehatan, khususnya akibat keterlambatan deteksi kondisi klinis yang memburuk pada pasien obstetrik. Modified Early Obstetric Warning Score (MEOWS) dikembangkan sebagai alat bantu skoring berbasis parameter fisiologis untuk mendeteksi dini risiko komplikasi maternal secara sistematis dan objektif. Penelitian ini bertujuan untuk mengevaluasi efektivitas pelatihan pengisian MEOWS dalam meningkatkan pengetahuan dan keterampilan tenaga keperawatan maternal. Desain yang digunakan adalah pre-eksperimental one-group pre-test and post-test, dengan melibatkan 30 perawat dan bidan dari unit pelayanan maternal di Rumah Sakit Tipe B di Kota Cimahi. Kegiatan pelatihan meliputi ceramah, simulasi kasus, serta praktik klinis yang dievaluasi melalui kuesioner pilihan ganda dan pengisian format MEOWS berbasis skenario. Hasil menunjukkan peningkatan rerata skor pengetahuan dari 7,2 pada pre-test menjadi 10,8 pada post-test, serta tingkat ketepatan pengisian format MEOWS mencapai 92%. Sebagian peserta mengalami kesulitan awal dalam menilai parameter respirasi dan kesadaran, namun menunjukkan perbaikan setelah sesi simulasi tambahan. Umpan balik peserta menunjukkan bahwa pelatihan sangat bermanfaat, dan direkomendasikan agar disertai penyusunan SOP tertulis, integrasi MEOWS ke dalam sistem Rekam Medis Elektronik (RME), serta pelatihan berkala sebagai bagian dari pengembangan profesional berkelanjutan. Temuan ini menunjukkan bahwa pelatihan MEOWS efektif dalam meningkatkan kemampuan deteksi dini, memperkuat praktik keperawatan berbasis keselamatan pasien, dan mendorong transformasi sistem pelayanan maternal yang responsif, adaptif, dan terstandar. Kata kunci: MEOWS, pelatihan, perawat, bidan, keperawatan maternal, sistem peringatan dini
Pengembangan Fitur Lembar Triase Obstetri dalam Rekam Medis Elektronik (RME) Menggunakan OTAS di PONEK RS Tipe B di Kota Cimahi Darmayanti
Sinergi : Jurnal Ilmiah Multidisiplin Vol. 1 No. 2 (2025): Sinergi: Jurnal Ilmiah Multidisiplin
Publisher : PT. AHLAL PUBLISHER NUSANTARA

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Abstract

Maternal emergencies require a triage system that is specific, rapid, and accurately documented to reduce maternal and neonatal mortality. However, most hospitals still use general triage systems that are not tailored to obstetric complexity, and electronic medical records (EMRs) often lack dedicated obstetrical triage features. This study aimed to develop a digital obstetrical triage form based on the Obstetrical Triage Acuity Scale (OTAS) integrated into the EMR system of the PONEK unit at B-Type Hospital in Cimahi City. This research employed a Research and Development (R&D) approach using the PPE (Planning, Production, Evaluation) model. The planning stage involved observation and focus group discussions. A prototype triage feature was developed for three categories: early pregnancy, late pregnancy, and postpartum. The evaluation phase included content validity assessment, system feasibility testing, and user satisfaction evaluation. The prototype enabled input of clinical data and automatic OTAS scoring, fully integrated into the hospital’s EMR. Content validity index (CVI) scores reached 1.00, indicating high validity. System feasibility was rated at 87.5% (very feasible), and user satisfaction averaged 4.4 out of 5. The OTAS-based obstetrical triage feature is valid, feasible, and well-received. It enhances clinical decision-making, documentation accuracy, and triage efficiency in maternal emergency care. ABSTRAK. Penelitian ini bertujuan untuk mengembangkan fitur lembar triase obstetri dalam Rekam Medis Elektronik (RME) menggunakan pendekatan Obstetrical Triage Acuity Scale (OTAS) di ruang PONEK RS Tipe B di Kota Cimahi. Desain penelitian menggunakan metode Research and Development (R&D) model PPE (Planning, Production, Evaluation). Tahapan perancangan dilakukan melalui FGD dengan tenaga medis dan IT rumah sakit untuk menggali kebutuhan sistem triase obstetri. Tahap produksi menghasilkan prototype fitur triase yang terdiri dari kategori kehamilan (awal, lanjut, dan pascapersalinan) dengan integrasi skoring otomatis OTAS. Tahap evaluasi dilakukan melalui uji validitas isi, kelayakan sistem, dan kepuasan pengguna. Hasil menunjukkan validitas isi tinggi (S-CVI = 1.00), kelayakan sistem sebesar 87.5% (sangat layak), dan kepuasan pengguna rata-rata 4.4 dari 5. Fitur ini mendukung keputusan klinis cepat, dokumentasi akurat, dan efisiensi pelayanan maternal di PONEK. Kata Kunci: OTAS, RME, Triase Obstetri, Kegawatdaruratan Maternal, PONEK, R&D PPE
Co-Authors Abdul Kahar Syarifuddin Alfika Nurjanah, Siti Almahera, Alvie Anggi, Geuis Armed Tahyas Ati Nurhayati, Nung Bardiati Ulfah Dedeh Komalasari Farisatma Handayani, Jesika Hanudin Ika Candra Destiyanti Joni Tandi, Joni La Jidi Lena Ahdiani Luhur Sartika Madi Mariyani Meike Rachmawati Muammar Muh Ridwan Muh. Zaidir Muhamad Ridwan Niluh Puspita Dewi, Niluh Puspita Nur Afiyati, Syifa Nur Jannah Rahmat Haniru Rahmawati Rusli Safaruddin Yahya Selina, Nur Siti Salmawati Hada. N Sri Wahyuni Vivin Yaolanda Rizqi Agustina Yuliet Yuliet