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Development of a Patient Safety Model in Independent Practice of Midwifery in Bogor Regency, West Java, Indonesia Nina Herlina; Yudhia Fratidhina; Ambariani; Sri Mulyati; Titin Martini
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15894

Abstract

The concept of patient safety has been developed due to the increased incidence of medical error in Indonesia.Although incidents related to patient safety occurs in health servicessuch as the Independent Practice ofMidwifery or BidanPraktikMandiri(BPM), it has not received enough attention from the stakeholders. Thisresearch discusses the implementationof Patient Safety Model atthe Independent Practice of MidwiferyinBogor District, West Java Province. The research was conducted with mixed method approach, using threewayphase. The first phase is the construction on patient safety goals in BPM by doing focus group discussionon 3 groups and 2 in-depth interviews with 2 informants. The second phase is the model development inthe form of validation based on findings in the first phase. Additionally, phase 2 is done by using crosssectionaldesign of 90 midwives and SEM analysis using PLS. The third phase is conducting a quantitativeevaluation model with pre and post design at 30 BPM which have had training on Patient Safety Model. Thefindings show allvariables (patient safety goals, knowledge, attitudes, motivations, and behaviors related tothe patient safety) are valid in shaping Patient Safety Model. The results on Model application evaluation(phase 3) indicate that the model effective in increasing knowledge (p 0.000), attitude (p 0.000), motivation(p 0.000) and behavior (p 0.001) on patient safety in BPM.
Knowledge Regarding Reproductive Health and its Relationship to Sexual Behavior in Adolescents Kasyafiya Jayanti; Pujiati; Damayanti, Rini; Ambariani
Jurnal MIDPRO Vol 16 No 1 (2024): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v16i1.671

Abstract

Teenagers tend to face various challenges, both social and health problems. One problem is sexual activity when they lack adequate knowledge and skills for self-protection. This puts teens at higher risk for health problems. This study aims to examine the relationship between knowledge about reproductive health and sexual behavior in adolescents. This type of research is quantitative with a cross sectional design. The sample was taken using a total sampling technique, namely 35 teenagers from class IX. The independent variable in the research is teenagers' knowledge about reproductive health and the dependent variable is teenagers' sexual behavior. Data was taken directly using a questionnaire instrument. The instrument was created by the researcher himself based on a literature review and other instruments used in similar research. Before the instrument is used, validity and reliability tests are carried out first. The results of the bivariate analysis of the relationship between adolescent knowledge about reproductive health and sexual behavior were 80% had good knowledge and positive behavior. Teenagers who have less knowledge but still behave positively are 36.4%. Teenagers who have sufficient knowledge and behave positively are 100% and none have negative behavior at all. Teenagers who have poor knowledge and behave negatively are 63.6% and as many as 20.0% of teenagers have good knowledge but still behave negatively. The results of statistical analysis of the chi square test showed a p value of 0.005 (p<0.05) which shows that there is a relationship between adolescent knowledge about reproductive health in class IX students. Adolescent sexual behavior is influenced by several factors, one of which is knowledge. One of the factors of negative sexual behavior is a lack of correct information about sexuality. Good knowledge will influence reproductive health behavior and increasing knowledge is very important to prevent negative reproductive health behavior. Cooperation is needed from parents, schools and related health services in improving quality reproductive health services for adolescents.
PENGARUH ANEMIA TERHADAP KEJADIAN PERDARAHAN PASCA PERSALINAN PADA IBU BERSALIN Mutika, Winnie Tunggal; Mona Lisa; Indah Trisna Sari; Ambariani
HEARTY Vol 11 No 2 (2023): AGUSTUS
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v11i2.8687

Abstract

Penyebab kematian ibu didominasi oleh 33,19% perdarahan, 32,16% hipertensi dalam kehamilan, 9,80% gangguan sistem peredaran darah (jantung), 3,36% infeksi, 1,75% gangguan metabolik, dan 19,74% penyebab lainnya. Faktor-faktor yang mempengaruhi terjadinya pasca persalinan adalah umur ibu, partus lama, jarak persalinan, riwayat perdarahan pasca persalinan, dan anemia. Tujuan penelitian ini adalah untuk mengetahui pengaruh anemia terhadap perdarahan pasca persalinan yang sudah dikontrol oleh beberapa variabel. Metode yang digunakan adalah kuantitatif dengan desain cross-sectional. Subjek penelitian adalah ibu bersalin sedangkan untuk objek penelitian adalah perdarahan pasca persalinan. Pengambilan sampel menggunakan total sampling dan dilaksanakan di PMB J pada Juli 2021. Analisis yang digunakan adalah regresi logistik berganda. Hasil penelitian menunjukkan bahwa kadar Hemoglobin (Hb) saat kehamilan dapat meningkatkan risiko terjadinya perdarahan pasca persalinan (OR 2,95; 95% CI 1,73–5,04). Riwayat perdarahan sebelumnya pada persalinan sebelumnya dapat juga meningkatkan risiko terjadinya risiko perdarahan pasca persalinan (OR=5,18;95% CI 1,50–17,9). Riwayat abortus pada ibu bersalin juga dapat meningkatkan terjadinya perdarahan (OR 2,61; 95% CI 1,09–6,21). Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa anemia memberikan pengaruh terhadap kejadian perdarahan pasca persalinan setelah dikontrol dengan variabel anemia, riwayat persalinan sebelumnya, dan riwayat abortus.
Hubungan Usia Paritas Dengan Kejadian Ruptur Perineum Di TPMB Lestari Solihati, S.ST Kabupaten Bogor Ambariani; Pujiati; Lestari Solihati; Alfida Faqih; Alya Fauziah; Selsa Cintya Melani; Wanelis
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 9 No. 1 (2026): Mei Dalam Proses
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v9i1.290

Abstract

Postpartum maternal bleeding is caused by perineal rupture and uterine rupture. Perineal rupture (perineal tear) is an injury to the birth canal that occurs during childbirth, either using or without instruments, and is an indirect cause of maternal death worldwide due to postpartum hemorrhage. Objective: To determine the relationship between age, parity and the incidence of perineal rupture. Method: Using a quantitative method with a cross-sectional design. This study was conducted at the Lestari Solihati Independent Midwife Practice (TPMB), Bogor Regency. The data used are secondary data sourced from medical records of deliveries for the period January-December 2024. The sampling technique used in this study was a total sampling of 419 people. Results and Conclusions: shows that there is a significant relationship between age, parity and the incidence of perineal rupture with a p value (0.000).