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SAFETY CULTURE TO PREVENT INFECTION IN NORMAL BIRTH CARE BY VILLAGE MIDWIVES ATEAST LOMBOK NUSA TENGGARA BARAT Bartini, Istri
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 9, No 2 (2015): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.771 KB) | DOI: 10.12928/kesmas.v9i2.2134

Abstract

Background: Normal birth care is one of midwife’s competence within the most of risks to both women and midwife. Limited of health facilities and social culture are major problem of midwifery care. In fact, infection cases have been occurring and become a significant cause in maternal death. At East Lombok most of 93,33% birth was provided by midwife. It was a tricky to explain that midwife does not work as well.Aim: to describe safety culture to prevent infection during normal birth care at rural area.Method: qualitative study with focus group discussion and in-depth have done for 8 midwives from 6 sub-district at East Lombok. We selected midwife who have done at least 1 year and have experience in preventing infection during birth care.Result: Midwives struggled to perform the rule of normal birth care with the limited facilities. Cultural sensitivity restricted to use personal protective equipment. To build safety culture in their work, social culture became an obstacles more than support system and policy. Lack of knowledge about safety care on rural area is one of problem they said.Conclusion: Culture sensitivity is something to consider in safety care, although considerable to standard care is essential in midwifery care. Culture safety care concept particularly for prevent infection at remote area are needed to expand in the midwifery curriculum.  
SAFETY CULTURE TO PREVENT INFECTION IN NORMAL BIRTH CARE BY VILLAGE MIDWIVES ATEAST LOMBOK NUSA TENGGARA BARAT Bartini, Istri
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 9, No 2 (2015): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.771 KB) | DOI: 10.12928/kesmas.v9i2.2134

Abstract

Background: Normal birth care is one of midwife’s competence within the most of risks to both women and midwife. Limited of health facilities and social culture are major problem of midwifery care. In fact, infection cases have been occurring and become a significant cause in maternal death. At East Lombok most of 93,33% birth was provided by midwife. It was a tricky to explain that midwife does not work as well.Aim: to describe safety culture to prevent infection during normal birth care at rural area.Method: qualitative study with focus group discussion and in-depth have done for 8 midwives from 6 sub-district at East Lombok. We selected midwife who have done at least 1 year and have experience in preventing infection during birth care.Result: Midwives struggled to perform the rule of normal birth care with the limited facilities. Cultural sensitivity restricted to use personal protective equipment. To build safety culture in their work, social culture became an obstacles more than support system and policy. Lack of knowledge about safety care on rural area is one of problem they said.Conclusion: Culture sensitivity is something to consider in safety care, although considerable to standard care is essential in midwifery care. Culture safety care concept particularly for prevent infection at remote area are needed to expand in the midwifery curriculum.  
Diskusi Parenting Tentang Aplikasi Pola Asuh Orang Tua dalam Menghadapi Anak Balita di Paud Sps Kenanga Dusun Gandekan, Pajangan wina, winarsih; Pratiwi, Kuriasari; Bartini, Istri
The Journal of Innovation in Community Empowerment Vol 2 No 1 (2020): JICE
Publisher : Journal of Innovation in Community Empowerment

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.872 KB) | DOI: 10.30989/jice.v2i1.316

Abstract

ABSTRAK Latar Belakang : Keluarga adalah tempat pertama bagi pembentukan dan pendidikan anak. Melalui orangtualah anak akan belajar mengenai nilai-nilai dan norma. Parenting education adalah metode yang tepat bagi orang tua dalam pembentukan karakter anak. Parenting disini bukan hanya sekedar mengasuh anak, namun orang tua harus mendidik, membimbing dan melindungi setiap perkembangan anak. Al-Qur’an telah menjelaskan bagaimana mengasuh anak dalam Q.S At-Tahrim ayat 6 menerangkan bahwa posisi keluarga mempunyai tanggung jawab yang besar bagi perkembangan anak sehingga anak selamat dari api neraka. Dasar utama yang diletakkan oleh keluarga adalah dasar-dasar tingkah laku dan budi pekerti pada anak-anaknya. Tujuan diskusi parenting ini adalah agar ibu – ibu mendapatkan solusi tentang masalah yang dihadapi selama mengasuh anaknya dirumah. Metode : Diskusi interaktive dan tanya jawab langsung tentang bagaimana pola asuh orang tua Hasil dan Kesimpulan : Kegiatan pengabdian yang telah dilaksanakan pada Hari selasa tanggal 13 Januari 2020 pukul 10.00 s/d selesai dengan metode diskusi interaktive dan tanya jawab pada orang tua sejumlah 11 ibu yang anaknya ada di PAUD SPS Kenanga di Dusun Gandekan berjalandengan lancar dan tampak peserta sangat antusias. dari hasil evalusi kegiatan dengan menggunakan angket dengan 8 pertanyaan seputar parenting pola asuh orangtua semua menjawab dengan setuju pada pertanyaan positive dan menjawab tidak setuju pada pertanyaan negative. Hasil wawancara dan diskusi langsung memang banyak orang tua yang masih kurang pas dalam berkomunikasi dengan anaknya, masih banyak bentakan dan teriakkan. Saran untuk pengabdian selanjutnya perlu menghadirkan suami sebagai sosok ayah. Kata Kunci : Diskusi Parenting ; Pola Asuh
FAMILY APPROACH SEBAGAI STRATEGI PEMBELAJARAN DALAM PRAKTIK KEBIDANAN KOMUNITAS DI AKADEMI KEBIDANAN YOGYAKARTA Istri Bartini; Winarsih Winarsih
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 1, No 3: Desember 2013
Publisher : Sekolah Tinggi Ilmu Kesehatan AKBIDYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v1i3.14

Abstract

Latar belakang: Materi atau modul, strategi pembelajaran dan pelaksanaan pembelajaran di lapangan (practice field) berkorelasi kuat dengan kemampuan profesionalnya. Salah satu metode pembelajaran yang dapat meningkatkan partisipasi, keaktifan dan keterampilan mahasiswa adalah metode pembelajaran praktik kebidanan komunitas den-gan strategi family approach. Pendekatan melalui keluarga secara intensif (Family Approach) diharapkan dapat mem-berikan pengalaman belajar yang efektif untuk meningkatkan kompetensi mahasiswa. Saat ini belum semua institusi pendidikan kebidanan melaksanakan family approach sebagai bagian dari kegiatan praktik kebidnankomunitas. Aka-demi Kebidanan Yogyakarta telah melaksanakan family approach sebagai bagian dari praktik kebidanan komunitas. Tujuan penelitian: Menunjukkan manfaat dan tantangan pelaksanaan pembelajaran aktif mahasiswa dalam praktik kebidanan komunitas dengan stategi pendekatan keluarga/Family Approach. Metode penelitian: Metode deskriptif analitik secara kualitatif dengan subjek penelitian mahasiswa dan dosen pem-bimbing yang telah melaksanakan praktik kebidanan komunitas. Teknik pengumpulan data melalui Focus group dis-cussion dan melihat data sekunder yaitu laporan praktik kebidanan komunitas. Analisa data menggunakan content analysis dan explanatory building Hasil dan pembahasan: Analisi isi laporan mahasiswa menyebutkan bahwa dari family approach mereka dapat menemukan masalah, berfikir kritis dan kreatif, berlatih komunikasi efektif, pendekatan dan pemantauan secara terus menerus. Hasil focus group discussion pada mahasiswa dan dosen menghasilkan data bahwa mahasiswa merasa senang dengan strategi pembelajaran family approach karena dapat memberikan pengalaman nyata tugas bidan di komunitas dan merasakan adanya peningkatan ketrampilan yang menunjang kompetensi bidan, seperti ketrampilan komunikasi, pemecahan masalah, memacu untuk teus belajar, lebih kreatif dan percaya diri. Hambatan yang dirasa-kan adalah terbatasnya waktu untuk pelaksanaan family approach dan proses bimbingan dosen. Kesimpulan dan saran: Strategi family approach merupakan kegiatan belajar yang menyenangkan bagi mahasiswa dan memberikan manfaat untuk peningkatan ketrampilan yang menunjang kompetensi bidan di komunitas. Strategi ini diharapkan tetap dilaksanakan dan merupakan bagian terpenting dari praktik kebidanan komunitas.
KEMITRAAN BIDAN DAN BKKBN DALAM UPAYA PENINGKATAN PELAYANAN KONTRASEPSI Istri Bartini
Jurnal Ilmiah Bidan (JIB) Vol 2 No 2 (2017)
Publisher : Ikatan Bidan Indonesia (IBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Investasi untuk peningkatan kesehatan reproduksi di negara yang sedang berkembang melalui penggunaan alat kontrasepsi akan menyelamatkan ibu, bayi baru lahir dan keluarga. Pada tahun 2014 terdapat 225 juta perempuan di dunia tidak mendapatkan pelayanan kontrasepsi modern, sedangkan di Indonesia hampir 50 % (40,3%) kasus unmeet-need masih ditemukan. Data peserta KB aktif di DIY cukup tinggi (89.90%), yang sebagian besar dilaksanakan oleh bidan yang telah bermitra dengan BKKBN dalam pelayanan kontrasepsi melalui pendekatan selama antenatal care dan post natal care. Namun, apakah model kemitraan antara bidan dan BKKBN dapat ditingkatkan sehingga mampu mengatasi masalah unmeet-need terhadap kontrasepsi?. Ini menjadi kajian yang menarik untuk peningkatan strategic plan antara bidan dan BKKBN untuk meningkatkan pelayanan kontrasepsi. Tujuan: Menganalisis hasil kegiatan kemitraan bidan dan BKKBN serta menunjukkan manfaat, kendala, tantangan dan peluang peningkatan kemitraan bidan dan BKKBN dalam peningkatan pelayanan kontrasepsi di DIY. Metode: Studi deskriptif dengan pendekatann kualitatif terhadap kegiatan kemitraan bidan dan BKKBN dalam pelayanan kontrasepsi oleh bidan di DIY dilanjutkan eksplorasi berbagai aspek dan peluang model kemitraan yang dapat dikembangkan. Focus group discussion dan indepth interview akan dilakukan pada informan baik dari pihak pengurus IBI dan BKKBN maupun bidan yang terlibat langsung dalam pelayanan kontrasepsi. Hasil : Bentuk dukungan BKKBN kepada bidan untuk meningkatkan pelayanan kontrasepsi di Daerah Istimewa Yogyakarta berupa kegiatan peningkatan pengetahuan dan ketrampilan, dukungan sarana dan prasarana serta peningkatan jejaring bagi organisasi bidan pada program Keluarga Berencana. Dukungan yang diberikan dalam kerjasama tersebut saling menguntungkan bagi bidan dan BKKBN, namun pengaruh program BPJS dan otonomi daerah menyebabkan penurunan pelayanan KB khususnya MKJP dan masih ditemukan kondisi unmetneed 7,70%.
Gaya Hidup dan Dukungan Suami dalam Pengambilan Keputusan Pertolongan Persalinan Di Kabupaten Bantul Istri Bartini; Isabella Rahmawati
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 9, No 1: Maret 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.29 KB) | DOI: 10.36307/jik.v9i1.102

Abstract

Contributing factors in how women capable to make a decision about delivery care are attitude and income factor that will shape their lifestyle, also husband support. People who have in both consumptive and simple lifestyle assumed that giving birth with obstetrician is more save rather than midwife. This research is kualitatif and crossectional study, using stratified random sampling to figure out correlation between life style and husband support with women decision in their delivery care. Questionnaire have distributed to 140 women who giving birth at private practice, public health center, clinic and hospital. This study reveals that most of women (60,7%) have a simple lifestyle while 39,3% categories as consumptive lifestyle. There no significant correlation, refer to p-value of lifestyle is 0.226 and p-value of husband support is 0.648. Woman who have good support from her husband tend to have a sense of coherence, in which influence on their attitude during pregnant and delivery. Inconclusion, most women have a simple lifestyle, but there is no significant correlation in it. Most women have good support from their husband, however there is no significant correlation to make a decision in their delivery care.Keywords: lifestyle, husband support, sense of coherence
Analisis Bibliometrik Dari Istilah ‘Salutogenesis dalam Kebidanan’ Ari Andriyani; Istri Bartini; Linawaty Linawaty
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol 9, No 3: Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (870.332 KB) | DOI: 10.36307/jik.v9i3.123

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AbstractBackground: The medical view of the entire maternal period calls into question the use of pathogenesis to frame maternity care services. Therefore, adopting a salutogenic model of maternal care can reduce care inequalities and improve the quality of maternity care provided. The concept of salutogenesis was first introduced in the late 1970s by Antonovsky, who focused on the origins of good health rather than the origins of disease. Salutogenesis is an alternative school of thought that encourages healthcare professionals to adopt a more positive and health focused approach in providing perinatal care to women. In the salutogenic approach, a woman's past experiences, both pleasant and unpleasant, are strongly believed to contribute to her perception of life, well-being, and ability to cope with stressful situations such as the perinatal period.Objective: This study explores the topic of salutogenesis in obstetrics through the Google Scholar databaseResearch Methods: This study uses bibliographic information from the Google Scholar article database between 2000 and 2020 using a total sampling technique. Data was extracted using Publih Or Parish, VOS Viewer and Mendeley Desktop Keywords: salutogenesis, obstetrics, bibliometric, Publish Or Parish, VOSViewer
PENGARUH KECEMASAN PANDEMI COVID-19 TERHADAP PENGETAHUAN DAN SIKAP REMAJA KARANG TARUNA TENTANG KESEHATAN REPRODUKSI DI PENDOWOHARJO Pri Hastuti; Istri Bartini
Jurnal Ilmiah Kesehatan Vol 11, No 1 (2022): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52657/jik.v11i1.1620

Abstract

Kesehatan reproduksi adalah suatu keadaan sehat secara mental, fisik dan kesejahteraan sosial secara utuh pada semua hal yang berhubungan dengan sistem dan fungsi serta proses reproduksi dan bukan hanya kondisi yang bebas dari penyakit dan kecacatan. Fenomena yang terjadi saat ini, banyak remaja yang belum memiliki pengetahuan yang baik mengenai kesehatan reproduksi yang seharusnya dia alami. Tujuan penelitian ini adalah Untuk Mengetahui Pengaruh Kecemasan Pandemi Covid 19 Terhadap Pengetahuan Dan Sikap Remaja Karang Taruna Tentang Kesehatan Reproduksi Di Wilayahn Pendowoharjo,Sewon,Bantul Yogyakarta?”. jenis penelitian ini adalah survey analitik merupakan penelitian yang mencoba menggali bagaimana dan mengapa fenomena kesehatan itu terjadi. Kemudian melakukan analisis dinamika korelasi antara fenomena atau antara faktor resiko dengan faktor efek. Faktor efek adalah suatu fenomena yang mengakibatkan terjadinya efek (pengaruh). Penelitian ini dilakukan dengan menggunakan desain cross sectional yang digunakan untuk meneliti suatu kejadian pada waktu yang bersamaan, sehingga variabel dependen dan variabel independen diteliti secara bersamaan. Penelitian ini dilaksanakan pada bulan Agustus 2020 dengan sampel remaja karang taruna di Pendowoharjo, Sewon, Bantul
Penyuluhan, Cek Kesehatan Dan Pengobatan Gratis Di Klinik Kartika Husada Happy Elda Murdiana; Istri Bartini; Nisa Isneni Hanifa
Jurnal Pengabdian Magister Pendidikan IPA Vol 4 No 2 (2021)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.642 KB) | DOI: 10.29303/jpmpi.v4i2.734

Abstract

Diabetes Mellitus is a silent killer disease that can cause both macro and microvascular complications. The prevalence of DM in Indonesia is 1.5% of interviews diagnosed with doctors, and in DIY 12.2% of DM patients are not treated and show taking medication or using insulin from all ages in the Yogyakarta area 89.94%. Prolanis is a health service system and a proactive approach that is implemented in an integrated manner that involves participants, health facilities, and BPJS Kesehatan in the framework of health care for BPJS Kesehatan participants who suffer from chronic diseases to achieve optimal quality of life with cost-effective and efficient health services. Community service is carried out at the Kartika Husada Clinic in DM prolanic patients with counseling methods about DM disease and its prognosis and appropriate pharmacological and non-pharmacological therapies. Followed by supporting health tests as a basis for drug administration. The administration of drugs to prolanis patients is carried out by the interactive Information and Education Communication (IEC) method for both the patient and accompanying family. A series of community services carried out to support the BPJS prolanis program which aims to improve the quality of life of patients by controlling blood sugar and regulating lifestyle.
Analisis Self Reported Asuhan Persalinan oleh Lulusan DIII Kebidanan dan Medical Error An Analysis of Self Reported of Delivery Care by DIII Midwifery Graduates and Medical Error istri bartini ova emilia adi utarini
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.687 KB) | DOI: 10.22146/bkm.3400

Abstract

Background: Increased coverage of deliveries by health personnel in Indonesia (82.3%) does not synergize with decreased MMR (228/100.000 live births). The low quality of care at the primary level becomes the main causal factor for the slow achievement of the MDGs. Midwives as providers in the primary care level become the front liners in delivery assistance. Public perception of the low quality of DIII midwifery graduates  becomes a concern to the occurrence of medical errors by DIII midwifery graduates. Competence of delivery care is one of midwives’ competences at risk of medical error. In Bantul District, the number of maternal deaths in 2010 was 18 cases with a majority of deaths occurring during childbirth.Objective: To describe compliance to normal delivery care and medical errors that occurred in the delivery care conducted by DIII midwifery graduates.Methods: A quantitative study with a cross-sectional design to the occurrence of medical errors in delivery care by DIII midwifery graduates in Bantul District. Data were collected by questionnaire (self reported) and analyzed by univariate, bivariate and multivariate.Results: The results of the analysis suggested that 41.51% medical error occurred in the delivery care and 24.53% of delivery care by D III midwifery graduates were categorized as not good (n = 53). Self reported about medical errors in the four aspects being studied showed that 14 respondents (26.42%) said that medical error ever occurred in the action aspect of delivery assistance, 10 respondents (18.87%) said that medical errors occurred in the prevention of infection, 8 respondents (15.09%) stated that medical error occurred during the administration of drugs and only 3 respondents (5.66%) said that medical errors occurred at the time of diagnosis establishment. Not good delivery care was significant to the occurrence of medical errors (p = 0.000), and 3.8 times causing a medical error after being controlled by extraneous variables (facilities & SOP) with R² value of 0.16.Conclusion: Delivery care by DIII midwifery graduates in Bantul District 75,5% was categorized good, and 41.51% medical error occurred in the delivery care. The prevalence of not good delivery care increased the incidence of medical errors than that of good delivery care. Medical errors in delivery care expressed through self-reported in this study showed that they were also influenced by the completeness of equipment and standard operating procedures in obstetric care facility.Keywords: medical error, DIII Midwifery Graduates, delivery care