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All Journal Jurnal Ilmu dan Teknologi Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Fisioterapi dan Kesehatan Indonesia Women Midwives and Midwifery Indonesian Journal of Global Health Research Jurnal Penelitian Perawat Profesional
Juli Oktalia
Poltekkes Kemenkes Jakarta III
Humanities Computer Science & IT Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Development of the 'SMART' Simulator Prototype for Postpartum Simulated Patients Herlyssa Herlyssa; Elly Dwi Wahyuni; Juli Oktalia
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2859

Abstract

Postpartum breast and external genitalia assessments are essential for early detection of complications. However, they are difficult to practice on real patients, and high-fidelity obstetric simulators are often too costly. This study aims to develop a low-cost “SMART” simulator and to evaluate its effectiveness on the clinical competence of midwifery students in performing postpartum physical examinations. This study utilized a Research and Development (R&D) design integrated with a quasi-experimental approach. The research was conducted in four phases: (1) needs assessment and conceptual design; (2) prototype development using locally available silicone, ballistics gel, and 3D-printed frameworks; (3) face and content validation by clinical experts; and (4) an educational evaluation using a quasi-experimental design. A total of 120 midwifery students were divided equally into an intervention group (n=60) and a control group (n=60). Baseline characteristics were homogeneous between the groups. Overall competence in postpartum physical examination was achieved by 65.0% of the intervention group and 60.0% of the control group (p=0.044; OR=0.441; 95% CI: 0.211–0.919). The intervention group performed better in hand hygiene (48.3% vs 33.3%) and communicating results to the patient (90.0% vs 73.3%). Student characteristics, lecturer support, and practicum credit compliance were not significantly associated with competence. The SMART simulator is a valid, low-cost training tool that effectively supports and enhances postpartum assessment competence in midwifery education. Larger multi-site studies are recommended to confirm these findings.
Co-Authors Angraini, Diana Hartaty Ani Kusumastuti Budhi, Ni Gusti Made Ayu Agung Dwi Wahyuni, Elly Dyah Widyastuti Elly Dwi Wahyuni Ferina, Ferina Herlyssa Herlyssa Herlyssa, Herlyssa Ichwan, Erika Yulita Indra Supradewi Ira Budi Pratiwi Junengsih, Junengsih Kusumastuti, Ani Liliek Pratiwi Sari, Gita Nirmala Shentya Fitriana Wahyuni, Elly Dwi