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Student’s Comprehension About Philosiphy of Maternity Care “Women Centered Care” Based on the Report of Continuity of Care (COC) Rr Sri Nuriaty Masdiputri; Yanti Yanti; Asri Hidayat
Journal of Midwifery Vol 4, No 2 (2019): Published on December 2019
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.4.2.60-67.2019

Abstract

Background: Mortality in Indonesia has significantly increased. Students’ comprehension about maternity care “woman centered care” philosophy is an important thing in high quality maternity care, it is one solution to decrease the number of mortality rate. Continuity of care maternal clinic model of learning (PKK-CoC) is giving for student to learn the philosophy.Objectives: reveals level and form of students’ comprehension about maternity care “woman centered care” philosophy.Method: Mixed method with sequential explanatory strategy. The quatitative are use analitic descriptive design, while the quantitative use case study design. Population and sample is 55 students of  Estu Utomo Boyolali institute health and science who have taken PKK-CoC. Sampling use criterion and intensity.Result: qualitatively, students overall comprehension is good. Quantitatively, students comprehension on personalized care, holistic care, collaborative care, and evidence based care is also good. Partnership care is the only aspect considered in effective.Conclusion: continuity of care shows that client and family are in good heatlth, zero mortality rate, client fells safe and comfortable, and client has correct and fast care. It is also found that students’ confidence, skills, and comprehension about maternity care “woman centered care” philosophy are increased. It is suggested including the PKK-CoC model into curriculum of midwifery education
Persepsi Mahasiswa, Dosen dan Bidan Pembimbing tentang Model Pembelajaran Klinik Kebidanan yang Ideal Yanti Yanti; Ova Emilia; Mora Claramita
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 1 (2014): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.756 KB) | DOI: 10.22146/jpki.25221

Abstract

Background: A large number graduates of midwife even now accompanied with low competency isues in associated with quality of clinical learning. Now implementation of clinical learning with caseload model has problems. Clinical learning model in clinical practice that student, teacher and clinical midwife experienced provide greater insight to develop an effective clinical teaching strategy in midwifery education. The main objective of this study was to investigate student midwife, teacher and clinical midwife’ insight about an ideal clinical learning model in midwifery education.Method: A qualitative study by Focus Group Discussion (FGDs). By selected randomly, this study was conducted 32 from 76 final year midwifery students at Estu Utomo Boyolali Midwifery Academy, 14 lecturer and 13 clinical midwife who involve in Estu Utomo Boyolali Midwifery Academy clinical practice program at 2013-2014. There are 4 groups of student midwife, 2 groups of lecturer and 2 groups of clinical midwife. FGDs were arranged in 3 session differently between students, lecturer and clinical midwife. FGDs were facilitated by researcher and 3 research assistant. Data were analyzed using Atlas.Ti 6.1 software to support the coding process and identifying the main categories from verbatim transcripts.Results: Six themes emerged from the focus group data, “student caseload”, “duration of clinical practice”, “clinical placement”, “clinical mentorship”, “documentation”, and “clinical assessment”. From the sixth themes, demonstrated that an ideal clinical learning model in midwifery education to design preparation clinical learning should consider about that components. An ideal clinical learning model in midwifery education should give priority to quality than quantity especially to suggest decreasing student caseload.Conclusion: This study showed that midwife student, teacher and clinical midwife suggest that clinical learning model should give priority to quality than quantity to gain midwifery care competence. Clinical learning model therefore applied with student case loading that each student have different need. They are suggest that midwifery clinical learning should be consistent with the midwifery care philosophy “women center care” that provide midwifery continuity of care. 
Study of Phenomenology: The Experience of Meeting Nutritional Needs of Infants With Low Birth Weight (LBW) in Positive Deviance Families Daevi Khairunisa; Yanti Yanti; Ismarwati Ismarwati
Jurnal Kesehatan Prima Vol 15, No 1 (2021): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v15i1.616

Abstract

Babies born with Low Birth Weight (LBW) are more prone to experiencing malnutrition problems. Efforts to prevent malnutrition in infants and toddlers can be done through the Positive Deviance approach. Positive Deviance is an individual or group (family) based approach by identifying positive behaviors that allow them to find better solutions to their problems. The purpose of this study was to determine the experience of fulfilling the nutritional needs of infants with a history of LBW in Positive Deviance families. The research design employed in this study was qualitative with a phenomenological approach. The main informants were Positive Deviance mothers, and the supporting informants consisted of Positive Deviance families, non-Positive Deviance mothers, and village midwives. The sampling technique used was purposive sampling. Data collection was carried out through in-depth interviews and documentation studies. The results of this study reveal the experiences of families in fulfilling the nutritional needs of infants with a history of LBW including positive maternal behaviors. For example, Early Initiation of Breastfeeding (IMD), breastfeeding after childbirth, application of breastfeeding correct way to LBW babies, exclusive breastfeeding, complementary breastfeeding, and other efforts if the baby does not have an appetite. Thus, this study implies that positive habits of mothers and families can meet the nutritional needs of infants, especially in increasing the weight of LBW babies to achieve ideal body weight. Therefore, it is necessary to make efforts to make mothers and their Positive Deviance family role models in order to transmit positive habits to other families with babies in preventing malnutrition in infants with LBW history.
Faktor Penghambat Bidan Pada Pendidikan Jenjang Profesi Di Jurusan Kebidanan Poltekkes Kemenkes Surakarta Aris Prastyoningsih; Yanti Yanti; Retno Mawarti
Jurnal Kesehatan Prima Vol 13, No 2 (2019): AGUSTUS
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v13i2.247

Abstract

Tingginya morbiditas ibu dan anak serta berbagai permasalahan yang berhubungan dengan kesehatan ibu dan anak diperlukan peningkatan profesionalisme profesi bidan melalui jenjang pendidikan profesi. Sulitnya akses bagi bidan yang telah bekerja dalam pendidikan pendidikan berkelanjutan menurunkan motivasi dan minat bidan dalam melanjutkan pendidikan profesi. Tujuan penelitian ini untuk menggali faktor penghambat bidan pada penddikan jenjang profesi. Desain penelitian adalah grounded theory. Informan dalam penelitian yaitu 13 informan yang terdiri 9  bidan pelayanan yang melanjutkan jenjang profesi dan 4 informan pendukung dari organisasi Profesi Bidan, Puskesmas, Dinas Kesehatan dan Pendidikan Profesi Kebidanan. Pengambilan data dengan Focus Group Discusion (FGD), di lanjutkan wawancara mendalam. Analisis penelitian ini menggunakan teknik analisis tematik dengan cara mengidentifikasi tema-tema yang terpola. Tema-tema ini dapat diidentifikas, dikodekan secara induktif dari data kualitatif mentah. Hasil penelitian ditemukan 4 kata kunci yang menghambat bidan dalam pendidikan berkelanjutan pada jenjang profesi yaitu: jarak dan waktu, keluarga, perijinan, dan beban kerja. Pemahaman terhadap regulasi pendidikan bidan pada seluruh lapisan masyarakat sangat diperlukan untuk mengatasi berbagai hambatan dari berbagai faktor. Diperlukan kerjasama lintas sektoral dan lintas program agar bidan mendapat kemudahan dalam perijinan studi lanjut.
MENINGKATKAN KOMPETENSI KLINIK MAHASISWA MELALUI MODEL PEMBELAJARAN KLINIK COC DALAM PENDIDIKAN KEBIDANAN Yanti .
Jurnal Kebidanan VOLUME 09.No.02 DESEMBER 2017
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v9i02.320

Abstract

ABSTRAKPendahuluan : Hasil belajar tentang praktik klinik kebidanan selama pendidikan berhubungan secara bermakna dengan kinerja bidan dalam memberikan asuhan kebidanan. Salah satu upaya untuk meningkatkan kualifikasi bidan adalah dengan menerapkan model Continuity of Care (CoC) dalam pendidikan klinik. Metode Penelitian : Rancangan penelitian ini adalah eksperimen semu. Penelitian ini melibatkan seluruh mahasiswa kebidanan tingkat akhir dari 2 institusi pendidikan bidan di Indonesia pada tahun akademik 2013/2014. Ada 54 mahasiswa dari satu institusi yang mengikuti praktik klinik selama 6 bulan dengan menerapkan model pembelajaran CoC dan 52 mahasiswa dari institusi lain sebagai kelompok kontrol yang menerapkan model pembelajaran klinik konvensional yaitu model target kasus. Untuk menganalisis perbedaan kompetensi mahasiswa dalam asuhan kebidanan antara kedua kelompok menggunakan independent T-test dengan SPSS. Hasil dan pembahasan : Tidak terdapat perbedaan bermakna diantara kedua kelompok  sebelum perlakuan. Terdapat perbedaan bermakna antara kedua kelompok setelah praktik klinik (p < 0.01). Skor rata-rata mahasiswa dengan model CoC (96.69) lebih tinggi dibanding mahasiswa kelompok kontrol (88.17). Model pembelajaran CoC terbukti sebagai sebuah kesempatan belajar yang unik bagi mahasiswa untuk mencapai kompetensi asuhan kebidanan. Dengan pendampingan perempuan dan membangun relasi yang efektif menawarkan kepada mahasiswa suatu cara yang unik untuk memperoleh lebih banyak pengalaman nyata tentang peran bidan. Tidak ada kematian ibu dalam penelitian ini. Simpulan : Siswa yang mengikuti pembelajaran klinik model CoC lebih kompeten dalam asuhan kebidanan baik pada masa kehamilan, persalinan maupun nifas. Model pembelajaran CoC juga dapat  meningkatkan status kesehatan perempuan.Kata kunci : Pembelajaran klinik kebidanan, kompetensi asuhan kebidanan, filosofi asuhan kebidanan, Continuity of Care.IMPROVING STUDENTS CLINICAL COMPETENCIES THROUGH COC CLINICAL LEARNING MODEL  IN MIDWIFERY EDUCATIONABSTRACTIntroduction : The learning outcomes of midwifery clinical practice during education are significantly associated with a midwives performance in providing midwifery care. One of the efforts to increase the midwives qualification is by implementing Continuity of Care (CoC) model in the clinical education. Research method : We used a quasi-experiment design. This study was conducted to all final year midwifery students at two schools of midwifery in Indonesia. There were 54 students from one school who attended 6 months clinical placement using the CoC learning model and 52 students from the other school as the control group who underwent the conventional clinical placement which was a more fragmented care learning model. The independent T-test using SPSS was used to analyse the differences of students competencies in midwifery care between the two groups. Result and discussion : There were no significant differences between the groups before intervention. There were significant differences between the two groups after clinical training (p < 0.01). The mean score of post-clinical of students with the CoC clinical learning model (96.69) was higher than that of the students in the control group (88.17). The CoC clinical learning model was proved as a unique learning opportunity for students to achieve midwifery care competencies. Being aligned with women and developing effective relationships with them offered the students a unique manner to gain more real experiences about the role of midwife. Zero maternal mortality rate was found in the experiment group. Conclusion : We strongly suggest that the clinical placement with a CoC learning model is more likely to increase students’ achieving of midwifery care competencies, increase the clinical care, and at the same time increase the health benefits for women.Keywords :  Midwifery clinical learning, midwifery care competencies, midwifery care philosophy, Continuity of Care.
STUDI KULITATIF PENGALAMAN SINGLE MOTHER DALAM MENGASUH ANAK PRA SEKOLAH DI KABUPATEN BANTUL Siti Nurhidayati; Yanti Yanti; Menik Sri Daryanti; Mufdlillah Mufdlillah
Journal of Midwifery and Reproduction Vol 5 No 1 (2021)
Publisher : LPPM - Universitas Muhammadiyah Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/jmr.v5i1.785

Abstract

Anak dengan pengasuhan tunggal menjadi kasus trend dikalangan dunia yang jumlahnya terus meningkat, hak pengasuhan tersebut didominasi oleh single mother. Anak dengan keluarga single parent dominan memiliki hambatan stabilitas kurang, disiplin yang keras, gangguan pertumbuhan dan perkembangan pada anak. Penelitian ini bertujuan untuk mengetahui pengalaman single mother dalam mengasuh anak pra sekolah. Desain penelitian kualitatif deskriptif pengumpulan data dengan wawancara (indepth interview) dan studi dokumentasi 7 informan single mother dan 5 guru dari anak tersebut dengan analisis tematik. Ttema pada pengasuhan anak, yaitu pemenuhan gizi diupayakan baik dari ibu maupun keluarga, terhambat dalam akses ketercapaian di layanan kesehatan, kurang partisispasi ayah dalam mendidik anak, perlindungan anak bergantung pada anggota keluarga dan tetangga. Dimensi pengasuhan yang diterima anak lebih banyak diterima dari coparenting (anggota keluarga, saudara dan tetangga) dibandingkan dari single mother karena tuntutan pekerjaan harus meninggalkan anaknya untuk memenuhi kebutuhan keluarga
PROCESS IMPLEMENTATION OF EARLY DETECTION OF EMOTIONAL MENTAL DEVELOPMENT OF PRE-SCHOOL CHILDREN AT GAMPING PUSKESMAS SLEMAN DIY Tri Yubiah; Djauhar Ismail; Yuli Isnaeni; Yanti Yanti
Journal of Midwifery and Reproduction Vol 4 No 1 (2020)
Publisher : LPPM - Universitas Muhammadiyah Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/jmr.v4i1.702

Abstract

Early detection of children's emotional mental disorders is an activity or examination to find early emotional mental disorders of preschool children, this activity is not only carried out on children who are suspected of having a problem but is checked on all toddlers and preschool children regularly 2 times a year. Yogyakarta Special Region Province has a prevalence of mental emotional disorders above the average of 8.1% and is in the high category. This is to find out the parties involved in the process of implementing early detection of mental emotional disorders of preschool children at Puskesmas Gamping Sleman DIY. Descriptive qualitative research. The main informants were midwives, psychologists and doctors, while the supporting informants were kindergarten teachers. In-depth interviews were collected for the data collection. The results showed that the implementation, recapitulation, intervention, referral support and obstacles were still not optimal.
HUBUNGAN KELAS IBU HAMIL “SUAMI SIAGA” DENGAN KEBERHASILAN ASI EKSKLUSIF DI DESA KARANGUDI Aina Aprilia Ary Hs; Yanti Yanti; Ardiani Sulistiani
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.21657

Abstract

Masih rendahnya capaian ASI Eksklusif yang dipengaruhi beberapa faktor salah satunya kurangnya kesadaran atau pengetahuan tentang pentingnya ASI eksklusif. Kelas Ibu Hamil “Suami Siaga” merupakan inovasi dari Puskesmas Ngrampal untuk meningkatkan pengetahuan ibu hamil dan suami. Studi pendahuluan pada tanggal 14 Maret 2022  di Puskesmas Ngrampal, pelaksanaan Kelas Ibu Hamil “Suami Siaga” diadakan 4 kali dalam setahun disetiap desa beberapa kali kelas ibu hamil hanya sekitar 70% suami yang dapat mendampingi ibu hamil menghadiri kelas ibu hamil. penelitian ini bertujuan untuk mengetahui hubungan kelas ibu hamil “suami siaga” dengan keberhasilan Asi Eksklusif. Desain penelitian ini adalah kuantitatif dengan pendekatan retrospektif. Populasi penelitian ini semua ibu yang memiliki bayi usia >6bln sampai 12bln di desa Karangudi. Dan sampel yang digunakan adalah total sampling sejumlah 68 responden. Analisa data menggunakan uji Chi Square untuk mengetahui adanya hubungan. Penelitian didapat peran suami dalam kelas ibu hamil “suami siaga” 76,5%, keberhasilan ASI Eksklusif 51,5% dan berdasarkan hasil uji Chi Square diperoleh nilai p value 0,003 < 0,05 sehingga Ho ditolak artinya ada hubungan kelas ibu hamil “suami siaga” dengan keberhasilan ASI eksklusif di Desa Karangudi. Penelitian ini ada hubungan antara kelas ibu hamil “suami siaga” dengan keberhasilan ASI Eksklusif di Desa Karangudi.