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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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Evaluating registration staff understanding of electronic medical record use Nurnanik, Iis; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1897

Abstract

This study aimed to evaluate the understanding of registration staff regarding the use of Electronic Medical Records (EMR) at Puskesmas Bringin, a primary healthcare center in Semarang Regency. Despite the growing emphasis on digital transformation in health services, the success of EMR implementation largely depends on how well frontline staff comprehend and engage with the system. Using a qualitative descriptive method, data were collected through in-depth interviews and direct observations with selected registration officers. The findings revealed varying levels of understanding among staff, influenced by differences in digital literacy, training exposure, and system accessibility. Some staff demonstrated strong conceptual and operational knowledge of EMR, while others relied on peer support or manual records due to uncertainty in system navigation. Technical barriers and limited organizational support further impacted their ability to fully utilize EMR functions. The study concluded that improving staff understanding requires targeted training, user-friendly system design, and continuous mentoring. These efforts are essential to ensure the successful integration of EMR in primary healthcare services and to support better health data management at the grassroots level.
Evaluating electronic medical records in inpatient psychiatric services using the PIECES framework Mayasqa, Nur Aini; Pamungkas, Canggih Ajika
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1898

Abstract

This study evaluated the implementation of Electronic Medical Records (EMR) in inpatient psychiatric services at RSJ Mutiara Sukma using the PIECES framework. Employing a qualitative approach, data were collected through in-depth interviews and observations involving twelve informants from various healthcare professions. Thematic analysis identified systemic challenges across six domains: performance, information, economy, control, efficiency, and service. Key issues included slow system response times, fragmented data presentation, dual documentation, limited audit trails, inefficient workflows, and gaps in user training. Despite having an EMR infrastructure, its utilization remained suboptimal due to usability and integration barriers. The study underscores the need for user-centered design, continuous training, and institutional support to optimize EMR systems in psychiatric settings. These insights are essential for enhancing digital health strategies in mental health care.
Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang Budiantono, Budiantono; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1899

Abstract

This study explored how ready Pusri Hospital Palembang was to implement electronic medical records in its inpatient services, using the Doctor’s Office Quality – Information Technology (DOQ-IT) framework. Using a quantitative, cross-sectional approach, data were gathered from 43 health workers and administrative staff through validated questionnaires. The assessment focused on four key areas: readiness of human resources, organizational work culture, governance and leadership, and the hospital’s technology infrastructure. Results showed that while infrastructure and governance were relatively ready, the readiness of staff and the work culture still needed improvement. Statistical analysis confirmed that all four factors significantly influenced the hospital’s overall readiness to adopt electronic medical records. Although the hospital demonstrated moderate readiness, the findings highlight the need for enhanced training and better infrastructure planning to ensure a smoother digital transition. This study offers practical insights for hospital leaders and health policymakers aiming to advance digital transformation in healthcare settings.
Evaluation of supporting document completeness in outpatient claims to prevent BPJS claim returns at charitas Hospital Palembang Miliana, Elta; Pamungkas, Canggih Ajika
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1900

Abstract

This study examined the completeness of outpatient claim documents and how it affected the return of claims by the national health insurance agency at Charitas Hospital Palembang. Incomplete documents often delay claim verification and lead to financial loss for healthcare providers. The research used a quantitative approach and analyzed 206 outpatient claim files submitted between February and June 2025. Data were collected through observation checklists and structured questionnaires distributed to administrative staff. The findings revealed that most returned claims were caused by missing laboratory or radiology results, incomplete referral documents, and inconsistent medical records. Statistical analysis showed a strong correlation between document completeness and the frequency of returned claims. Factors such as coordination between hospital units, staff competence, and the effectiveness of hospital information systems were found to significantly influence the completeness of claim files. The study concluded that improving internal communication, enhancing staff training, and optimizing electronic record systems can reduce the risk of claim rejection and improve financial sustainability.
The relationship between infectious disease history and child development at the Sei Mencirim Community Health Center, Sunggal District Deli Serdang Regency 2022 Situmorang, Khairunnisa; Munthe, Juliana; Simanjuntak, Katarina P.; Malau, Gomgom Marlina; Nafsiah, Siti; Lismayanti, Lismayanti
Science Midwifery Vol 11 No 1 (2023): April: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i1.1244

Abstract

Human development in Indonesia continues to progress, as stated by the Central Statistics Agency (BPS). An increase of 0.53 points to grow by 0.74 percent compared to 2018, where Indonesia's Human Development Index (HDI) reached 71.92. The ability to suppress the incidence of infectious diseases such as Upper Respiratory Tract Infections (URTIs), Pneumonia, Pulmonary Tuberculosis, Hepatitis, Diarrhea and Malaria is one of the indicators of increasing HDI in Indonesia and is a success. Analyzing the Relationship between Infectious Disease History and Child Development in the Sei Mencirim Health Center Work Area, Sunggal District, Deli Serdang Regency in 2022. Observational/survey research, namely data collected from respondents using questionnaires or questionnaires without intervening in the research subjects. The type of research is descriptive analytical with cross-sectional. The research sample was part of mothers and toddlers at the Sei Mencirim Health Center, Sunggal District, Deli Serdang Regency in 2022 as many as 126 people. Using univariate and bivariate analysis. From the results of the statistical test, the majority of children with a history of diarrheal infectious diseases were 186 respondents (52.6%) and the minority of children with a history of ARI infectious diseases were 168 respondents (47.4%). The majority of children with appropriate development were 168 respondents (47.4%) and the minority of children with developmental deviations were 57 respondents (31%). And there is a relationship between a history of infectious diseases and child development at the Sei Mencirim Health Center, Sunggal District, Deli Serdang Regency in 2022 where the p-value is 0.017 (p <0.05).
The relationship between midwife communication and the level of satisfaction of pregnant women in antenatal care services at the UPTD Kotanopan Health Center, Mandailing Natal Regency, North Sumatra Province in 2024. Sinaga, Kamelia; Simbolon, Rolasnih Lilista; Manurung, Herna Rinayanti; Bakara, Srimuliani Putri; Sianturi, Nova Cristiana; Niska, Rinny
Science Midwifery Vol 12 No 5 (2024): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i5.1761

Abstract

World Health Organization (WHO) data on national health status in achieving the Sustainable Development Goals (SDGs) targets states that globally around 830 women die every day due to complications during pregnancy and childbirth, with an MMR of 216 per 100,000 live births (WHO, 2019) As many as 99 percent of maternal deaths due to pregnancy, childbirth or birth problems occur in developing countries. The MMR ratio is still considered quite high as targeted to be 70 per 100,000 live births in 2030 (WHO, 2019). WHO estimates that more than 585,000 mothers die each year during pregnancy or childbirth. Research Objectives The Relationship Between Effective Midwife Communication and the Level of Satisfaction with Antenatalcare Services in Pregnant Women at the Kotanopan Health Center UPTD, Mandailing Natal Regency, North Sumatra Province in 2024. Quantitative research method using a Cross Sectional approach. This study uses an extensive dataset to see many cases and relationships between variables. The results of the study showed a significant relationship between midwife attitudes (P value = 0.000 <α value = 0.05) and midwife communication (P value = 0.000 <α value = 0.05) with satisfaction with antenatal care services for pregnant women at the Community Health Center
The Effect of Listening to English Classical Music and Murottal on Reducing Depression Levels in the Elderly in Bangun Rejo Village, Tanjung Morawa Regency in 2024 Batubara, Zulkarnain; Surbakti, Imran; Rosmega, Rosmega
Science Midwifery Vol 12 No 5 (2024): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i5.1764

Abstract

Depression is the most common psychological disorder in the last years of a person's life. Depression in the elderly has several impacts, including shortening life expectancy by worsening physical decline in the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024, inhibiting the fulfillment of developmental tasks in the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024, reducing the quality of life of the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024, draining the emotions and finances of those affected as well as their families and social support systems. The physioListening program given to the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024 who experience depression is listening to English Classical Music and murottal. Research Objectives: This study aims to determine the effect of Listening to English Classical Music and Murottal on reducing depression levels in the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024. Research Methods: This research method uses a quasi-experimental design with a pre and post test with control group design. The number of samples used was 12 people. Research Results: Statistical tests using the Wilcoxon test showed that there was an effect of listening to English Classical Music and Murottal music on reducing depression levels in the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024. with a p value = 0.041 (<0.05). Meanwhile, for the difference in influence test, the p value was obtained = 0.036 (<0.05). Conclusion: With these results, it can be concluded that there is an effect of listening to English Classical Music and Murottal music on reducing depression levels in the elderly in Bangun Rejo Village, Tanjung Morawa District in 2024.
Risk factors for transient tachypnea of newborns in the NICU room at Sylvani Hospital, Pahlawan Village, North Binjai District, Binjai City in 2024 Damanik, Nopalina Suyanti; Simanjuntak, Parningotan; Manurung, Herna Rinayanti; Sinaga, Ribur; Ginting, Astaria Br; Syahputri, Asry Febrina
Science Midwifery Vol 12 No 5 (2024): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1783

Abstract

According to WHO estimates, there were 5 million neonatal deaths and 4.5 million infant deaths worldwide in 2020, with 7.5% of these deaths occurring in the first year of life (Novitasari et al, 2020). The global incidence of LBW is 15.5% with a range of 10-50%. Since 2012, there has been a decrease in the number of newborns with low birth weight (LBW) by 29% to 30%, and efforts have been made to reduce the number of LBW babies by 30% by 2025. These statistics are supported by a decrease in LBW from 20 million to 14 million in 2012 to 2019 (Rizka P, 2021). Respiratory distress in newborns, or known as Respiratory Distress in Newborn (RDN), is often characterized by symptoms of tachypnea, namely a respiratory rate of more than 60 times per minute, accompanied by grunting, chest retraction, breathing through the nostrils, and cyanosis. Research conducted by Tochie, Choukem, Langmia, Barla, & Ndombo (2016) in Cameroon showed that RDN is a common emergency condition and has a high prevalence of morbidity and mortality. This statement is based on research findings from Nardello et al. (2017) and Babaei, Dehghan, & Pirkashani (2018), which showed that the most common cause of death in newborns was RDN, with a percentage of 72.2% of 79 babies born. Research Objective Risk Factors of Transient Tachypnea of ​​Newborn in NICU Room at Sylvani Hospital, Pahlawan Village, North Binjai District, Binjai City in 202. Research Method Retrospective survey using Cross Sectional approach. In this study using extensive dataset to see many cases and relationships between variables. The results of statistical analysis using Chi-Square test showed p value (Sign) = 0.001 (p <α = 0.05), there is a significant relationship between maternal age and the risk of Transient Tachypnea of ​​Newborn. significant relationship between KEK nutritional status and Transient Tachypnea of ​​Newborn Chi-Square showed p value (Sig) = 0.027 (p <α = 0.05).
Incompatibility in the administration of intravenous parenteral preparations in the intensive care unit (ICU) in one of the hospitals in Indonesia Tobing, Johnson L.; Bangun, Hakim; Arianto, Anayanti
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1824

Abstract

The prescribing and administration of intravenous injection drug therapy to patients in hospitals is increasing to achieve immediate pharmacological effects but can have a high risk of incompatibility. Therefore, it is necessary to check for intravenous injection incompatibility before administering it. Identify incompatible pairs of intravenous injectable drugs in intensive care (ICU) rooms of hospitals in Indonesia. Survey of the incompatibility of Electronic Prescribing (E-Prescribing) of intravenous injection drugs in the ICU room retrospectively using the Lexicomp application. From the results of retrospective identification of electronic prescriptions for the period from January 2022 to May 2023, data was obtained on the number of patients of 165 people, consisting of 91 people receiving compatible prescriptions and 74 patients receiving incompatible prescriptions. The number of intravenous injection drugs used was 60 types with the number of incompatible drug pairs 102 and the frequency of incompatible drugs 303. From the results of the evaluation of the incompatibility mechanism of intravenous drug injection pairs, it was found that 68 pairs of acid-base reactions, 18 pairs of mixed solvent dilution, 8 pairs of gas formation, 6 pairs of broken emulsions and 2 pairs of ionic reactions. Identification of patients' electronic prescriptions is still found to be incompatible with drug pairs, therefore it is necessary to take precautions.
Analysis of factors associated with the onset of preeclampsia in pregnant women in Kotabaru District, South Kalimantan Province Arianti, Dewi; Yuliani, Istri; Risnawati, Risnawati; Maimunah, Siti; Gunarmi, Gunarmi
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1878

Abstract

Background: South Kalimantan with an MMR of 145 deaths per 100,000 KH. The number of maternal deaths due to preeclampsia is 10 cases. Kotabaru with the second highest number of maternal deaths with a total of 14 cases and there were 6 cases in 2023. Early-onset preeclampsia is preeclampsia that occurs before 34 weeks of gestation and late-onset preeclampsia. The aim of the study was to analyse the correlation of risk factors with the onset of preeclampsia in pregnant women in Kotabaru District. Research Methods: Analytical observational research with cross sectional research design after obtaining approval from the ethics commission of Stikes Guna Bangsa Yogjakarta No. 023/KEPK/IX/2024. All preeclampsia pregnant women in 2023 as many as 148 preeclampsia pregnant women's data were taken and recorded, then chi squared analysis and multiple logistic regression were carried out. Results: The results showed there was an association between parity (p value = 0.001), BMI (p value = 0.017), multiple pregnancy (p value = 0, 025) with the onset of preeclampsia. The results of multiple logistic regression analysis showed the variable parity p value = 0.001 and Exp B (3, 975) and 95% CI 1.811 - 8.401 is the most dominant factor associated with the onset of preeclampsia. Conclusion: There is an association between parity, BMI, and multiple pregnancy with the onset of preeclampsia. The most dominant factor associated is parity. The implications of the research results are that the community is more active in participating in maternal and child health programs, and disseminating information about preeclampsia to other pregnant women, providing iron-enriching and providing calcium tablets to mothers from the first trimester of pregnancy if they are anemic, integrated ANC services.

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