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Journal of Midwifery History and Philosophy
Published by Yayasan Adra Karima Hubbi
ISSN : -     EISSN : 31107133     DOI : 10.70177/midwifery
Core Subject : Health,
Nursing Public Health
The Journal of Midwifery History and Philosophy is a scholarly, peer-reviewed publication that focuses on the historical and philosophical aspects of midwifery practice. The journal aims to provide a platform for midwives, researchers, educators, and policymakers to share their knowledge and experiences, and to advance the field of midwifery.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 5 Documents
 1 
The Correlation between Age and Work Stress in Ship Crew at Tumumpa Beach Fisheries Port, Manado City Jacobs, Rivald Semuel; Sumampouw, Oksfriani Jufri; Musa, Ester Candrawati
Journal of Midwifery History and Philosophy Vol. 1 No. 1 (2025)
Publisher : Yayasan Adra Karima Hubbi

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Abstract

Background. Work stress is the main indication that results in physical, mental and behavioral disruption of everyone, this is due to the inability of individuals to cope with stressors. Ship crew members are a vulnerable job and are at risk of work stress. Age is one of the triggering factors for work stress which as you get older, it will increase the risk of work stress. Purpose. The purpose of this study is to measure the relationship between age and work stress in the crew of the ship at the Tumumpa Beach Fisheries Port, Manado City. Method. This is an observational research with a cross sectional approach. This research was carried out at the Tumumpa Beach Fisheries Port in July-November 2023. The number of samples used in this study was 156 respondents. The variables of this study are divided into 2, namely age and work stress. Primary data collection was obtained directly from the distribution of questionnaires using the self-administered questionnaire method. Data analysis was carried out univariate and bivariate. Results. The results showed that the age of the respondents ranged from 17-64 years with an average age of 36.22 years. The results of this study show that the work stress score is in the interval of 90-119. The average work stress score was 107.23. In addition, the most respondents were distributed in the Medium category with 114 respondents (73.1%). The results of the analysis based on the Pearson Correlation test obtained a significance value of 0.311. This value shows that there is no significant relationship between age and work stress. Conclusion. It can be concluded that age is not related to work stress in crew members at Tumumpa Beach Fisheries Port, Manado City. Further analysis can be carried out in the next research to measure which variables are the factors causing work stress in crew members so that it can be the basis for policies for work stress control in crew members.
Integrating Artificial Intelligence into Clinical Practice Guidelines: Opportunities and Challenges Anner, Robert; Agrly, Yunne
Journal of Midwifery History and Philosophy Vol. 1 No. 1 (2025)
Publisher : Yayasan Adra Karima Hubbi

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Abstract

Background: The integration of Artificial Intelligence (AI) into clinical practice guidelines has the potential to revolutionize healthcare by enhancing decision-making processes and improving patient outcomes. Despite its promising benefits, several challenges must be addressed to effectively incorporate AI into clinical guidelines. Objective: This research aims to explore the opportunities and challenges associated with integrating AI into clinical practice guidelines. The study seeks to identify the benefits AI can offer in clinical settings and the obstacles that may hinder its successful implementation. Methodology: A comprehensive review of existing literature on AI applications in healthcare was conducted, supplemented by expert interviews and case studies of AI implementations in clinical practice. The research analyzed AI’s impact on clinical decision-making, guideline development, and patient outcomes. Results: The findings reveal that AI integration can significantly enhance clinical practice guidelines by providing data-driven insights, improving accuracy, and personalizing patient care. However, challenges such as data privacy concerns, algorithmic bias, and the need for robust validation processes were also identified as significant barriers. Conclusion: Integrating AI into clinical practice guidelines offers substantial opportunities for improving healthcare delivery but requires careful consideration of associated challenges. Addressing these challenges through rigorous validation, ethical guidelines, and ongoing education will be essential for maximizing AI’s benefits in clinical settings. Future research should focus on developing strategies to overcome these barriers and ensure effective AI integration.
Updating Clinical Practice Guidelines for the Management of Chronic Pain: A Systematic Review Yury, Ellar; Marl, Anne
Journal of Midwifery History and Philosophy Vol. 1 No. 1 (2025)
Publisher : Yayasan Adra Karima Hubbi

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Abstract

Background: Chronic pain is a prevalent and debilitating condition affecting millions worldwide. With advancements in medical research and treatment modalities, there is a continuous need to update clinical practice guidelines (CPGs) to ensure optimal patient care. The frequent emergence of new evidence necessitates systematic updates to CPGs to maintain their relevance and efficacy. Objective: This systematic review aims to identify, evaluate, and summarize the latest updates in CPGs for the management of chronic pain, providing healthcare professionals with evidence-based recommendations to enhance patient outcomes. Methods: A comprehensive literature search was conducted across multiple databases, including PubMed, MEDLINE, and Cochrane Library, from January 2015 to December 2023. Inclusion criteria were studies that focused on updated CPGs for chronic pain management, written in English, and published in peer-reviewed journals. Data extraction was performed independently by two reviewers, and discrepancies were resolved by consensus. The quality of guidelines was assessed using the AGREE II instrument. Results: The review identified 32 updated CPGs across various chronic pain conditions, including neuropathic pain, fibromyalgia, and chronic low back pain. Key updates include the recommendation of multimodal approaches, incorporating pharmacological and non-pharmacological treatments, patient-centered care, and the importance of individualized treatment plans. Notably, recent guidelines emphasize minimizing opioid use and increasing the use of non-opioid analgesics and complementary therapies. Conclusion: The updated CPGs reflect a paradigm shift towards a more holistic and individualized approach in managing chronic pain. These guidelines underscore the importance of integrating patient preferences and multidisciplinary strategies. The findings of this review highlight the need for continuous education and training for healthcare providers to align with the evolving standards of chronic pain management.
Evaluating the Impact of Evidence-Based Clinical Practice Guidelines on Patient Outcomes in Primary Care Adtdy, Perty; Ardy, Kerty
Journal of Midwifery History and Philosophy Vol. 1 No. 1 (2025)
Publisher : Yayasan Adra Karima Hubbi

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Abstract

Background: The utilization of Evidence-Based Clinical Practice Guidelines (EBCPGs) in primary care has been advocated to enhance patient outcomes by providing standardized, high-quality care. Despite widespread promotion, there is a need for empirical evidence evaluating their actual impact on patient outcomes. Objective: This study aims to evaluate the impact of implementing EBCPGs on patient outcomes in primary care settings, focusing on common chronic conditions such as diabetes, hypertension, and asthma. Methods: A systematic review and meta-analysis were conducted, analyzing data from randomized controlled trials (RCTs) and observational studies published between 2000 and 2023. Studies included in the review examined the implementation of EBCPGs in primary care and reported on patient outcomes such as disease control, hospitalization rates, and patient satisfaction. Data extraction and quality assessment were performed independently by two reviewers. Statistical analyses were conducted using a random-effects model to calculate pooled effect sizes. Results: A total of 30 studies met the inclusion criteria, encompassing 15 RCTs and 15 observational studies. The pooled analysis revealed that the implementation of EBCPGs significantly improved disease control outcomes, with a moderate effect size (Hedges' g = 0.45, 95% CI: 0.30 to 0.60). Hospitalization rates for chronic conditions decreased by 20% (RR = 0.80, 95% CI: 0.72 to 0.89), and patient satisfaction scores improved significantly (mean difference = 0.25, 95% CI: 0.10 to 0.40). Conclusion: The implementation of EBCPGs in primary care settings is associated with improved patient outcomes, particularly in terms of disease control, reduced hospitalization rates, and enhanced patient satisfaction. These findings support the continued promotion and integration of EBCPGs in primary care practice to achieve better health outcomes.
Developing Adaptable Clinical Practice Guidelines for Remote and Telehealth Environments Rands, Denalt; Revi, Alexy
Journal of Midwifery History and Philosophy Vol. 1 No. 1 (2025)
Publisher : Yayasan Adra Karima Hubbi

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Abstract

Background: The rise of digital communication has led to the widespread use of emojis, transforming them into a new form of language. Emojis are not only visual representations but also convey emotions, context, and nuances that words alone may not fully express. Understanding the evolution of emoji language is crucial for comprehending its impact on communication and social interactions. Objective: This study aims to explore the linguistic and social implications of emoji usage in digital communication. The research focuses on how emojis influence language, affect interpersonal interactions, and contribute to the development of digital communication norms. Methods: A mixed-methods approach was employed, combining quantitative analysis of emoji usage patterns with qualitative interviews. The quantitative analysis involved examining large datasets of text messages and social media posts to identify trends and patterns in emoji usage. Qualitative interviews were conducted with diverse participants to gain insights into their perceptions and experiences with emojis in communication. Results: The findings indicate that emojis serve multiple functions in digital communication, including emotional expression, tone modulation, and contextual clarification. Emojis were found to enhance the expressiveness of messages, reduce misunderstandings, and create a sense of closeness between communicators. The study also revealed variations in emoji usage based on age, gender, and cultural background, highlighting the role of emojis in reflecting social identity and group dynamics. Conclusion: Emojis have evolved into a significant component of digital communication, influencing both linguistic practices and social interactions. Their ability to convey emotions and context makes them a powerful tool for enhancing communication in digital spaces. Understanding the implications of emoji usage can inform the development of more effective communication strategies and digital platforms.

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