The Implementation of Documentation by Midwives in Pekanbaru

Midwifery documentation is a recording and reporting evidence owned by midwives in performing care records that is useful for the interest of patient, midwives and health team. Documenting can be applied to the Subjective, Objective, Analysis and Planning (SOAP) method. This study aimed to determine...

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Main Author: Wan Anita
Format: Article
Language:English
Published: Universitas Indonesia 2018-08-01
Series:Kesmas: Jurnal Kesehatan Masyarakat Nasional
Subjects:
Online Access:http://journal.fkm.ui.ac.id/kesmas/article/view/1403
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author Wan Anita
author_facet Wan Anita
author_sort Wan Anita
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description Midwifery documentation is a recording and reporting evidence owned by midwives in performing care records that is useful for the interest of patient, midwives and health team. Documenting can be applied to the Subjective, Objective, Analysis and Planning (SOAP) method. This study aimed to determine factors associated with the implementation of the SOAP documentation by midwife in Pekanbaru City in 2016. This study was a quantitative analytical observational study with analytic cross-sectional study design. The population was all Independent Practice of Midwives or maternity hospital in Pekanbaru City with a total sample of 191 midwives with systematic random sampling procedure. Data were collected through interview using questionnaires and the midwives’ documentation records. The results showed that variables which affected the implementation of SOAP documenting method were the documentation format (POR 15.988), supervision (POR 6.366) and attitude (POR 2.729). This means that midwives with the unavailable format are 16 times at risk of carrying out the documentation not in accordance with SOAP, while the midwives who are never supervised are 6 times at risk and the midwives with negative attitudes are 3 times at risk. Abstrak Dokumentasi kebidanan adalah suatu bukti pencatatan dan pelaporan yang dimiliki oleh bidan dalam melakukan catatan perawatan yang berguna untuk kepentingan pasien, bidan, dan tim kesehatan. Pendokumentasian dapat diterapkan dengan metode Subjektif, Objektif, Analisa dan Perencanaan (SOAP). Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan pelaksanaan dokumentasi SOAP oleh bidan di Kota Pekanbaru tahun 2016. Penelitian bersifat kuantitatif analitik observasional dengan desain penelitian potong lintang analitik. Sampel penelitian adalah seluruh populasi bidan yang praktik mandiri atau di rumah bersalin di Kota Pekanbaru dengan jumlah sampel sebanyak 191 bidan yang diambil dengan prosedur systematic random sampling. Data dikumpulkan melalui wawancara langsung dengan menggunakan kuesioner dan melihat catatan dokumentasi bidan. Hasil penelitian menunjukkan variabel yang berpengaruh terhadap pelaksanaan dokumentasi SOAP adalah format dokumentasi (POR 15,988), supervisi (POR 6,366) dan sikap (POR 2,729). Artinya bidan dengan format yang tidak tersedia berpeluang 16 kali untuk melaksanakan dokumentasi tidak sesuai SOAP, yang tidak pernah disupervisi berisiko enam kali, dan yang bersikap negatif berisiko tiga kali.
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spelling doaj.art-f6a8de1555a54b988ceac3c990bd7b312023-02-02T20:28:44ZengUniversitas IndonesiaKesmas: Jurnal Kesehatan Masyarakat Nasional1907-75052460-06012018-08-01131434710.21109/kesmas.v13i1.1403745The Implementation of Documentation by Midwives in PekanbaruWan Anita0Tengku Maharatu School of Health Sciences, PekanbaruMidwifery documentation is a recording and reporting evidence owned by midwives in performing care records that is useful for the interest of patient, midwives and health team. Documenting can be applied to the Subjective, Objective, Analysis and Planning (SOAP) method. This study aimed to determine factors associated with the implementation of the SOAP documentation by midwife in Pekanbaru City in 2016. This study was a quantitative analytical observational study with analytic cross-sectional study design. The population was all Independent Practice of Midwives or maternity hospital in Pekanbaru City with a total sample of 191 midwives with systematic random sampling procedure. Data were collected through interview using questionnaires and the midwives’ documentation records. The results showed that variables which affected the implementation of SOAP documenting method were the documentation format (POR 15.988), supervision (POR 6.366) and attitude (POR 2.729). This means that midwives with the unavailable format are 16 times at risk of carrying out the documentation not in accordance with SOAP, while the midwives who are never supervised are 6 times at risk and the midwives with negative attitudes are 3 times at risk. Abstrak Dokumentasi kebidanan adalah suatu bukti pencatatan dan pelaporan yang dimiliki oleh bidan dalam melakukan catatan perawatan yang berguna untuk kepentingan pasien, bidan, dan tim kesehatan. Pendokumentasian dapat diterapkan dengan metode Subjektif, Objektif, Analisa dan Perencanaan (SOAP). Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan pelaksanaan dokumentasi SOAP oleh bidan di Kota Pekanbaru tahun 2016. Penelitian bersifat kuantitatif analitik observasional dengan desain penelitian potong lintang analitik. Sampel penelitian adalah seluruh populasi bidan yang praktik mandiri atau di rumah bersalin di Kota Pekanbaru dengan jumlah sampel sebanyak 191 bidan yang diambil dengan prosedur systematic random sampling. Data dikumpulkan melalui wawancara langsung dengan menggunakan kuesioner dan melihat catatan dokumentasi bidan. Hasil penelitian menunjukkan variabel yang berpengaruh terhadap pelaksanaan dokumentasi SOAP adalah format dokumentasi (POR 15,988), supervisi (POR 6,366) dan sikap (POR 2,729). Artinya bidan dengan format yang tidak tersedia berpeluang 16 kali untuk melaksanakan dokumentasi tidak sesuai SOAP, yang tidak pernah disupervisi berisiko enam kali, dan yang bersikap negatif berisiko tiga kali.http://journal.fkm.ui.ac.id/kesmas/article/view/1403Documentationimplementationmidwives
spellingShingle Wan Anita
The Implementation of Documentation by Midwives in Pekanbaru
Kesmas: Jurnal Kesehatan Masyarakat Nasional
Documentation
implementation
midwives
title The Implementation of Documentation by Midwives in Pekanbaru
title_full The Implementation of Documentation by Midwives in Pekanbaru
title_fullStr The Implementation of Documentation by Midwives in Pekanbaru
title_full_unstemmed The Implementation of Documentation by Midwives in Pekanbaru
title_short The Implementation of Documentation by Midwives in Pekanbaru
title_sort implementation of documentation by midwives in pekanbaru
topic Documentation
implementation
midwives
url http://journal.fkm.ui.ac.id/kesmas/article/view/1403
work_keys_str_mv AT wananita theimplementationofdocumentationbymidwivesinpekanbaru
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