Similarity Report ID: oid:6849:64076892 PAPER NAME editor+revisi+digital+parto (1) (1).doc WORD COUNT 2678 Words PAGE COUNT 6 Pages SUBMISSION DATE Aug 7, 2024 5:01 PM GMT+7 CHARACTER COUNT 15178 Characters FILE SIZE 543.0KB REPORT DATE Aug 7, 2024 5:01 PM GMT+7 6% Overall Similarity The combined total of all matches, including overlapping sources, for each database. 6% Publications database Crossref database Crossref Posted Content database Excluded from Similarity Report Internet database Bibliographic material Quoted material Small Matches (Less then 8 words) Manually excluded text blocks Summary ORIGINAL ARTICLE EMBRIO: Jurnal Kebidanan (2021), Volume 13, Number ARTICLE EMBRIO: Jurnal Kebidanan (2021), Volume 13, Number p ISSN: 2089 8789 e ISSN: 2714 7886 JURNAL KEBIDANAN Effectiveness of Digital Partographs on Clinical Decision Making in the Delivery Process by Midwives at TPMB Tasikmalaya City A partograph can be used as an early warning system that will help make early decisions when a mother should be referred, expedited or ended monitoring of the fetus and mother during childbirth, as well as help find the presence of fetal or maternal problems. A digital partograph is a form of application where the use of digital paper instead of manual paper for monitoring is authentically designed by researchers. The use of partographs through devices that can be used as a tool to assist with medical care and facilitate it during Google Play Store.The purpose of this study is to analyze the use of the b 4tracking workforce that can be downloaded from the ARTICLE INFORMATION ABSTRACT Received: Date, Month, Year Revised: Date, Month, Year Accepted: Date,Month, Year KEYWORD Labour; Digital partograph,Clinical Decision Making persalinan; Partograf digital, Pengambilan Keputusan Klinis CORRESPONDING AUTHOR DOI https://doi.org/ android-based digital partographs for clinical decision making in the delivery process. The research method used in this study is a comparative study by looking at the differences between the two variables studied, namely the use of digital partographs with manuals for clinical decision making in the delivery process with a crossectional approach. The results of data analysis using Man whitney on a p value of < 0.05 meaning that there is the1aspects of ease, speed and relevance of the data obtained a significant difference between manual partographs and digital partograf from the aspects of ease, speed and relevance of data to clinical decision making in the delivery process. Partograf dapat digunakan sebagai deteksi dini yang akan membantu pengambilan keputusan lebih awal kapan seorang ibu 5 harus dirujuk, dipercepat atau diakhiri pemantauan janin dan ibu selama persalinan, serta membantu menemukan adanya masalah janin atau ibu. Partograf digital adalah partograf bentuk aplikasi berbasis android, merupakan inovasi dari lembar partograf yang sudah ada yang berbentuk kertas, digunakn untuk pemantauan yang dirancang secara otentik oleh para peneliti. Penggunaan partograf melalui perangkat yang dapat diterapkan sebagai alat untuk membantu perawatan medis dan memudahkannya selama pemantauan tenaga kerja yang dapat diunduh di Google Play Store. Tujuan penelitian ini yaitu untuk menganalisis penggunaan partograf digital berbasis android untuk pengambilan keputusan klinik pada proses persalinan. Metode penelitian yang digunakan pada penelitian ini yaitu studi komparatif dengan melihat perbedaan antara kedua variable yang diteliti yaitu penggunaan partograf digital dengan manual terhadap pengambilan keputusan klinik pada proses persalinan dengan pendekatan crossectional. Hasil analisis data menggunakan Man whitney pada p Value < 0,05 artinya ada nilai aspek 8kemudahan, kecepatan dan relevansi data diperoleh perbedaan yang signifikan antara partograf manual dan partograf digital dari aspek kemudahan, kecepatan dan relevansi data terhadap pengambilan keputusan klinik pada proses persalinan. © 202x The Author(s) Introduction Monitoring childbirth, mechanisms and care for childbirth is important to pay attention to in order to monitor the welfare of the mother and fetus (Iravani et al., 2015) (Marwiyah & Pusporini, Open acces: jurnal.unipasby.ac.id/embrio 1 Author name (year) (year) 2017). Monitoring is carried out to assess the progress of childbirth, early detection of emergencies and to make clinical decisions, care and medic measures (Ulfa, 2021)(Abebe, 2013)(Madden et al., 2016). A partograph is a tool recommended by WHO as the most standardized and most effective delivery monitoring tool. The partograph can be used as an detection system that will help make an early decision on when a mother should be referred, expedited or ended fetal and maternal monitoring during childbirth, as well as help find the presence of fetal or maternal problems (Lawrence et al., 2013) modification in 2000 was made simpler and easier to use, the latent phase was eliminated and the 6(WHO, 2013)(Khonje, 2012). The development of partographs is very rapid and the last depiction of the partograph started from the active phase i.e. at the time of the opening of the cervix 4 cm(Iravani et al., 2015). Partographs as a protocol in labor management have been shown to reduce long labor from 6.4% to 3.4%. Emergency Surgery cesarea section decreased from 9.9% to 8.3% and stillbirth from 0.5% to 0.3%(Jayne Marshall, 2014)(Raven et al., 2012). Midwives as health workers who are closest to the community and directly provide services to the community have an important role in relation to the forgery (Permenkes, 2020)(Abebe, 2013). In accordance with the Midwife Competency standards, each Midwife must have basic skills in the use of partographs and labor monitoring so that it can improve the degree of health of mothers and babies and reduce MMR and AKB. However the utilization of partographs is currently very low, with the following factors influencing its utilization: little or no knowledge of partographs (85.4%), unavailable (70%), staff shortage (61.5%), and the fact that it is time consuming to use (30%) (Dorathy et al., 2018). The results of research conducted in Bandung Regency stated that there is no relationship or relationship between the length of work and midwife compliance when using a partograph, this happens because in reality midwives use a partograph not as a tool for monitoring the delivery process, but is more widely used as a reporting tool (Dorathy et al., 2018). So far, the analysis of decision making by midwives is based on recording in the partograph, however, based on several studies, it is said that there are still many midwives who do not complete the data in the partograph properly and systematically, therefore along with the development of technology and some research related to information technology that can help facilitate the work of health workers, especially can speed up recording, Reporting and making clinical decisions in the delivery process, an update of the partograph tool in the form of an android-based application is needed so that it can facilitate and analyze the situation and condition of the mother during childbirth and help overcome referral delays. A digital partograph is a form of Application where the use of digital instead of manual paper for monitoring is authentically designed by researchers. the use of partographs through devices that can be applied as a tool to help with medical care and facilitate it during workforce monitoring which can be downloaded on the Google Play Store. In order to improve the quality of the digital partograph used, an updated version of the digital partograph has been released, namely version 3.0. In this version, there are bug fixes, design changes, additional info features, and additional features for backing up and restoring data. With the upgrade of the digital partograph application, it is hoped that EMBRIO: Jurnal Kebidanan (2021), Volume 13, Number 1 Author name (year) (year) decision making in the delivery process. Method The research method used in this study was a comparative study by looking at the differences between the two variables studied, namely the use of digital partographs with manuals for clinical decision making in the delivery process with a crossectional approach. The research site at TPMB Tasikmalaya City, the time for research and data collection starts in January to August 2022. The instrument used is a questionnaire in the form the following 3of a statement choice test, with 5 alternative answers. The ensufficiency of the statement test is carried out in way: Strongly agree (SS); 5, Agree (ST): 4, Almost agree (HS); 3, Disagree (TS): 2, Strongly Disagree (STS): 1. The population in this study was Midwives with Independent Practice Places in Tasikmalaya City Area by taking purposive samples. The number of samples taken is 40 client data from the delivery examination which will be divided into 2 groups, namely, the case and control groups. The inclusion in this study is that labour mothers with active phases, mothers with uncomplicated childbirth. Midwives in intervention groups were given training on the use of digital partograph applications and control group midwives were given refreshing the use of manual (conventional) partographs. Then the midwife performs childbirth assistance using each type of partograph. After the two groups filled out the questionnaire as many as 30 questions (aspects of ease, security, speed, and relevance of the data). The data results were processed and analyzed using computer analyze, for testing the effectiveness of digital and manual partographs using Mann Whitney. Results The results of the study on 40 data on maternity patients using digital and manual partographs Table 1. An overview of the effectiveness of the aspects of ease, speed and Relevance of Data to Clinical decision making in the delivery process using Manual partographs and Digital Partographs Variabel n Median Min-Maks Manual Partograph ease Aspects 20 23 20-24 Speed Aspect 20 20 20-21 Data Relevance Aspects 20 13 12-15 Digital Partograph ease Aspects 20 24 20-25 Speed Aspect 20 21 20-24 Data Relevance Aspects 20 15 12-15 Source: personal data 2022 Table 1 shows that the description of the aspects of ease, speed and relevance of the data to 1 clinical decision making using a manual partograph has a median value on the ease aspect of 23, speed 20 and data relevance of 13, while in the use of a digital partograph obtained the median value of the convenience aspect 24, speed 21, and data relevance 15. users, this, the purpose of this study is to analyze the use of android-based digital partographs for clinical 4especially midwives, can use it more easily and quickly, and the quality will be better. Based on EMBRIO: Jurnal Kebidanan (2021), Volume 13, Number 1 Author name (year) (year) Table 2. Effectiveness of Manual Partographs and Digital Partographs towards Clinical Decision Making in the Delivery Process Aspects of Decision Making n p Ease Aspects of Manual Partograph and Digital Partograph 20 0,017 Speed Aspects of Manual Partograph and Digital Partograph 20 0,017 Relevance Aspects of Manual Partograph and Digital Partograph Data 20 0,017 Source: personal data 2022 Midwives as delivery helpers should be aware of andsurvival maintain 2partographs used in normal childbirth assistance that normal childbirth care is sought to provide a high degree of health for mothers and babies through integrated and complete efforts with minimal intervention for relevance Table 2 shows the results of data analysis using Man whitney on the aspects of ease, speed and p 0.05