<p><strong>Background:</strong> The outbreak of the corona virus (Covid-19) poses challenges for educational institutions, especially those based on clinical practice skills. E-learning is one of the best solutions for distance learning to protect students and teaching staff from the transmission of the Covid-19 virus. The DIII Midwifery Study Program curriculum consists of 40% theory and 60% practice. The study program manager determines practical learning using learning videos. The purpose of this study was to determine the effect of the practical e-learning model on K.A.P (Affective Psychomotor Cognitive) in midwifery students in the era of the Covid-19 pandemic.</p><p><strong>Methods</strong><strong>:</strong> This reseach was a cross-sectional conducted on May-July, 2021. Cognitive assessment used multiple choice questions (MCQ), affective assessment used a self-assessment scale questionnaire that was valid and reliable (0.877> 0.235), Student psychomotor assessment was carried out using Skills checklist assessment sheet.</p><p><strong>Result:</strong> The results showed the significance value of each variable (0.001 <0.05) which means that there is an influence of the practical e-learning model on the cognitive, affective and psychomotor domains of students in the course of maternity midwifery care.</p><p><strong>Conclusion: </strong>There is an effect of practical e-learning model on the cognitive, affective, and psychomotor domains of the students after the practical of e-learning model</p>
ABSTRAKLatar Belakang:Masalah kesehatan mental pada ibu postpartum perlu mendapatkan perhatian khusus dari semua pihak. Kebanyakan ibu yang mengalami depresi menemui kendala dalam mencari pengobatan, seperti tidak menemukan tempat yang sesuai atau tidak dapat mengakses perawatan, dan diperparah dengan adanya pandemi COVID-19. Continuity of care (COC) dan menyeluruh merupakan isu yang sangat penting bagi perempuan karena memberikan kontribusi rasa aman dan nyaman bagi mereka selama masa kehamilan, persalinan, nifas, neonatus, dan keluarga berencana. Tujuan penelitian: Tujuan penelitian ini adalah mengetahui pengaruh asuhan kebidanan Continuity of care (COC) terhadap kejadian depresi pada ibu post partum. Metode: Metode penelitian menggunakan one group pre and postest design. Pengambilan sample menggunakan infinite sampling sebanyak 30 responden dengan kriteria inklusinya yaitu Ibu dengan Berat lahir anak 2500-4000 gram, mampu membaca dan menulis, bersedia ikut dalam penelitian. Pengumpulan data menggunakan kuesioner Edinburgh Postpartum Depression Scale (EPDS). Analisis data menggunakan paired T-test. Hasil: Hasil penelitian menunjukkan bahwa terdapat perbedaan bermakna skore depresi postpartum antara sebelum dan sesudah dilakukan COC dengan p value 0,000. Kesimpulan: bahwa ada perbedaan asuhan kebidanan komprehensif pada depresi post-partum sebelum dan setelah dilakukan COC.
Puskesmas are the spearhead of health services throughout Indonesia, puskesmas are at the forefront in breaking the chain of transmission of COVID-19 because they are located in every sub-district and have a regional concept. Being at the forefront in handling COVID19 and continuing to provide other primary health services to the community is a tough task for puskesmas throughout Indonesia. In urgent situations and rapidly changing regulations regarding the handling of COVID19 and non-COVID19 patients, telemedicine application development researchers are required to work quickly and precisely according to the needs of the Puskesmas. This study discusses the development of telemedicine applications using the Agile development method, with the Scrum framework. Based on the problems above, researchers will develop telemedicine applications with several health service features, namely; COVID19 independent health checks, village doctor and midwife consultations, medicine orders, maternity services, and dental consultation services, the features in the telemedicine application were developed using the agile scrum method. Telemedicine development begins with system design analysis, UI/UX design, develop, functional testing, usability testing and launching. From the system design analysis, it produces output use case diagrams and class diagrams, according to the needs of the puskesmas business process. UI/UX design is carried out using figma tools, then application development is carried out focusing on the frontend and backend, after the application has been developed, functional testing is carried out three times and usability testing. The results of the usability test conducted on 35 respondents obtained an average score through the SUS questionnaire with a score of 79. In terms of the Acceptability Range, this application program is in the Acceptable category, while on the Grade Scale it is in Grade C position and on the Adjective Rating it is in a Good position . The results show that the telemedicine application for Pusline is good and can be accepted by users.
Stunting mempengaruhi sepertiga anak di negara berkembang. Studi melaporkan bahwa faktor resiko stunting seperti sosial ekonomi, karakteristik ibu, karakteristik anak dan lingkungan terlibat dalam pertumbuhan dan perkembangan anak. Tujuan Literature Review untuk meninjau secara sistematis faktor resiko yang mempengaruhi kejadian stunting pada anak-anak pra-sekolah di negara-negara berkembang. Penelitian dilakukan dengan mencari artikel dari 3 database elektronik, yaitu PubMed, ProQuest, dan Science Direct, dari 2014 hingga 2020. Artikel teridentifikasi 503 artikel setelah dilakukan studi appraisal menggunakan program Critical Appraisal Skills Program (CASP), dan metode sintesis menggunakan modifikasi PEOS didapatkan 8 artikel untuk direview akhir. Data ditinjau menggunakan pedoman PRISMA-P. Delapan studi ditinjau dari 503 studi yang diekstraksi. Artikel melaporkan bahwa faktor sosial ekonomi, karakteristik ibu, karakteristik anak dan lingkungan menjadi faktor resiko kejadian stunting. Faktor resiko kejadian stunting dipengaruhi, antara lain semakin buruk sosial ekonomi keluarga dan lingkungan maka kejadian stunting semakin meningkat dan semakin baik karakteristik ibu dan anak maka kejadian stunting semakin sedikit. Kata kunci: faktor resiko, prasekolah, stunting RISK FACTORS THAT INFLUENCE STUNTING EVENTS IN PRE-SCHOOL CHILDREN IN DEVELOPING COUNTRIES ABSTRACTStunting affects one third of children in developing countries. Studies report that stunting risk factors such as socioeconomic, maternal characteristics, child characteristics and the environment are involved in the growth and development of children. This study aims to systematically review risk factors that influence the incidence of stunting in pre-school children in developing countries. The research are conducted by searching for articles from 3 electronic databases, namely PubMed, ProQuest, and Science Direct, from 2014 to 2018. Articles were identified 503 articles after an appraisal study using the Critical Appraisal Skills Program (CASP) program, and the synthesis method used modification PEOS obtained 8 articles for final review. Data were reviewed using PRISMA-P guidelines. Eight studies were reviewed from the 503 extracted studies. The article reports that socioeconomic factors, maternal characteristics, child characteristics and the environment are risk factors for stunting. Risk factors for stunting events are affected, among others, the worse the socioeconomic family and the environment, the incidence of stunting is increasing and the better the characteristics of mother and child, the fewer stunting events. Keywords: preschoolers, risk factors, stunting
The huge benefits of exclusive breastfeeding have not been able to increase the number of exclusive breastfeeding coverage in Indonesia. This is due to the low knowledge of pregnant women on the importance of exclusive breastfeeding. Low support from families, communities and health workers, especially breastfeeding counselors, is one of the factors causing the low coverage of exclusive breastfeeding. Mothers need support from those around them for success of exclusive breastfeeding behavior. The role of health workers in health promotion is also needed so that the exclusive breastfeeding program runs optimally. This activity aims to increase the knowledge and skills of mothers in exclusive breastfeeding. The community service method used is assistance to mothers in exclusive breastfeeding with the concept of one student one client. It was carried out in the working area of the Surakarta City Health Office with 30 participants. It begins with counseling mothers about exclusive breastfeeding, observations about maternal assistance in exclusive breastfeeding, and an evaluation of the course of mentoring through filling out a questionnaire about exclusive breastfeeding and breastfeeding practices. The role of health workers in supported exclusive breastfeeding includes providing counseling on IMD and breastfeeding since pregnancy with husband, involving husbands in IMD implementation, posyandu with home visits involving cadres and providing counseling for pregnant women, providing lactation corners, counseling involving all puskesmas officers, distributing leaflets and posters, holding pregnancy classes, and involving cadresto hold Kelompok Pendukung Ibu (KP-Ibu). The failure of exclusive breastfeeding was generally because the mother works so that breastfeeding motivation decreased, family support was low, worried about insufficient breastfeeding, and low knowledge of breastfeeding. There was a relationship between knowledge and breastfeeding practice and it was statistically significant (p=0.004, OR: 25.14, CI95%:0.89-5.56). The role of health workers and cadres in supported exclusive breastfeeding through maternal assistance was quite good, however the failure of exclusive breastfeeding generally came from maternal factors. There was a relationship between knowledge and breastfeeding practice and statistically significant.
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