Jurnal
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 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.
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