HUBUNGAN PERAN TENAGA KESEHATAN DENGAN KEMAMPUAN IDENTIFIKASI RISIKO KEHAMILAN PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS AJUNG KABUPATEN JEMBER HUBUNGAN PERAN TENAGA KESEHATAN DENGAN KEMAMPUAN IDENTIFIKASI RISIKO KEHAMILAN PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS AJUNG KABUPATEN JEMBER
Main Article Content
Abstract
Secara profesional tenaga kesehatan dalam praktek klinik mempunyai peran menurunkan angka kematian ibu. Tenaga kesehatan merupakan garda terdepan dalam mendeteksi kemungkinan risiko. Penelitian ini bertujuan untuk mengetahui hubungan peran tenaga kesehatan dengan kemampuan identifikasi risiko kehamilan pada ibu hamil trimester III di Wilayah Kerja Puskesmas Ajung Kabupaten Jember. Penelitian ini menggunakan design cross sectional. Populasi pada penelitian ini adalah ibu hamil trimester III di wilayah kerja Puskesmas Ajung Kabupaten Jember dengan melibatkan sebanyak 66 partisipan. Partisipan dipilih menggunakan teknik purposive sampling yang memenuhi kriteria inklusi. Data diambil menggunakan kuesioner. Data dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan pada ibu hamil trimester III teridentifikasi bahwa peran tenaga kesehatan jumlah terbanyak adalah kategori kurang (51,5%), memiliki kemampuan identifikasi risiko kehamilan dengan jumlah terbanyak pada kategori kurang (53,0%). Analisis bivariate menunjukkan secara signifikan terdapat ada hubungan peran tenaga kesehatan dengan kemampuan identifikasi risiko kehamilan pada ibu hamil trimester III (p-value = 0,0001; α = 0,05; r = 0,805). Temuan ini memberikan bukti bahwa secara independen peran tenaga kesehatan yang optimal akan disertai dengan kemampuan identifikasi risiko kehamilan yang baik pada ibu hamil. Kolaborasi timbal balik antara ibu dan tenaga kesehatan dengan memberikan konseling manajemen risiko berkualitas tinggi dapat mengarah pada pemilihan strategi manajemen risiko yang efektif.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Abedin, & Arunachalam. (2020). Maternal autonomy and high-risk pregnancy in Bangladesh: the mediating influences of childbearing practices and antenatal care. BMC Pregnancy and Childbirth, 20(555).
Adams. (2021). Perinatal nursing: Antenatal care. Lippincott Williams & Wilkins.
Adiputra, & Trisnadewi. (2021). Metodologi Penelitian Kesehatan. Yayasan Kita Menulis.
Alligood. (2014a). Nursing theorists and their work. Elsevier. Alligood, M. (2014b). Nursing Theorists and their work. elsevier.
Anafi, & Mprah. (2022). Knowledge and Perception of Risk in Pregnancy and Childbirth among Women in Low-Income Communities in Accra. Women, 2(4). https://doi.org/10.3390/women2040035
Andriani. (2019). Pencegahan Kematian Ibu saat Hamil dan Melahirkan berbasis komunitas. Deepublish Publisher.
Arasu, Joseph, & Matheew. (2021). Development of a Comprehensive Antenatal Risk Assessment Tool to Predict Adverse Maternal and Perinatal Outcomes in Rural Areas: An Exploratory Study. Journal of Family & Reproductive Health, 14(4).
Arimatias, & Susanna. (2023). Maternal Risk Factors for Congenital Vertebral Anomalies A Population-Based Study. The Journal of Bone and Joint Surgery, 105(14).
https://journals.lww.com/jbjsjournal/abstract/2023/07190/maternal_risk_fac tors_for_congenital_vertebral.6.aspx
Asriwati & Irawati. (2019). Buku Ajar Antropologi Kesehatan dalam Keperawatan. Penerbit Deepublish.
Basso, & Costa. (2020). Symphysis-Fundal Height Curve in Pregnancies Complicated by Maternal Hyperglycemia: Comparison with Curves of Nondiabetic Pregnant Women. Biomed Res Int., 2020(1908764). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481913/
Blonco, & Perez. (2022). The evolution of the role of nursing in primary health care using Bourdieu’s concept of habitus. A grounded theory study. Plose One, 17(5).
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0265378
Bobak. (2018). Buku Ajar Keperawatan Maternitas. Penerbit Buku Kedokteran EGC.
Chauhan, & Potdar. (2022). Maternal Mental Health During Pregnancy: A Critical Review. Cureus, 14(10), e30656. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9681705/
Clapp, & James. (2021). The use of a validated obstetrical risk score for maternal morbidity to predict postpartum hemorrhage for women in labor. American Journal of Obstetrics and Gynecology, 225(2). https://www.ajog.org/article/S0002-9378(21)00484-1/fulltext
Dalvandi, & Raygani. (2019). The Importance and Extent of Providing Compassionate Nursing Care from The Viewpoint of Patients Hospitalized in Educational Hospitals in Kermanshah - Iran 2017. Open Access Maced J Med Sci., 7(6). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454181/
Damaso, & Bettiol. (2023). Sociodemographic and reproductive risk factors associated with obesity in a population of brazilian women from the city of Ribeirão Preto: a cross-sectional study. BMC Public Health, 23(1222). https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023- 16056-1
Diana, & Wahyuni. (2020). Maternal complications and risk factors for mortality.
J Public Health Res, 9(2). https://pubmed.ncbi.nlm.nih.gov/32728581/
Dinas Kesehatan Provinsi Jawa Timur. (2023). Profil Kesehatan Provinsi Jawa Timur Tahun 2022. Pemerintah Provinsi Jawa Tumur.
Falk, & Nelson. (2019). The impact of obstetric interventions and complications on women’s satisfaction with childbirth a population based cohort study including 16,000 women. BMC Pregnancy and Childbirth, 19(494). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 019-2633-8
Fatmawati. (2021). Peran Telemedicine Bagi Tenaga Kesehatan di Era New Normal. Insan Cendikia Mandiri.
Fauziah, S., & Sutejo. (2017). Buku Ajar Keperawatan Maternitas Kehamilan
(2nd ed.). Kencana.
Febriyani, & Medhyna. (2021). Asuhan Kebidanan Kehamilan Komprehensif.
Yayasan Kita Menulis.
Fhirawati, & Sihombing. (2020). Konsep Dasar Keperawatan. Yayasan Kita Menulis.
Fidora, I. (2019). Ibu Hamil dan Nifas Dalam Ancaman Depresi (1st ed.). CV. Pena Persada.
Finnbakk, Wangensteen, & Skovdahl. (2015). The Professional Nurse Self- Assessment Scale: Psychometric testing in Norwegian long term and home care contexts. BMC Nursing Journal, 14(59).
Fitrayeni, Suryati, & Faranti. (2015). Penyebab Rendahnya Kelengkapan Kunjungan Antenatal Care Ibu Hamil Di Wilayah Kerja Puskesmas Pegambiran. Jurnal Kesehatan Masyarakat Andalas, 10(1).
Gomindes, & Bhakthavalsalan. (2022). Prevalence of High-Risk Pregnancy Among Pregnant Women Attending Antenatal Care Camps in Primary Health Centres in Kinaye and Vantamuri and Their Sub-Centres. Cureus, 14(7). https://doi.org/10.7759%2Fcureus.27355
Goto. (2020). Symphysis-fundal height to identify large-for-gestational-age and macrosomia: a meta-analysis. Journal of Obstetrics and Gynaecology, 40(7).
https://www.tandfonline.com/doi/abs/10.1080/01443615.2019.1673713
Gultom, & Hutabarat. (2020). Asuhan Kebidanan Kehamilan. Zifatama Publisher. Handayani. (2021). Anatomi dan Fisiologi Tubuh Manusia. Penerbit Media Sains Indonesia.
Hastuti, & Suparmi. (2018). Kartu Skor Poedji Rochjati untuk Skrining Antenatal. Jurnal LINK, 14(2).
Heinonen. (2021). Strengthening Antenatal Care towards a Salutogenic Approach: A Meta-Ethnography. Int J Environ Res Public Health., 18(10). https://doi.org/10.3390%2Fijerph18105168
Hudon, & Chouinanard. (2023). The experience of pregnant women in contexts of vulnerability of prenatal primary nursing care: a descriptive interpretative qualitative study. BMC Pregnancy and Childbirth, 23(187). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 023-05474-z
International Council of Nurse. (2015). APN Role. International Aanp, 1(1).
Jain, Anand, & Aherwar. (2014). High risk scoring for prediction of pregnancy outcome:a prospective study. International Journal Of Reproduction, 3(3).
Januarto, Ocviyani, & Wibowo. (2020). Pedoman Pelayanan Antenatal, Bersalin, Nifas dan Bayi Baru Lahir. Direktorat Kesehatan Keluarga Kementerian Kesehatan Indonesia.
Jersey, & Guthrie. (2019). A mixed method study evaluating the integration of pregnancy weight gain charts into antenatal care. Matern Child Nutr, 15(3). https://doi.org/10.1111/mcn.12750
Kathleen, & Masters. (2023). Role Development in Professional Nursing Practice. Navigate.
Kementerian Sekretariat Negara RI. (2023). Undang - Undang Kesehatan Nomor 17 Tahun 2023 tentang Kesehatan. Kementerian Sekretariat Negara.Kementrian Kesehatan RI. (2020). Profil Kesehatan Indonesia Tahun 2019.
Sekretariat Jenderal Kementerian Kesehatan RI.
Khadidjah, & Arneti. (2018). Upaya Deteksi Dini Resiko Tinggi Kehamilan Ditentukan Oleh Pengetahuan Dan Dukungan Tenaga Kesehatan. Jurnal Sehat Mandiri, 13(1).
Khadivzadeh, & Shojaeian. (2023). High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study. Int J Community Based Nurs Midwifery., 11(1). 10.30476/IJCBNM.2022.96781.2148
Khomami, & Walker. (2021a). The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. SAGE Journal, 15(Januari- Desember). https://journals.sagepub.com/doi/full/10.1177/26334941211031866
Khomami, & Walker. (2021b). The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. Ther Adv Reprod Health., 15(26334941211031864). 10.1177/26334941211031866
Khosravi, & Babaey. (2022). Strategies to improve the quality of midwifery care and developing midwife-centered care in Iran: analyzing the attitudes of midwifery experts. BMC Pregnancy Childbirth, 22(40). https://doi.org/10.1186%2Fs12884-022-04379-7
Kozier, & Barbara. (2017). Buku Ajar Fundamental Keperawatan, Konsep, Proses dan Praktik. Penerbit Buku Kedokteran EGC
Kurniawan. (2017). Early Detection Of High Risk Pregnancy. JUrnal Kesehatan Masyarakat Kesmas, 12(2).
Lee, & Holden. (2019). Pregnancy related risk perception in pregnant women, midwives & doctors: A cross-sectional study. BMC Pregnancy Childbirth, 19(335).
Lellyawaty. (2023). Deteksi Faktor Risiko oleh Ibu Hamil Menggunakan “Gelas Faktor” Kartu Skor Poedji Rochjati (KSPR). Jurnal Mandala Pengabdian Masyarakat, 4(1). https://jurnal- pharmaconmw.com/jmpm/index.php/jmpm/article/view/210
Leta, & Assefa. (2022). Obstetric emergencies and adverse maternal-perinatal outcomes in Ethiopia; A systematic review and meta-analysis. Front Glob Womens Health., 3(942668). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643843/
Lewis, L. (2018). Fundamentals of Midwifery. Wiley Blackwell.
Lowdermilk, D. L., Perry, S. E., Cashion, K., Alden, K. R., & Olshansky, E. F. (2016). Maternity & Women’s Health Care. Elsevier, Ltd.Mahnaz, & Kilpatrick. (2021). The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. Ther Adv Reprod Health, 15(26334941211031864). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8361518/
Mardiyanti, Devy, & Ernawati. (2019). Analysis of Sociodemographic and Information Factors on Family Behaviour in Early Detection of High-Risk Pregnancy. Jurnal Ners, 14(2).
Mariyona. (2019). Komplikasi Dan Faktor Resiko Kehamilan Di Puskemas.
Jurnal Menara Medika, 1(2).
Masjoudi, & Khazaeian. (2022). Health-promoting behaviors and intermediary social determinants of health in low and high-risk pregnant women: an unmatched case-control study. BMC Pregnancy and Childbirth, 22(445). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 022-04784-y
Milart, Egido, & Fernandez. (2019). Detection of high-risk pregnancies in low- resource settings: a case study in Guatemala. BMC Woman’s Health, 16(80).
Miteniece, & Pavlova. (2018). Barriers to accessing adequate maternal care in Georgia: a qualitative study. BMC Health Serv Res, 18(631). https://doi.org/10.1186%2Fs12913-018-3432-z
Monaghan. (2022). Uterine physiology. Anaesthesia & Intensive Care Medicine, 23(6), 341–343.
https://www.sciencedirect.com/science/article/abs/pii/S1472029922000480 Morita, K. (2018). Manajemen Keperawatan. XII(8), 69–78.
Muchtar, Rumiatun, Mulyati, & Isir. (2015). Buku Ajar Kesehatan Ibu dan Anak. Pusat Pendidikan dan Pelatihan Tenaga Kesehatan.
Murphy, & McHugh. (2020). Preventive health counselling during antenatal care using the pregnancy risk assessment monitoring system (PRAMS) in Ireland. BMC Pregnancy and Childbirth, 20(98). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 020-2756-y
Murray, S. S., & McKinney, E. S. (2019). Foundations of maternal-newborn and women’s health nursing. Elsevier, Ltd.
Nakphong, & Afulani. (2023). Access to support during childbirth?: women’s preferences and experiences of support person integration in a cross- sectional facility-based survey. BMC Pregnancy and Childbirth, 23(665). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 023-05962-2
Notoadmodjo. (2017). Metodologi Penelitian Kesehatan. Rineka Cipta.
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis.
Salemba Medika.
Olaniran, & Madaj. (2019). The roles of community health workers who provide maternal and newborn health services: case studies from Africa and Asia. BMJ Glob Health, 4(4), e001388. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703286/
Oldland, & Botti. (2020). A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity. Collegian, 27(2). https://www.sciencedirect.com/science/article/pii/S1322769619301180
Orpin, & Puthussery. (2019). Healthcare providers’ perspectives of disrespect and abuse in maternity care facilities in Nigeria: a qualitative study. Int J Public Health, 64(9). 10.1007/s00038-019-01306-0.
Puthussery, & Byih. (2023). Promoting a global culture of respectful maternity care. BMC Pregnancy and Childbirth, 23(789). https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884- 023-06118-y
Raza, & Siddiqui. (2022). Ensemble learning-based feature engineering to analyze maternal health during pregnancy and health risk prediction. PLoS One, 17(11). https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0276525
Rottie. (2016). Peran Tenaga Kesehatan Dan Dukungan Keluarga Terhadap Kunjungan Antenatal Care di Desa Batu Kecamatan Likupang Selata. E Journal Unika De La Salle, 1(1).
Ruart, & Sinnapah. (2020). Prenatal Counseling throughout Pregnancy: Effects on Physical Activity Level, Perceived Barriers, and Perinatal Health Outcomes: A Quasi-Experimental Study. Int J Environ Res Public Health., 17(23), 8887. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729670/