Midwifery Communication Relations in the Team Midwifery with Complete Medical Record Documents

DOI: https://doi.org/10.33650/minsight.v1i1.9436
Authors

(1) * Sofia Merylista   (Dinas Kesehatan Kabupaten Sikka)  
        Indonesia
(2)  Sucik Wulandari   (DA'i Nursing Home, New Taipe, Taiwan)  
        Taiwan, Province of China
(*) Corresponding Author

Abstract


Midwifery communication in the Midwifery team is important for a person and for nurses and the health team so good communication must be implemented by all social beings so that communication is important for all social beings. Midwifery Care medical records are files containing Midwifery records and documents regarding patient identity, examination, treatment, procedures and other services that have been provided to patients. This research identifies communication within the Midwifery team and the completeness of medical record documents for nursing care, to determine the relationship between Midwifery communication within the Midwifery team and the completeness of medical record documents for Midwifery care at Elizabeth Lela Hospital. This research is quantitative research with a correlation method. The total sample is 9 respondents. The sampling technique used is purposive sampling. Data collection using observation. Data were analyzed using the Spearman Rank test. Analysis results using Spearman Rank shows that the independent and dependent variables obtained sig results. P-value = 0.000 and r = 0.968. Midwifery communication in the Midwifery team is in the inadequate category, Completeness of medical record documents for Midwifery Care is in the incomplete category, there is a relationship between Midwifery communication in the Midwifery team and completeness of medical record documents for Midwifery care at Elizabeth Lela Hospital.


Keywords

Nursing Communication, Midwifery Team, Medical Record Documents



Full Text: PDF



References


Anita, W. (2018). The implementation of documentation by midwives in Pekanbaru. Kesmas, 13(1), 43–47. https://doi.org/10.21109/kesmas.v13i1.1403

Chang, Y. S., Coxon, K., Portela, A. G., Furuta, M., & Bick, D. (2018). Interventions to support effective communication between maternity care staff and women in labour: A mixed-methods systematic review. In Midwifery (Vol. 59, pp. 4–16). Elsevier. https://doi.org/10.1016/j.midw.2017.12.014

Choi, M., Lee, H. S., & Park, J. H. (2018). Effects of using mobile device-based academic electronic medical records for clinical practicum by undergraduate nursing students: A quasi-experimental study. Nurse Education Today, 61, 112–119. https://doi.org/10.1016/j.nedt.2017.11.018

Cooper, A. L., Brown, J. A., Eccles, S. P., Cooper, N., & Albrecht, M. A. (2021). Is nursing and midwifery clinical documentation a burden? An empirical study of perception versus reality. Journal of Clinical Nursing, 30(11–12), 1645–1652. https://doi.org/10.1111/jocn.15718

de Azevedo, O. A., de Souza Guedes, É., Neves Araújo, S. A., Maia, M. M., & da Cruz, D. de A. L. M. (2019). Documentation of the nursing process in public health institutions. In Revista da Escola de Enfermagem (Vol. 53). SciELO Brasil. https://doi.org/10.1590/S1980-220X2018003703471

Hawley, G., Hepworth, J., Jackson, C., & Wilkinson, S. A. (2017). Integrated care among healthcare providers in shared maternity care: What is the role of paper and electronic health records? Australian Journal of Primary Health, 23(4), 397–406. https://doi.org/10.1071/PY16081

Hussainat Taiye, B. (2015). Knowledge and Practice of Documentation among Nurses in. In IOSR Journal of Nursing and Health Science Ver. I (Vol. 4, Issue 6, pp. 2320–1940). www.iosrjournals.org

Jedwab, R. M., Chalmers, C., Dobroff, N., & Redley, B. (2019). Measuring nursing benefits of an electronic medical record system: A scoping review. In Collegian (Vol. 26, Issue 5, pp. 562–582). https://doi.org/10.1016/j.colegn.2019.01.003

Kerkin, B., Lennox, S., & Patterson, J. (2018). Making midwifery work visible: The multiple purposes of documentation. Women and Birth, 31(3), 232–239. https://doi.org/10.1016/j.wombi.2017.09.012

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. In BMC Nursing (Vol. 20, Issue 1). Springer. https://doi.org/10.1186/s12912-021-00684-2

Lindo, J., Stennett, R., Stephenson-Wilson, K., Barrett, K. A., Bunnaman, D., Anderson- Johnson, P., Waugh-Brown, V., & Wint, Y. (2016). An Audit of Nursing Documentation at Three Public Hospitals in Jamaica. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 48(5), 499–507. https://doi.org/10.1111/jnu.12234

Lyndon, A., Johnson, M. C., Bingham, D., Napolitano, P. G., Joseph, G., Maxfield, D. G., & O’Keeffe, D. F. (2015). Transforming Communication and Safety Culture in Intrapartum Care: A Multi-Organization Blueprint. Journal of Midwifery and Women’s Health, 60(3), 237–243. https://doi.org/10.1111/jmwh.12235

Marutha, N. S., & Ngoepe, M. (2017). The role of medical records in the provision of public healthcare services in the Limpopo province of South Africa. SA Journal of Information Management, 19(1). https://doi.org/10.4102/sajim.v19i1.873

Mills, J., Francis, K., McLeod, M., & Al-Motlaq, M. (2015). Enhancing computer literacy and information retrieval skills: A rural and remote nursing and midwifery workforce study. Collegian, 22(3), 283–289. https://doi.org/10.1016/j.colegn.2014.02.003

Nakate, M. G., Dahl, D., Drake, K. B., & Petrucka, P. (2015). Knowledge and Attitudes of Select Ugandan Nurses towards Documentation of Patient Care. African Journal of Nursing and Midwifery, 2(1), 057–065. https://ecommons.aku.edu/eastafrica_fhs_sonam/41/

Shihundla, R. C., Lebese, R. T., & Maputle, M. S. (2016). Effects of increased nurses’ workload on quality documentation of patient information at selected Primary Health Care facilities in Vhembe District, Limpopo Province. Curationis, 39(1), 1545. https://doi.org/10.4102/curationis.v39i1.1545

Stevenson, J. E., Israelsson, J., Nilsson, G. C., Petersson, G. I., & Bath, P. A. (2016). Recording signs of deterioration in acute patients: The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest. Health Informatics Journal, 22(1), 21–33. https://doi.org/10.1177/1460458214530136

Thumm, E. B., & Flynn, L. (2018). The Five Attributes of a Supportive Midwifery Practice Climate: A Review of the Literature. Journal of Midwifery and Women’s Health, 63(1), 90–103. https://doi.org/10.1111/jmwh.12707

Vafaei, S. M., Manzari, Z. S., Heydari, A., Froutan, R., & Farahani, L. A. (2018). Improving nursing care documentation in emergency department: A participatory action research study in iran. In Open Access Macedonian Journal of Medical Sciences (Vol. 6, Issue 8, pp. 1527–1532). ncbi.nlm.nih.gov. https://doi.org/10.3889/oamjms.2018.303

Wakelin, K. J., McAra-Couper, J., & Fleming, T. (2024). Communication Technology Facilitates Quality Care Between Midwives and Their Pregnant Clients Within a Midwifery Continuity of Care Relationship. International Journal of Childbirth, 14(3), IJC-2023-0043.R1. https://doi.org/10.1891/ijc-2023-0043


Dimensions, PlumX, and Google Scholar Metrics

10.33650/minsight.v1i1.9436


DOI (PDF): https://doi.org/10.33650/minsight.v1i1.9436.g4218


Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Sofia Merylista

 

 

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

 

Minsight: Midwifery Insight and Innovation Journal  

Published by Fakultas Kesehatan, Universitas Nurul Jadid, Probolinggo, East Java, Indonesia.