Simplications Documentation Format of the Midwifery Care SOAP

The recording format used by midwives in midwifery services is often not in accordance with the midwife's procedures and authority. Recording formats are often complicated, time consuming, and filled out incompletely. This research aims to determine the effectiveness of the SOAP documentation format for midwifery care. This type of comparative design research on 52 samples uses the old SOAP assessment format sheet and SOAP simplifications, research implementation February-November 2023. The data analysis technique uses Paired Sample T-Test analysis. The results of statistical tests show that there is a difference in the length of time for filling out the old SOAP and the simplified SOAP, seen from the competence of the subject who are competent in recording the simplified SOAP. It is hoped that this research will become a reference for midwifery lecturers and students in compiling documentation according to standards, considering that the results show that a simplified format is more effective, efficient and in line with midwife competencies.

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Publication Details

Journal
Jurnal Ilmiah Kesehatan (JIKA)
Published
2024-12-31
DOI
https://doi.org/10.36590/jika.v6i3.903
Primary Topic
Nursing Diagnosis and Documentation
Type
article
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article

Simplications Documentation Format of the Midwifery Care SOAP

Anjelina Puspita Sari, Theresia Anita, Romlah Romlah
Jurnal Ilmiah Kesehatan (JIKA)
Nursing Diagnosis and Documentation
article

Simplications Documentation Format of the Midwifery Care SOAP

Anjelina Puspita Sari, Theresia Anita, Romlah Romlah
article en

Abstract

The recording format used by midwives in midwifery services is often not in accordance with the midwife's procedures and authority. Recording formats are often complicated, time consuming, and filled out incompletely. This research aims to determine the effectiveness of the SOAP documentation format for midwifery care. This type of comparative design research on 52 samples uses the old SOAP assessment format sheet and SOAP simplifications, research implementation February-November 2023. The data analysis technique uses Paired Sample T-Test analysis. The results of statistical tests show that there is a difference in the length of time for filling out the old SOAP and the simplified SOAP, seen from the competence of the subject who are competent in recording the simplified SOAP. It is hoped that this research will become a reference for midwifery lecturers and students in compiling documentation according to standards, considering that the results show that a simplified format is more effective, efficient and in line with midwife competencies.

Jurnal Ilmiah Kesehatan (JIKA)Vol. 6(3)
Universitas Palembang (ID)
Openalex Percentile: Top 55%
Nursing Diagnosis and Documentation
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