Hubungan Kondisi Lingkungan Rumah dan Perilaku Keluarga dengan Kejadian Demam Berdarah Dengue Di Kabupaten Aceh Besar

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Sofia Sofia

2016-01-01

Full Text Available Background: Dengue Hemorrhagic Fever (DHF is a communicable disease caused by dengue virus known as the most spread disease in the world. In Aceh Besar district, DHF cases were found annually, 156 cases was recorded in 2013 (IR=42,0 per100.000 people, 1 case of death was reported (CFR=0,88%. It was seen that almost household had breeding places and used materials which can trun into breading places of Aedes aegypti. This research was to analyze the relationship of household environmental condition and family behavior to the incidence of DHF. Methods: This research was observational analytic study using case control design with total samples of 150 respondents, consisted of 75 cases and 75 control. Data analysis were using Chi-Square and Logistic Regression. Results: The result was that there was significant relationship between breeding place in household (p=0,000 and OR = 5,5, temperature in house (p=0,000 and OR= 4,0 and habits of cleaning up water container (p=0,000 and OR= 4,7 to the incidence of DHF. Conclusion: Community can prevent the cycle of DHF transmission by doing activities such as egg, larva, pupa eradication in its breading places, cleaning up water container at least, once in less then 7 days and actively perform 3 M Plus activities. Coordination between various stake holders is needed to observe sanitation of environment so then breeding places will not exist for Aedes aegypti. Keywords: Residence environment, family behavior, DHF

Infection prevention efforts of pulmonary tuberculosis patients in the local government clinic of Kuta Baro Aceh Besar

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Andika, Fauziah; Syahputra, Muhammad Yusrizal; Marniati

2017-09-01

Pulmonary tuberculosis is one of the infectious diseases that has been known and is still the leading cause of death in the world. It is an old disease which is a global problem in the world and estimated that a third of the world's population has been infected by this bacterium. The purpose of this study was to determine the factors related with the infection prevention efforts of pulmonary tuberculosis patients in the local goverment clinic of Kuta Baro Aceh Besar. This research is descriptive analytic survey using cross sectional design. It used univariate analysis to see the frequency distribution and the percentage of each variable. Meanwhile, the bivariate analysis used chi square test with CI (Confident Interval) of 95%. The samples in this study are 34 people. The research results obtained with good infection prevention efforts of pulmonary tuberculosis is 41.2%, 5.9% for teenagers, 47.1% for knowledgeable people, 17.6% for people who do not work and 44.1% for those who have a positive behavior. The results of the bivariate obtained there is correlation between the prevention of pulmonary tuberculosis infection with age (p = 0.087), Occupation (p = 0.364), knowledge (p = 0.006) and behavior (p = 0.020). To conclude, there is a correlation between knowledge and behaviors with the infection prevention efforts of pulmonary tuberculosis patients and there is no correlation between age and occupation with infection prevention efforts of pulmonary tuberculosis patients. It is expected that the respondents to hold consultations to health officials about a mechanism of prevention to avoid the disease.

STRATEGI KEPALA SEKOLAH DALAM MENINGKATKAN KOMPETENSI PROFESIONAL GURU PADA SMA NEGERI 1 PEUKAN BADA KABUPATEN ACEH BESAR

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Zulkifli Zulkifli

2014-02-01

Full Text Available The strategy of the head master of the school really influence the teachers’ competence profesionalism that being conducted by guiding and giving opportunity to the teacher to improve their profession. The aim of this study is to know the strategy of head master in utilizing the teacher teaching methods, the strategy of head master in evaluating the success of the teachers, and to know the situation of the school head master in improving the professional competence of the teachers at the state senior high school 1 Peukan Bada Aceh Besar. The approach used in this study is qualitative with descriptive method. The techniques used in data collection were observations, interviews and documentations. The subjects of the research were the head master of the school, school curriculum division, administration chairman, chairman on the students’ affairs, and subject teachers of SMAN 1 Peukan Bada. The results of the study show that the head master strategies in improving the profesional ism competence namely: (1 The teachers learning mastery; (2 The use of teaching-learning methods by involving the teachers in training activities, scientific activities, seminars, workshops, scientific writing in action research, team teaching, inhousing MGMPs, motivate teachers to continue their education and supervision; (3 The strategy of the headmaster of the school in evaluation and class supervision sometimes conducted suddenly. The results of the evaluations are collected into a head master note and be conveyed at the meeting and MGMPs forum activities as a follow-up evaluation on what has been carried out; (4 The obstacles faced by the head master of the school in improving profesional ism competence among others are: the time restriction of school head master and teachers to carry out their primary tasks, low motivation of the students and teacher in the late of retirement to master information technology, put work hour to support the teacher certification

OBAT DONASI PADA BEBERAPA FASILITAS KESEHATAN DI NANGROE ACEH DARUSALAM

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Sarjaini Jamal

2012-11-01

Full Text Available On the 26th December 2004, a big earthquake and tsunami destroyed coastal zones in the Nangroe Aceh Darussalam Province. Villages have disappeared all along the coast, especially in Aceh Besar; Aceh Jaya, and West Aceh Districts. The disaster damaged roads, devastated physical and human infrastructures, and also limited air assets posed huge challenges to early aids efforts. The transportation, telecommunication and many other public facilities including Health Centers, Drug warehouses, and Hospitals were damaged and destroyed. The tsunami killed nearly 200,000 people and about 100,000 people lost. In few days many Non Government Organizations (NGOs and non NGOs and also foreign humanitarian organizations or from provinces of Indonesia arrived in Banda Aceh. They come as health teams completed with ambulances, drugs, foods and other medical apparatus and field clinics. At the same time, many drugs had been sent to Banda Aceh and distributed to health facilities. Then the problem was what happened about the drugs? The issues were many of the donated drugs become inappropriate, overstock, expired or not according to EDL. To anticipated the issues, on May to June 2005 a team consists of staffs from PSF-CI in coordination with the Ministry of Health, PHO and FDA of Naggoe Aceh Darussalam Province conducted an assessment to the donated drug in 28 Health Centers, 5 District drug warehouses, and 5 District Hospitals. Results showed many varies of the donated drugs were inappropriate in all the publichealth facilities, 20%-80% were overstock, more than 20 items of the drugs were expired or would be expire within 3-6 moonths. It suggests that health programmers conduct training for prescribers on pharmacologies aspects and how to usethe new and non EDL donated drugs. It should also use drug stock system, and apply the FIFO and FEFO mechanisms indrug inventory. The expired or damaged drugs must be destroyed by incenerator. In future it is suggested that

Shallow shear-wave reflection seismics in the tsunami struck Krueng Aceh River Basin, Sumatra

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U. Polom

2008-01-01

Full Text Available As part of the project "Management of Georisk" (MANGEONAD of the Federal Institute for Geosciences and Natural Resources (BGR, Hanover, high resolution shallow shear-wave reflection seismics was applied in the Indonesian province Nanggroe Aceh Darussalam, North Sumatra in cooperation with the Government of Indonesia, local counterparts, and the Leibniz Institute for Applied Geosciences, Hanover. The investigations were expected to support classification of earthquake site effects for the reconstruction of buildings and infrastructure as well as for groundwater exploration. The study focussed on the city of Banda Aceh and the surroundings of Aceh Besar. The shear-wave seismic surveys were done parallel to standard geoengineering investigations like cone penetrometer tests to support subsequent site specific statistical calibration. They were also partly supplemented by shallow p-wave seismics for the identification of (a elastic subsurface parameters and (b zones with abundance of groundwater. Evaluation of seismic site effects based on shallow reflection seismics has in fact been found to be a highly useful method in Aceh province. In particular, use of a vibratory seismic source was essential for successful application of shear-wave seismics in the city of Banda Aceh and in areas with compacted ground like on farm tracks in the surroundings, presenting mostly agricultural land use areas. We thus were able to explore the mechanical stiffness of the subsurface down to 100 m depth, occasionally even deeper, with remarkably high resolution. The results were transferred into geotechnical site classification in terms of the International Building Code (IBC, 2003. The seismic images give also insights into the history of the basin sedimentation processes of the Krueng Aceh River delta, which is relevant for the exploration of new areas for construction of safe foundations of buildings and for identification of fresh water aquifers in the tsunami

THE ANALYSIS OF SYNTACTICAL INTERFERENCE IN ENGLISH PHRASES IN STUDENTS’ WRITING (A Descriptive Study at the Second Grade Students of SMP 2 Kuta Baro, Aceh Besar

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Salwa Chaira

2017-05-01

Full Text Available This qualitative-descriptive research attempts to describe Indonesian interference in building English phrases in writing. The research was undertaken to the second year students of SMP 2 Kuta Baro, Aceh Besar. This study aims to verify the Indonesian interference made by students in English phrases. The data were collected through document analysis which then the sample was selected to be analyzed. The sample of this study was twelve narrative texts composed by the students. The finding of data analysis reveals that there are some syntactical interference samples made by them as in scenery roads, voice strange, morning Sunday, water bath, garden flower, and advice future. These are resulted from Indonesian interference because they applied Indonesian structure in building English phrases. In conclusion, the research result shows that the students have lack of grammar knowledge in constructing English phrases. Therefore, they borrow Indonesian structure as a solution for their difficulties. For this reason, the teaching should focus more on how to build English phrases correctly by giving many samples of nounʸ + nounˣ (where nounˣ means head and nounʸ means modifier pattern all well as explaining the rule in English as the target language they are learning. It hopes that they will not transfer the Indonesian pattern when they are writing in English.Keywords: interference, syntactical, phrases

PERTUMBUHAN DAN VARIASI GENETIK IKAN BANDENG, Chanos chanos DARI PROVINSI ACEH, BALI, DAN GORONTALO, INDONESIA

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Sari Budi Moria Sembiring

2018-01-01

Full Text Available Ikan bandeng, Chanos chanos merupakan salah satu ikan ekonomis penting di Asia. Sejak tahun 1995, di Indonesia sebagian besar benih bandeng diproduksi dari hatchery sekitar Dusun Gondol, Bali Utara baik untuk pasar domestik maupun perdagangan internasional. Dalam rangka meningkatkan kualitas benih, perlu dilakukan perbaikan induk secara genetik menggunakan populasi yang unggul. Tujuan penelitian ini adalah mendapatkan data laju pertumbuhan dan variasi genetik induk ikan bandeng yang berasal dari lokasi perairan Aceh, Bali, dan Gorontalo. Pertumbuhan ikan bandeng diamati melalui pengukuran panjang dan bobot benih hingga ukuran 500 g (calon induk, serta variasi genetik diamati menggunakan metode RFLP DNA. Benih dan calon induk masing-masing dianalisis sebanyak 15 ekor. Hasil pengamatan pertumbuhan ikan bandeng mulai dari benih hingga menjadi calon induk, menunjukkan bahwa ikan bandeng dari Aceh dan Bali mempunyai pertumbuhan panjang dan bobot yang relatif lebih tinggi dibandingkan dengan ikan bandeng dari Gorontalo, walaupun secara statistik tidak berbeda nyata (P0.05 were observed among the populations. The genetic analysis showed five haplotypes composite from four restriction enzymes i.e., Mbo I, Hae III, Hha I, and Nla IV at on cytochrome-b sequen. The average number of restriction site was 1-3 haplotypes. Aceh and Bali populations have lower genetic variations (0.080 and 0.000 compared to Gorontalo (0.115.

PEMAHAMAN NASABAH BANK MUAMALAT INDONESIA BANDA ACEH TERHADAP AKAD MUDHARABAH

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Iskandar Iskandar

2012-12-01

Full Text Available Knowledge and understanding of mudharabah products in Islamic banking is necessity for the customers. Mudharabah is one of banking products pose a great risk, because this involves both the investors and the costumers. For the case of Bank Muamalat Indonesia, customer’s lack of understanding on the mudharabah contract may elevate disputes related to the financing offered by the bank as investor and consequently to the consensus of profit sharing ratio. This study aims to discuss and identify the link between the understanding and the conflicts that occur in Bank Muamalat Indonesia Banda Aceh branch. This is a field research that utilized a quantitative approach in gathering data. The results obtained are analyzed using the SPSS software. The finding shows that there is a link between the understanding and the conflicts that occur in Bank Muamalat Indonesia Banda Aceh. The higher level of customer’s understanding towards the product, the smaller risk of conflict may occur. Thus, the data analysis concludes that there is a small positive relationship between customers' understanding of the mudharabah contract and the disputes possibility. =========================================== Pengetahuan dan pemahaman nasabah terhadap produk mudharabah dalam perbankan syariah sangat diperlukan oleh semua nasabah. Mudharabah adalah salah satu produk perbankan yang menimbulkan resiko yang besar, ini karena akad ini melibat dua pihak, yaitu investor dan nasabah. Pada kasus Bank Muamalat Indonesia, kurangnya pemahaman nasabah terhadap produk Mudharabah akan mendatangkan kemungkinan timbulnya sengketa berkaitan pembiayaan yang dikeluarkan oleh bank sebagai shahibul maal dan kesepakatan nisbah pembagian keuntungan. Kajian ini bertujuan untuk membahas dan mengenal pasti kaitan antara kepahaman dengan konflik yang terjadi di Bank Muamalat Indonesia cabang Banda Aceh. Kajian ini merupakan kajian lapangan dengan menggunakan pendekatan kuantitatif dalam mendapatkan

ANALISIS PENERAPAN PRINSIP MENGENAL NASABAH PADA BANK ACEH SYARIAH BANDA ACEH

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Husnawati Husnawati

2013-06-01

Full Text Available This study aims to identify the systems and procedures that is applied at Bank Aceh Syariah (BAS Banda Aceh in knowing of its customers. In specific, it aims to analyze the effectiveness of the implementation of Knowing Your Customer (KYC Principle at BAS. This study employs both primary and secondary data which was obtained through field and library research. The data was analyzed using descriptive analysis method. The results show that in knowing its customers, BAS Banda Aceh taken several steps of customer identification includes the identity check, occupation, source of funds, and the purpose of the use of funds. The implementation of the KYC principle in BAS Banda Aceh has effectively overcome and prevented the banking crimes such as money laundering. The implementation of the principle is intended to embolden the implementation of prudential principles in order to reduce business risks such as operational risk, legal risk, concentration risk, and reputational risk. =========================================== Penelitian ini bertujuan untuk mengidentifikasi sistem dan prosedur yang diterapkan Bank Aceh Syariah (BAS Banda Aceh dalam mengenal nasabah. Secara khusus, penelitian bertujuan untuk menganalisis efektifitas penerapan Prinsip Mengenal Nasabah pada BAS. Data untuk penelitian ini bersumber dari data primer melalui kajian lapangan, dan data sekunder melalui kajian kepustakaan. Analisis data menggunakan metode deskriptif analisis. Dari hasil penelitian dapat diketahui bahwa sistem dan prosedur yang diterapkan BAS Banda Aceh dalam mengenal nasabah yaitu identifikasi calon nasabah yang meliputi identitas, pekerjaan, sumber dana dan tujuan penggunaan dana yang dilengkapi dokumen pendukung. Penerapan Prinsip Mengenal Nasabah (Know Your Customer Principle pada BAS Banda Aceh efektif dalam mengatasi kejahatan-kejahatan dalam dunia perbankan seperti pencucian uang. Penerapan prinsip tersebut dimaksudkan agar mendorong terselenggaranya prinsip

Agents of Change - Frauenaktivistinnen in Aceh [Agents of Change - Women Activists in Aceh

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Kristina Großmann

2008-01-01

Full Text Available Aceh befindet sich seit der Dezentralisierungspolitik Indonesiens Ende der 1990er Jahre, der Tsunamikatastrophe 2004 und der Unterzeichnung des Memorandum of Understanding (MoU 2005in einer politischen, kulturellen und gesellschaftlichen Transformation. Die Situation der Frauen in Aceh ist geprägt durch Repressionen aufgrund der Einführung der Scharia, durch Einflussnahmevon internationalen Hilfsorganisationen nach dem Tsunami und durch die Neuordnung der Region Acehs seit den Autonomieverhandlungen. Der Transformationsprozess bringt große Herausforderungen für die Frauen in Aceh mit sich und beinhaltet zugleich die Chance zur Mitgestaltung. So entwerfen Frauenaktivistinnen innerhalb des Spannungsfeldes islamische Religiosität, traditionell-kulturelleStrukturen und westliche Wertevorstellungen, Positionen und Strategien, um ihren Wunsch nach Geschlechtergerechtigkeit durchzusetzen. Mein Artikel beleuchtet die Frage, welche Rolle Frauenaktivistinnen innerhalb des Transformationsprozesses einnehmen und welche Chancen, Möglichkeiten und Hindernisse es gibt, um Einfluss auf politische und gesellschaftliche Prozesse zunehmen. ----- Aceh, Indonesia’s westernmost province is in a process of political, social and cultural transformation, which is caused by three main factors. First, the process of decentralisation, launched by the government of Indonesia starting from the end of the 1990s and as a consequence of the implementation of sharia bylaws since 2001, second, the tsunami calamity 2004 and third, the peace process starting with the signing of the Memorandum of Understanding (MoU 2005 between representatives of the Government of Indonesia and the Acehnese freedom movement GAM (Gerakan Aceh Merdeka. Today’s situation of women in Aceh is infl uenced by repressions due to a conservative interpretation of Islam, by the impact of international aid organisations, which entered Aceh after the tsunami andby the political, social and cultural

Persepsi E-Learning Berbasis Web pada Program Studi Keperawatan Banda Aceh Politeknik Kesehatan Kemenkes Aceh

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Hermansyah Hermansyah

2017-05-01

Full Text Available The Nursing Institution of Aceh Polytechnic is the most demanded and has the highest number of students every year and supported by 4 Prodi located in several strategic locations within Aceh Province. Required a development effort in the form of learning media design through e-Learning with the object of study that emphasizes on nursing materials and supporting courses because it can give more time and opportunity for students to be able to discuss. The aim of this research is to know the efficacy of teaching and learning activities through the application of e-Learning application. The system was developed at D-IV Nursing Study Program at Banda Aceh for 6 months starting from June to November 2016 is web-based and uses Moodle as its learning software called Internet Enabled Learning. The results of this study show that this system can improve the quality of subject learning in D-IV Nursing Study Program of Banda Aceh so that it can be used as a means to support teaching and learning process and not only implement teaching materials, but also create a mature learning scenario to invite active student involvement And constructive in their learning process. The design model is expected to be developed more widely to be applied of Health Polytechnic at Ministry of Health in Aceh Key words:  Web-based, e-learning, perception Institusi Keperawatan Poltekkes Kemenkes Aceh merupakan salah satu Jurusan yang paling banyak peminatnya dan memiliki jumlah mahasiswa terbanyak setiap tahunnya serta didukung 4 Prodi yang berada di beberapa lokasi strategis dalam wilayah Provinsi Aceh. Diperlukan suatu upaya pengembangan berupa perancangan media pembelajaran melalui e-Learning dengan objek kajian yang menitik-beratkan pada materi keperawatan dan mata kuliah pendukung karena dapat memberi lebih banyak waktu dan kesempatan kepada mahasiswa untuk bisa berdiskusi. Penelitian bersifat research and design ini bertujuan untuk mengetahui efikasi kegiatan belajar

ANALISIS EKONOMI ISLAM TERHADAP PRAKTIK AFTER SALES SERVICE PADA MESIN FOTOCOPY BEKAS PAKAI DI KOTA BANDA ACEH

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Akhyar Rinaldi

2013-12-01

Full Text Available The objective of this article is to analyze the implementation of after sales service on used photocopy machine in Banda Aceh from an Islamic economic perspective. The analysis is conducted through the exploration of the mechanism of sale and purchase transactions and after-sales service system of the used photocopy machine. Data for this study was gathered through interviews and observations. Due to wide coverage area, the sample for this study was limited to eight units, which consist of four sellers and four buyers. The selection was determined by cluster sampling technique. The gathered data was then analyzed using descriptive analysis method. The findings showed that the implementation of the after sales service on the used photocopy machine in Banda Aceh was indicating to contain fraud such as gharar (uncertainty element, price manipulation element, and the 'coercion' element causing the unhappiness so that it can harm customers which impact on the loss of the maslahah values in muamalah. In other words, the practice of after-sales service of used copier machines in Banda Aceh not fully comply with Islamic economic principles. =========================================== Penelitian ini secara umum bertujuan untuk menganalisis praktik after sales service (layanan purna jual mesin fotocopy bekas pakai di Kota Banda Aceh dari perspektif ekonomi Islam. Analisis tersebut dilakukan melalui eksplorasi terhadap mekanisme transaksi jual beli dan sistem jasa layanan purna jual mesin fotocopy bekas pakai tersebut. Data untuk penelitian dikumpulkan melalui wawancara dan observasi. Karena wilayah populasi penelitian yang terlalu besar, maka penulis memilih delapan sampel penelitian, yakni empat sampel toko yang menjual mesin fotocopy bekas pakai, dan empat sampel toko yang menjadi konsumen mesin fotocopy bekas pakai. Pemilihan tersebut dilakukan dengan teknik cluster sampling. Data yang terkumpul kemudian dianalisis dengan metode deskriptif analisis

Aceh Conflict Resolution By The Government Of Indonesia

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Ady Muzwardi

2016-06-01

Full Text Available Aceh peace is a new dynamic on the resolution of conflicts in the region. Eight years have passed and the agreement was signed by the Free Aceh Movement (GAM and the Indonesian Government, while the MoU (Memorandum of Understanding agreed in 2005. The signing of the MoU symbolically ends Aceh conflict which is prolonged for three decades. Moreover the notable occurance that leads to the weakening of GAM strength is that by December 26, 2004 earthquake and tsunami has devastated the communities in terms of infrastructure and superstructure. While spirit to rebuild Aceh after the disaster emerged, amount of aid coming in the country from as well as foreign institutions such as NGO. The government of Indonesia took this chance to develop Aceh once again and approach GAM to release the tense, to take the path of peace. The government efforts succeed by personalized approach to one of the central figures of GAM. The conflict in Aceh reflects that lobbying skill from the government of Indonesia against GAM is quite excellent. To notice the reconstruction of Aceh peace agreement before, the Cessation of Hostility Agreement (COHA initiated by the Henry Dunant Center (HDC stalled. The struggle embodied in the MoU agreement which is initiated by the Crisis Management Initiative (CMI actually formed by former Finnish President Martti Ahtisaari. While it is done further implementation is left to the Aceh Monitoring Mission (AMM led by Pieter Feith. In this mission AMM successfully carry out their duties in accordance with the agreement so that it runs alltogether. AMM ended its duties on December 15, 2006 and successfully reconcile the peace process (AMM: 2006. Furthermore, Indonesian Government gives freedom of democracy actively for Aceh and GAM combatants. Troop’s withdrawal process also the destruction of non-organic military and police weapons of the GAM runs smoothly. Then the GAM combatants reintegrate into society, this task successfully executed

BIOPHOTOVOLTAIC TIPE-N DAN TIPE-P DENGAN MENGGUNAKAN EKSTRAK KULIT JERUK DARI ACEH

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Luthviyah Choirotul Muhimah

2017-11-01

Full Text Available Sel surya berpewarna tersensitisasi atau dikenal dengan dye-sensitized solar cell (DSSC dengan menggunakan semikonduktor tipe-n dan tipe-p serta ekstrak jeruk Mentui (khas Aceh sebagai biomolekul pewarna sensitisasi (dye telah difabrikasi dan dikarakterisasi. Sebagai pembanding, ekstrak jeruk nipis dan jeruk purut juga digunakan. Ekstrak jeruk mentui berdasarkan spektrum inframerah mengandung berbagai macam karotenoid dan flavonoid seperti beta karoten, hesperidin, lutein, naringin, quersetin, tangeretin, dan zeaxanthin. Karakteristik optik ekstrak jeruk Mentui juga menunjukkan nilai absorptivitas molar yang cukup tinggi sehingga dapat digunakan untuk pembuatan DSSC. Hasil pengujian arus-tegangan menunjukkan hasil bahwa penggunaan ekstrak jeruk Mentui pada semikonduktor tipe-n mampu menghasilkan efisiensi yang lebih besar daripada semikonduktor tipe-p. Adapun tegangan rangkaian terbuka (VOC dan faktor pengisian (fill factor, FF relatif sama untuk semua jenis ekstrak jeruk yaitu VOC ~ 0.340 V dan FF ~ 0.4. Rapat arus pada rangkaian singkat terbesar (Jsc = 1.21 mA·cm-2 dihasilkan DSSC dengan molekul pewarna ekstrak jeruk mentui.

Problem Pengesahan Bendera Aceh dalam Negara Kesatuan Republik Indonesia (Pemetaan Permasalahan

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Endra Wijaya

2016-04-01

Full Text Available Bendera merupakan objek yang dapat dilekatkan beragam pesan dan makna terhadapnya. Keberadaan bendera bisa juga terkait dengan aspek simbol kedaulatan, sehingga wajar apabila kemudian sebagian pihak menganggap adanya bendera Aceh yang sama dengan bendera Gerakan Aceh Merdeka sebenarnya sudah membiarkan separatisme hidup di dalam Negara Kesatuan Republik Indonesia. Saat ini, di Aceh telah disahkan Qanun Aceh Nomor 3 Tahun 2013 tentang Bendera dan Lambang Aceh yang memberlakukan bendera berwarna merah dengan garis putih serta hitam dan gambar bulan sabit serta bintang sebagai bendera Aceh yang memiliki kesamaan dengan bendera GAM. Sejak masa konflik masih berlangsung hingga ke masa setelah ditandatanganinya Memorandum of Understanding antara Pemerintah Indonesia dan GAM, keberadaan bendera Aceh selalu menuai kontroversi dan menjadi isu hangat dalam praktik ketatanegaraan di NKRI. Keadaan ini mendorong pencarian penjelasan dan solusi khususnya dari sisi hukum. Abstract Flag is an object in which many massages and meanings could be attached to. The existence of flag could also relate with sovereignty aspect and for that reason, some parties consider that the existence of Aceh's flag, which is same with Free Aceh Movement's (Gerakan Aceh Merdeka or GAM flag, is conveying separatism in Republic of Indonesia. At present, in Nanggroë Aceh Darussalam, Aceh's Qanun Number 3 Year 2013 on Aceh's Flag and Symbol has been passed and its existence has always rises controversies and has become a problematic issue even after the signing of Memorandum of Understanding between the Government of Indonesia and GAM. It is thus an importance to discuss and try to find a solution for Aceh's flag problem especially from the law perspective.

Aplikasi Proses Pengkelatan untuk Peningkatan Mutu Minyak Nilam Aceh

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Pocut Nurul Alam

2007-12-01

Full Text Available Industri kecil minyak nilam di Nanggroe Aceh Darussalam tersebar di beberapa kabupaten yaitu Aceh Barat, Aceh Selatan, Aceh Jaya, dan beberapa daerah lainnya. Namun perolehan dan mutu minyak nilam yang dihasilkan masih tergolong rendah karena warna minyak coklat kehitaman. Untuk meningkatkan kualitas dan nilai jualnya, bisa dilakukan dengan beberapa proses pemurnian baik secara fisika maupun secara kimia. Untuk peningkatan kualitas tersebut dapat dilakukan antara lain dengan menurunkan kandungan Fe yang membuat warna minyak menjadi gelap. Hasil penelitian menunjukkan bahwa proses pemurnian dengan menggunakan senyawa pengkelat Na-EDTA sebagai senyawa pengkelat dalam pemurnian minyak nilam dapat menurunkan kandungan Fe (besi secara signifikan sebesar 60% untuk minyak nilam yang diperoleh dari hasil penyulingan petani di daerah Aceh Barat dan Aceh Selatan. Selain itu, minyak yang dihasilkan berwarna lebih cerah dan karakteristiknya memenuhi persyaratan mutu standar. Kata kunci: minyak nilam, pemurnian, pengkelat

PARTAI POLITIK LOKAL ACEH DALAM SISTEM KETATANEGARAAN REPUBLIK INDONESIA

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Asda Rasida

2016-03-01

Full Text Available Penelitian ini bertujuan untuk menjelaskan kedudukan partai politik lokal Aceh dalam sistem ketatanegaraan Republik Indonesia, secara objektif bagaimana peran partai politik local Aceh dalam mewujudkan demokrasi dan hambatan-hambatan yang timbul dan bagaimana penyelesaiannya. Penelitian ini menggunakan metode empiris yaitu mengumpulkan data primer. Pengumpulan data primer dilakukan dengan mewawancarai responden dan informan yang menjadi sampel pada penelitian ini. Hasil penelitian menunjukkan bahwa kedudukan partai politik local Aceh di dalam sistem ketatanegaraan Republik Indonesia tidak bertentangan dengan perundang-undangan. Hal tersebut diperkuat dengan pasal 18B UUD 1945 yang menjadi dasar pembentukan partai politik lokal di Aceh dan juga berlaku asas di dalam ilmu hukum yaitu Lex Specialis Derogate Lex General yang maksudnya hukum yang bersifat khusus dapat menyampingkan hukum yang bersifat umum, demikian di Aceh juga menerapkan UU yang bersifat khusus.

PERAN BADAN REINTEGRASI DAMAI ACEH DALAM PROSES GENCATAN SENJATA, DEMOBILISASI, DAN REINTEGRASI DI ACEH

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- Fakhrurrazi

2013-04-01

Full Text Available Badan Reintegrasi Damai Aceh (BRDA didirikan berdasarkan Nota Kesepahaman Helsinki yang ditandatangani 15 Agustus 2005, khususnya pasal 3.2 yang menyatakan tentang reintegrasi bekas anggota GAM. Beragam upaya reintegrasi telah dilakukan oleh pemerintah melalui pendekatan ekonomi, sosial, budaya, politik dan keamanan. Namun beragam hambatan muncul dalam proses reintegrasi mantan anggota GAM serta dalam implementasi proses tersebut yang dikawal oleh BRDA.Menggunakan konsep analisis wacana, dalam penelitian ini, penulis berupaya menggambarkan peran BRDA dalam proses reintegrasi mantan anggota GAM kedalam masyarakat serta hambatan-hambatan yang dihadapi dalam proses tersebut. Hasil penelitan menunjukkan bahwa muncul berbagai hambatan dalam proses reintegrasi mantan anggota GAM yakni hambatan dalam bidang ekonomi; hambatan dalam bidang politik, hukum dan keamanan; serta hambatan dalam bidang sosial budaya. BRDA juga terlihat belum optimal dalam menangani proses reintegrasi, masih terdapat banyak kekurangan.Aceh Peace Reintegration Institution (APRI was established based on Helsinki Memorandum of Understanding signed on August 15, 2005, especially article 3.2 states about reintegration of GAM (Freedom Aceh Movement ex-combatant. Various reintegration efforts have been done by the overnment through economic, social, cultural, political, and security approaches. However, many obstacles appeared in the process of reintegration of ex GAM combatant, and in the management of this process by Aceh Peace Reintegration Institution (BRDA. Using the concept of discourse analysis, in this research, the author attempts to describe the role of BRDA in the reintegration process of GAM ex-combatant to adapt in society and how Aceh Peace Reintegration Institution as the authority board managing the reintegration process play its role. Using the concepts of conflict and integration, the study seeks to describe the process of reintegration of former GAM members into

The May 2015 boat crisis: the Rohingya in Aceh

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Graham Thom

2016-07-01

Full Text Available Abstract In May 2015, Indonesia permitted the disembarkation of approximately 1,800 people who had been stranded at sea. The discovery of mass graves in Thailand’s Sadao district, on the border with Malaysia, led to a crack down on people smugglers by the Thai and Malaysian authorities. This saw thousands of Rohingya left stranded at sea as smugglers abandoned their human cargo. While initially pushed back by the Indonesian navy, after being rescued by Indonesian fishermen the Rohingya, on the three boats rescued, were permitted to stay in Indonesia’s Aceh province and seek protection. As part of an Amnesty International research team, conducting research in Aceh in August 2015, our aim was to document the reasons driving the Rohingya to leave Myanmar and Bangladesh, the human rights abuses they experienced at sea and the conditions they are experiencing in Aceh. The subsequent Amnesty International report primarily documented the abuses suffered by those on board the smuggling/trafficking vessels. It also highlighted a number of issues now facing those allowed to remain in Aceh (Amnesty International, 2015. This article will further examine the human rights situation facing the Rohingya in Aceh, why they have been treated differently from previous Rohingya groups who have arrived in Aceh and the ongoing sustainability of the current model. Significantly, the majority of those that arrived have subsequently escaped from the “sites”[1], having again engaged smugglers to reach Malaysia. Given that a process already exists for refugees arriving in Indonesia, the differing treatment received by the Rohingya arriving in May 2015 raises a number of questions. This paper will conclude that the current situation is not sustainable and the treatment of refugees in Aceh should be included in a broader national approach commensurate to the treatment of refugees and asylum seekers throughout Indonesia. [1] Rather than detention centres or camps, the

FRASA BAHASA ACEH

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Mohammad Rizqi

2018-03-01

Full Text Available The study aims to describe the structure and the constituents of phrases, to describe the types of phrases, to explain the sense relation of the phrase constituents, and to illustrate the possibility of the Acehnese phrases to be placed in each syntactic function. This research is a qualitative descriptive research that focuses on phrase study on Acehnese. The written data is taken from primary school books, the spoken data is taken from local news of RRI Banda Aceh and folklore. The results show that there are uniqueness of the constituents which form the coordinative phrase constructions in which they are always related by conjunctions. Numeral phrases which are formed by numeral and noun always use classifier. The structure of noun phrases which is formed of noun and noun is permanent. It means that the position of the modifier is always behind main constituents. The structure of verbal phrases, adjectival phrases, numeral phrases, and pronominal phrases are not permanent. It means that the constituent that become a modifier can be placed before or after the main constituent. The prepositional phrase has a permanent structure.   ABSTRAK Penelitian ini bertujuan untuk memerikan struktur dan unsur pembentuk frasa, mendeskripsikan jenis frasa, menjelaskan hubungan makna antarunsur pembentuk frasa, dan menggambarkan kemungkinan frasa dalam bahasa Aceh untuk dapat menduduki setiap fungsi sintaksis. Penelitian ini termasuk dalam penelitian linguistik deskriptif kualitatif dengan memusatkan perhatiannya pada telaah frasa dalam bahasa Aceh. Sumber data tulis dalam penelitian ini berupa buku pelajaran tingkat sekolah dasar, sedangkan data lisan diambil dari berita daerah RRI stasiun Banda Aceh dan data dari cerita rakyat. Hasil analisis menunjukkan bahwa ada keunikan dari unsur-unsur yang membentuk konstruksi frasa koordinatif, yaitu selalu dihubungkan oleh konjungsi. Frasa numeralia yang terbentuk atas konstituen numeralia dan nomina selalu

IMPLIKASI KEWENANGAN DEWAN PENGAWAS SYARIAH TERHADAP SISTEM PENGAWASAN DI BANK ACEH SYARIAH

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Hafiizh Maulana

2014-06-01

Full Text Available The supervisory authority of the Sharia Supervisory Board (DPS describes the role and response of DPS supervision system based on organizational structure. DPS positions of Bank Aceh Syariah are in parallel with the Board of Commissioners as authority staff. This study aims to find answers position and authority in the organizational structure and implication to supervision system in Bank Aceh Syariah. To obtain the answer, researchers used the descriptive analysis. Data collection methods used are field research through in-depth interviews, open questionnaire and literature through the conclusion of documentation legislation and organizational structure of Bank Syariah Aceh. DPS authority based on the organizational structure of Bank Syariah Aceh have two powers, as a staff and functional authority. Staff competencies associated with the position of the DPS as a giver of advice/ suggestions to the Board of Commissioners of Bank Aceh, while the functional authority related with the Division of Bank Aceh Syariah. The implication of DPS authority will influence with its performance on the activity /supervisory activities, frequency of meetings, and reporting systems. DPS Bank Syariah Aceh still running system indirect supervision based on the activity reporting and sharia opinion. =========================================== Kewenangan pengawasan Dewan Pengawas Syariah (DPS menggambarkan peran dan respon pengawasan DPS dalam sistem Pengawasan struktur organisasi. Bank Aceh Syariah menempatkan DPS setara dengan Dewan Komisaris dengan garis kewenangan staff. Permasalahan muncul ketika pengawasan DPS dari segi aktivitas dan sistem pengawasan tidak sesuai dengan aspek perundang-undangan dan gambaran dalam struktur organisasi. Penelitian ini bertujuan mencari jawaban persoalan pokok mengenai perangkat yuridis yang digunakan dalam pengawasan DPS, kedudukan dan kewenangan dalam struktur organisasi, dan sistem pengawasan dalam operasionalisasi bank Aceh

LEGITIMASI HUKUM PEMBERLAKUAN SYARI’AT ISLAM DI ACEH: TINJAUAN YURIDIS, SOSIOLOGIS DAN FILOSOFIS

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M. Jafar

2015-06-01

Full Text Available The glory of Aceh Darussalam Kingdom in the past cannot be separated from the complete application of Islamic Sharia (kāffah as the way of life in Aceh. Reflecting the historical past, the implementation of Sharia in Aceh in the present context is absolutely necessary. However, today's enforcement must refer to the three foundations, namely judicial, sociological, and philosophical. The most fundamental of juridical basis is the Constitution of 1945 (UUD 1945 Chapter XI on Religion and paragraph 2 of Article 29, new amendment of Article 18A paragraph 1 and Article 18B paragraph 1. The implementing of Sharia law in Aceh began with the birth law No. 44/1999 regarding the Implementation Features Special of Aceh Province, then refined by law No. 18/2001 on Special Autonomy for Aceh Province as Nanggroe Aceh Darussalam province. Then it is continued by the Law Number 11/2006 on the Governing of Aceh (UUPA. The sociological ground is majority Muslim of Acehnese can receive all the products based on Islamic Sharia law. The philosophical foundation, Islamic law, should be enforced based on the Qur'an and Hadith recommended preserving religion, life, property, lineage, and resourceful.

Implikasi Hukum Terkait Pertimbangan Majelis Pendidikan Daerah dalam Penyelenggaraan Pemerintahan Aceh

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Cut Meutia

2017-04-01

The Implementation of Duty and Function of The Province Education Board in the Aceh Governance ABSTRACT: Article 1 (6 of Qanun Number 3, 2006 on the Organization Arrangement and the Organization Structure and Working Structure of the MPD states that the as one of the governmental organization delaing with the education matters in Aceh  providing the policy and consideration for government in regard with the education policy. This research aims to explore the extent of the role of theProvince Education Board in developing the education and the legal consequence of not using the advise, consideration, and suggestions of the body by the Government of Aceh. This is descriptive analytical research by analyzing the data qualitativelyThe research shows that the MPD role has not been well conducted as the Government of Aceh is only wait the advise, consideration, and suggestion of the MPD and the Government of Aceh has no obligation to conduct them. The legal consequences of the Government of Aceh dose not impose them in the policy made, is there is no sanction for both executive and legislative parties due to disobeying the advice, consideration and suggestion of the MPD.

ISLAM, ADAT, AND THE STATE: Matrifocality in Aceh Revisited

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Eka Srimulyani

2010-08-01

Full Text Available Matrifocality has been a rooted tradition in the social history of the community in Aceh. The principles of matrifocality have also affected on how women are positioned in the community, and the socio-gender relation within the community. The fact that Aceh has strongly associated to the Islamic values that claimed to support the paternal traditions. Apparently, the Islamic values and the local matrifocality practices juxtaposed through the roles of adat, which considered as inseparable to Islamic law or teaching, or in local term known as zat ngeun sifeut. Another point in revisiting matrifocality in Aceh in Aceh is an examination of how gender state ideology, particularly during the New Order Regime disregarded some local gender practices across some ethnics in the archipelago. Meanwhile, the state also hegemonied and promoted particular gender state ideology such as state ibuism. Nonetheless, the modernity and social changes have also contributed to the shifting of some matrifocality practices in contemporary Acehnese society. However, since the matrifocality has a strong root in the social life of the community, the principles of the matrifocality still survived until currently, although it transformed into ‘new matrifocality’ practices. Keywords: matrifocality, Aceh, gender, shari‘a law

Perubahan Patologi Anatomi Hati dan Saluran Empedu Sapi Aceh Yang Terinfeksi Fasciola gigantica

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Ummu Balqis

2013-04-01

Full Text Available Pathology anatomy changes in liver and bile duct of Aceh cattle infected with fasciola gigantic ABSTRACT. This study was conducted in Banda Aceh Municipality, Aceh Province to report the pathological changes in liver of Aceh cattle infected with Fasciola gigantica. In this study, livers of male aceh cattles were collected from slaughter area when Qurban in Idul Adha during two years (2011 to 2012. A total of 15 aceh cattle livers were examined. Establishment of F. gigantica were observed, and pathological changes of liver were identified. The result showed that out of 15 male Aceh cattle livers 6 (40% were found infected with F. gigantica. The common pathological changes found in this study were the hepatic damage, and the bile ducts were changes in size and shape with the dilated lumen. The bile ducts were found filled with blackish brown exudate, which contained adult F. gigantica. In conclusion, fascioliasis is greatly responsible for hepatic damage, and currently expanding as an important veterinary public health problem.

Pelaksanaan Hygiene Sanitasi Pengolahan dan Pemeriksaan Zat Pewarna Metanil Yellow pada Mie Aceh yang Dijual di Pasar Tradisional Kota Sigli Provinsi Aceh Tahun 2015

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Muhammad, Nur

2016-01-01

Mie aceh classified into a wet noodle,mie aceh is a typical form of food which is not dried noodles and most immediate damage or decay. Mie aceh produced by the domestic industry so that the quality control of food is very hard to do. Metanil Yellow is a synthetic dye used in the textile industry and the paint powder or brownish-yellow solid thus be one option for manufacturers to color food products. The purpose of this study is to describe the application of sanitary hygiene and inspecti...

STRATEGI PEMBANGUNAN ISLAM DI ACEH PASCA TSUNAMI MENUJU TERWUJUDNYA MASYARAKAT RELIGIUS

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Sukiman

2012-06-01

Full Text Available Islamic Development Strategy in Post-Tsunami Aceh towards Establishing Religious Society. Since Indonesian independence to the reformation era the development in Aceh has undergone changable rise and fall. In such history long-lasting conflict, be it vertically between the people and the government of the Republic of Indonesia or horizontally amongst the society had repeatedly happened. The tsunami of 2004 put the burden of Acehnese people even heavier, but at the same time it throw light into the importance of reconstructing Aceh in the framework of Islamic and Indonesian ways of life. In the post tsunami, the reconstruction of Aceh has become the most discussed topic. In this context, this essay extensively discusses the strategy of reconstruction in Aceh which mainly focus on: First, writing the blueprint of the Islamic teaching experience that should become as a guideline for peoples’ daily lives. Second, planning development program based on the Islamic development principles. Third, establishing an accountable and good governance.

Anti-Guerilla Warfare in Aceh, Indonesia from 1980-2005

Science.gov (United States)

2005-01-01

13 independence, and upon Aceh itself.17 Aceh has a vast array of natural resources including timber, coffee , and palm oil, as well as major oil...remains the issue of control over drug profits from the sale of cannabis . Using revenue from the sale of cannabis , separatists are able to buy

Substance Use among Muslim Students in Aceh, Indonesia

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Inda Mariana Harahap

2012-08-01

Full Text Available Background: Illicit substance use is a serious social problem faced by adolescents worldwide, including adolescents in Aceh and has many negative consequences. In addition, illicit substance use does not fit with the values of Islamic teaching, and is strictly prohibited in Islam. Purpose: The aims of this paper are to determine the prevalence of illicit substance use, the stages of substance use, and types of substance used among Muslim students in senior high schools in Aceh, Indonesia. Method: Four hundred and twenty six students who met the inclusion criteria were recruited from four senior high schools in Banda Aceh by using simple random sampling, and of these, 290 returned a completed questionnaire. A self reported questionnaire was used to collect data. Result: The mean age of the subjects was 15.9 years old and the majority of them were female (68.6%. The study found that the prevalence of substance use was 2.4%with a higher number of females than males who had used illicit substances. The common substances that were used by the students were marijuana and dextromethorphon, as well as intentionally inhaled substances. Lastly, out of the students who had used illegal substances the majority was in the regular use stage (1.4%. Conclusion: This study found that substance use among Muslim students in Aceh exists, although prevalence was low. Thus, several preventive programs may be needed in Aceh not only for Muslims students who have used substances but also for students who have not use illegal substances. Keywords: Adolescents, Substance use, Muslim students, Indonesia.

Indonesian Separatist Movement in Aceh

National Research Council Canada - National Science Library

Niksch, Larry

2002-01-01

.... Indonesian civilian leaders have been unable to control the Indonesian military, whose aggressive actions in Aceh produce frequent reports of human rights abuses and alienation of the populace...

Ekowisata Leuser (Studi Etnografi Tentang Pengembangan Usaha Ekowisata di Kawasan Ekosistem Leuser Pada Masyarakat di Kecamatan Ketambe, Kabupaten Aceh Tenggara, Provinsi Aceh)

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Caroline FD

2017-01-01

130905105 Penelitian ini membahas tentang Pengembangan Usaha Ekowisasta yang dilakukan masyarakat di desa Ketambe. Peneliti memilih Provinsi Aceh, tepatnya di kabupaten Aceh Tenggara di Desa Ketambe karena lokasi ini masih wilayah Kawasan Ekosistem Leuser sehingga memudahkan penulis memperoleh data penelitian. Metode penelitian ini menggunakan metode etnografi dengan pendekatan kualitatif, serta menggunakan teknik observasi dan wawancara serta analisis data. Observasi ...

Kedudukan Mahkamah Adat setelah Undang-Undang tentang Pemerintahan Aceh

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Teuku Muttaqin Mansur

2016-08-01

ABSTRACT. Customary institutions in Aceh actually existed before the Law on Government of Aceh. This article examined using normative juridical approach. While the data analysis will be using content analysis techniques. From the discussion it was found that the main support position the Adat Court in Law on Governing Aceh is Article 98 paragraph (1, paragraph (2, and paragraph (3, which regulates the customs agency with the authority to resolve disputes society. The existence of the court then reaffirmed by Qanun No. 9 of 2008 which elaborates on the procedure and device structures customary tribunals, court proceedings in court custom, the types of cases that can be resolved and the type of punishment that can be given

Rancang Bangun Transportasi Logistik Kakao Agroindustri Coklat Kabupaten Pidie Jaya Provinsi Aceh

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Yusriana Yusriana

2013-02-01

Full Text Available Factual problems of the cocoa bean agroindustry at Pidie Jaya District, Aceh Province were large distances between farmers and processor, thus determining the shortest part route, backhaul location and quality risk becomes critically to the assess. The objective this research are to determine shortest route based on the location of suppliers, back location, and risk quality recommendations. Requirement of shortest part route solved by Algorithm Djisktra, Backhaul location with MPE and Risk management quality by Multi Expert Multi Criteria Decision Making, aggregation criteria with OWA. The result of the study shows that the shortest distance suppliers Aceh Timur District was 282km, Aceh Utara District 116km, Bireuen District 57km, Pidie District 24km and Aceh Tenggara District 391km. Backhaul location sat Aceh Tengah District with a value of MPE(6533. Alternative of quality risk management were direct fermentation, improvement of transport facilities and container with a high rating criteria, thus the agroindustry has to focus on this dimension.

Pedoman Penyelenggaraan Peradilan Perdamaian Adat di Aceh

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Nurdin MH Nurdin MH

2010-04-01

Full Text Available ABSTRACT: Customary law of Aceh has a number of legal principles such as acceptable, accountability, non-discrimination/equality before the law; accessible to the public, win-win solution, consensus, transparency, competent, and presumption of innocence. The principles are not only found in Adat Law of Aceh but also in other civilized legal systems in the world. In practice, the principles are applied strictly (see the case of Sultan Iskandar Muda. Adat guidelines or legal procedure of Adat is badly needed by informal justice providers in order to have legal certainty. There are some reasons why the guide line is necessary; (1 during new order (35 years central government denied the existence of adat law, (2 during the conflict era (30 years Acehnese did not have enough opportunity to practice their customary law, and (3 most of you people today are head of village  and they do not have enough knowledge and experience on guide line of adat.   The Application Guideline of Informal Justice in Aceh

Pendidikan Dayah Setelah Undang-Undang Pemerintahan Aceh

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Mukhlisuddin Ilyas

2016-12-01

ABSTRACT. Education has not received a special portion in the Law on the Government of Aceh. Differences with the Law on the Implementation of Privileged Aceh which gives a privileged position to education. The existence of education dayah itself as a juridical basis, still to be scrutinized. Some things to consider include the classification dayah, reflecting the Islamic boarding school education intervention by the government. In addition, registration will dayah dayah implies dependence on government excess, since it is done related to the budget. A number of constraints include constraints dayah education curriculum development, management, economics, and constraints regeneration.

Web-based information system design of agricultural management towards self-sufficiency local food in North Aceh

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Salahuddin; Husaini; Anwar

2018-01-01

The agricultural sector, especially food crops and horticulture, is one of the sectors driving regional economic pillars in Aceh Utara Regency of Aceh Province. Some agricultural products and food crops that become excellent products in North Aceh regency are: rice, corn, peanuts, long beans, cassava and soybeans. The Local Government of North Aceh Regency has not been optimal in empowering and maximizing the potential of agriculture resources. One of the obstacles is caused by the North Aceh Regency Government does not have an adequate database and web information system/GIS (Geographic Information System) for data management of agricultural centre in North Aceh Regency. This research is expected to assist local government of North Aceh Regency in managing agriculture sector to realize local food independence the region in supporting national food security program. The method in this research is using waterfall method for designing and making information system by conducting sequential process starting from data collection stage, requirement analysis, design, coding, testing and implementation system. The result of this research is a web-based information system for the management of agriculture superior agricultural product centre in North Aceh. This application provides information mapping the location of agricultural superior product producers and mapping of potential locations for the development of certain commodities in North Aceh Regency region in realizing food self-sufficiency in the region.

Quality and market chain of Aceh Cocoa Beans

Science.gov (United States)

Irfan; Sulaiman, I.; Ikhsan, CN; Faizun, N.

2018-05-01

After long-lasting conflict and tsunami on December 26, 2004, some international donors/NGOs supported Aceh on cocoa development. Aceh cocoa sector has experienced tremendous growth in Indonesia. This study aims to investigate quality and market chain of Aceh cocoa beans. The survey was conducted in Pidie District. A number of 21 farmers and 1 exporter were interviewed; the beans from farmer’s warehouses were analyzed and compared to Indonesia National Standard (INS). The result showed that the beans were generally produced from 6 Sub-Districts: Keumala, Titeue, Glumpang Tiga, Padang Tiji, and Tangse. They were not fermented; most were exported to the USA. Based on bean count, quality was mainly included in I/A and II/B. The main quality problem was high moisture content. Presumably, the beans were bought by wholesalers with lower price although not been sufficiently dried. Other quality parameters were good: no moldy bean and contaminant, very low insect damage/hollow-/germinated beans, and tiny broken beans (quality I)

HISTORY, AUTHORITY, AND POWER: A Case of Religious Violence in Aceh

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Jajat Burhanudin

2014-06-01

Full Text Available This article discusses the way Islam transformed into an ideology that potentially used as justification for violence. By analising the case of the murder of Teungku Ayub, leader of a small circle for basic religious learning (pengajian in Bireun, Aceh, in 2012, the study reveals to the role of Islam as an ideology of mass movement to cleanse deviant tenet (aliran sesat among the Acehnese. This is because of two reasons. First, the term of the veranda of Mecca (serambi Mekkah remains considered as “holy word” in the Acehnese society today, which supports any Islamic agenda of purifying Aceh from aliran sesat. Secondly, the adoption of Islam into a formal body of state (Aceh province represented by the implementation of Islamic law (sharīʻah. Both reasons above strengthen ulama in Aceh to facilitate the mass movement in the name of religion as well as the rationale background of the murder of Teungku Ayub.

THE INTERACTIONS OF MADZHABS IN ACEH: The Tripolar Typology

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Fauzi

2017-06-01

Full Text Available The goal of this study is to figure out the model of interactions among various madhabs in Aceh within the current phenomena. This study was a field study with the qualitative method. The data collection techniques were documentation study, observation, in-depth interview, and questionnaire. The method used to analyze the data was descriptive analysis. His findings revealed the dynamic interactions of Islam in Aceh have been shown towards the typology of the madhab interactions in Aceh which are exclusivism, inclusivism and pluralism. Which the exclusivism is a polar which believes that the Shâfi‘î madhab is the only truth and thus should be followed. The inclusivism polar, which also highly regards the Shâfi‘î madhab in terms of ‘ibâdah and mu‘âmalah although this does not mean any other madhabs are wrong and should not be followed. The inclusivism could be considered the neutral way to solve the current religious problems in Aceh. The pluralism polar that can be utilized in the future to guide the Acehnese to build the harmony and peace as well as to respect each other in order to reach the ultimate purpose of Islam as rahmat li al-‘âlamîn.

Perkembangan Pendidikan Meunasah dan Dayah di Aceh

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Mujianto Solichin

2015-12-01

Full Text Available Meunasah dan Dayah dalam masa perjalanannya tumbuh seiring perkembangan kerajaan-kerajaan Islam di Aceh yang memiliki peran strategis dalam pembentukan kebudayaan Islam di wilayah kekuasaan mereka masing-masing. Ini membuktikan bahwa kerajaan-kerajaan Melayu baik di Malaka (Malaysia maupun di Aceh (Nangroe Aceh Darussalam memiliki jaringan arkeologi sejarah kebudayaan dan peradaban yang terbentuk berdasarkan motivasi agama dan menjadikan tradisi Melayu sebagai identitas pemersatu mereka. Kehadiran lembaga-lembaga klasik Islam tersebut di atas terus mengalami perluasan secara fungsional, pergeseran sistem karena tuntutan perkembangan zaman, pun juga tuntutan sosial kehidupan masyarakat yang saat ini tidak lagi membutuhkan pemecahan problematika kehidupan melalui ilmu-ilmu agama semata, namun juga integrasi antara agama, ilmu pengetahuan dan teknologi. Memodernisasikan Meunasah dan Dayah sebagai upaya menyelamatkan institusi Islam tua ini agar tidak menjadi “cagar budaya”, tentu bisa belajar dari pengalaman model-model modernisasi madrasah berdasarkan pengalaman Mesir (Masjid-Madrasah-Universitas al-Azhar, Turki (Maktab-Sekolah Remaja-Sekolah perempuan-Sekolah Imam-Khatib, dan Saudi Arabia (Madrasah-Sekolah Hasyimiyah. || Meunasah and Dayah in their development along with Islamic kingdoms in Aceh have a strategic role in the formation of Islamic culture in their own territories. This proves that the Malay kingdoms either in Malacca (Malaysia as well as in Aceh (NAD had a network of archaeological history of culture and civilization formed based on religious motivation and made the Malay tradition as their unifying identity. The existence of the classical Islamic institutions mentioned above continue to functionally expand and the system shifted because of the demands of the current time. It was also because of the social demands of the society that is no longer in need of solving the problems of life through a mere religious science, but also

Pengaruh Pemberian Kascing (Bekas Cacing) dengan Dosis yang Berbeda dalam Kultur Skeletonema Costatum

OpenAIRE

Fauziah, Fauziah; Hatta, Muhammad

2015-01-01

Penelitian ini bertujuan untuk mengetahui dosis kascing yang baik pada Kultur sel Skeletonema costatum untuk menghasilkan kepadatan sel Skeletonema costatum yang optimal. Penelitian ini dilaksanakan pada tanggal 11 - 25 Desember 2013. Di Balai Budidaya Air Payau (BBAP) Ujoeng Batee, Kabupaten Aceh Besar, Provinsi Aceh. Metode penelitian yang digunakan adalah metode eksperiment dengan Rancangan Acak Lengkap (RAL) non faktorial yang terdiri dari 4 perlakuan dan 3 ulangan. Adapun perlakuan dalam...

Characterization and Activation of Indonesian Natural Zeolite from Southwest Aceh District-Aceh Province

Science.gov (United States)

Yulianis, Y.; Muhammad, S.; Pontas, K.; Mariana, M.; Mahidin, M.

2018-05-01

This study aims to identify the effect of activation processes of Indonesian zeolite from Southwest Aceh District, Aceh Province on the physical characteristics and chemical contents changes. The work was conducted by downsizing of natural zeolite into nano particle size, treating it physically (heated up to 105˚C) and chemically (soaked with 0.5 M HCl for 1 hour), and finally calcining it at the temperature of 350° C for 2 hours. The natural and activated nano zeolites were then characterized by using SEM, BET, XRD, XRF and FTIR in order to examine their characters and chemical contents. The characterization results showed that the activated nano zeolite has better appearances than the natural one. The XRD analysis showed that the main minerals of zeolite are quartz and calcite clinochlore. Further, the XRF analysis showed that there are elements of magnesium, calcium and potassium which can be as a cation exchange with other metal elements. Based on the identified properties, this zeolite showed a good performance to be used as an adsorbent in waste water treatment process, especially after activated.

Persepsi Masyarakat terhadap Dampak Penambangan Batu Akik (Studi di Kecamatan Panga Kabupaten Aceh Jaya)

OpenAIRE

Jamaril, Jamaril; Usman, Saiful; Amirullah, Amirullah

2016-01-01

Penelitian yang berjudul “Persepsi Masyarakat Terhadap Dampak Penambangan Batu Akik (Studi di Kecamatan Panga Kabupaten Aceh Jaya)” ini membahas tentang persepsi masyarakat Kecamatan Panga Kabupaten Aceh Jaya terhadap dampak penambangan batu akik terhadap lingkungan serta dampak penambangan batu akik terhadap perekonomian dan lingkungan. Penelitian ini bertujuan: (1) untuk mengetahui persepsi masyarakat Kecamatan Panga Kabupaten Aceh Jaya terhadap dampak penambangan batu akik, dan (2) untuk m...

IMPLEMENTASI PEMIKIRAN DAKWAH MOHAMMAD NATSIR DI DEWAN DAKWAH ISLAMIYAH INDONESIA PROVINSI ACEH

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Raihan Raihan

2015-08-01

Full Text Available Mohammad Natsir was one of the da’wa figure where his thoughts covered various fields. He was the founder DDII (Dewan Da'wah Islamiyah Indonesia who was assessed consistently carried out the Islamic da’wa until the end of his life. As the result of his struggle, related to the vision and mission of the center of DDII, DDII Aceh should not be much different from that set by the center. But in reality, when it is seen through the aspect of the activities being carried out have not been fully applied by Aceh DDII. The result of this study shows that the struggle of Mohammad Natsir as well as the extension of the center management is related to the vision and the mission developed by the Aceh Provincial DDII is not different from that being set by the center. Similarly, the majority of programs are set by Aceh DDII has much in common with the da’wa activities that had been carried out by Mohammad Natsir when leading DDII, namely to conducted promoting and routine qur’anic recitation, building mosques, hampering the effort to silt the creed as well as other programs aimed at improving the Islamic da’wa quality. However, the performance of Aceh DDII is still seemed less productive due to the involvement of management which some still focus on less da’wa activities. In addition, the Aceh DDII is lack of operational funds in carrying out various activities which bring about some programs have been delayed, or even failure in its implementation.

Analysis of Marketing Channels and Price Effect to Rice Marketing Efficiency in Aceh, Indonesia

OpenAIRE

Yunus, Mukhlis; Syahputra, Hendra

2013-01-01

The objective of this study is to empirically explore the influence of marketing channels and price to rice marketing efficiency in Aceh Province, Indonesia. Six hundreds farmers' households from six districts of rice production base in Aceh were selected for the samples and analysed using the structural equation modelling (SEM). This study has been successfully documented how inefficient was the marketing of rice in Aceh because the farmers still tended to choose higher level of marketing ch...

APAKAH FLYPAPER EFFECT TERJADI DI ACEH? STUDI MENGUKUR KEMANDIRIAN KEUANGAN DAERAH

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hasan muhammad basri

2014-12-01

Full Text Available The objective of this study is to analyse the phenomenon of flypaper effect in Aceh after the implementation of fiscal decentralization. Data used in the study were panel data covering all 23 district/municipalities in Aceh from 20U to 2013. Pooled Least Square was utilized. The results of this study revealed that own- source revenue, sharing revenue, special allocation funds, general allocation funds, and special autonomy funds are statistically significant variables and have a positive relation to regional spending. It was proven that flypaper effect has occured in Aceh as the coefficient of the own-source revenue variabel was smaller than that of sharing revenue variabel. This implied that Aceh has been dependent on the national government in term of regional financing. Based on descriptive analysis, provinces having dominant share of tertiary sector to their regional gross domestic products show fiscally independent. In order to achieve fiscal independence, the phenomenon of flypaper effect could be overcomed by shifting the economic structure from the primary and secondary to the tertiary sectors of the economy. In doing so, the contribution of own-source revenue to regional spending outweigh intergovernment transfer funds from national government

Syariah as Heterotopia: Responses from Muslim Women in Aceh, Indonesia

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Reed Taylor

2015-05-01

Full Text Available In this paper, I argue that the implementation of syariah is best understood as a heterotopia by women in Aceh, Indonesia. The current debates over the role of syariah for women in Acehnese society focus on either a secular human rights critique of non-liberal norms that restrict the rights and freedom of women or a religiously prescribed defense of communal norms that protect women and society. Based on interviews, I identify three variants of how women conceive of and inhabit syariah in Aceh. Two of these variants are underrepresented in the current academic literature on syariah in Aceh. Two key distinctions are drawn between blueprint and iconoclastic utopian thought and state-centric and non-state-centric models of political legitimacy. Rethinking syariah as a “socio-spatial dialectic” allows for all three variants of syariah existing simultaneously as a heterotopia in Acehnese society.

Hubungan Pola Konsumsi dengan Diabetes Melitus Tipe 2 pada Pasien Rawat Jalan di RSUD Dr. Fauziah Bireuen Provinsi Aceh

OpenAIRE

nur, abidah; Fitria, Eka; Zulhaida, Andi; Hanum, Sari

2016-01-01

Kebiasaan masyarakat Aceh adalah mengonsumsi makanan manis, asin, dan berlemak. Konsumsikarbohidrat, gula, dan makanan serta minuman manis yang tinggi dalam masyarakat Aceh berisikoterkena diabetes melitus. Penelitian bertujuan untuk mengetahui hubungan pola konsumsi masyarakatAceh dengan penyakit diabetes melitus. Penelitian bersifat deskriptif analitik dengan desain kasuskontroldi RSUD dr. Fauziah Bireuen Provinsi Aceh tahun 2014. Populasi penelitian adalah pasien yangrawat jalan yang berku...

FLASH Technology: Full-Scale Hospital Waste Water Treatments Adopted in Aceh

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Rame; Tridecima, Adeodata; Pranoto, Hadi; Moesliem; Miftahuddin

2018-02-01

A Hospital waste water contains a complex mixture of hazardous chemicals and harmful microbes, which can pose a threat to the environment and public health. Some efforts have been carried out in Nangroe Aceh Darussalam (Aceh), Indonesia with the objective of treating hospital waste water effluents on-site before its discharge. Flash technology uses physical and biological pre-treatment, followed by advanced oxidation process based on catalytic ozonation and followed by GAC and PAC filtration. Flash Full-Scale Hospital waste water Treatments in Aceh from different district have been adopted and investigated. Referring to the removal efficiency of macro-pollutants, the collected data demonstrate good removal efficiency of macro-pollutants using Flash technologies. In general, Flash technologies could be considered a solution to the problem of managing hospital waste water.

PARADOKS GENDER (Kajian Feminisme Etis terhadap Kemunculan Inong Balee dalam Kekerasan Politik di Aceh)

OpenAIRE

Nugroho, Hastanti Widy; Murtiningsih, Siti

2016-01-01

Abstract This research aims to get understanding about a definition and a concept of Inong Balee in a political violence in Aceh; secondly, to get an evidence of gender paradox in the Inong Balee’s role and existence in Aceh; thirdly, to criticize the concept of Inong Balee’s gender paradox from Ethical Feminism viewpoint; fourthly, all of them are formulated as a recommendation for a resolution of the political violence in Aceh. The result of this research is the Inong Balee is a general ...

Midwives׳ experiences of workplace resilience.

Science.gov (United States)

Hunter, Billie; Warren, Lucie

2014-08-01

many UK midwives experience workplace adversity resulting from a national shortage of midwives, rise in birth rate and increased numbers of women entering pregnancy with complex care needs. Research evidence suggests that workplace pressures, and the emotional demands of the job, may increase midwives׳ experience of stress and contribute to low morale, sickness and attrition. Much less is known about midwives who demonstrate resilience in the face of adversity. Resilience has been investigated in studies of other health and social care workers, but there is a gap in knowledge regarding midwives׳ experiences. to explore clinical midwives׳ understanding and experience of professional resilience and to identify the personal, professional and contextual factors considered to contribute to or act as barriers to resilience. an exploratory qualitative descriptive study. In Stage One, a closed online professional discussion group was conducted over a one month period. Midwives discussed workplace adversity and their resilient responses to this. In Stage Two, the data were discussed with an Expert Panel with representatives from midwifery workforce and resilience research, in order to enhance data interpretation and refine the concept modelling. the online discussion group was hosted by the Royal College of Midwives, UK online professional networking hub: 'Communities'. 11 practising midwives with 15 or more years of 'hands on clinical experience', and who self-identified as being resilient, took part in the online discussion group. thematic analysis of the data identified four themes: challenges to resilience, managing and coping, self-awareness and building resilience. The participants identified 'critical moments' in their careers when midwives were especially vulnerable to workplace adversity. Resilience was seen as a learned process which was facilitated by a range of coping strategies, including accessing support and developing self-awareness and protection of self

Utilization of formal health services for children aged 1-5 in Aceh after the 2004 tsunami: Which children did not receive the health care they needed? Implications for other natural disaster relief efforts.

Science.gov (United States)

Rassekh, Bahie Mary; Santosham, Mathuram

2014-01-01

Aceh, Indonesia, was the hardest-hit area in the December 26, 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense, with billions of dollars of aid pledged to this province alone. Since then, there have been several natural disasters, including Typhoon Haiyan, which have caused great loss of life and displacement and for which these results are applicable. This study aimed to determine and assess utilization patterns of health services for children under the age of five with diarrhea, cough and difficulty breathing, fever, or skin disease and to identify determinants of formal and non-formal healthcare usage. A household survey of 1439 households was administered to caretakers of children aged 1-5 years. A sample of clusters within Banda Aceh and Aceh Besar were selected and those caretakers within the cluster who fit the inclusion criteria were interviewed. In the two weeks prior to the survey, 78.3% of respondents utilized formal health services as the first line of care for their child's illness episode. Factors significantly associated with decreased formal healthcare usage for the sick children were if the children were living in a displaced household, if the children's mother or father were not living, and if the children's caretaker was not the mother. Although utilization of formal health services for children was quite high after the tsunami, there were certain children who received significantly less care, including those who were displaced, those who were being cared for by someone other than their mother, and those for whom one or both parents had died. Among the recommendations are suggestions to target these children to ensure that they receive the health care they need.

Decolonising the Aceh Museum Objects, Histories and their Narratives

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Ajeng Arainikasih

2018-06-01

Full Text Available The Aceh Museum, one of the oldest museums in Indonesia, was established during Dutch colonial rule. In this article the discussion of three objects of the colonial collections at the Aceh Museum (an ancient metal bell, colonial photographs and an old wooden weaving tool illustrate the complexities of decolonising museums in a previously colonised country. As this practice varies, depending on whether the country was colonised or was a coloniser, this case study shows that in the Indonesian context, decolonising museums means featuring narratives from the local perspective, challenging colonial legacies (such as social segregation and deconstruction of Indonesian postcolonial postcolonial official nationalist history.This article is part of the forum 'Decolonisation and colonial collections: An unresolved conflict'Het Aceh Museum, een van de oudste musea in Indonesië, werd opgericht tijdens het Nederlands koloniaal bewind. In dit artikel wordt aan de hand van verschillende voorwerpen uit de collectie van het Aceh Museum (een oude metalen klok, koloniale foto’s en een oud weefgereedschap ingegaan op de dekolonisatie van musea in vroegere gekoloniseerde landen. Aangezien de dekolonisatie van musea afhankelijk is van het gegeven of een museum in een gekoloniseerd land staat of juist in een land dat koloniseerde, laat deze case study zien hoe het dekoloniseren van musea in Indonesië zou moeten plaatsvinden door middel van narratieven vanuit lokaal perspectief, het ter discussie stellen van koloniale erfenissen (zoals sociale segregatie en het deconstrueren van de Indonesische, postkoloniale en officiële nationalistische geschiedschrijving.Dit artikel is onderdeel van het forum 'Decolonisation and colonial collections: An unresolved conflict'

The northern tidal dynamic of Aceh waters: A 3D numerical model

Science.gov (United States)

Irham, M.; Miswar, E.; Ilhamsyah, Y.; Setiawan, I.

2018-05-01

The northern tidal dynamic of Aceh waters studied by employing three-dimensional (3D) numerical hydrodynamic model. The purpose of this study is to understand the phenomena and the characteristic of the northern tidal dynamic of Aceh waters. The research used the explicit-splitting scheme numerical model of Navier-Stokes formulation. The result displays that the vertical rotation of flow movement (vertical eddy) at a depth of 15 to 25 meter eastern part of the study area. Hence, the result also informs that the current circulation identically to the upwelling in the western region of Aceh during the wet season and vice versa. However, during the transitional season, the flow circulation depends on how the tidal dynamic occurs in the area.

'Burnout' among Dutch midwives.

NARCIS (Netherlands)

Bakker, R.H.C.; Groenewegen, P.P.; Jabaaij, L.; Meijer, W.; Sixma, H.; Veer, A. de

1996-01-01

OBJECTIVE: to determine the effect of workload on 'burnout' having considered work capacity. DESIGN: cross-sectional study. SETTING: Dutch community midwives in independent practice. PARTICIPANTS: 200 Dutch community midwives. MEASUREMENTS: three-week diary recordings, a questionnaire on practice

The Patronage Behaviour of Islamic Bank's Customers: Empirical Studies in Aceh

OpenAIRE

Abd. Majid, M. Shabri; Zulhanizar, Said

2016-01-01

This study is aimed at empirically exploring the pertinent factors, which customers and non-customer perceive as germane to their selection of Islamic bank in Aceh, Indonesia. A sample of 300 customers and non-customer of Bank Aceh Syariah were selected based on the convenience sampling technique. Using the logistic regression technique, the study documented that the customers’ selection of the banks were influenced by the factors of banks’ characteristic, services and trust, shari’ah complia...

POLITIK PEMBERLAKUAN SYARI`AT ISLAM DI ACEH DAN KELANTAN (1993-2014

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Khamami Zada

2015-06-01

Full Text Available The application of Islamic rules in Aceh and Kelantan is also related to the political power. There is a significant difference about political treatment on the application of Islamic law in Aceh and Kelantan. In Aceh, the central government (Indonesia thinks that it is needed to apply jinâyah law in Aceh as a strategy to solve conflicts. This political rule has been applied in the republic of Indonesia since the leadership of Habibie, Abdurrahman Wahid, Megawati Soekarno Putri to Susilo Bambang Yudhoyono. The main factor that influences the Indonesian political government rule is the central conflict with the Acehnese in the leadership of Soeharto presidential to the Helsinski Agreement 2005. Some vertical conflicts happened between the central government and the Acehnese were solved by giving special autonomy in applying the Islamic rules. Not only family law and economic law which are given autonomy to be applied in Aceh, but also the autonomy to apply jinâyah Law. In Kelantan, Federal government (Malaysia did not have political wish to apply Jinayah Law in Kelantan since the leadership of Mahathir Muhammad, Abdullah Badawi to Najib Razak. Moreover the federal government made the issue of the application of jinâyah law as the political commodity to get the political sympathy from the people, who are the partner of non Moslem voters in the national ranks and some Moslem voters who are not affiliated with PAS. This political needs factor is kept by the Federal Government to respond the Kelantan’s government wish to apply Islamic rules.Copyright (c 2015 by Al-Ihkam. All right reserved DOI : 10.19105/al-ihkam.v10i1.588 

Perbedaan Penggunaan Standar Baru Antropometri WHO-2006 terhadap Peningkatan Pengetahuan dan Penilaian Status Gizi pada Tenaga Gizi Pelaksana di Kota Banda Aceh Tahun 2009

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Alfridsyah Alfridsyah

2013-12-01

Full Text Available Latar belakang: Pada tahun 2003, WHO merumuskan konsep Multicenter Growth References Study (MGRS yang dilakukan di 6 negara dengan jumlah sampel yang diambil sebanyak 8440 anak hidup di lingkungan sehat yang memungkinkan tumbuh sesuai potensi genetik. Riset Kesehatan Dasar (Riskesdas yang dilakukan secara serentak di 33 provinsi di Indonesia pada tahun 2007 dalam penilaian status gizi balita telah mengacu pada WHO 2006. Secara keseluruhan Provinsi NAD termasuk ke dalam 10 besar yang mempunyai masalah gizi. Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan standar baru antropometri 2006 terhadap peningkatan pengetahuan dan penilaian status gizi pada Tenaga GiziPelaksana (TGP di Kota Banda Aceh tahun 2009. Metode: Rancangan penelitian ini merupakan metode analitik eksploratif dengan pendekatan Quasi Experimental Design, yang dilakukan pada 70 TGP dan dibagi ke dalam dua kelompok. Data yang dikumpulkan meliputi data primer dan sekunder. Analisis data menggunakan Independent T-Test dan DependentT-Test pada CI: 95%. Hasil: Hasil analisis Independent T-Test menunjukkan bahwa terdapat perbedaan yang signifikan antara pengetahuan (p = 0,000, sikap (p = 0,004, perilaku (p = 0,005 dan peningkatan PSG (p = 0,031 antara post test pada kelompok ceramah disertai diskusi dengan ceramah disertai praktik. Sedangkan hasil analisis Dependent T-Test menunjukkan adanya peningkatan yang signifi kan dari pre tes ke post tes terhadap kedua kelompok pada TGP dalam wilayah kerja Kota Banda Aceh. Kesimpulan: Metode ceramah disertai praktik dan metode ceramah disertai diskusi dapat meningkatkan pengetahuan, sikap, perilaku dan penilaian status gizi oleh TGP, pendidikan kesehatan penilaian status gizimenggunakan standar antropometri baru WHO-2006 dengan metode ceramah disertai praktik lebih efektif dibandingkan metode ceramah disertai diskusi, dan ada pengaruh yang signifi kan penggunaan standar antropometri baru WHO-2006 terhadap peningkatan pengetahuan

Breastfeeding practice in the UK: midwives' perspectives.

Science.gov (United States)

Furber, Christine M; Thomson, Ann M

2008-01-01

Despite breastfeeding prevalence increasing, many mothers in developed countries are dissatisfied with care provided by midwives. However, a paucity of research exists related to midwives' experiences of supporting breastfeeding mothers. This study explored the experiences of English midwives' during their breastfeeding support role. A qualitative study using grounded theory principles was used. Data were collected using in-depth interviews and analysed using constant comparative techniques. The setting was two maternity hospitals in the North of England, UK. Thirty midwives who cared for normal, healthy babies participated. Volunteers were recruited using theoretical sampling techniques. The core category that emerged is called 'surviving baby feeding' and relates to midwives' experiences when supporting mothers. The results reported in this paper refer to one category called 'doing well with feeding' which has three main themes: (1) communicating sensitively, (2) facilitating breastfeeding, and (3) reducing conflicting advice. Participating midwives reported practice that suggests that they valued breastfeeding, attempted to provide realistic information and advice, and tried to minimise confusion for mothers. However, some midwives used an authoritative manner when conversing with mothers. English midwives' reported practice demonstrates that these midwives appreciated that breastfeeding mothers required specific support. However, breastfeeding education that encourages midwives to develop effective skills in ascertaining mother's needs, but also encourages mothers to effectively participate in their care, should be provided. Further research is needed to clarify breastfeeding mothers' expectations and needs.

The Role of Adat Justice and Its Adat Institutons in Preventing Transnational Crimes in Aceh Province, Indonesia

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Sri Walny Rahayu

2017-12-01

Lebih dari satu dekade setelah berlakunya Undang-Undang No. 11 Tahun 2006 tentang Pemerintahan Aceh, kemampuan adaptif peradilan adat dan lembaga adat Aceh terus bertahan karena memiliki dasar legalitas penormaan yang kuat diatur dalam undang-undang dan peraturan di Indonesia. Di sisi lain jika dikaji, konsekuensi pelaksanaan Masyarakat Ekonomi Asean (MEA efektif berlaku 31 Desember 2015 di Indonesia berpotensi menimbulkan ancaman seperti munculnya berbagai bentuk kejahatan transnasional yang melintasi perbatasan suatu negara, dilakukan oleh pelaku dari dua atau lebih negara dengan modus operandi modern. Berlakunya MEA bagi Aceh merupakan tantangan memanfaatkan peluang peradilan adat dan lembaga adat mengantisipasi kejahatan tersebut. Berdasarkan data dari ASEAN Rencana Aksi untuk memerangi kejahatan transnasional terdapat delapan bentuk kejahatan yaitu, perdagangan gelap narkoba, perdagangan manusia, laut-pembajakan, penyelundupan senjata, pencucian uang, terorisme, kejahatan ekonomi internasional dan cyber crimes. Tulisan ini bertujuan menjelaskan kemampuan adaptif peradilan adat, lembaga adat Aceh, dan model intervensi peradilan adat di Aceh menghadapi kejahatan transnasional era MEA.

The Patronage Behaviour of Islamic Bank’s Customers: Empirical Studies in Aceh

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M. Shabri Abd. Majid

2016-07-01

Full Text Available This study is aimed at empirically exploring the pertinent factors, which customers and non-customer perceive as germane to their selection of Islamic bank in Aceh, Indonesia. A sample of 300 customers and non-customer of Bank Aceh Syariah were selected based on the convenience sampling technique. Using the logistic regression technique, the study documented that the customers’ selection of the banks were influenced by the factors of banks’ characteristic, services and trust, shari’ah compliance, and physical objects. Of these factors, banks’ characteristic and shari’ah compliance were found to be the most pertinent factors perceived by the customers and non-customer to their selection of Islamic bank in Aceh, Indonesia. These findings imply that to attract more customers, the Islamic bank should enhance their unique characteristics and products’ compliance.DOI:10.15408/aiq.v8i2.3139

Islamic representation and urban space in Banda Aceh: Linking the social and spatial

Science.gov (United States)

Istiqamah; Herlily

2018-03-01

Post conflict and tsunami; the city of Banda Aceh is experiencing a massive development as an effort to represent an Islamic city. Some strategic points have been chosen by the municipality to build architectural objects that are considered to represent Islam in the urban space. The issue of such representational practice is the development of neglecting the activities of local communities as users of urban public spaces. The purpose of this design study is to provide an alternative to the urban design of Banda Aceh to represent Islam that is not moving from physical development but by involving community activities. Establish and rediscover the relationship between Islam and urban life in Banda Aceh. This design study uses mental maps of 50 inhabitants of Banda Aceh city of various ages who live in 10 villages around the city center. We use mental maps as a tool to read the daily activities of the community and determine the familiar urban territory with the community. The results of this study will be used to form a Muslim community and present community activities to represent Islam in the urban space.

Home birth in North America: attitudes and practice of US certified nurse-midwives and Canadian registered midwives.

Science.gov (United States)

Vedam, Saraswathi; Stoll, Kathrin; Schummers, Laura; Rogers, Judy; Paine, Lisa L

2014-01-01

Scope of practice, competencies, and philosophy of maternity practice are similar among midwives in the United States and Canada. However, there are marked differences in intrapartum practice sites between registered midwives (RMs) and certified nurse-midwives (CNMs). This study linked data from 2 national surveys: 1) a 2007 survey of CNM members of the American College of Nurse-Midwives (n = 1893); and 2) the Canadian Birth Place Study of maternity providers, including RM members of the Canadian Association of Midwives (n = 451) to compare the demographics, practice experience, and attitudes to home birth between these 2 types of North American midwives. A Provider Attitudes To Planned Home Birth scale-international (PAPHB-i) was developed for this analysis. Descriptive and bivariate analyses are presented. Educational exposure to planned home birth varied greatly when comparing CNMs and RMs, as did practice patterns regarding continuity of care, primary and gynecologic care, and involvement with research and teaching. Registered midwives were almost 4 times more likely than CNMs to have practiced in the home (99.1% vs 26.0%). Certified nurse-midwives scored significantly lower than RMs on the PAPHB-i scale (36.5 vs 41.0), indicating less favorable attitudes toward home birth overall. Certified nurse-midwives were less confident than RMs in their management skills for home birth practice. Age, exposure to planned home birth during midwifery education, and practice experience in the home setting emerged as significant covariates of attitudes toward home birth. Significantly more RMs and CNMs with home birth experience expressed concerns about disapproval of hospital-based peers, but they were significantly less likely to agree that midwives face other systemic barriers than CNMs with no home birth experience. Differences in favorability toward and confidence with practice during planned home births among CNMs and RMs were predicted associated with differences in

Maturitas Enterprise Risk Management Kontraktor Besar di Indonesia dan Faktor-Faktor yang Memengaruhinya

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Andreas Kurniawan

2017-12-01

Full Text Available Enterprise Risk Management (ERM adalah salah satu pendekatan holistik dalam mengidentifikasi risiko perusahaan yang mungkin dihadapi dan menentukan respon yang tepat dan sesuai dengan risk appetite perusahaan tersebut. Penelitian terkait ERM sudah banyak dilakukan di banyak bidang di berbagai negara, namun penelitian terkait ERM kontraktor besar di Indonesia belum pernah dilakukan. Penelitian ini bertujuan untuk mengukur tingkat maturitas ERM kontraktor besar di Indonesia dan mengidentifikasi faktor faktor yang memengaruhi tingkat maturitas ERM. Penelitian ini melibatkan 31 kontraktor besar Indonesia dengan klasifikasi B1 dan B2. Metode perhitungan tingkat maturitas adalah fuzzy set theory karena memiliki keunggulan dalam menangani ambiguitas data. Hasil penelitian menunjukkan bahwa tingkat maturitas ERM kontraktor Indonesia berada pada “mediumhigh”. Analisis lebih lanjut menemukan adanya hubungan positif antara tingkat maturitas ERM terhadap pengalaman perusahaan, klasifikasi perusahaan, dan adopsi SNI ISO 31000:2011. Analisis juga menemukan tidak ada korelasi antara kepemilikan badan usaha dan adopsi edisi ISO 9000 yang berbeda dengan maturitas ERM.

A systematic mixed-methods review of interventions, outcomes and experiences for midwives and student midwives in work-related psychological distress.

Science.gov (United States)

Pezaro, Sally; Clyne, Wendy; Fulton, Emily A

2017-07-01

within challenging work environments, midwives and student midwives can experience both organisational and occupational sources of work-related psychological distress. As the wellbeing of healthcare staff directly correlates with the quality of maternity care, this distress must be met with adequate support provision. As such, the identification and appraisal of interventions designed to support midwives and student midwives in work-related psychological distress will be important in the pursuit of excellence in maternity care. to identify interventions designed to support midwives and/or student midwives in work-related psychological distress, and explore any outcomes and experiences associated with their use. Data sources; study eligibility criteria, participants, and interventions This systematic mixed-methods review examined 6 articles which identified interventions designed to support midwives and/or student midwives in work-related psychological distress, and reports both the outcomes and experiences associated with their use. All relevant papers published internationally from the year 2000 to 2016, which evaluated and identified targeted interventions were included. the reporting of this review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The quality of each study has been appraised using a scoring system designed for appraising mixed-methods research, and concomitantly appraising qualitative, quantitative and mixed-methods primary studies in mixed reviews. Bias has been assessed using an assessment of methodological rigor tool. Whilst taking a segregated systematic mixed-methods review approach, findings have been synthesised narratively. this review identified mindfulness interventions, work-based resilience workshops partnered with a mentoring programme and the provision of clinical supervision, each reported to provide a variety of both personal and professional positive outcomes and experiences

Prakiraan Beban Listrik Jangka Pendek Kota Banda Aceh Berbasis Logika Fuzzy

OpenAIRE

Syukriyadin,; Syahputra, Rio

2012-01-01

One of the technical aspects that support the optimal operation planning of a power plant when viewed in terms of system reliability and economic is about short-term load forecasting. The objective of this research is to forcasting hourly short-term electric load peak (17:30 to 22:30 GMT) at loading area of Transmission Distribution Banda Aceh Unit of PT. PLN P3B Aceh 150-20 kV by using Adaptive Neuro Fuzzy Inference System (ANFIS) method. The toolbox used to predict short-term electric load ...

Why Not Genocide? Anti-Chinese Violence in Aceh, 1965–1966

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Jess Melvin

2013-01-01

Full Text Available This article provides an account of anti-Chinese violence in Aceh between 1 October 1965 and 17 August 1966. Drawing upon original oral history evidence and previously unknown documentary sources, this article builds upon current scholarly understandings that two phases of violence involving members of the ethnic Chinese community can be identified in Aceh during this period, to explain how a third explicitly ethnic-based phase of violence directed against members of the ethnic Chinese community in Aceh can also be identified. Based on this research and a reflection on the precedent set by the Cambodian genocide as to how the current legal definition of genocide can be applied, this article argues that the assessment that the Indonesian killings should not be understood as genocide is premature.

Tsunami evacuation buildings and evacuation planning in Banda Aceh, Indonesia.

Science.gov (United States)

Yuzal, Hendri; Kim, Karl; Pant, Pradip; Yamashita, Eric

Indonesia, a country of more than 17,000 islands, is exposed to many hazards. A magnitude 9.1 earthquake struck off the coast of Sumatra, Indonesia, on December 26, 2004. It triggered a series of tsunami waves that spread across the Indian Ocean causing damage in 11 countries. Banda Aceh, the capital city of Aceh Province, was among the most damaged. More than 31,000 people were killed. At the time, there were no early warning systems nor evacuation buildings that could provide safe refuge for residents. Since then, four tsunami evacuation buildings (TEBs) have been constructed in the Meuraxa subdistrict of Banda Aceh. Based on analysis of evacuation routes and travel times, the capacity of existing TEBs is examined. Existing TEBs would not be able to shelter all of the at-risk population. In this study, additional buildings and locations for TEBs are proposed and residents are assigned to the closest TEBs. While TEBs may be part of a larger system of tsunami mitigation efforts, other strategies and approaches need to be considered. In addition to TEBs, robust detection, warning and alert systems, land use planning, training, exercises, and other preparedness strategies are essential to tsunami risk reduction.

Kontinuitäten im Wandel: Handlungskoordinationen von Frauenrechtsaktivistinnen in Aceh

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Kristina Großmann

2013-01-01

Full Text Available Muslim women activists in Aceh play a central role in eliminating social and political ills and promoting women’s rights. In their visions of a new Aceh, they situate themselves between their Islamic belief and Acehnese identity as well as between the nation state and international conventions. The central question presented in this article relates to experiences and factors which influence the aspirations, goals, strategies, and implementation of women’s rights work among women activists in Aceh. Based on an 11-month ethnographic field research and biographic interviews, the author argues that Muslim women activists do not perceive their work for the advancement of women as a result of their own experiences of discrimination by existing patriarchal structures. Rather, the source of their engagement lies within their empathy and solidarity with physically and psychologically suffering female conflict victims. Due to the increasing institutionalization and commodification of reconstruction and development aid after the tsunami of 2004, women activists recognize large discrepancies between the aims of foreign donors and those of local organizations and emphasize a return to women’s needs at the grassroot level.

Studi Efisiensi Perbankan Syariah di Kota Lhokseumawe dan Aceh Utara

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Iskandar Iskandar

2012-05-01

Full Text Available The development of Islamic banking in Aceh should have get more attention because its existence is not only as complement of thenational banking system, but also as an attempt to fill the Islamic Shari ’a with the Islamic financial institutions. The issue becomes important to investigate since the efficiency of banking institutions urgently need to this performance. Thus, in this study, the efficiency of Islamic banking will be viewed from two aspects: Firstly, the ability of the bank in generating output, in this case the low cost of financing. Secondly, efficiency can also be observed by looking at the bank’s performance in minimizing the risk of financing. This study concluded that the main difficulty of Aceh Islamic banks is not the lack of cheap enough money so that the efficiency becomes less when it is compared with the required cost. However, the annual report shows that the assets of Islamic banks have developed positively and good. Likewise, the ratio of Non Performing Ratio (NPF of Islamic banks is efficient. The study recommends enhancing the cheap fundraising (al-wadi <’ah to increase the economic growth in the northern coastal area of Aceh.

ANALISIS TINGKAT KEPUASAN NASABAH TERHADAP NILAI PERTANGGUNGAN RISIKO POLIS FULNADI PADA ASURANSI TAKAFUL KELUARGA BANDA ACEH

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Saudatul Fitri

2013-12-01

Full Text Available Takaful insurance is a shariah insurance that aims to minimize the loss of a risk. One of its flagship products is Fulnadi, this product is devoted to prepare children insurance to pursue their bachelor degree. This study aims to determine the effect of payment of claims benefits on the satisfaction of Fulnadi product participants and to know the procedure of claim benefit payment from risk insurance policy Fulnadi at PT. Takaful Insurance Family, Banda Aceh. This research applies both qualitative and quantitative approach through descriptive analysis. The data were taken through library research and field research, with the technique of collecting interview data, study of documentation and technique of questionnaire. The results revealed that the Family Takaful Insurance, especially Fulnadi, is a product that diverts the risk of children who could not continue their education if something bad happens in life, for the transfer of this risk the participant must pay the premium. The amount of paid premium greatly affects a number of benefits received. Other results indicate that 50% of participants expressed dissatisfaction with the benefits of claims received for the educational needs of the participating children. =========================================== Asuransi takaful adalah asuransi syariah yang bertujuan untuk memperkecil kerugian dari suatu risiko. Salah satu produk unggulannya adalah Fulnadi, produk ini dikhususkan untuk mempersiapkan anak dalam hal pendidikan sampai sarjana. Penelitian ini bertujuan untuk mengetahui pengaruh pembayaran manfaat klaim terhadap kepuasan peserta produk Fulnadi dan untuk mengetahui prosedur pembayaran manfaat klaim dari pertanggungan risiko polis Fulnadi pada PT. Asuransi Takaful Keluarga Banda Aceh. Penelitian ini menggunakan pendekatan kualitatif dan kuantitatif yang bersifat deskriptif analisis. Data yang diambil yaitu library research dan field research, dengan teknik pengumpulan data wawancara, telaah

Assertiveness and problem solving in midwives.

Science.gov (United States)

Yurtsal, Zeliha Burcu; Özdemir, Levent

2015-01-01

Midwifery profession is required to bring solutions to problems and a midwife is expected to be an assertive person and to develop midwifery care. This study was planned to examine the relationship between assertiveness and problem-solving skills of midwives. This cross-sectional study was conducted with 201 midwives between July 2008 and February 2009 in the city center of Sivas. The Rathus Assertiveness Schedule (RAS) and Problem Solving Inventory (PSI) were used to determine the level of assertiveness and problem-solving skills of midwives. Statistical methods were used as mean, standard deviation, percentage, Student's T, ANOVA and Tukey HSD, Kruskal Wallis, Fisher Exact, Pearson Correlation and Chi-square tests and P problem-solving skills training. A statistically significant negative correlation was found between the RAS and PSI scores. The RAS scores decreased while the problem-solving scores increased (r: -0451, P problem solving skills of midwives, and midwives who were assertive solved their problems better than did others. Assertiveness and problem-solving skills training will contribute to the success of the midwifery profession. Midwives able to solve problems, and display assertive behaviors will contribute to the development of midwifery profession.

The Aplication of Islamic Law in Indonesia: the Case Study in Aceh

OpenAIRE

Bustamam-Ahmad, Kamaruzzaman

2007-01-01

This article provides an historical account of the implementation of Islamic law in Aceh and how the issue of Islamic law has been debated. The study will give more emphasis on the dynamics of the implementation of Islamic law, its historical development, typologies of Islamic law, leaders’ opinions regarding this issue, and the governments’ responses. This study argues that Islamic law in Aceh has been misinterpreted merely as h{udu>d law. In addition, it argues that the provincial govern...

IJTIHAD HAKIM DALAM PENYELESAIAN PERKARA HARTA BERSAMA DI MAHKAMAH SYAR’IYAH BANDA ACEH (Analisis dengan Pendekatan Ushul Fiqh

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Mursyid Mursyid

2014-12-01

Full Text Available Ketentuan UU Perkawinan No. 1 Tahun 1974 dan Kompilasi Hukum Islam tentang harta bersama mengatur bahwa sebelum warisan dibagi kepada ahli waris, maka harta bersama antara suami dan istri dibagi dengan cara 50% bagi suami dan 50% istri. Namun bagaimana dengan praktik pembagian harta bersama pada Mahkamah Syar’iyah Banda Aceh dalam penyelesaian perkara harta bersama di Mahkamah Syar’iyah Banda Aceh para apakah hakim hanya mendasarkan putusannya pada UU Perkawinan No. 1 Tahun 1974 dan Kompilasi Hukum Islam saja ataukah juga mempertimbangkan hukum Islam yang hidup dalam masyarakat Aceh. Hal inilah yang menjadi fokus kajian dari penelitian ini dengan arah utama pembahasan diarahkan pada dua pertanyaan pokok, yaitu Perkara apa saja yang ditangani oleh Mahkamah Syar’iyah Banda Aceh dalam kaitannya dengan harta bersama? Dan Bagaimana ijtihad hakim dalam penyelesaian perkara harta bersama pada Mahkamah Syar’iyah Banda Aceh, apakah para hakim hanya mendasarkan putusannya pada UU Perkawinan No. 1 Tahun 1974 dan Kompilasi Hukum Islam saja atau juga mempertimbangkan praktek pembagian harta bersama dalam masyarakat Aceh? Untuk membahas permasalahan tersebut, penulis menggunakan metode penelitian lapangan dan metode penelitian pustaka dengan pendekatan kualitatif. Untuk data lapangan, penulis lebih dominan menggunakan metode wawancara (indepth interview dan studi dokumentasi. Hasil Pembahasan menunjukkan bahwa Perkara harta bersama yang masuk ke Mahkamah Syar’iyah Banda Aceh pada tahun 2010 terdapat 4 perkara harta bersama dari 550 perkara secara umum. Pada tahun 2011 terdapat 5 perkara harta bersama dari 815 perkara secara umum dan pada tahun 2012 terdapat 10 perkara harta bersama dari 433 perkara secara umum. Adapun Ijtihad Hakim dalam penyelesaian perkara harta bersama pada Mahkamah Syar’iyah Banda Aceh didasarkan pada pada pertimbangan ketentuan tentang harta bersama yang diatur dalam UU Perkawinan No. 1 Tahun 1974

PENGELOLAAN ZAKAT DI ACEH PASCA DEKLARASI SYARIAT ISLAM

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Ridwan Nurdin

2011-06-01

Full Text Available Zakat Management in the Post Declaration of Islamic Syariah in Aceh. One of the most noted consequences of declaration of the implementation of Syariat Islam in Aceh has been a spirit for the management of zakat which was resulted in the introduction of several regulations. The author argues that by referring to these laws and qanun there is a tendency that the management of zakat are being managed by the government. However, such system is not similar to that of the BAZIS (Badan Amil Zakat Infaq and Shadaqah. This article is an attempt to analyze the management of zakat focusing on systems applied in Baitul Mal and in the BAZIS, the extent to which they are similar or different. The author maintains that the system used in Baitul Mal is more effective and as such makes such institution closer to society and cuts down bureaucratic complexity.

Labour ward midwives' perceptions of stress.

Science.gov (United States)

Mackin, P; Sinclair, M

1998-05-01

This exploratory study set out to examine labour ward midwives' perceptions of stress. It utilized a combination of two self-report questionnaires, one devised by McGrath et al. and the GHQ12. Additional qualitative data were collected by asking midwives to produce narratives about recent stressful events. A convenience sample of the 43 midwives formed the study population and a response rate of 77% was achieved. Quantitative data were analysed using descriptive statistics and qualitative narratives were explored for content analysis. Midwives in this study demonstrated their awareness of stress in their working and personal lives and many took active steps to redress the negative effects with exercise, hobbies and talking with colleagues. However, the study revealed that 78% of the midwives indicated that having insufficient time to perform their duties was very stressful, paralleled by their perceived inability to influence work-based decisions. The study revealed that both medical and midwifery colleagues frustrated their endeavours to change an unsatisfactory condition. The GHQ12 revealed 30% of the midwives had scores above the threshold level of 2 indicating psychiatric morbidity and this is of major concern. The narratives revealed that lack of communication between the professionals about decision making was a major source of stress and as a result of this study efforts to improve multidisciplinary communication through the development of journal clubs and planned social activities is under consideration by the unit. Overall, the findings from this study highlight stress as a potential, occupational health problem in the working lives of some labour ward midwives.

JOB SATISFACTION OF MIDWIVES: A LITERATURE REVIEW

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Daniela Nedvědová

2017-05-01

Full Text Available Aim: The aims of the literature review were to identify and analyze factors affecting job satisfaction of midwives. Design: A literature review. Methods: Included in the literature review were full texts of papers published in English language from 1990 to 2014. The search for relevant data was performed using the electronic databases CINAHL, Medline, Science Direct and Wiley Online Library. From a total of 43 studies found, 11were analyzed as quantitative studies that fulfilled the specified criteria. Results: Job satisfaction of midwives is affected by a lack of support from the management of healthcare facilities, low salary, understaffing, insufficient time for professional activities, work-family imbalance, high workload, physical demands, inadequate professional development, working environment, stress and low autonomy at work. Midwives showed signs of exhaustion, fatigue, hostility and depression, contributing to job turnover. Conclusion: The literature review presents the factors influencing job satisfaction of midwives. This is affected by many variable determinants, which create a feeling of job satisfaction of midwives, but can also lead to job dissatisfaction and, consequently, high turnover. Keywords: midwives, job satisfaction.

Fatty Alcohol Variations in Surface Sediments of Sungai Sepang Besar, Sepang, Selangor

International Nuclear Information System (INIS)

Masni Mohd Ali; Norfariza Humrawali; Ying, P.Q.; Mohd Talib Latif; Mohamad Pauzi Zakaria

2011-01-01

Composition of fatty alcohols from 19 surface sediment samples collected along Sungai Sepang Besar, Sepang, Selangor were determined. The sediments were extracted and analysed using the Gas Chromatography-Mass Spectrometry (GC-MS) technique. A total of 19 fatty alcohols from C 12 to C 30 including 4 branched compounds were identified with concentrations in the range 0.02 μg/ g - 9.01 μg/ g dry weight. C 26 fatty alcohols dominated most sampling stations with concentrations ranging from 0.29 to 5.43 μg/ g dry weight and constituted 15.5 % of total fatty alcohols. According to individual compounds of fatty alcohols and the [Σ(C 12 - C 20 )/ Σ(C 22 - C 30 )] ratio, Sungai Sepang Besar has a high composition of short-chain fatty alcohols (C 12 - C 20 ) which mainly originate from marine organisms. However, the Alcohol Sources Index (ASI) showed that terrestrial derived fatty alcohols dominated the area due to high concentration of C 26 compounds in most sampling stations. The value of (odd chain length)/ (even chain length) ratios were high for almost all the sampling stations due to high bacterial activities. It can be concluded that the surface sediments of Sungai Sepang Besar contained organic materials from marine, terrestrial and bacterial sources. (author)

Australian midwives' experiences of their workplace culture.

Science.gov (United States)

Catling, Christine J; Reid, Fiona; Hunter, Billie

2017-04-01

A number of adverse events in Australia and overseas have highlighted the need to examine the workplace culture in the maternity environment. Little attention has been paid to the midwifery workplace culture in Australia. The study aimed to explore the midwifery workplace culture from the perspective of midwives themselves. A qualitative descriptive design was used. Group and individual interviews were undertaken of urban, regional and rural-based midwives in Australia. Data were analysed thematically. The study showed that both new and experienced midwives felt frustrated by organisational environments and attitudes, and expressed strategies to cope with this. Five themes were identified from the data. These were: Bullying and resilience, Fatigued and powerless midwives, Being 'hampered by the environment', and The importance of support for midwifery. The study discusses the themes in depth. In particular, discussion focusses on how midwifery practise was affected by midwives' workplace culture and model of care, and the importance of supportive relationships from peers and managers. This study illuminated both positive and negative aspects of the midwifery workplace culture in Australia. One way to ensure the wellbeing and satisfaction of midwives in order to maintain the midwifery workforce and provide quality care to women and their families is to provide positive workplace cultures. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

DISTRIBUSI SPASIAL DAN TEMPORAL IKAN TUNA MATA BESAR (Thunnus obesus DI SAMUDERA HINDIA BAGIAN TIMUR

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Irwan Jatmiko

2016-03-01

Full Text Available Ikan tuna mata besar (Thunnus obesus merupakan salah satu hasil tangkapan yang penting bagi industri perikanan di Indonesia. Penelitian ini bertujuan untuk mengetahui distribusi spasial dan temporal ikan tuna mata besar di Samudera Hindia Bagian Timur. Pengumpulan data dilakukan oleh pemantau ilmiah (scientific observers pada kapal rawai tuna yang berbasis di Pelabuhan Benoa Bali, mulai Agustus 2005 hingga November 2013. Ikan tuna mata besar yang tertangkap sebanyak 5.340 ekor dan dari jumlah tersebut sebanyak 5.253 ekor diukur panjangnya. Distribusi spasial ikan tuna mata besar yang tertangkap rawai tuna Indonesia membentang dari 0°-33° LS dan 76°-128° BT. Persentase tertinggi ikan tuna mata besar dengan panjang >110 cm (Lm terdapat di sebelah barat Sumatera Barat dan di sebelah selatan Jawa Timur. Laju pancing menurut bulan penagkapan menunjukkan perbedaan yang nyata dengan laju pancing tertinggi terjadi pada Agustus sebesar 0,54 ekor/100 mata pancing. Nelayan direkomendasikan untuk melakukan operasi penangkapan di daerah dengan persentase ukuran panjang ikan tuna mata besar >110 cm (Lm tertinggi, sehingga species tersebut mempunyai kesempatan untuk melakukan pemijahan minimal sekali sepanjang hidupnya. Hal ini dimaksudkan untuk menjaga kelestarian sumberdaya ikan tuna mata besar di Samudera Hindia. Big eye tuna (Thunnus obesus is one of the important catch of the fishing industry in Indonesia. The study is aimed to investigate the spatial and temporal distribution of big eye tuna in the Eastern Indian Ocean. Data were collected by scientific observers on tuna long line vessels which were mainly based in Port of Benoa Bali from August 2005 to November 2013. Total number of big eye tuna caught were 5,340 individuals and as many as 5,253 of them were measured in length. The spatial distribution of  big eye tuna caught by Indonesia tuna long line are in the area between 0°-33° S and 76°-128° E. The highest percentage of big eye tuna with

Reduction of CO2 emission from transportation activities in the area of Pasar Besar in Malang City

Science.gov (United States)

Sari, K. E.; Sulistyo, D. E.; Utomo, D. M.

2017-06-01

The number of vehicles increases every year. Where vehicles are the largest contributor to air pollution up to 70%-80%, while 20%-30% caused by industrial activities. The increasing number of vehicles which perform movements will result in more emissions of vehicles in the free air of the city. Traffic is also influenced by the presence of land use. One of the types of land use that have considerable influence against the movement of traffic is trade. Along with the development of transport activities in the area of Pasar Besar Malang city (the Biggest Traditional Market in Malang), it will cause problems such as traffic jam and air pollution. Therefore, the need for proper handling of the problem of traffic jam and air pollution in the area of Pasar Besar that is to identify the performance of road traffic around area of Pasar Besar and calculate the quantity of CO2 emissions based on the footprint of transport on the area of Pasar Besar. Where is produced that level of service roads on its way around area of Pasar Besar have an average value between LOS A and B, while the quantity of CO2 emissions is based on the footprint of transport on area of Pasar Besar that is amounting to 4,551.42 tons/year. The magnitude of the emissions have exceeded the standard of composition in the air so that the need for recommendations. Recommendations in this research is in the form of simulated users of private vehicle redirects to public transportation based on the level of willingness to switch by the users of private vehicles. The selected simulation that is the second of four simulations with the output of emissions amounting to 3,952.91 tons/year in which can reduce emissions amounting to 598.51 tons/year or approximately 13.15%.

Formulating evidence-based guidelines for certified nurse-midwives and certified midwives attending home births.

Science.gov (United States)

Cook, Elizabeth; Avery, Melissa; Frisvold, Melissa

2014-01-01

Implementing national home birth guidelines for certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States may facilitate a common approach to safe home birth practices. Guidelines are evidence-based care recommendations for specified clinical situations that can be modified by individual providers to meet specific client needs. Following a review of home birth guidelines from multiple countries, a set of home birth practices guidelines for US CNMs/CMs was drafted. Fifteen American Midwifery Certification Board, Inc. (AMCB)-certified home birth midwives who participate in the American College of Nurse-Midwives (ACNM) home birth electronic mailing list considered the use of such a document in their practices and reviewed and commented on the guidelines. The proposed guidelines addressed client screening, informed consent, antepartum care, routine intrapartum care, obstetric complications and hospital transports, postpartum care, neonatal care, gynecologic care, primary care, peer reviews, recordkeeping, and physician collaboration. The reviewers had varying assessments as to whether the guidelines reflected international standards and current best evidence. The primary concern expressed was that an adoption of national guidelines could compromise provider autonomy. Incorporation of evidence-based guidelines is an ACNM standard and was recommended by the Home Birth Consensus Summit. Clinical practice guidelines are informed by current evidence and supported by experts in a given discipline. Implementation of guidelines ensures optimal patient care and is becoming increasingly central to reimbursement and to medicolegal support. A set of practice guidelines based on current best evidence and internationally accepted standards was developed and reviewed by an interested group of US CNMs/CMs. Further discussion with home birth midwives and other stakeholders about the development and implementation of home birth guidelines is needed, especially in

ṢUwar Al-ḥaḍānah Ba‘da Al-ṭalāq Fī Aceh Al-Wusṭá

OpenAIRE

Fauzi, Fauzi

2017-01-01

The divorce rate occurred in post-tsunami Aceh have increased sharply, especially in Central Aceh district by 2015. This research was conducted in order to figure out the causes of divorce, the patterns of ḥaḍānah (child custody) and the parent’s attention towards their children after the divorce. The selection of Central Aceh as the object of research was because this district has been occupying the highest position of divorce rate when compared to other districts/cities. The results of this...

Management of Artisanal Fishing Port: a Case Study on Labuhanhaji Fishing Port, South Aceh Regency, Aceh Province

OpenAIRE

NurJannah, Betri; ', Syaifuddin; Zain, Jonny

2014-01-01

A series survey activity was carried out for evaluating management function atlabuanhaji fishing port, South Aceh regency. This research was emphasis on planning, organizing, action and controlling at management pattern of labuhanhaji fishing port. The facilities of fishing port data and daily activities description of staff at labuhanhaji fishing port was used as additional information and consideration in management of labuhanhaji fishing port. Lack of good management was impact on staff an...

ANALISIS METODE PEMBELAJARAN AKIDAH DI MADRASAH ALIYAH NEGERI BANDA ACEH 1

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syukri syukri

2017-07-01

Full Text Available This study aims at examining the various methods of teaching akidah in Madrasah Aliyah Negeri Banda Aceh 1, as well as the suitability of its implementation with RPP documentation. This research used a qualitative approach. Hence, several techniques to collect the data including interview, observation and documentation, while data analysis using Miles and Huberman model. The results of this study indicate that the various methods of teaching akidah in MAN Banda Aceh 1 were group discussion, question and answer, inquiry, lecture, working group, training and rewarding. This study also found that methods used in teaching akidah in this school, some are in line with the RPP and some are not.

Midwives conducting perineal repair: The Danish Suture Trial

DEFF Research Database (Denmark)

Kindberg, Sara

2007-01-01

Midwives conducting perineal repair: The Danish Suture Trial.     Background Suture techniques and materials for repair of 2nd degree perineal lacerations and episiotomies have been tested in several clinical trials. Danish midwives and obstetricians have developed a new, simple and time-efficien......Midwives conducting perineal repair: The Danish Suture Trial.     Background Suture techniques and materials for repair of 2nd degree perineal lacerations and episiotomies have been tested in several clinical trials. Danish midwives and obstetricians have developed a new, simple and time...

ANALISIS BEBAN KERJA OPERATOR MESIN PEMOTONG BATU BESAR (SIRKEL 160 CM DENGAN MENGGUNAKAN METODE 10 DENYUT

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Andriyanto Andriyanto

2012-12-01

Full Text Available PT. PAH merupakan sebuah industri pemotongan batu magma (magma stone yang terletak di jalan Magelang Km. 15 Yogyakarta. Di perusahaan pemotongan batu ini terdapat 3 ukuran pemotongan yaitu sirkel besar (diameter 160 cm, sirkel sedang (diameter 60 - 90 cm dan sirkel kecil (diameter 30 - 50 cm. Penelitian ini khususnya pada pemotongan batu besar, dimana terdapat keluhan kelelahan operator yang terdiri dari operator utama dan operator pembantu. Penelitian dilakukan dengan tujuan untuk mengetahui tingkat beban kerja fisik operator pemotong batu besar (sirkel 160 dengan metode 10 denyut. Dalam penelitian ini ditentukan lama waktu istirahat yang dibutuhkan operator utama maupun pembantu. Selanjutnya dilakukan implementasi waktu istirahat tersebut dan dilakukan pengukuran kembali untuk mengetahui penurunan denyut nadi kerja operator. Penerapan waktu istirahat tersebut membawa penurunan DNK operator masuk kategori ringan dan % CVL masuk kategori tidak terjadi kelelahan.

Comparing caseload and non-caseload midwives' burnout levels and professional attitudes: A national, cross-sectional survey of Australian midwives working in the public maternity system.

Science.gov (United States)

Dawson, Kate; Newton, Michelle; Forster, Della; McLachlan, Helen

2018-08-01

Caseload midwifery has many benefits for women and their babies, however only around 8% of women receive caseload care in the public maternity system in Australia. Midwives working within caseload models are required to provide activity-based care (working on-call, responsively to the needs of their caseload of women) rather than undertaking shift work. There has been debate regarding the impact of caseload work on midwives, but recently caseload work has been associated with higher professional satisfaction and lower burnout when compared to midwives working in traditional models. However, there continues to be debate about the impact of caseload on midwives, so further investigation is needed. A national cross-sectional survey of midwives working in Australian public hospitals that have birthing services was undertaken. We explored burnout and midwives' attitudes to their professional role using the Copenhagen Burnout Inventory and the Midwifery Process Questionnaire, respectively. Comparisons were made across three groups of midwives: those who worked in the caseload model, midwives who did not work in this model but worked in a hospital with a caseload model, and midwives who worked in a hospital without a caseload model. We received 542 responses from midwives from 111 hospitals from all Australian states and one of the territories. Of respondents, 107 midwives worked in a caseload model, 212 worked in a hospital with a caseload model but did not work in caseload, and 220 midwives worked in a hospital without a caseload model. Midwives working in caseload had significantly lower burnout scores in the personal and work-related burnout subscales, and a trend toward lower scores in the client-related burnout subscale. They also had higher scores across all four subscales of the midwifery process questionnaire, demonstrating more positive attitudes to their professional role. Although concerns have been raised regarding the impact of caseload midwifery on midwives

Periodicity analysis of tourist arrivals to Banda Aceh using smoothing SARIMA approach

Science.gov (United States)

Miftahuddin, Helida, Desri; Sofyan, Hizir

2017-11-01

Forecasting the number of tourist arrivals who enters a region is needed for tourism businesses, economic and industrial policies, so that the statistical modeling needs to be conducted. Banda Aceh is the capital of Aceh province more economic activity is driven by the services sector, one of which is the tourism sector. Therefore, the prediction of the number of tourist arrivals is needed to develop further policies. The identification results indicate that the data arrival of foreign tourists to Banda Aceh to contain the trend and seasonal nature. Allegedly, the number of arrivals is influenced by external factors, such as economics, politics, and the holiday season caused the structural break in the data. Trend patterns are detected by using polynomial regression with quadratic and cubic approaches, while seasonal is detected by a periodic regression polynomial with quadratic and cubic approach. To model the data that has seasonal effects, one of the statistical methods that can be used is SARIMA (Seasonal Autoregressive Integrated Moving Average). The results showed that the smoothing, a method to detect the trend pattern is cubic polynomial regression approach, with the modified model and the multiplicative periodicity of 12 months. The AIC value obtained was 70.52. While the method for detecting the seasonal pattern is a periodic regression polynomial cubic approach, with the modified model and the multiplicative periodicity of 12 months. The AIC value obtained was 73.37. Furthermore, the best model to predict the number of foreign tourist arrivals to Banda Aceh in 2017 to 2018 is SARIMA (0,1,1)(1,1,0) with MAPE is 26%.

The role of students' activities in Indonesian realistic mathematics education in primary schools of Aceh

Science.gov (United States)

Zubainur, Cut Morina; Veloo, Arsaythamby; Khalid, Rozalina

2015-05-01

This study aims to explore the implementation of the Indonesian Realistic Mathematics Education (PMRI) in Aceh primary schools, Indonesia. This study investigates the students' mathematics activities involved in the implementation of PMRI and for this purpose; students' mathematics activities in the classroom were observed. Students were observed three times within five weeks during mathematics class, based on PMRI. A total of 25 year five students from a public school participated in this study. Observation check list was used in this study based on ten items. The observation conducted was based on two different time periods which were 105 minutes for group A and 70 minutes for group B. The observation was conducted every 5 minutes. The results show that PMRI is being practised in Aceh, but not completely. This study shows that mathematics activities for those who were taught using PMRI are higher than for those using the traditional approach. Overall, the findings showed that the number of student activities undertaken in PMRI achieved 90.56%. The higher percentage of activities suggests that the Aceh Education Office expands the implementation of PMRI in all primary schools so that learning of mathematics is more effective. This indirectly increases the mathematics achievement of students in Aceh to a higher level on par with Indonesia's national achievement.

Midwives' perceptions and experiences of health promotion practice in Ghana.

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Owusu-Addo, Ebenezer

2015-09-01

This research explores midwives' perceptions and experiences of health promotion practice in Ghana. A qualitative descriptive exploratory design was used in order to gain better insight into midwives' perceptions and experiences of health promotion practice. A total of 21 midwives took part in the study. Data were collected by individual in-depth semi-structured interviews. Thematic analysis was used to analyse the transcript. Five dominant themes emerged from the interview transcripts, namely: health promotion as education, health promotion activities, the value of health promotion, client participation, and midwives' barriers to promoting health. Although midwives underscored the importance of health promotion to their work, their reports indicated that, in practice, midwives mostly delivered health education and behaviour change communication rather than health promotion. The midwives expressed the view that by way of their close association with women, they were in a better position to influence women's health. Health promotion activities engaged by the midwives included weight management, healthy eating, infection prevention, personal hygiene, counselling on family planning, and screening for hazardous and harmful substance use such as alcohol and smoking. All the midwives mentioned that clients participated in their health promotion activities. Factors that were identified by the midwives to enhance client participation were trust, attitude of the midwife, building rapport, creating enabling environment, listening and paying attention to clients and using simple language. The barriers to health promotion identified by the midwives included time, stress, culture, lack of training and inadequate health educational materials. Midwives in this study had limited knowledge about health promotion, yet could play a significant role in influencing health; thus there is a need for on-going in-service training for midwives to focus on health promotion. © The Author

The degradation level of mangrove at Lhokseumawe, Aceh

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Susiloningtyas, D.; Handayani, T.; Amalia, N.; Rachmawati, G. M.

2017-07-01

Aceh is one of the 34 provinces in Indonesia that has the highest population with a high level of hazard. This research was conducted in the Lhokseumawe district, East Coast of Aceh. This paper was based on secondary data of the analyzed SPOT-5 satellite imagery. This study examines the relationship between the level of damage to mangrove with the distribution of mangrove forests that have formed various spatial patterns and spread in the administrative area of Lhokseumawe, distribution of school and location of school. The method performed by descriptive and quantitative analysis method by Pearson product moment statistic method. The degradation level of mangrove is divided into 3 classes such as the good condition, moderate condition, and bad condition. The result is 14 % of the good condition of mangrove extent about more than 60,000 m2, 32 % are mangrove in moderate condition with an area of 30,000-60,000 m2 and 54 % of them are in bad condition about can be found within an area of than 30,000 m2.

PARADIGMA PENAFSIRAN ALQURAN NUSANTARA (Analisis Tafsir Aceh ‘Tafsir Pase’

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Tamrin Talebe

2012-06-01

Full Text Available This article discusses Tafsīr Pase, a local exegesis of the Qur'an. The tafsīr was written in Aceh in pre independence day, brought about by the unstable social conditions (conflict. These conditions have implications on the pattern of this tafsīr, so that the contains cover the ideas on the empowerment of Acehnese, expected to increase the unity and the brotherhood among them. Tafsīr Pase compiled by a team of five people. The name “Pase”, which is used as the name of this tafsīr, was taken from one of the oldest kingdoms in Aceh. It is interesting that this quranic exegesis begins with the study of 'Ulūm al-Qur'ān before entering the discussion of tafsīr using cultural approach.

DAMPAK PERATURAN GUBERNUR ACEH NOMOR 451.2/474/2003 TERHADAP PENINGKATAN KUALITAS PENDIDIKAN DAYAH

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Arfiansyah Arfiansyah

2016-02-01

Full Text Available Dayah is an Islamic educational institutions located in Aceh. This educational institution is similar to the so-called pesantren – an Islamic boarding school in the island of Java, both from the aspect of function and purpose (although there are also some important differences. In 2003, the Government of Aceh through the Governor of Nanggroe Aceh Darussalam Decree, issued a regulation, numbered 451.2 / 474/2003 on the Criteria Stipulation and Dayah Assistance in the province of Nanggroe Aceh Darussalam (NAD. One of the subject matter is to make a policy that dayah is divided into several classifications: Type A, Type B, Type C and Non Type. This classification aims to distinguish the type of assistance to be given to dayah. This qualitative study is conducted to see how effective is the government assistance to support the quality of education in dayah. By conducting interviews to four (4 different dayah (2 interviews at traditional dayah and 2 at modern dayah, this research is expected to analyze the management of education and the impact of government assistance. The results of this study concluded that the education management of dayah remain dependent on their leadership figure (teungku, so that the impact of government assistance also varies positively to dayah physical development and improvement of facilities and infrastructure, but this assistance has also interestingly changed teungku’s positive paradigm into a much more negative one.

How Communities Deal with Traumatic Memory: Lessons from Aceh ...

International Development Research Centre (IDRC) Digital Library (Canada)

This comparative research analyzes reparation processes underway in Aceh and Timor-Leste. It aims to foster a deeper understanding of how communities and individual victims of massive human rights abuses can deal with their traumatic past, while seeking justice on issues such as population displacement and political ...

Midwives' use of the Internet: an Australian study.

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McKenna, Lisa; McLelland, Gayle

2011-02-01

to report findings on midwives' use of the Internet drawn from a larger study that explored midwives' attitudes and experiences to online and computer-based learning. a descriptive, quantitative design using anonymous questionnaires was employed to obtain information from a sample of midwives in Victoria, Australia. questionnaires were forwarded by mail to a sample of 300 members of the Victorian branch of the Australian College of Midwives. A total of 169 questionnaires were returned by reply paid mail, representing a response rate of 56%. around 92.3% of respondents reported that they used the Internet. However, 31.5% did not find navigating it to be easy, 34.7% reported that finding information was not easy, and 27.2% were not confident using the Internet. many midwives have insufficient Internet competence to be able to access necessary evidence to support practice and to assist women with decision making. ongoing education and training is needed to ensure that midwives have the skills to source evidence to support practice, and are able to effectively critique Internet information. Crown Copyright © 2009. Published by Elsevier Ltd. All rights reserved.

MODEL MUSYAWARAH RENCANA AKSI PEREMPUAN (MUSRENA RESPONSIF GENDER DI KOTA BANDA ACEH

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Oberlin Silalahi

2017-02-01

Full Text Available Partisipasi perempuan dalam perencaanaan pembangunan dan penganggaran dalam Musyawarah Perencanaan Pembangunan (Musrenbang selama ini ternyata masih memiliki hambatan. Sebagai upaya penyelesaiannya, Pemerintah Kota Banda Aceh merumuskan strategi baru berupa Musyawarah Rencana Aksi Perempuan (Musrena yang memberikan kesempatan partisipasi penuh pada perempuan sebagai upaya pengarusutamaan gender (PUG dan Anggaran Responsif Gender (ARG dari tingkat yang paling rendah yaitu desa/gampong. Penelitian ini bertujuan untuk mengelaborasi secara komprehensif tentang inovasi Musrena di Kota Banda Aceh. Melalui pendekatan kualitatif, data dalam penelitian ini didapatkan dari Focused Group Discussion (FGD, wawancara mendalam (Indepth-interview dan desk-study (studi dokumen/dokumentasi. Hasil penelitian ini adalah: 1. Tumbuhnya motivasi dan kesadaran wanita di tingkat Gampong, kota/kabupaten untuk ikut berpartisipasi dalam perencaanaan pembangunan dan penganggaran yang responsif gender. 2. Musrena berbasis prinsip kesetaraan, anggaran yang berkeadilan gender, musyawarah dialogis, anti dominasi, keberpihakan kepada kelompok rentan, anti diskriminasi, dan pembangunan secara holistik.   Based on the lack of women participation in development planning and budgeting within the Development Planning Meeting (Musrenbang, the government of Banda Aceh formulate a new strategy in the form of Council Action Plan for Women (Musrena which provides an opportunity and full participation for women as gender mainstreaming (PUG and the Gender Responsive Budgeting (ARG on the lowest level; the village (gampong. This study aims to elaborate comprehensively on innovation of Musrena in Banda Aceh. Through a qualitative approach, the data in this study was obtained from Focused Group Discussion (FGD, interview (in depth-interview and desk-study (documentation. The results of this study are: 1. Growth of motivation and awareness level of women in the village, city /county to

Midwives and nutrition education during pregnancy: a literature review.

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Arrish, Jamila; Yeatman, Heather; Williamson, Moira

2014-03-01

This review explored the extent to which the role of midwives in nutrition education during pregnancy has been reported in the literature and areas requiring further research were identified. A review of the literature was undertaken. Articles included in the review were published in English, in scholarly journals, and provided information about the knowledge, education, and attitudes of midwives towards nutrition during pregnancy. Few studies were identified. The included studies were exploratory and descriptive. Studies had reported that midwives lacked a basic knowledge of nutrition requirements during pregnancy. This might be attributed to inadequate nutrition education provided in both undergraduate and postgraduate midwifery programmes. The nutrition education components of midwifery courses were not identified within the studies reviewed. Limited international or Australian research is available that reports on the role of midwives in nutrition education during pregnancy and the nutrition content of midwifery curricula. This represents an important omission in midwives capacity to support the health of pregnant women and their babies. More research is required to explore the educational needs of midwives to enhance nutritional care for pregnant women. Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Effort to Enhance Early Detection for Vulnerable Pregnancy by Midwives Through Complete Fulfillment of Maternal and Child Health (MCH Bookin Bangkalan East Java Year 2013

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Ristrini Ristrini

2015-03-01

Full Text Available ABSTRAKLatar Belakang:Buku KIA salah satu alat deteksi dini risiko tinggi ibu hamil. Cakupan deteksi dini risiko tinggi tahun 2011 dan 2012 di Kabupaten Bangkalan masih di bawah target yaitu 12%. Berdasarkan SDKI 2012 rata-rata angka kematian ibu (AKI tercatat mencapai 359 per 100 ribu kelahiran hidup. Rata-rata kematian ini jauh melonjak dibanding hasil SDKI 2007 yang mencapai 228 per 100 ribu. Tujuan penelitian:Mengetahui motivasi bidan, beban kerja, dan bidan terlatih dalam kelengkapan pengisian buku KIA. Metode: Penelitian observasional, desain crossectional. Pengumpulan data kuantitatif dan kualitatif. Data sekunder diperoleh dari ketersediaan buku KIA, pelatihan, pembinaan bidan dan kelengkapan pengisian buku KIA pada ibu hamil dan ibu bayi yang baik pengisiannya di Puskesmas Kedundung, Kabupaten Bangkalan. Sampel bidan yang menjalankan tugas di puskesmas lebih dari 1 tahun keatas dan pendidikan minimal DIII Kebidanan. Kelengkapan pengisian buku KIA dilihat pada lembar isian identitas keluarga, menyambut persalinan, catatan kesehatan ibu hamil, catatan kesehatan ibu bersalin, catatan kesehatan ibu nifas, keterangan lahir, KMS, pemeriksaan neonatus, catatan kesehatan anak, pemberian vitamin A. Hasil: Kelengkapan pengisian buku KIA pada ibu hamil dan ibu bayi yang baik pengisiannya di Puskesmas Geger yaitu 0,66 (kategori baik adalah 0,51–1,00. Puskesmas Kedundung kurang baik yaitu 0,34 (kategori kurang baik 0,00–0,50. Motivasi bidan di Puskesmas Geger sebagian besar motivasinya kurang (50,0%, beban kerja selama ini berat (83,3%. Di Puskesmas Kedundung sebagian besar bidan motivasi baik (66,7% danbeban kerja tidak berat atau kurang berat. Pelatihan bidan dalam 2 tahun terakhir ini tidak pernah mengikuti atau diadakan pelatihan tentang pengisian buku KIA oleh Dinas Kesehatan maupun oleh Puskesmas. Saran: Puskesmas agar membentuk tim kerja tingkat puskesmas sesuai program yang dijalankan untuk meringankan beban kerja bidan. Kepada Dinas

Kewenangan Baitul Mal Aceh dalam Pendistribusian Zakat

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Surya Darma

2017-08-01

ABSTRACT: Aceh is a province in Indonesia that is granted a special authority to govern and manage its own government affairs. One of them is zakat as one of the original source of income. Baitul Mal institution is established by qanun (local law to manage the zakat fund. In regard with its management procedure as the original revenue of the area, which is managed by Baitul Mal, is regulated in qanun and governor regulation. Its expenditure or distribution is in accordance with the guidance of the Islamic Sharia, that is, it may only be the part specified in the Qur'an, not for others. One of the forms of its distributions’ forms is the provision of vocational capital to productive zakat recipients through Productive Zakat Management Units. It is done in the form of interest-free loans. It is slightly different, as the zakat must be divided in full without needing to be returned. Although its interest-free loan is legal, it requires further explanation to avoid negative views. The finding shows that in 2013, 2014 and 2015, Baitul Mal Aceh, gains its funds more than expected. It requires careful handling in order to avoid  any problems in the future.

Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study.

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Harapan, Harapan; Rajamoorthy, Yogambigai; Anwar, Samsul; Bustamam, Aslam; Radiansyah, Arsil; Angraini, Pradiba; Fasli, Riny; Salwiyadi, Salwiyadi; Bastian, Reza Akbar; Oktiviyari, Ade; Akmal, Imaduddin; Iqbalamin, Muhammad; Adil, Jamalul; Henrizal, Fenni; Darmayanti, Darmayanti; Pratama, Rovy; Setiawan, Abdul Malik; Mudatsir, Mudatsir; Hadisoemarto, Panji Fortuna; Dhimal, Mandira Lamichhane; Kuch, Ulrich; Groneberg, David Alexander; Imrie, Allison; Dhimal, Meghnath; Müller, Ruth

2018-02-27

The Indonesian region of Aceh was the area most severely affected by the earthquake and tsunami of 26 December 2004. Department of Health data reveal an upward trend of dengue cases in Aceh since the events of the tsunami. Despite the increasing incidence of dengue in the region, there is limited understanding of dengue among the general population of Aceh. The aim of this study was to assess the knowledge, attitude, and practice (KAP) regarding dengue among the people of Aceh, Indonesia in order to design intervention strategies for an effective dengue prevention program. A community-based cross-sectional study was conducted in Aceh between November 2014 and March 2015 with a total of 609 participants living in seven regencies and two municipalities. Information on the socio-demographic characteristics of participants and their KAP regarding dengue was collected using a pre-tested structured questionnaire. The KAP status (good vs. poor) of participants with different socio-demographic characteristics was compared using Chi Square-test, ANOVA or Fisher's exact test as appropriate. Logistic regression analysis was used to determine the predictors of each KAP domain. We found that 45% of participants had good knowledge regarding dengue and only 32% had good attitudes and good dengue preventive practices. There was a significant positive correlation between knowledge and attitudes, knowledge and practice, and attitudes and practice. In addition, people who had good knowledge were 2.7 times more likely to have good attitudes, and people who had good attitudes were 2.2 times more likely to have good practices regarding dengue. The level of education, occupation, marital status, monthly income, socioeconomic status (SES) and living in the city were associated with the knowledge level. Occupation, SES, and having experienced dengue fever were associated with attitudes. Education, occupation, SES and type of residence were associated with preventive practices. Our study

Rapid response: email, immediacy, and medical humanitarianism in Aceh, Indonesia.

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Grayman, Jesse Hession

2014-11-01

After more than 20 years of sporadic separatist insurgency, the Free Aceh Movement and the Indonesian government signed an internationally brokered peace agreement in August 2005, just eight months after the Indian Ocean tsunami devastated Aceh's coastal communities. This article presents a medical humanitarian case study based on ethnographic data I collected while working for a large aid agency in post-conflict Aceh from 2005 to 2007. In December 2005, the agency faced the first test of its medical and negotiation capacities to provide psychiatric care to a recently amnestied political prisoner whose erratic behavior upon returning home led to his re-arrest and detention at a district police station. I juxtapose two methodological approaches-an ethnographic content analysis of the agency's email archive and field-based participant-observation-to recount contrasting narrative versions of the event. I use this contrast to illustrate and critique the immediacy of the humanitarian imperative that characterizes the industry. Immediacy is explored as both an urgent moral impulse to assist in a crisis and a form of mediation that seemingly projects neutral and transparent transmission of content. I argue that the sense of immediacy afforded by email enacts and amplifies the humanitarian imperative at the cost of abstracting elite humanitarian actors out of local and moral context. As a result, the management and mediation of this psychiatric case by email produced a bureaucratic model of care that failed to account for complex conditions of chronic political and medical instability on the ground. Copyright © 2014 Elsevier Ltd. All rights reserved.

Factors affecting midwives' confidence in intrapartum care: a phenomenological study.

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Bedwell, Carol; McGowan, Linda; Lavender, Tina

2015-01-01

midwives are frequently the lead providers of care for women throughout labour and birth. In order to perform their role effectively and provide women with the choices they require midwives need to be confident in their practice. This study explores factors which may affect midwives' confidence in their practice. hermeneutic phenomenology formed the theoretical basis for the study. Prospective longitudinal data collection was completed using diaries and semi-structured interviews. Twelve midwives providing intrapartum care in a variety of settings were recruited to ensure a variety of experiences in different contexts were captured. the principal factor affecting workplace confidence, both positively and negatively, was the influence of colleagues. Perceived autonomy and a sense of familiarity could also enhance confidence. However, conflict in the workplace was a critical factor in reducing midwives' confidence. Confidence was an important, but fragile, phenomenon to midwives and they used a variety of coping strategies, emotional intelligence and presentation management to maintain it. this is the first study to highlight both the factors influencing midwives' workplace confidence and the strategies midwives employed to maintain their confidence. Confidence is important in maintaining well-being and workplace culture may play a role in explaining the current low morale within the midwifery workforce. This may have implications for women's choices and care. Support, effective leadership and education may help midwives develop and sustain a positive sense of confidence. Copyright © 2014 Elsevier Ltd. All rights reserved.

Women`s Leadership and Gender Equality in Aceh: A Socio-historical Perspective

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Widia Munira

2018-05-01

Full Text Available This research analyzes the problems of women`s leadership and gender equality in Aceh. The analysis is focused on the basic philosophical of women`s leadership in Aceh. The qualitative-descriptive was used as the research approach. The primary data were collected by interview and observation to the informants. The secondary data were taken from journals, books, and other reliable resources. The results of the research show that the spiritual and intellectual values of Islam and adat (custom become the basic philosophical of Acehnese women`s leadership. Woman and man have equal roles, opportunities, rights, and responsibility to be a leader in the society based on Al-Qur`an and Sunnah, which are aligned with the Acehnese`s culture.

Responses to birth trauma and prevalence of posttraumatic stress among Australian midwives.

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Leinweber, Julia; Creedy, Debra K; Rowe, Heather; Gamble, Jenny

2017-02-01

Midwives frequently witness traumatic birth events. Little is known about responses to birth trauma and prevalence of posttraumatic stress among Australian midwives. To assess exposure to different types of birth trauma, peritraumatic reactions and prevalence of posttraumatic stress. Members of the Australian College of Midwives completed an online survey. A standardised measure assessed posttraumatic stress symptoms. More than two-thirds of midwives (67.2%) reported having witnessed a traumatic birth event that included interpersonal care-related trauma features. Midwives recalled strong emotions during or shortly after witnessing the traumatic birth event, such as feelings of horror (74.8%) and guilt (65.3%) about what happened to the woman. Midwives who witnessed birth trauma that included care-related features were significantly more likely to recall peritraumatic distress including feelings of horror (OR=3.89, 95% CI [2.71, 5.59]) and guilt (OR=1.90, 95% CI [1.36, 2.65]) than midwives who witnessed non-interpersonal birth trauma. 17% of midwives met criteria for probable posttraumatic stress disorder (95% CI [14.2, 20.0]). Witnessing abusive care was associated with more severe posttraumatic stress than other types of trauma. Witnessing care-related birth trauma was common. Midwives experience strong emotional reactions in response to witnessing birth trauma, in particular, care-related birth trauma. Almost one-fifth of midwives met criteria for probable posttraumatic stress disorder. Midwives carry a high psychological burden related to witnessing birth trauma. Posttraumatic stress should be acknowledged as an occupational stress for midwives. The incidence of traumatic birth events experienced by women and witnessed by midwives needs to be reduced. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Structure analysis of tax revenue and inflation rate in Banda Aceh using vector error correction model with multiple alpha

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Sofyan, Hizir; Maulia, Eva; Miftahuddin

2017-11-01

A country has several important parameters to achieve economic prosperity, such as tax revenue and inflation rate. One of the largest revenues of the State Budget in Indonesia comes from the tax sector. Meanwhile, the rate of inflation occurring in a country can be used as an indicator, to measure the good and bad economic problems faced by the country. Given the importance of tax revenue and inflation rate control in achieving economic prosperity, it is necessary to analyze the structure of tax revenue relations and inflation rate. This study aims to produce the best VECM (Vector Error Correction Model) with optimal lag using various alpha and perform structural analysis using the Impulse Response Function (IRF) of the VECM models to examine the relationship of tax revenue, and inflation in Banda Aceh. The results showed that the best model for the data of tax revenue and inflation rate in Banda Aceh City using alpha 0.01 is VECM with optimal lag 2, while the best model for data of tax revenue and inflation rate in Banda Aceh City using alpha 0.05 and 0,1 VECM with optimal lag 3. However, the VECM model with alpha 0.01 yielded four significant models of income tax model, inflation rate of Banda Aceh, inflation rate of health and inflation rate of education in Banda Aceh. While the VECM model with alpha 0.05 and 0.1 yielded one significant model that is income tax model. Based on the VECM models, then there are two structural analysis IRF which is formed to look at the relationship of tax revenue, and inflation in Banda Aceh, the IRF with VECM (2) and IRF with VECM (3).

'You can drop dead': midwives bullying women.

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Dietsch, Elaine; Shackleton, Pamela; Davies, Carmel; McLeod, Margaret; Alston, Margaret

2010-06-01

This paper describes how women experienced what came to be labelled as 'bullying' by a small number of midwives when they were evacuated from their rural and remote areas of NSW, Australia to a maternity unit to birth. What is the experience of women who are required to travel away from their NSW rural/remote communities to birth? Forty-two participants together with a number of their partners/support people were interviewed in depth for this qualitative, exploratory study. Upon thematic analysis of the transcribed interviews, an unexpected finding was that four participants (plus one partner) described experiences which were interpreted as bullying, by a small number of midwives working with them. Women identifying as Aboriginal were especially likely to share stories of midwifery bullying. Emotional and cultural safety of women must be a prime consideration of midwives. Strategies to reverse power differentials between midwives and women are urgently required to eradicate bullying by any midwife. 2009. Published by Elsevier Ltd. All rights reserved.

Midwives' perceptions and experiences of engaging fathers in perinatal services.

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Rominov, Holly; Giallo, Rebecca; Pilkington, Pamela D; Whelan, Thomas A

2017-08-01

The active engagement of fathers in maternity care is associated with long-term benefits for the father, their partner, and their child. Midwives are ideally placed to engage fathers, but few studies have explored midwives' experiences of working with men. Therefore, the aim of this study was to describe midwives' perceptions and experiences of engaging fathers in perinatal services. A multi-method approach was utilised. Registered midwives (N=106) providing perinatal services to families in Australia participated in an online survey. Of these, 13 also participated in semi-structured telephone interviews. Descriptive analyses summarised the online survey data. The interview data were coded using semantic thematic analysis. Survey results indicated that midwives unanimously agreed that engaging fathers is part of their role and acknowledged the importance of receiving education to develop knowledge and skills about fathers. Analysis of the telephone interviews led to the identification of a range of strategies, facilitators and barriers to engaging fathers in midwifery services. Some of these were related to characteristics of midwives, factors related specifically to fathers, and several external factors relating to organisational policies. Findings from this study could inform maternity health care policies, as well the development of resources, education and ongoing professional training for midwives to promote father-inclusive practice. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Biological control of Black Pod Disease and Seedling Blight of cacao caused by Phytophthora Species using Trichoderma from Aceh Sumatra

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The cocoa tree, Theobroma cacao L., suffers large yield losses in Aceh Indonesia to the disease black pod rot, caused by Phytophthora spp. Despite having the largest area under cacao production in Sumatra, farmers in the Aceh region have low overall production because of losses to insect pests and b...

“ISLAM” IN THE GLOBAL VILLAGE: POST-TSUNAMI DIALOG AND NEGOTIATION OF ACEH IDENTITY

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Ibnu Mujib Mujib

2013-12-01

Full Text Available This paper highlights the perspective of dialog in the negotiation of Aceh identity. If observed, the context of the tsunami followed by the development of Aceh is not without impact at all on the Acehnese entity, but in fact it has triggered a strong clash especially between local identities and influences of global construction. Among the important things offered in this paper is an attempt to reproduce and create “public space” as a productive social capital, that is, a space that is expected to build an atmosphere of openness, egalitarianism, inclusivism of many diverse groups. Therefore, in responding to the wider variety of cultural plurality which penetrates through ethnic clusters, religions, political parties, and all forms of interests, it can be managed through the deliberations of dialog. Therefore, the “public space” that can serve to discuss, hold dialog, and even negotiate the clash of the Acehnese identity forms the modus operandi of the discussion of this article, especially in the context of the development of Aceh that is currently taking place. Keywords: Islam, locality, globality, public space, dialog, negotiation of identity, diversity of Islamic groups, the other.

Village midwives and their changing roles in Brunei Darussalam: A qualitative study.

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Abdul-Mumin, Khadizah Haji

2016-10-01

There are lay midwives worldwide, interchangeably and universally called traditional birth attendants or traditional midwives by organisations such as the World Health Organization and the International Confederation of Midwives. This study aimed to explore the history of lay midwives (village midwives) in Brunei, describe the evolution from their previous to current roles and determine if they are still needed by women today. This qualitative, descriptive study included in-depth, semi-structured interviews with eight women who had received care from village midwives. Data analysis was based on the principles underpinning thematic analysis and used a constant comparative method. Village midwives have been popular in Brunei since the 1900s, with their major role being to assist women with childbirth. However, since the 1960s, their roles and practices have changed to focus on pre-conception, antenatal, postnatal and women's general healthcare. Traditional practices were influenced by religion, culture and the social context of and within Brunei. The major changes in village midwives' roles and practices resulted from the enforcement of the Brunei Midwives' Act in 1956. Village midwives' traditional practices became juxtaposed with modern complementary alternative medicine practices, and they began charging a fee for their services. Brunei village midwives are trusted by women, and their practices may still be widely accepted in Brunei. Further research is necessary to confirm their existence, determine the detailed scope and appropriateness of their practices and verify the feasibility of them working together with healthcare professionals. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

STUDI EMPIRIS PERILAKU USAHA KOPERASI PERTANIAN: KASUS KOPERASI DI DATARAN TINGGI GAYO, PROVINSI ACEH

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Devi Agustia

2017-03-01

Full Text Available Agricultural cooperatives play an important role in supporting small agricultural farmers. The key roles of cooperatives are to improve access to markets, increase in bargaining position of farmers, and adopt improved technologies. The problem faced by the coffee farmers is their weakness position in the price determination. Based on this problem, this study aimed to analyze the cooperative’s business behavior. The study was conducted in Aceh Tengah and Bener Meriah districts. Data were collected from 15 cooperatives purposively selected. The mode of cooperative economic behavior was constructed as a simultaneous equation system consisting of purchase price, purchase amounts, sales prices and number of cooperative members. The model was estimated by 2SLS method. The results show that most of the variables in the model indicate that cooperatives have run their business in compliance with the cooperative principles.   Keywords: agricultural cooperative, coffee, farmers, simultaneous modelAbstrakKoperasi pertanian memiliki peran penting dalam mendukung petani kecil. Peran kunci koperasi tersebut, yaitu untuk meningkatkan akses pasar, meningkatkan posisi tawar petani, dan meningkatkan kemampuan mengadopsi teknologi. Masalah yang dihadapi petani kopi adalah posisi tawar petani lemah dalam penentuan harga. Penelitian ini bertujuan mengetahui perilaku usaha koperasi dengan menganalisis faktor-faktor yang memengaruhi harga pembelian, jumlah pembelian, jumlah penjualan, jumlah anggota dan sisa hasil usaha pada koperasi. Model perilaku ekonomi koperasi dibangun sebagai suatu sistem persamaan simultan yang terdiri dari harga pembelian, jumlah pembelian, harga penjualan,  jumlah anggota koperasi dan Sisa hasil usaha. Model ini diestimasi dengan metode 2SLS. Hasil analisis menunjukkan bahwa sebagian besar variabel dalam model menunjukkan bahwa koperasi telah menjalankan kegiatan usahanya sesuai dengan prinsip-prinsip koperasi. Hal ini ditunjukkan dari

Job satisfaction and retention of midwives in rural Nigeria.

Science.gov (United States)

Adegoke, A A; Atiyaye, F B; Abubakar, A S; Auta, A; Aboda, A

2015-10-01

Nigeria is one of the 57 countries with a critical shortage of human resources for health, especially in remote rural areas and in northern states. The National Midwifery Service Scheme (MSS) is one approach introduced by the Government of Nigeria to address the health workforce shortage in rural areas. Since 2009, unemployed, retired and newly graduated midwives are deployed to primary health care (PHC) facilities in rural areas of Nigeria. These midwives form the mainstay of the health system at the primary health care level especially as it relates to the provision of skilled attendance at birth. This study followed up and explored the job satisfaction and retention of the MSS midwives in three Northern states of Nigeria. this was a descriptive study. Data were collected using a mixed method approach which included a job satisfaction survey, focus group discussions (FGDs) and exit interviews to explore job satisfaction and retention factors. All 119 MSS midwives deployed by the National Primary Health Care Development Agency between 2010 and 2012 to the 51 Partnership for Reviving Routine Immunisation- Maternal and Child Health (PRRINN-MNCH) programme targeted PHC facilities were included in the study. MSS midwives were very satisfied with from the feeling of caring for women and children in the community (4.56), with the chance to help and care for others (Mean 4.50), the feeling of worthwhile accomplishment from doing the job (Mean 4.44) and the degree of respect and fair treatment they received from more senior staff and/or supervisor (Mean 4.39). MSS midwives were least satisfied with the lack of existence of a (established) career ladder (Mean 2.5), availability of promotional opportunities within the scheme (Mean 2.66), safety of accommodation (Mean 3.18), and with 'the degree to which they were fairly paid for what they contribute to the health facility' (Mean 3.41). When asked about future career plans, 38% (n=33) of the MSS midwives planned to leave the

Pengaruh Praktik Hidup Bersih Dan Sehat Terhadap Status Gizi Balita Di Kecamatan Meureubo Kabupaten Aceh Barat Provinsi Nanggroe Aceh Darussalam

OpenAIRE

Syaifullah

2010-01-01

The implementation of healthy life behavior at Meureubo Sub-district, West Aceh district, were still low so that it influenced the nutrition status of children under-five years old and the high-level of diarrhea disease on children under-five years old in 2007. Those children whom had diarrhea diseases were worried to be facing dehydration, anorexia and having malnutrition or even death. This research was intended to analyze the influence of knowledge,attitude and practice of healthy life...

Making midwives: postmodern conditions and midwifery training in Saint Lucia.

Science.gov (United States)

Hsu, C

2001-01-01

Drawing on material from fieldwork conducted on the island of Saint Lucia, I examine how Saint Lucian nurse-midwives and student midwives negotiate multiple ways of understanding and evaluating their practices and roles in light of contradictory and powerful cultural, historical, and political forces. I argue that, although Saint Lucian nurse-midwives may not qualify as "postmodern" according to the criteria proposed by Davis-Floyd and Davis (1996), they are nonetheless struggling with postmodern conditions as they negotiate between competing healing ideologies. I illustrate the significance of these negotiations through analyzing: (1) the ways nurse-midwives understand and articulate the healing ideologies at play in Saint Lucia, (2) historical and ideological aspects of the Saint Lucian nurse-midwifery training program, and (3) a classroom discussion during which student reported on "bush-midwives."

Perbaikan Teknologi Beternak Kambing di Desa Dhampulo Kabupaten Aceh Besar

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Mawardi Mohd. Ali

2001-10-01

Full Text Available ABSTRACT A study on the correction of breeding goat technology in Dhampulo village was conducted from July 1996 to Desember 1997. Twenty Kacang goats divided into to groups. Each groub cossed with one FE male anf another groub crossed with Kacang Male. Reproduction and production performance of kid at both group was compared. The resilt of this study showed that group of PE male was better. Kid crop was 160 vs 120%, birth type was 60 vs 30%, birth weigt was 1.61 vs 1.33 kg and weight at one month age was 3.44 vs 2.72 kg.

Public perspective towards marine litter in West Aceh City

Science.gov (United States)

Kusumawati, I.; Setyowati, M.; Riana, E.; Prartono, T.

2018-03-01

Marine litter or marine debris is a man-made solid material discarded, abandoned or lost in coastline or into the sea. To reduce the amount of marine litter in the ocean, raising public awareness is an important way. One of the contributing factors on marine litter is the lack of understanding within the community, but to identify how people notice the problem is required adequate research literature. The purpose of this study is to examine the awareness of West Aceh community on marine litter along western coastal area. The research objectives; 1) to evaluate societal perception towards marine litter; 2) to examine the urgent indicator of public awareness in West Aceh City. This study will employ a survey approach by distributing questionnaires to 383 respondents. It was found that respondents show low awareness on marine litter according to statistical data, but there are some rooms to manage in order to raise the level of public awareness. It concludes that sense of responsibility could be enhanced by involving public in any activities for preventing and eradicating marine litter. Education aspect is also important to increase public understanding about the threats of marine debris on environment, human health and economic income.

The Historical Basis of Aceh Development

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Mehmet Özay

2012-07-01

Full Text Available Abstract It is vital to see the connection between experiences in history and contemporary developments in almost all corners of the world. Regions which appear as leading powers in economic developments have historically had their own particular dynamics. In the event that the dynamics of the past uncover the true means to go forward, it will trigger the path of progress at an unexpected time, when similar conditions are met. Taking this condition into account with regard to Aceh, we see that Aceh has been a potential candidate for the newly emerging economic development centers in Southeast Asia after the disastrous event on 26th December, 2004, pursuant to which the Memorandum of Understanding (MoU in Helsinki was signed by the related sides on 15th August, 2005. To assess and evaluate the possibilities and opportunities that open up before Aceh Province by virtue of the MoU, the tradition of economic developments in history should be revisited and evaluated. It might be assumed that the reflections from the past will certainly enlighten the future. This article suggests that the economic development of the Sultanate of Aceh Darussalam in the past might be a starting point for all parties in Aceh Province to deduce exactly how to deal with prevailing difficulties so as to commence economic progress in the region. It is considered that historical experiences are repetitive. The significance of Aceh was based on several diverse factors, primarily its state structure, economic activities, and geo-strategic position on the extreme northwest of Sumatra, that allowed it to be a part of the international sea trade between the east and the west between the 16th and 19th centuries. These characteristics propelled Aceh to become not only a prominent region, but also gain supremacy in global partnerships in the business of international trade. After the peace agreement celebrations, it is the need of the hour for all social and economic sectors in Aceh

Pemahaman Konsep Matematika Siswa pada Materi Besar Sudut Melalui Pendekatan PMRI

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Pramitha Sari

2017-03-01

Full Text Available Penulisan artikel ini bertujuan untuk memaparkan hasil pemahaman konsep matematika siswa pada materi besar sudut di kelas VI Sekolah Dasar (SD melalui pendekatan PMRI. Pendekatan PMRI (Pendidikan Matematika Realistik Indonesia adalah pembelajaran yang diharapkan sesuai dengan kurikulum 2013 yaitu menemukan sendiri berbagai fakta, membangun konsep, serta nilai-nilai baru yang diperlukan dalam kehidupan. Dari hasil peneliti, terlihat secara keseluruhan persentase rata-rata indikator pemahaman konsep matematika siswa melalui pendekatan PMRI pada materi besar sudut di kelas VI sebesar 72% yang dikategorikan baik. Ketujuh indikator tersebut, yaitu: indikator dalam kemampuan menyatakan ulang sebuah konsep sebesar 57%, kemampuan mengklarifikasikan objek menurut sifat-sifat tertentu sesuai dengan konsep sebesar 71.5%, kemampuan memberikan contoh dan bukan contoh sebesar 84.5%, kemampuan menyajikan konsep dalam berbagai bentuk representasi matematika sebesar 49.5%, kemampuan mengembangkan syarat perlu dan syarat cukup dari suatu konsep sebesar 68%, kemampuan menggunakan, memanfaatkan dan memilih prosedur tertentu sebesar 85%, dan kemampuan mengklasifikasikan konsep/algoritma ke pemecahan masalah sebesar 88.5%.  Kata Kunci: pemahaman konsep, besar sudut, PMRI This article presents the sixth grade of elementary students' understanding of mathematical concepts of angle measurement through PMRI (Indonesian Realistic Mathematics Education approach.  PMRI is suitable for the 2013 Curriculum: to discover facts, to construct concepts and values in real life. The research result shows that 72% of students study with PMRI approach is categorized good, according to indicator of understanding of mathematics concepts. The indicators are: the ability to express the concept , 57%; the ability to clarify the object according to certain properties, 71.5%; the ability to provide examples and counter examples, 84.5%; the ability to present concepts in a variety of forms

TERNYATA IKAN NILA, Oreochromis niloticus MEMPUNYAI POTENSI YANG BESAR UNTUK DIKEMBANGKAN

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Supriyono Eko Wardoyo

2007-06-01

Full Text Available Ikan ini menjadi sangat populer setelah pertama kali diintroduksikan ke Indonesia pada tahun 1969 dari Taiwan. Ikan ini dikenal karena mudah berkembangbiak, pertumbuhannya cepat, anaknya banyak, ukuran badan relatif besar, tahan penyakit, sangat mudah beradaptasi dengan lingkungan, relatif murah harganya, dan enak dagingnya. Keunggulan ikan ini dapat dibuktikan dengan meningkatnya produksi budi daya ikan ini di Indonesia dari tahun 1993 sampai dengan tahun 2002. Daerah yang terbanyak menghasilkan ikan nila yang dibesarkan pada sistem kolam dan KJA adaIah Provinsi Jawa Barat. Pembudi daya umumnya sangat percaya keberhasilan usaha budi daya ikan nila karena produktivitasnya yang tinggi, dalam hal lingkungan mempunyai sifat yang tahan (resistant, dalam hal pakan secara alami adalah plankton feeder yang cenderung omnivorous, sehingga rantai makanannya pendek, dan dalam hal mutu genetik mempunyai sifat cepat per-tumbuhannya, apalagi dengan sistem monoseks jantan. Ikan ini mempunyai potensi yang sangat besar untuk dikembangkan. Potensi lahan budi daya di perairan umum di Indonesia seluas 141.690 ha baru dimanfaatkan sekitar 45,5% (64.469 ha yang penyebarannya terkonsentrasi di beberapa daerah saja. Di air payau ikan nila sangat berpotensi untuk dikembangkan di tambak-tambak udang intensif yang banyak ditelantarkan. Direktorat Jenderal Perikanan Budidaya menyatakan potensi nasional tambak sebesar 1 juta ha, pemanfaatannya baru 35% atau seluas 350.000 ha. Di air laut berdasarkan beberapa literatur pembesaran ikan nila merah masih bisa dilakukan. Lahan potensial budi daya di air Iaut diperkirakan mencapai 1,9 juta ha. Masalah-masalah yang masih ada seperti penyebaran tingkat pemanfaatan perairan umum, pemanfaatan Culture Based Fisheries di Jawa, dan pemodal besar yang hanya bertujuan mencari keuntungan yang sebesar-besarnya tanpa mem-pedulikan lingkungannya harus dipecahkan. Selain itu perlu peningkatan penyediaan dan distribusi fasilitas sarana produksi

Work-related stress and work ability among Croatian university hospital midwives.

Science.gov (United States)

Knezevic, Bojana; Milosevic, Milan; Golubic, Rajna; Belosevic, Ljiljana; Russo, Andrea; Mustajbegovic, Jadranka

2011-04-01

to explore the sources and levels of stress at work and work ability among Croatian midwives. midwives are subjected to multiple stressors. Among health-care professionals, psychological distress for a prolonged period of time has negative effects on the worker's health, work ability and quality of patient care. 'Work ability' is a term describing a worker's resources related to physical, mental and social demands at work. As a measure of work ability in midwifery, the Work Ability Index (WAI) is considered to be a very predictive instrument; midwives with a poor WAI score usually leave their current job within five years. university hospitals in Zagreb, Croatia. cross-sectional design survey. 300 health-care workers (105 qualified midwives and 195 paediatric nurses) were invited to complete the questionnaire. The total response rate was 53% (158/300). The sample included 14.7% of all hospital-based midwives in Zagreb hospitals. the Occupational Stress Assessment Questionnaire (OSAQ) for health-care workers and the WAI questionnaire. over three-quarters of the midwives (46/60, 76.7%) believed that their job was stressful, and considered that insufficient work resources caused the most stress. More than half of the midwives associated an insufficient number of coworkers, unexpected situations, inadequate income, night work, incurable patients and poor organisation at work with a high level of stress. The perceived specific stressors differed between midwives and paediatric nurses in the same hospital. Insufficient work resources and poor organisation at work were more common stressors among midwives than paediatric nurses (pworkplace compared with paediatric nurses (pability. After adjusting for age, the difference in WAI score between the groups of workers was not significant. Croatian midwives experienced work-related stress due to: insufficient work resources, insufficient number of coworkers, poor organisation at work, communication with superiors and emotional

Frontier nurse-midwives and antepartum emergencies, 1925 to 1939.

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Schminkey, Donna L; Keeling, Arlene W

2015-01-01

This article examines how the Frontier Nursing Service (FNS) utilized nurse-midwives to respond to antepartum emergencies such as preterm birth, eclampsia, malpresentation, and hemorrhage in the women of Appalachia in the years 1925 to 1939. Particular attention is given to the preparation that nurse-midwives received during their midwifery education to prevent and respond to emergencies. Using traditional historical research methods and primary source material from the FNS papers in the Special Collections, University of Kentucky Libraries, Lexington, Kentucky, this article describes the nurse-midwives' experiences and how they implemented skills they had learned during their training in Great Britain. Working in the isolated mountainous area of Leslie County, Kentucky-for the most part without direct assistance from physicians-FNS nurse-midwives decreased maternal and neonatal mortality rates. During their first 2000 births, they had only 2 maternal deaths, whereas the national average maternal mortality rate was approximately 7 deaths per 1000 births. The nurse-midwives performed external cephalic versions on a routine basis. For pregnancy and birth emergencies, they administered sedation, gave general anesthesia, and performed invasive lifesaving techniques in order to protect the lives of the women in their care. During these 14 years, their cross-cultural engagement, assessment skills, clinical judgment, and timely interventions improved maternal and child health throughout the region. © 2015 by the American College of Nurse-Midwives.

UNDERSTANDING TOWARDS TRADERS’ BUSINESS ETHICS OF ISLAM: A STUDY OF ACEH DEALERS IN KUALA LUMPUR

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Muhammad Abdul Samad

2014-08-01

Full Text Available Islamic business ethics is one that should be the practice of Muslim traders, because Islam promotes this method for fairness, honesty and the benefit of people. Ethical values of Islam must be known and understood by all Muslim traders to avoid cheating that may oppress customers. This study uses qualitative methods and obtains data from the interviewers and observations. The study found that the majority of Aceh traders has understood the ethical businessmen in Islam which can be seen from the activities they are doing in each of its business practices. Aceh dealers are usually honest, fair, occupying commitment, hardworking and making efforts in business.

Effects Of Different Age Groups And Education Towards Consumption Of Traditional Finger Foods In Banda Aceh

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Cut Nilda

2016-04-01

Full Text Available (Pengaruh Usia dan Pendidikan terhadap Pola Konsumsi Kue Tradisional di Banda Aceh  ABSTRACT. Traditional finger foods are closely related to the culture and habits of the population where the foods are produced and carry a symbolic value. The perception of local citizens towards the consumption of traditional foods will affect the existence and integrity of these foods. Primary research was done by interviewing 263 consumers of traditional finger food in Banda Aceh, Indonesia, between April and May 2011. Demography factors are believed to have strong influence in the consumption pattern of traditional finger food in Banda Aceh. The interviews were performed by using a structured questionnaire. The questionnaire consists of dichotomous, multiple-choice questions and scale questions. The sampling technique which was used is a nonprobability with convenience approach in order to select consumers of traditional food. The data analysis was processed by descriptive and bivariate analysis using Chi-square distribution. The results showed that demographic factors, such as age and education, have a correlation with consumer behavior and consumption habits of traditional finger foods. As a side dish, the consumption of these foods is usually related to special occasions and leisure time. Although most of the consumers are satisfied with the traditional finger foods they consume, some improvements are still needed to enhance the quality and appearance of the products based on the respondents demand. These demands, such as improvement in taste and packaging are potential factors in supporting the increase of consumption of traditional finger food in Banda Aceh.

Planning of Midwives

DEFF Research Database (Denmark)

Græse, Line; Vilhelmsen, Charlotte; Larsen, Jesper

At a hospital in Denmark around 40 midwives support the pregnancy of approx. 6000 pregnant women every year. Their role is to monitor the pregnancies and prepare the women for labour. Based on the due date of a woman, authority guidelines prescribe specific and mostly rather narrow time windows w...

Analysis of tsunami disaster map by Geographic Information System (GIS): Aceh Singkil-Indonesia

Science.gov (United States)

Farhan, A.; Akhyar, H.

2017-02-01

Tsunami risk map is used by stakeholder as a base to decide evacuation plan and evaluates from disaster. Aceh Singkil district of Aceh- Indonesia’s disaster maps have been developed and analyzed by using GIS tool. Overlay methods through algorithms are used to produce hazard map, vulnerability, capacity and finally created disaster risk map. Spatial maps are used topographic maps, administrative map, SRTM. The parameters are social, economic, physical environmental vulnerability, a level of exposed people, parameters of houses, public building, critical facilities, productive land, population density, sex ratio, poor ratio, disability ratio, age group ratio, the protected forest, natural forest, and mangrove forest. The results show high-risk tsunami disaster at nine villages; moderate levels are seventeen villages, and other villages are shown in the low level of tsunami risk disaster.

CONCEPTUALIZING ISLAMIC BASED EDUCATION: An attempt toward Islamization of Educational System in Aceh

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Hasan Basri

2015-02-01

Full Text Available This study proves that Islam has a unique concept of education and constructive values that can be applied in educational system. Discussion on Islamic education has not ended yet; that is why to reveal the Islamic educational values deriving from the primary sources of Islam, the Qur’an and Sunna (prophetic tradition, is not insignificant in the context of educational system in Aceh. Since Aceh has specific privilege in the fields of education, religion, and culture, it is crucial to break up earth the Islamic values and apply them into education programs. Realizing such programs should take accurate and strategic steps through islamization of education, integration of values, and internationalization of way of thinking. Besides, curriculum, method, system, policy, and dichotomy of educational system must be reformed concurrently.

Birth complications control between midwives among women in ...

African Journals Online (AJOL)

Independent t-test and contingency chi-square were used in testing the null hypotheses. Results: The result showed that women delivered by traditional midwives have more negative control of delivery pain caused by birth complication than their counterparts who are delivered by western trained midwives; On the basis of ...

Registered nurses' and midwives' knowledge of epidural analgesia.

Science.gov (United States)

Bird, Annette; Wallis, Marianne; Chaboyer, Wendy

2009-01-01

Despite epidural analgesia increasingly being utilized in hospitals, very little research-based evidence is available about registered nurses' (RNs) and midwives' knowledge of this technique. To describe the current epidural knowledge levels of RNs and midwives in a multi-site setting. RNs and midwives at four, regional teaching facilities completed an epidural knowledge test. The instrument included demographic items and five knowledge subscales relating to epidural analgesia: spinal cord anatomy and physiology; epidural pharmacology; complications of epidural analgesia; assessment of sensory and motor blockade and the general management of patients with epidural analgesia. A total of 408 (99.7% response) RNs and midwives completed the test. Respondents demonstrated good knowledge of sensory and motor blockade assessment and the general management of epidural analgesia subscales with correct responses to 75 and 77% of the questions in these subscales, respectively. Fair knowledge relating to the spinal cord anatomy and physiology subscale was demonstrated with 69% of the questions answered correctly. The knowledge subscales relating to epidural pharmacology (57% correct responses) and the complications of epidural analgesia (56% correct responses) were problematic for the sample. The research results provide generalizable information about what RNs and midwives know about epidural analgesia. These results are an important guide in the development of new and existing dedicated epidural education programs. The results also provide some direction for further research into this important topic.

Midwives' emotional wellbeing: impact of conducting a structured antenatal psychosocial assessment (SAPSA).

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Mollart, Lyndall; Newing, Carol; Foureur, Maralyn

2009-09-01

To investigate the impact of conducting structured antenatal psychosocial assessments (SAPSA) on midwives' emotional wellbeing. The SAPSA includes screening and assessment tools for domestic violence, childhood trauma, drug and alcohol use, depression, and vulnerability factors. Registered midwives who had conducted the SAPSA with women during the first hospital booking visit at two hospitals in NSW. Data was collected by means of focus group interviews. Four sub-themes were identified that directly impacted upon the midwives' emotional wellbeing: cumulative complex disclosures, frustration and stress, lack of support for midwives and unhealthy coping strategies. There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA.

Attitudes of Swedish midwives towards management of extremely preterm labour and birth.

Science.gov (United States)

Danerek, Margaretha; Maršál, Karel; Cuttini, Marina; Lingman, Göran; Nilstun, Tore; Dykes, Anna-Karin

2012-12-01

the aim of the study was to ascertain the attitudes of Swedish midwives towards management of very preterm labour and birth and to compare the attitudes of midwives at university hospitals with those at general hospitals. this cross-sectional descriptive and comparative study used an anonymous self-administrated questionnaire for data collection. Descriptive and analytic statistics were carried out for analysis. the answers from midwives (n=259) were collected in a prospective SWEMID study. the midwives had experience of working on delivery wards in maternity units with neonatal intensive care units (NICU) in Sweden. in the management of very preterm labour and birth, midwives agreed to initiate interventions concerning steroid prophylaxis at 23 gestational weeks (GW), caesarean section for preterm labour only at 25 GW, when to give information to the neonatologist before birth at 23 GW, and when to suggest transfer to NICU at 23 GW. Midwives at university hospitals were prone to start interventions at an earlier gestational age than the midwives at general hospitals. Midwives at university hospitals seemed to be more willing to disclose information to the parents. midwives with experience of handling very preterm births at 21-28 GW develop a positive attitude to interventions at an earlier gestational age as compared to midwives without such experience. based on these results we suggest more communication and transfer of information about the advances in perinatal care and exchange of knowledge between the staff at general and university hospitals. Establishment of platforms for inter-professional discussions about ethically difficult situations in perinatal care, might benefit the management of very preterm labour and birth. Copyright © 2011 Elsevier Ltd. All rights reserved.

Factors influencing the clinical decision-making of midwives: a qualitative study.

Science.gov (United States)

Daemers, Darie O A; van Limbeek, Evelien B M; Wijnen, Hennie A A; Nieuwenhuijze, Marianne J; de Vries, Raymond G

2017-10-06

Although midwives make clinical decisions that have an impact on the health and well-being of mothers and babies, little is known about how they make those decisions. Wide variation in intrapartum decisions to refer women to obstetrician-led care suggests that midwives' decisions are based on more than the evidence based medicine (EBM) model - i.e. clinical evidence, midwife's expertise, and woman's values - alone. With this study we aimed to explore the factors that influence clinical decision-making of midwives who work independently. We used a qualitative approach, conducting in-depth interviews with a purposive sample of 11 Dutch primary care midwives. Data collection took place between May and September 2015. The interviews were semi-structured, using written vignettes to solicit midwives' clinical decision-making processes (Think Aloud method). We performed thematic analysis on the transcripts. We identified five themes that influenced clinical decision-making: the pregnant woman as a whole person, sources of knowledge, the midwife as a whole person, the collaboration between maternity care professionals, and the organisation of care. Regarding the midwife, her decisions were shaped not only by her experience, intuition, and personal circumstances, but also by her attitudes about physiology, woman-centredness, shared decision-making, and collaboration with other professionals. The nature of the local collaboration between maternity care professionals and locally-developed protocols dominated midwives' clinical decision-making. When midwives and obstetricians had different philosophies of care and different practice styles, their collaborative efforts were challenged. Midwives' clinical decision-making is a more varied and complex process than the EBM framework suggests. If midwives are to succeed in their role as promoters and protectors of physiological pregnancy and birth, they need to understand how clinical decisions in a multidisciplinary context are

"It's been a long road to acceptance": midwives in Rhode Island, 1970-2000.

Science.gov (United States)

Caron, Simone M

2014-01-01

A resurgence of midwifery came to Rhode Island in the 1970s. Midwives acted as modern health care professionals to conserve a traditional woman-centered birth, but the battle was long and arduous, from Dr. Ellen Stone attempting to eliminate midwives in the state in 1912 to doctors using the death of 2 home birth infants in the 1980s to undermine the growing presence of professional nurse-midwives in the state. Midwives prevailed when the state legislature passed measures in 1988 and 1990 increasing the power and authority of midwives, and when a federal grant in 1993 allowed the University of Rhode Island to open the first training program for nurse-midwives in the state.

Survey of Connecticut Nurse-Midwives.

Science.gov (United States)

Holland, Margaret L; Holland, Eliza S

2007-01-01

Descriptive data on nurse-midwifery income, workload, job definitions, employment benefits, and clinical practices are limited. Information about nurse-midwifery practice today is important for the growth of the profession and for future policy initiatives. A survey of nurse-midwives in Connecticut was conducted in 2005. This article reports state-specific data about income, workload, job definitions, employment benefits, and clinical issues, such as vaginal birth after cesarean. Full-time midwives in Connecticut worked an average of 77 hours per week, had a mean salary of 79,554 dollars, and 87% had on-call responsibilities. A "typical" Connecticut midwife had an "average" full-time work week consisting of two 24-hour call days and three 7-hour office days, seeing 19 to 24 patients per office day. Most held Master of Science in Nursing degrees, worked in physician-owned practices, and attended births in hospitals or medical centers. Health insurance, paid sick time, and retirement plans were offered to most respondents. Almost all respondents provide gynecologic, antepartum, and postpartum care, but few offer newborn care. There is significant variation in restrictions on midwives offering vaginal birth after cesarean and on length of scheduled appointments. Data on expanded practices, such as first-assisting caesarean sections and endometrial biopsies, are reported for the first time.

Being Woman in the Land of Shari‘a: Politics of the Female Body, Piety, and Resistance in Langsa, Aceh

OpenAIRE

Muhammad Ansor

2015-01-01

This study investigates the dynamic of institutionalization of Shari’a in Aceh, which focuses on analysis of the patterns of Langsa women’s resistance against religious leaders and state interpretations of the dress standards in the public space. This matter emerged because the implementation of Shari’a has been supported by local people, but the standard of Islamic dress that should be applied is still debatable among various groups in Aceh that have varied understandings and different relig...

Collaboration of midwives in primary care midwifery practices with other maternity care providers.

Science.gov (United States)

Warmelink, J Catja; Wiegers, Therese A; de Cock, T Paul; Klomp, Trudy; Hutton, Eileen K

2017-12-01

Inter-professional collaboration is considered essential in effective maternity care. National projects are being undertaken to enhance inter-professional relationships and improve communication between all maternity care providers in order to improve the quality of maternity care in the Netherlands. However, little is known about primary care midwives' satisfaction with collaboration with other maternity care providers, such as general practitioners, maternity care assistance organisations (MCAO), maternity care assistants (MCA), obstetricians, clinical midwives and paediatricians. More insight is needed into the professional working relations of primary care midwives in the Netherlands before major changes are made OBJECTIVE: To assess how satisfied primary care midwives are with collaboration with other maternity care providers and to assess the relationship between their 'satisfaction with collaboration' and personal and work-related characteristics of the midwives, their attitudes towards their work and collaboration characteristics (accessibility). The aim of this study was to provide insight into the professional working relations of primary care midwives in the Netherlands. Our descriptive cross-sectional study is part of the DELIVER study. Ninety nine midwives completed a written questionnaire in May 2010. A Friedman ANOVA test assessed differences in satisfaction with collaboration with six groups of maternity care providers. Bivariate analyses were carried out to assess the relationship between satisfaction with collaboration and personal and work-related characteristics of the midwives, their attitudes towards their work and collaboration characteristics. Satisfaction experienced by primary care midwives when collaborating with the different maternity care providers varies within and between primary and secondary/tertiary care. Interactions with non-physicians (clinical midwives and MCA(O)) are ranked consistently higher on satisfaction compared with

The genetic polymorphism of merozoite surface protein-1 in Plasmodium falciparum isolates from Aceh province, Indonesia

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Jamil, K. F.; Supargiyono, S.; Syafruddin, D.; Pratama, N.; Silvy, S.

2018-03-01

An estimated of 3.3 million Indonesian population were infected with malaria. However, extensive genetic polymorphism of the field isolates msp-1 of P. falciparum represents a major obstacle for the development of malaria treatment. The aim of this study was to investigate the genetic diversity of msp-1 genotype in field isolates of P. falciparum collected in Aceh Province. A total of 90 patients with malaria (+) were selected from eleven district hospitals in Aceh from 2013-2015. Data were collected by anamnesis, complete physical examination and laboratory tests for msp-1. All protocols to diagnose malaria followed the WHO 2010 guideline. All samples were stored in Eijkman Biology Molecular Institute, Jakarta. Among 90 samples, 57.7% were male, and 42.3% were female with the most cases found between 21-30 years old. From the allele typing analysis of P. falciparum from Aceh; K1, MAD20, and RO33 allele types were identified. MAD20 type was the highest allele found in this study (57.9%). It was found in single and mixed infection. A moderate level of the mixed allele was also observed.

THE APLICATION OF ISLAMIC LAW IN INDONESIA: The Case Study in Aceh

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Kamaruzzaman Bustamam-Ahmad

2007-06-01

Full Text Available This article provides an historical account of the implementation of Islamic law in Aceh and how the issue of Islamic law has been debated. The study will give more emphasis on the dynamics of the implementation of Islamic law, its historical development, typologies of Islamic law, leaders’ opinions regarding this issue, and the governments’ responses. This study argues that Islamic law in Aceh has been misinterpreted merely as h{udu>d law. In addition, it argues that the provincial government tends to put heavy emphasis on symbolic religious issues (such as the Islamic dress code and the usage of Arabic signs and letterheads, rather than the substance of Islamic law such as justice and prosperity for all. Finally, the study has made evident that implementing Islamic law is never a good method of attempting to resolve conflict. There is no need to establish Islamic law formally through the political process because, when politics enters in religious arena, it carries with it many interests.

The Spatial Distribution of Bed Sediment on Fluvial System: A Mini Review of the Aceh Meandering River

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Muhammad Irham

2016-08-01

Full Text Available Dynamic interactions of hydrological and geomorphological processes in the fluvial system result in accumulated deposit on the bed because the capacity to carry sediment has been exceeded. The bed load of the Aceh fluvial system is primarily generated by mechanical weathering resulting in boulders, pebbles, and sand, which roll or bounce along the river bed forming temporary deposits as bars on the insides of meander bends, as a result of a loss of transport energy in the system. This dynamic controls the style and range of deposits in the Aceh River. This study focuses on the spatial distribution of bed-load transport of the Aceh River. Understanding the spatial distribution of deposits facilitates the reconstruction of the changes in controlling factors during accumulation of deposits. One of the methods can be done by sieve analysis of sediment, where the method illuminates the distribution of sediment changes associated with channel morphology under different flow regimes. Hence, the purpose of this mini review is to investigate how the sediment along the river meander spatially dispersed. The results demonstrate that channel deposits in the Aceh River are formed from four different type of materials: pebble deposited along upstream left bank; sand located on the upstream, downstream, and along meander belts; and silt and clay located along the cut bank of meander bends. Because of different depositional pattern, the distribution of the sediment along the river can be used as a surrogate to identify bank stability, as well as to predict critical geometry for meander bend initiation

The role of the midwife in Australia: views of women and midwives.

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Homer, Caroline S E; Passant, Lyn; Brodie, Pat M; Kildea, Sue; Leap, Nicky; Pincombe, Jan; Thorogood, Carol

2009-12-01

to research the role of midwives in Australia from the perspectives of women and midwives. This study was part of a commissioned national research project to articulate the scope of practice of Australian midwives and to develop national competency standards to assist midwives to deliver safe and competent midwifery care. a multi-method approach with qualitative data collected from surveys with women and interviews with midwives. participants represented each state and territory in Australia. midwives who were randomly selected by the regulatory authorities across the country and women who were consumers of midwifery care and involved in maternity activism. midwives and women identified a series of key elements that were required of a midwife. These included: being woman centred; providing safe and supportive care; and working in collaboration with others when necessary. These findings were consistent with much of the international literature. a number of barriers to achieving the full role of the midwife were identified. These included a lack of opportunity to practice across the full spectrum of maternity care, the invisibility of midwifery in regulation and practice, the domination of medicine, workforce shortages, the institutional system of maternity care, and the lack of a clear image of what midwifery is within the wider community. These barriers must be addressed if midwives in Australia are to be able to function according to the full potential of their role.

IDENTIFIKASI FATOR-FAKTOR RISIKO STRESS DAN VARIABLE SOSIODEMOGRAFI BERDASARKAN SURKESDA NANGGROE ACEH DARUSSALAM 2006

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Sri Idaiani

2012-07-01

Full Text Available Nanggroe Aceh Darussalam (NAD is a region which has faced protracted conflict following by tsunami disarter on December, 26 2004. Surkesda NAD 2006, as post tsunami health survey, was conducted in the middle of 2006 which included Self Reporting Questionnaire (SRQ to assess mental health problem in NAD province. The identification of stress factors and socio demographic variables in NAD is a further analysis based on SRQ from Surkesda NAD 2006. The analysis covered 1210 people aged 15 years and over spread out in 21 distiricts/cities in NAD. The overall prevalence of neurosis in NAD in 2006 was 22,6% with prevalences by districts/cities ranged from 5% to 59%. Two districts with prevalence above 50% were Aceh Singkil and Gayo Lues, while districts/cities with prevalence below 10% belonged to Sabang and Aceh Jaya. Symptoms that most people reported were headache (51,2%, fatique easy (37%, sleep difficulty (26%, abdominal discomfort (25.6% and loss of appetite (21,1%. Female had risk more than one and a half to neurosis (OR=1.598; 95% CI: 1,121- 1,772. Aged ≥ 55 year had risk almost two times to neurosis (OR=1,923; 95% CI: 1,592-2,323. Divorce status had risk 1.7 times (OR=1,73; 95% CI: 1.082-2.767. Living in rural had risk 1.4 times (OR=1,409; 95% CI: 1,155-1,858. Married with low socioeconomic status had risk 1.7 times (OR=1,790; 95% CI: 1,263-2,539. The study suggests that the most important region to get more attention are Aceh Singkil and Gayo Lues districts. The study also recommend of the need of mental health intervention for old group, community mental health that focus on non psychosis mental disorder identification to prevent serious mental disorder, and availability of some medicines to overcome chronic stress symptoms. Keywords: tsunami, mental health, SRQ

Estimasi Karbon Tersimpan pada Tegakan Pohon di Hutan Pantai Pulau Kotok Besar, Bagian Barat, Kepulauan Seribu

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Mohamad Fazri Hikmatyar

2016-03-01

Full Text Available The high activity of urban communities anthropogenic especially in Jakarta City cause high rates of carbon emissions. This problem is increased with the high rate of deforestation which is high enough in urban areas. One of ecosystem that can reduce carbon emissions is coastal forest ecosystem. Forests can reduce carbon emissions in the atmosphere and storing it in various compartments such as vegetation, litter and soil organic matter. One of the islands which have a coastal forest with good enough condition is Kotok Besar Island, the cluster of Seribu Islands. This study aims to estimate the carbon stored in tree stands at coastal forest region of west side of Kotok Besar Island, Seribu Islands. Methods of calculating carbon stock was done by making the observation plots and distributed by random sampling method to calculate diameter at breast height (dbh and identify the type of tree stands were found in the observation plots. dbh data was inserted into allometric equation to obtain the potential of stored carbon estimates. The results showed that the coastal forest of west side of the Kotok Besar Island have the number of plant species that dominate as many as four species, which consists of Thespesia populnea, Casuarina sp., Calophyllum sp., and Cocos nucifera. Biomass value is 853.94 tons / ha and potential of carbon stored is 426.97 tons/ha.

KEPEMIMPINAN KEPALA MADRASAH DALAM MENINGKATKAN KINERJA GURU PADA MAN MODEL BANDA ACEH

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Yusnidar Yusnidar

2014-02-01

Full Text Available School head master is one of factors in encouraging the school to reach its vision, mission, aim and target through the planned implemented program. The aim of the study is to know the leadership of the head master of the school in improving the teachers’ commitment, work motivation and obstacles experiencing by the school head master in improving the teachers’ performance at MAN Model Banda Aceh. The study used descriptive method. The data collection techniques were observations, interviews, and documentations. The subjects of this research were the head master of the school and the teachers of MAN Model Banda Aceh. The data analysis of this qualitative analysis shows that: (1 the leadership of the head master of the school in improving working commitment is through empowerment of the training teacher in accordance with their field, class supervision evaluation and interns routinely madrasah supervision, and give reward to outstanding teacher; ( 2 the school head master leadership in improving work motivation is through professionalism work guiding, evaluate the teacher learning program, consensus agreement in time discipline, and intern cooperation with the school head master and guiding teachers; (3 the head master leadership in improving discipline is through applying self discipline of school head master in order to be followed by teachers as the discipline being conducted by the school head master in fully self awareness without any coercion; (4 the obstacles faced by the school head master in improving the teacher performance is because of time restriction in carrying out classroom supervision, guiding professional teachers and evaluate the teachers teaching-learning process, as well as restricted fund allocation in MAN Model Banda Aceh.

Maximising nurses' and midwives' response rates to surveys.

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Cooper, Alannah Louise; Brown, Janie

2017-12-18

Low response rates to surveys have been a long-standing issue in research. This includes research involving nurses and midwives. To gain representative samples, appropriate measures to maximise response rates need to be used. To explore ways to maximise response rates from nurses and midwives, using a hospital-wide survey as an example. All nurses and midwives at the study hospital were invited to participate in a survey. To encourage participation and elicit an adequate response rate, several strategies were used. A total of 1,000 surveys were distributed and 319 (32%) were returned. All the required age groups, levels of experience and types of nursing registration were represented in the responses and data saturation was achieved. It is important to pay attention to obtaining a representative sample. Further investigation of response rates to surveys by nurses and midwives is warranted. Strategies to maximise response rates from a target population should be used when conducting surveys. ©2017 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

Kerjasama Pemasaran Obat Antara Dokter Dengan Pedagang Besar Farmasi Di Kota Bandung Dihubungkan Dengan Kode Etik Kedokteran dan Kepmenkes No. 3987/A/K/1973

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Sri Pujiastoeti

2006-03-01

Full Text Available Salah satu faktor penting yang sering dirasakan masyarakat umum sebagai penyebab mahalnya biaya pelayanan kesehatan adalah harga obat. Mengingat obat merupakan komponen yang dominan dalam upaya pengobatan/penyembuhan terhadap penderita dan untuk kebanyakan penyakit sering merupakan terapi yang lebih tepat. Banyak sudah jeritan dan keluhan masyarakat terhadap obat yang tidak terjangkau oleh kantong mereka. Hal ini banyak terungkap pada media / harian / majalah, sehingga banyak laporan bahwa penderita tidak dapat menebus resep karena kantong mereka tidak menjangkau obat tersebut. Dalam kaitan dengan ini, penulis berasumsi bahwa harga obat yang tinggi tersebut disebabkan adanya pemasaran obat antara dokter dengan pedagang besar farmasi dalam persaingan usaha untuk mencari keuntungan yang sebesar-besarnya. Untuk itu perlu ditelaah mengenai kerjasama ini dari berbagai aspek. Penelitian ini dilakukan dengan menggunakan metodologi sebagai berikut : sifat penelitian, deskriptif analisis, pendekatan penelitian, yuridis normatif, lokasi penelitian Kota Bandung, responden penelitian yaitu dokter dan pedagang besar farmasi. Teknik pengumpulan data dilakukan melalui studi kepustakaan dan lapangan. Teknik penentuan sampel dilakukan dengan menggunakan purposif sampling. Data yang telah diperoleh dianalisa dengan analisa kualitatif. Dari penelitian ini dapat disimpulkan bahwa dalam “kerjasama” pemasaran obat antara dokter dengan pedagang besar farmasi tidak terdapat hubungan hukum karena tidak mempunyai akibat hukum. “Kerjasama” pemasaran obat antara dokter dengan pedagang besar farmasi tidak sesuai dengan kode etik kedokteran dan kode etik pemasaran farmasi, serta bertentangan dengan Kepmenkes RI No. 3983/A/SK/1973 tentang Larangan Pedagang Besar Farmasi Menjual Obat Secara Langsung kepada Dokter, Dokter Gigi, dan Apotek. “Kerjasama” pemasaran obat antara dokter dengan pedagang besar farmasi memenuhi asas konsensual, namun tidak sesuai dengan asas

KETERKAITAN PRODUK DAN PELAKU DALAM PENGEMBANGAN AGRIBISNIS HORTIKULTURA UNGGULAN DI PROVINSI ACEH

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Suyanti Kasimin

2014-09-01

Full Text Available ABSTRACTThe purpose of this study was to analyze the factors that affect the level of production and horticultural income in Aceh Province. Moreover, some obstacles encountered in the development of agribusiness were analyzed and the relationship of actors in leading horticultural agribusiness development in Aceh was examined. Sample was 81 respondents, consisting of farmers, middlemen, agricultural extensions, community leaders, and researchers. T-test, regression and slices of opinion between the various stakeholders were used in this research. The results showed that horticultural production is influenced by the availability of the means of production and technology, while revenue is affected by the sales price and the cost of marketing. Products linkage appeared to be low due to low farmer access to inputs, high pest and disease, and the low sale price. Linkage between actors was also low due to the high dependence of the upstream actors towards downstream actors, the discontent of upstream actors against the payment system of downstream actors, and distrust of downstream actors towards product quality and continuity. Hence, it is necessary for the improvement of policy development and eradication of pests and assistance the means of production, improved selling prices, product quality, and market information.Keywords: agribusiness development, superior holiticulture, locality and synergicABSTRAKTujuan penelitian ini adalah menganalisis faktor-faktor yang memengaruhi tingkat produksi dan pendapatanhortikultura di Provinsi Aceh. Selain itu, juga ditelaah beberapa kendala yang dihadapi dalam pengembangan agribisnis serta menelaah keterkaitan pelaku dalam pengembangan agribisnis hortikultura unggulan di Aceh. Sampel berjumlah 81 responden, terdiri atas petani, pedagang perantara, penyuluh  pertanian, tokoh masyarakat, dan peneliti. Uji t, regresi berganda dan irisan pendapat antara berbagai pemangku kepentingan digunakan dalam penelitian ini

"Unscrambling what's in your head": A mixed method evaluation of clinical supervision for midwives.

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Love, Bev; Sidebotham, Mary; Fenwick, Jennifer; Harvey, Susan; Fairbrother, Greg

2017-08-01

As a strategy to promote workforce sustainability a number of midwives working in one health district in New South Wales, Australia were trained to offer a reflective model of clinical supervision. The expectation was that these midwives would then be equipped to facilitate clinical supervision for their colleagues with the organisational aim of supporting professional development and promoting emotional well-being. To identify understanding, uptake, perceptions of impact, and the experiences of midwives accessing clinical supervision. Mixed Methods. In phase one 225 midwives were invited to complete a self-administered survey. Descriptive and inferential statistics were used to analyse the data. In phase two 12 midwives were interviewed. Thematic analysis was used to deepen understanding of midwives' experiences of receiving clinical supervision. Sixty percent of midwives responding in phase one had some experience of clinical supervision. Findings from both phases were complementary with midwives reporting a positive impact on their work, interpersonal skills, situational responses and career goals. Midwives described clinical supervision as a formal, structured and confidential space for 'safe reflection' that was valued as an opportunity for self-care. Barriers included misconceptions, perceived work related pressures and a sense that taking time out was unjustifiable. Education, awareness raising and further research into reflective clinical supervision, to support emotional well-being and professional midwifery practice is needed. In addition, health organisations need to design, implement and evaluate strategies that support the embedding of clinical supervision within midwives' clinical practice. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Qanun Man’i al-Maysir fi Wilayati Aceh: Dirasatun Tahliliyatun fi Dhaui Maqasid al-Syari’ah

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Maisyarah Rahmi Hasan

2015-06-01

Full Text Available This research aims to study the prevention law of gambling in Aceh. Which has applied since 2003 M. The problem appears from this study is miss understanding of some Achiness society. Some of them accept that the gambling law is applied according to the purpose of Islam on the prohibit gambling. On another perception some of the community in Aceh do not accept it. they argue that the law of prevention gambling in Aceh is just from government not from Syari’. The explanation of appropriation between the purpose of government on applying this law and the purpose of maqashid al- syariah on prevention gambling. And discuss the reason of miss understanding society. So, this research will analyse the problems deal from this law, the solution, and finding out the wisdom of forbid gambling, and the relation prevention gambling law and the maqashid al – syariah on keep the wealth, because the command of preserve wealth is one of the purpose of syariah that Muslim should watch over it.thus, The researcher adopted the inductive methodology and the analytical approach to reach the solution on it. The most important result finding in this study is firm relation between the prevention gambling law in Aceh and maqashid al- syariah. Gambling is prohibited by many evidences and propositions from al-qur’an and hadits. In addition There are many kind of gambling renowned, the punishment for violate the gambling law is ta’ziriah. This forbidden relate to the command on keeping the wealth. Since that is one of the purpose of shariah. If the prevention of gambling law is approved and applied so that the purpose of shariah is reached as well. Futhermore, the law must be holdout on all Muslims to avoid gambling .

Prediction of future urban growth using CA-Markov for urban sustainability planning of Banda Aceh, Indonesia

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Achmad, A.; Irwansyah, M.; Ramli, I.

2018-03-01

Banda Aceh experienced rapid growth, both physically, socially, and economically, after the Tsunami that devastated it the end of December in 2004. Hence policy controls are needed to direct the pattern of urban growth to achieve sustainable development for the future. The purpose of this paper is to generate a growth model for Banda Aceh using the CA-Markov process. By knowing the changes in land use between 2005 and 2009 from the results of previous research, simulations for 2013, 2019 and 2029 using the application of Idrisi@Selva. CA-Markov models were prepared to determine the quantity of changes. The simulation results showed that, after the Tsunami, the City of Banda Aceh tended to grow towards the coast. For the control of the LUC, the Banda Aceh City government needs to prepare comprehensive and detailed maps and inventory of LUC for the city to provide basic data and information needed for monitoring and evaluation that can be done effectively and efficiently. An institution for monitoring and evaluation of the urban landscape and the LUC should be formed immediately. This institution could consist of representatives from government, academia, community leaders, the private sector and other experts. The findings from this study can be used to start the monitoring and evaluation of future urban growth. Especially for the coastal areas, the local government should immediately prepare special spatial coastal area plans to control growth in those areas and to ensure that the economic benefits from disaster mitigation and coastal protection are preserved. For the development of the city in the future, it is necessary to achieve a balance between economic development, and social welfare with environmental protection and disaster mitigation. iIt will become a big challenge to achieve sustainable development for the future.

Evaluation of a National E-Mentoring Program for Ethnically Diverse Student Nurse-Midwives and Student Midwives.

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Valentin-Welch, Maria

2016-11-01

The US racial profile is changing rapidly, yet the nursing and midwifery professions are not evolving accordingly. The lack of racial and ethnic diversity within these health professions negatively affects efforts to eliminate persistent health disparities. To address this issue, the Midwives of Color Committee (MOCC) of the American College of Nurse-Midwives (ACNM) created a national online mentoring program in 2011 to support midwifery students of color. An evaluation of the program is reported here. This was a descriptive study conducted via online surveys mailed to 44 mentors and 42 mentees who participated in the program during 2012. Categorical survey responses were compared between groups, and open-ended responses were evaluated for common themes. Response rates differed across groups. Half of the mentors responded (50%), while only 38.1% of the mentees responded. The majority of mentors and mentees rated the program as either excellent or good and felt the program should continue. Both mentors and mentees shared similar positive ratings about the effectiveness of the application, speed with which matching occurred, and satisfaction with mentee-mentor match; they also share less favorable ratings regarding frequency of communication, impact of geographic proximity, and academic support need and response. Both groups desired to live closer to one another and communicate more. This study suggests that the online mentoring program for student midwives of color currently being offered should continue but with enhancements to improve the face-to-face mentoring experience, including the use of computer-based technology. Other program improvements are also recommended. To be truly effective, mentoring programs must meet the needs of mentors and mentees; future evaluations should clarify their potential as an important tool for increasing diversity. © 2016 by the American College of Nurse-Midwives.

Work and workload of Dutch primary care midwives in 2010.

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Wiegers, Therese A; Warmelink, J Catja; Spelten, Evelien R; Klomp, T; Hutton, Eileen K

2014-09-01

to re-assess the work and workload of primary care midwives in the Netherlands. in the Netherlands most midwives work in primary care as independent practitioners in a midwifery practice with two or more colleagues. Each practice provides 24/7 care coverage through office hours and on-call hours of the midwives. In 2006 the results of a time registration project of primary care midwives were published as part of a 4-year monitor study. This time the registration project was repeated, albeit on a smaller scale, in 2010. as part of a larger study (the Deliver study) all midwives working in 20 midwifery practices kept a time register 24 hours a day, for one week. They also filled out questionnaires about their background, work schedules and experiences of workload. A second component of this study collected data from all midwifery practices in the Netherlands and included questions about practice size (number of midwives and number of clients in the previous year). in 2010, primary care midwives actually worked on an average 32.6 hours per week and approximately 67% of their working time (almost 22 hours per week) was spent on client-related activities. On an average a midwife was on-call for 39 hours a week and almost 13 of the 32.6 hours of work took place during on-call-hours. This means that the total hours that an average midwife was involved in her work (either actually working or on-call) was almost 59 hours a week. Compared to 2004 the number of hours an average midwife was actually working increased by 4 hours (from 29 to 32.6 hours) whereas the total number of hours an average midwife was involved with her work decreased by 6 hours (from 65 to 59 hours). In 2010, compared to 2001-2004, the midwives spent proportionally less time on direct client care (67% versus 73%), although in actual number of hours this did not change much (22 versus 21). In 2009 the average workload of a midwife was 99 clients at booking, 56 at the start of labour, 33 at childbirth, and

Female genital mutilation: knowledge, attitude and practices of Flemish midwives.

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Cappon, Sien; L'Ecluse, Charlotte; Clays, Els; Tency, Inge; Leye, Els

2015-03-01

health professionals in Belgium are confronted with female genital mutilation (FGM). To date, no survey to assess knowledge, attitudes and practices on FGM was conducted among midwives in the Northern region of Belgium. the objective of this study was to assess the knowledge, attitude and practices of Flemish midwives regarding female genital mutilation (FGM). we used a quantitative design, using KAP study (semi-structured questionnaire). labour wards, maternity wards and maternal intensive care units (MIC) in 56 hospitals in Flemish region of Belgium. 820 midwives, actively working in labour wards, maternity wards and maternal intensive care units (MIC). 820 valid questionnaires (40.9%) were returned. More than 15% of the respondents were recently confronted with FGM. They were mostly faced with the psychological and sexual complications caused by FGM. Few respondents were aware of existing guidelines regarding FGM in their hospitals (3.5%). The results also showed that only 20.2% was aware of the exact content of the law. The majority of midwives condemned the harmful traditional practice: FGM was experienced as a form of violence against women or a violation of human rights. Only 25.9% declared that FGM forms a part of their midwifery program. The vast majority of respondents (92.5%) indicated a need for more information on the subject. this study indicated that midwives in Flanders are confronted with FGM and its complications and highlighted the gaps in the knowledge of Flemish midwives regarding FGM. This may interfere with the provision of adequate care and prevention of FGM for the new-born daughter. there is an important need for appropriate training of (student)midwives concerning FGM as well as for the development and dissemination of clear guidelines in Flemish hospitals. Copyright © 2014 Elsevier Ltd. All rights reserved.

The historical and religious approach towards city park design in Banda Aceh, Indonesia Case Study: Krueng Neng Park (Taman Krueng Neng)

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Safriana, D.; Wulandari, E.

2018-05-01

Banda Aceh has a long history as a coastal city; it had ever been a cosmopolitan maritime city based on Islamic sharia. One of the physical traces of this history is located at the Krueng Neng River, a site which became a Turkish military training area to support the existence of the kingdom of Aceh in the 17th-19th century. Currently, the development of the Banda Aceh city has the goal of making the city as an Islamic tourism destination. One of the ways to achieve this goal is by the arrangement of Islamic open space in historical environments. Therefore, this paper intends to examine historical and religious approaches in the concept of open space arrangement in Krueng Neng, Lamjame Village, Banda Aceh. This is important with regards to the Banda Aceh’s designation as one of the eight heritage cities in Indonesia, as Banda Aceh’s city plan will be developed according to the goals of the heritage program. The study model is in the form of design research that will develop an activity program and pattern of the spatial arrangement based on history and religion, and supported by location-based approach (field condition) incorporating both geographical and socio-cultural contexts. The result of the study is a park design based on Islamic garden principles and incorporating historical aspects from 17th century Turkey in the form of replicas of a Turkish ship and cannon ‘Lada Sicupak’. In summary, one of the options to enhance the goal of Islamic tourism in Banda Aceh is arranging a local park based on its historical aspects and applying Islamic garden principles.

Factors defining the mentoring competencies of clinical midwives: An exploratory quantitative research study in Japan.

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Hishinuma, Yuri; Horiuchi, Shigeko; Yanai, Haruo

2016-01-01

Clinical education is an extremely important process in cultivating healthcare professionals, and the quality of educators has a major impact on the quality of future practitioners. Although practicing clinical midwives contribute to the education of pre-registered midwives and those qualified within the past year (new midwives), the factors defining the educational competencies of clinical midwives have not been clarified. The purpose of this study was to explore the factors that define the mentoring competencies of clinical midwives involved in educating new midwives. An exploratory quantitative research study. Questionnaires were distributed to 694 midwives who had previously conducted educational activities with new midwives at the 63 facilities whose administrator or nurse manager in charge of all staff, including midwives, consented to participate. Of the 694 midwives, 464 (66.9%) returned the questionnaire and 451 (65.1%) valid responses were analyzed. Exploratory factor analyses were performed on the following three concepts: [competency as a professional], [competency as an educator], and [personal characteristics]. [Competency as a professional] consisted of two factors: and ; [competency as an educator] consisted of four factors: , , and ; and [personal characteristics consisted of three factors: exercising leadership> , and . These three concepts were defined by a total of nine sub-concepts (factors), and 41 items were extracted with a reliability coefficient (Cronbach's α) of 0.944 CONCLUSIONS: "Mentoring competencies of clinical midwives (MCCM)" are defined by three concepts and nine sub-concepts, which can be evaluated by 41 items regarding the behavior, thoughts, and characteristics that clinical midwives exhibit when they educate new midwives in clinical settings. Copyright © 2015 Elsevier Ltd. All rights reserved.

EVALUASI KINERJA GURU FISIKA, BIOLOGI DAN KIMIA SMA YANG SUDAH LULUS SERTIFIKASI

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Yusrizal Yusrizal

2013-01-01

Full Text Available Penelitian ini bertujuan (1 mengembangkan instrumen evaluasi kinerja guru yang valid dan reliabel, (2 mengevaluasi kinerja guru Fisika, Biologi, dan Kimia SMA yang sudah terser-tifikasi/menerima tunjangan profesi. Populasi penelitian yaitu seluruh guru Fisika, Biologi dan Kimia SMA tersertifikasi/pene-rima tunjangan profesi yang berada di Kota Banda Aceh, Kabupaten Aceh Besar dan Kabupaten Pidie. Validitas konstruk instrumen yang dikembangkan dibuktikan melalui analisis fak-tor, dan reliabilitasnya diestimasi dengan rumus alpha Cron-bach. Analisis tingkat kinerja ditentukan dengan persentase. Hasil penelitian menunjukkan: (1 instrumen yang dikembang-kan terdiri atas 33 butir pernyataan, dan memiliki koefisien reliabilitas konsistensi internal sebesar 0,953; (2 kinerja guru Fisika, Biologi, dan Kimia SMA yang sudah lulus sertifikasi dan sudah menerima tunjangan belum seluruhnya berkinerja tinggi; (3 kinerja guru Kimia relatif lebih baik dari pada kinerja guru Biologi dan guru Fisika. Kata kunci: evaluasi, kinerja guru, validitas, reliabilitas ______________________________________________________________ AN EVALUATION OF THE PERFORMANCE OF CERTIFIED SCIENCE TEACHERS (PHYSICS, CHEMISTRY AND BIOLOGY OF SENIOR HIGH SCHOOLS Abstract This study was aimed at (1 developing a valid and reliable performance evaluation instruments for teachers, and (2 evaluating the level of Physics, Biology and Chemistry teachers of senior high schools who have been certified and received theprofession allowance. The population of this study included all certified Physics, Biology and Chemistry teachers of senior high schools who have received profession allowance in Banda Aceh, Aceh Besar, and Pidie. The construct validity of the instrument developed was assessed through factor analysis, and the reliability was estimated by using Cronbach’s Alpha formula. The level of teachers’performance was analyzed by the percentage. The result of the research shows that (1 the

Directives for Mangrove Forest and Coastal Forest Rehabilitation in Earthquake and Tsunami Disaster Area in the Provinces of Manggroe Aceh Darussalam and Sumatera Utara (Nias Island, Indonesia

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Cecep Kusmara

2011-01-01

Full Text Available Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Peristiwa gempa bumi dan tsunami yang melanda Nanggroe Aceh Darussalam (NAD dan Pulau Nias Sumatera Utara pada bulan Desember 2004 telah mengakibatkan rusaknya sebagian besar hutan mangrove dan hutan pantai di kedua wilayah tersebut. Berhubung kedua tipe hutan tersebut sangat penting untuk menopang kelangsungan hidup penduduk pantai, maka penelitian ini dilakukan untuk mendapatkan arahan rehabilitasi hutan mangrove dan pantai yang rusak akibat tsunami di NAD dan Pulau Nias. Hasil penelitian menunjukkan bahwa wilayah pantai yang tanahnya berupa tanah mineral yang bukan lumpur dengan salinitas yang tinggi (di atas 10 0/00 seyogyanya ditanami oleh jenis mangrove eklusif (Rhizophora stylosa, R. apiculata, Sonneratia alba, Ceriops tagal dan Aegeciros floridum dan mangrove asosiat (Osbornea octodonta dan Scyphiphora sp., tanah bukan lumpur dengan salinitas rendah oleh berbagai jenis pohon hutan pantai (Casuarina equisetifolia, dan lain-lain, tanah lumpur bersalinitas tinggi oleh Avicenia spp. dan R. Mucronata; dan tanah gambut seyogyanya ditanami oleh Bruguiera gymnorrizha. Adapun lebar  jalur hijau vegetasi yang disarankan adalah minimal 225 m untuk wilayah NAD dan 211 m untuk wilayah pulau Nias. Untuk merealisasikan kegiatan rehabilitasi vegetasi pantai yang bersifat multitahun di NAD dan Nias maka kegiatan rehabilitasi tersebut harus ditempatkan dalam rangka pembangunan daerah Kata kunci: hutan mangrove, hutan pantai, jalur hijau, mangrove asosiat, mangrove eksklusif

Genetic diversity of merozoite surface protein-2 in Plasmodium falciparum isolates from Aceh province, Indonesia

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Jamil, K. F.; Supargiyono, S.; Syafruddin, D.; Pratama, N.; Silvy, S.

2018-03-01

Estimated 3.3 million Indonesian population were infected with malaria. However, extensive genetic polymorphism of the field isolates MSP-2 of P. falciparum represents a major obstacle for the development of malaria treatment. The aim of this study to investigate the genetic diversity of MSP-2 genotype in field isolates of P. falciparum collected in Aceh Province. A total of 90 patients enrolled in this study who were selected from positive malaria from eleven district Hospitals in Aceh from 2013-2015. Data was collected by anamnesis, complete physical examination and laboratory tests for MSP-2. All protocol to diagnose malaria assigned following the WHO 2010 guideline. All samples were stored in Eijkman Biology Molecular Institute, Jakarta.Among 90 samples were 57.7% male and 42.3% female with the most cases ages between 21-30 years old. Allele typing analysis displayed the polymorphic nature of P. falciparum. The MSP-2 have two alleles, 62.2% (56/90) for FC27 type and 58.9% (53/90) for 3D7 type and 21.2% (19/90) for mixed FC27 and 3D7 infection were identified. Diverse allele types from Aceh Province was identified in MSP-2 P. falciparum patients; there is the almost similar number of patients infected with both allele. A moderate level of the mixed allele was also observed.

The training and development needs of midwives in Indonesia: paper 2 of 3

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Hicks Carolyn

2006-04-01

Full Text Available Abstract Background There is a shortfall in midwives in Indonesia (an estimated 26 per 100 000 people, which means that the quality of antenatal, perinatal and postnatal care varies widely. One consequence of this is the high rate of maternal and perinatal mortality, which has prompted a number of health initiatives. The current study was part of a review of the existing complex system of midwifery training and the development of a coherent programme of continuing professional development, tighter accreditation regulations and clearer professional roles. Its aims were to identify the occupational profiles and development needs of the participating midwives, and to establish whether any differences existed between grades, geographical location and hospital/community midwives. Methods A psychometrically valid training-needs instrument was administered to 332 midwives from three provinces, covering both hospital and community staff and a range of midwifery grades. The instrument had the capacity to identify occupational roles and education/training needs of the respondents. Results The occupational roles of the midwives varied significantly by province, indicating regional service delivery distinctions, but very little difference in the roles of hospital and community midwives. The most educated midwives attributed more importance to 35 out of the 40 tasks, suggesting an implicit role distinction in terms of level of activity. All midwives reported significant training needs for all 40 tasks. The most-educated midwives recorded training needs for 24 tasks, while the less-educated had training requirements for all tasks, which suggests that new training programmes are effective. Few differences in training needs were revealed between hospital and community midwives Conclusion The results from this survey suggest important regional differences in how the midwife's role is discharged and underline the importance of this sort of research, in order to

How do midwives in Slovenia view their professional status?

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Mivšek, Polona; Pahor, Majda; Hlebec, Valentina; Hundley, Vanora

2015-12-01

The aim of the study was to explore Slovenian midwives' views of their professional status. The influence of participants' educational background on their views was also examined, since higher education is related to professionalism. This was a quantitative descriptive survey, using postal data collection. The questionnaire comprised of six elements crucial for professionalism--three elements distinctive of 'old' professionalism (power, ethics, specific knowledge) and three characteristics of 'new' professionalism (reflective practice, inter-professional collaboration and partnership with users). A total of 300 midwives who were registered in a national register of nurses and midwives at the time of the study. The response rate was 50.7% (152 returned the questionnaire). Participants that were on a probationary period were excluded, leaving 128 questionnaires for analysis (43%). Some 40.9% participants had secondary midwifery education, 56.7% had higher midwifery education and only few (2.4%) finished postgraduate education. The majority of participants did not consider midwifery to be a specific profession. Midwives with secondary education were more likely to consider practical skills to be important than theoretical midwifery knowledge. In general midwives did not feel enabled to practice autonomously; and this caused them to face ethical dilemmas when aiming to fulfil women's wishes. All participants with midwifery secondary school education thought that obstetrics jeopardises midwifery scope of practice, but only half of the BSc participants thought this. One-fifth of all participants estimated that midwifery is also threatened by nursing. The respondents reported feeling a lack of control over their professional activity and policy making; however the majority of midwives claimed that they were willing to take on more responsibility for independent practice. Slovenian midwifery cannot be considered to be a profession yet. It faces several hindrances, due to

SELEKSI PADA SAPI ACEH BERDASARKAN METODE INDEKS SELEKSI (IS DAN NILAI PEMULIAAN (NP

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Widya P. B. P

2016-01-01

Full Text Available Penelitian ini bertujuan untuk melihat hasil seleksi pada calon induk (heifer dan calon pejantan (bull sapi Aceh menggunakan metode nilai pemuliaan (NP dan indeks seleksi (IS terhadap performans berat badan. Data sekunder yang digunakan dalam penelitian ini terdiri dari data recording ternak dari tahun 2010 sampai 2014 yang meliputi data silsilah ternak, data kelahiran dan dan data berat badan di Balai Pembibitan Ternak Unggul (BPTU-Hijauan Pakan Ternak (HPT Sapi Aceh Indrapuri. Data recording ternak yang diperoleh digunakan untuk mengestimasi heritabilitas, korelasi genetik dan korelasi fenotip. Hasil penelitian menunjukkan bahwa heritabilitas berat sapih (BS, berat setahunan (BY dan berat akhir (BAtermasuk kategori tinggi. Korelasi genetik BS dengan BY dan BS dengan BA termasuk kategori positifsedang. Kesimpulan penelitian ini adalah terdapat 14 ekor heifer (48%dan bull (53%yang memiliki peringkat NPBA dan IS yang sama dari masing-masing 29dan 26 ekorsapi yang diuji.Metode IS dapat digunakan sebagai salah satu kriteria seleksi ternak yang lebih akurat.

Job satisfaction and leaving intentions of midwives: analysis of a multinational cross-sectional survey.

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Jarosova, Darja; Gurkova, Elena; Palese, Alvisa; Godeas, Gloria; Ziakova, Katarina; Song, Mi Sook; Lee, Jongwon; Cordeiro, Raul; Chan, Sally Wai-Chi; Babiarczyk, Beata; Fras, Malgorzata; Nedvedova, Daniela

2016-01-01

To investigate the relationship between turnover intentions and job satisfaction among hospital midwives from seven countries and to determine how the related variables differ between countries. Studies investigating professional turnover and job satisfaction among midwives are limited in scope. A cross-sectional descriptive survey was used to investigate the intended turnover and job satisfaction relationship among 1190 hospital midwives in European and Asian countries. Data were collected using a set of questionnaires that included questions regarding the leaving intentions of midwives and the McCloskey/Mueller satisfaction scale. Midwives were least satisfied with their extrinsic rewards and professional opportunities and with the balance between family and work. Significant differences were found in all domains of job satisfaction according to midwives' intentions to leave their current workplace in hospital or profession of midwife, and to work abroad. There are some general satisfying and dissatisfying elements for the profession of midwife across different countries. The results highlight the importance of understanding midwives' leaving intentions and related factors across different countries. To prevent midwife turnover, health-care managers should gain greater insight into the early stage of midwives' turnover intention. © 2015 John Wiley & Sons Ltd.

Being Woman in the Land of Shari‘a: Politics of the Female Body, Piety, and Resistance in Langsa, Aceh

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Muhammad Ansor

2015-04-01

Full Text Available This study investigates the dynamic of institutionalization of Shari’a in Aceh, which focuses on analysis of the patterns of Langsa women’s resistance against religious leaders and state interpretations of the dress standards in the public space. This matter emerged because the implementation of Shari’a has been supported by local people, but the standard of Islamic dress that should be applied is still debatable among various groups in Aceh that have varied understandings and different religious visions. The regulation of dress code has been an issue for religious leaders, intellectuals, and Moslem activists. The resistance of Langsa women against the politics of body discipline could be open and secret. To analyze the forms of women’s resistance, the researcher applied James C. Scott’s hidden transcripts theory. Inspired by this theoretical framework, the researcher found that Langsa women, intellectuals, and religious leaders expressed their resistance over how women should dress in public space. In collecting the data, the researcher used observation, in-depth interviews, and focus group discussions. Accordingly, the research shows how Langsa women express their resistance towards religious hegemony and state interpretation of Islam.[Tulisan ini membahas dinamika pelembagaan syariat Islam di Aceh dengan fokus resistensi tersembunyi perempuan Langsa terhadap penafsiran elite agama dan pemerintah perihal pembakuan standar pakaian di ruang publik. Meskipun implementasi syariat Islam Aceh mendapat dukungan masyarakat setempat, tetapi ketika sebuah tafsir tertentu tentang pakaian Islami dibakukan dalam regulasi (Qanun, muncul perdebatan dari sebagian muslim yang berpola pemikiran dan visi keagamaan berbeda. Bukan hanya perdebatan di kalangan elite agama, intelektual, maupun aktivis, perempuan di berbagai daerah di Aceh pun mengekspresikan resistensi, baik secara terbuka maupun tersembunyi. Peneliti menggunakan teori hidden transcripts

Assessing school disaster preparedness by applying a comprehensive school safety framework: A case of elementary schools in Banda Aceh City

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Sakurai, A.; Bisri, M. B. F.; Oda, T.; Oktari, R. S.; Murayama, Y.

2017-02-01

The study assessed the depth of school disaster safety at public elementary schools in Banda Aceh City, Indonesia in terms of comprehensive school safety, especially school location, disaster management and disaster education. The findings indicate that 56% of public elementary schools in Banda Aceh City are exposed to high tsunami risk, and most externally driven school disaster preparedness activities were not continued by the schools due to lack of ownership and funding. To realize comprehensive school safety, disaster preparedness programs should neither be brought in by external donors, nor be in a patchwork. Rather, it should be conducted jointly and sustainably by the local school and the community and supported by multi-sectoral support in the city. Comprehensive school safety of public elementary schools in Banda Aceh City could be realized by reviewing, updating and localizing school disaster preparedness programs by all the education partners in the city with strong political will and commitment.

Student midwives' views on maternity care just before their graduation.

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Van Kelst, Liesbeth; Spitz, Bernard; Sermeus, Walter; Thomson, Ann M

2013-03-01

To report a hermeneutic study of student midwives' views on maternity care just before their graduation. background: Woman-centred care, which is the hallmark of midwifery, is taught to midwifery students around the globe. Woman-centred care is advantageous for women at low obstetric risk. However, adopting this ideology might be a problem for student midwives whose clinical placements are mainly in a medicalized obstetric-led hospital setting. A hermeneutic phenomenological study was conducted. In 2010, three focus groups were held where 19 student midwives participated. Data were transcribed verbatim and analysed using van Manen's approach. The choice for midwifery was a 'positive' choice and not the result of an elimination process. Students' description of a midwife as a coach was in line with the international definition of a midwife. With regard to maternity care, midwifery students identified two types of care, factory-style care and tailored care, both of which were ascribed to caregivers and hospital culture. Furthermore, student midwives made the distinction between hierarchy and teamwork, referring to the professional relations in maternity care. Hierarchy was driven by tradition, it implied that decisions were made top-down, and it resulted in impersonal relations. Midwifery students felt it was unjust that midwives were not allowed to perform deliveries while having the legal autonomy to do so. In spite of the medicalized context, midwifery education succeeded in educating midwives who hold a woman-centred ideology. Midwifery students linked style of care to a person rather than to a profession. © 2012 Blackwell Publishing Ltd.

Midwives' support for Complementary and Alternative Medicine: a literature review.

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Hall, Helen G; McKenna, Lisa G; Griffiths, Debra L

2012-03-01

There is evidence that the use of Complementary and Alternative Medicine by childbearing women is becoming increasingly popular in industrialised countries. The aim of this is paper is to review the research literature investigating the midwives' support for the use of these therapies. A search for relevant research published from 2000 to 2009 was undertaken using a range of databases and by examining relevant bibliographies. A total of thirteen studies were selected for inclusion in this review. The findings indicate that the use of Complementary and Alternative Medicine is widespread in midwifery practice. Common indications for use include; labour induction and augmentation, nausea and vomiting, relaxation, back pain, anaemia, mal-presentation, perineal discomfort, postnatal depression and lactation problems. The most popular therapies recommended by midwives are massage therapy, herbal medicines, relaxation techniques, nutritional supplements, aromatherapy, homeopathy and acupuncture. Midwives support the use Complementary and Alternative Medicine because they believe it is philosophically congruent; it provides safe alternatives to medical interventions; it supports the woman's autonomy, and; incorporating Complementary and Alternative Medicine can enhance their own professional autonomy. There is considerable support by midwives for the use of Complementary and Alternative Medicine by expectant women. Despite this enthusiasm, currently there are few educational opportunities and only limited research evidence regarding CAM use in midwifery practice. These shortfalls need to be addressed by the profession. Midwives are encouraged to have an open dialogue with childbearing women, to document use and to base any advice on the best available evidence. Copyright © 2010 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Midwives' Clinical Reasons for Performing Episiotomies in the Kurdistan Region: Are they evidence-based?

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Ahmed, Hamdia M

2014-08-01

An episiotomy is one of the most common obstetric surgical procedures and is performed mainly by midwives. The decision to perform an episiotomy depends on related clinical factors. This study aimed to find out midwives' reasons for performing episiotomies and to identify the relationship between these reasons and the demographic characteristics of the midwives. This cross-sectional study was conducted between 1(st) July and 30(th) September 2013 in three governmental maternity teaching hospitals in the three main cities of the Kurdistan Region of Iraq. All of the midwives who had worked in the delivery rooms of these hospitals for at least one year were invited to participate in the study (n = 53). Data were collected through interviews with midwives as well as via a questionnaire constructed for the purpose of the study. The questionnaire sought to determine: midwives' demographic characteristics; type of episiotomy performed; authority of the decision to perform the procedure, and reasons for performing episiotomies. THE MAIN CLINICAL REASONS REPORTED BY MIDWIVES FOR PERFORMING AN EPISIOTOMY WERE: macrosomia/large fetus (38, 71.7%), breech delivery (31, 58.5%), shoulder dystocia (29, 54.7%), anticipated perineal tear (27, 50.9%) and fetal distress (27, 50.9%). There was a significant association between the frequency of these reasons and midwives' total experience in delivery rooms as well as their levels of education. Most of the reasons given by the midwives for performing episiotomies were not evidence-based. Age, years of experience, specialties and level of education also had an effect on midwives' reasons for performing episiotomies.

Complementary and alternative medicine: Interaction and communication between midwives and women.

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Hall, Helen G; Griffiths, Debra; McKenna, Lisa G

2015-06-01

Many pregnant women use complementary and alternative medicine. Although midwives are often supportive, how they communicate with women about the safe use of these therapies has received limited research attention. The aim of this study was to explore how midwives interact with women regarding use of complementary and alternative medicine during pregnancy. We utilised grounded theory methodology to collect and analyse data. Twenty-five midwives who worked in metropolitan hospitals situated in Melbourne, Australia, participated in the study. Data were collected from semi structured interviews and non-participant observations, over an 18-month period. How midwives communicate about complementary and alternative medicine is closely associated with the meaning they construct around the woman's role in decisionmaking. Most aim to work in a manner consistent with the midwifery partnership model and share the responsibility for decisions regarding complementary and alternative medicine. However, although various therapies were commonly discussed, usually the pregnant woman initiated the dialogue. A number of contextual conditions such as the biomedical discourse, lack of knowledge, language barriers and workplace constraints, limited communication in some situations. Midwives often interact with women interested in using CAM. Most value the woman's autonomy and aim to work in partnership. However, various contextual conditions restrain overt CAM communication in clinical practice. Copyright © 2014 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Work and workload of Dutch primary care midwives in 2010.

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Wiegers, T.A.; Warmelink, J.C.; Spelten, E.R.; Klomp, G.M.T.; Hutton, E.K.

2014-01-01

Objective: To re-assess the work and workload of primary care midwives in the Netherlands. Background: In the Netherlands most midwives work in primary care as independent practitioners in a midwifery practice with two or more colleagues. Each practice provides 24/7 care coverage through office

Domestic violence during pregnancy: Midwives׳ experiences.

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Mauri, Elisa Marta; Nespoli, Antonella; Persico, Giuseppina; Zobbi, Virna Franca

2015-05-01

the aim of this qualitative study was to explore midwives׳ knowledge and clinical experience of domestic violence among pregnant women, with particular emphasis on their perceptions of their professional role. the data collected for this phenomenological-hermeneutical qualitative study were collected using semi-structured interviews, and analysed according to Denzin and Lincoln (2011). fifteen hospital and community midwives working in the local health district of Monza and Brianza in northern Italy were recruited between July and October 2012. three main themes emerged: 'it is difficult to recognise domestic violence' because of a limited knowledge of the most common signs and symptoms of violence, a lack of training, cultural taboos, and the women׳s unwillingness to disclose abuse; 'we have a certain number of means of identifying violence', such as relationships with the woman, specific professional training and screening tools, which have advantages and disadvantages; 'the professionals involved' in identifying and managing family violence highlight the importance of a interdisciplinary approach. midwives acknowledge their crucial role in identifying and managing domestic violence but are still unprepared to do so and indicate various barriers that need to be overcome. There is a need to implement basic university education on the subject and provide specific professional training. Copyright © 2015 Elsevier Ltd. All rights reserved.

Isolation and Identification of Contaminant Molds on Pumpkin Candy From Sumbawa Besar

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Henny Nurul Khasanah, Utami Sri Hastuti, Linda Hapsari

2015-01-01

Pumpkin candy is a sort of pumpkin fruit processed products that is typical food from Sumbawa Besar. Pumpkin candy contains carbohydrates, fats, protein, fiber, and minerals. The mold can contaminate and degradate the pumpkin candy compounds, thus lowering the quality of the pumpkins candy. The purpose of this research were: 1) to identify the species of contaminant mold on candy pumpkin; 2) to determining the most dominant species on the pumpkins candy. The research were conducted at the Mic...

Midwives in medical student and resident education and the development of the medical education caucus toolkit.

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Radoff, Kari; Nacht, Amy; Natch, Amy; McConaughey, Edie; Salstrom, Jan; Schelling, Karen; Seger, Suzanne

2015-01-01

Midwives have been involved formally and informally in the training of medical students and residents for many years. Recent reductions in resident work hours, emphasis on collaborative practice, and a focus on midwives as key members of the maternity care model have increased the involvement of midwives in medical education. Midwives work in academic settings as educators to teach the midwifery model of care, collaboration, teamwork, and professionalism to medical students and residents. In 2009, members of the American College of Nurse-Midwives formed the Medical Education Caucus (MECA) to discuss the needs of midwives teaching medical students and residents; the group has held a workshop annually over the last 4 years. In 2014, MECA workshop facilitators developed a toolkit to support and formalize the role of midwives involved in medical student and resident education. The MECA toolkit provides a roadmap for midwives beginning involvement and continuing or expanding the role of midwives in medical education. This article describes the history of midwives in medical education, the development and growth of MECA, and the resulting toolkit created to support and formalize the role of midwives as educators in medical student and resident education, as well as common challenges for the midwife in academic medicine. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health. © 2015 by the American College of Nurse-Midwives.

Clinical decision-making by midwives: managing case complexity.

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Cioffi, J; Markham, R

1997-02-01

In making clinical judgements, it is argued that midwives use 'shortcuts' or heuristics based on estimated probabilities to simplify the decision-making task. Midwives (n = 30) were given simulated patient assessment situations of high and low complexity and were required to think aloud. Analysis of verbal protocols showed that subjective probability judgements (heuristics) were used more frequently in the high than low complexity case and predominated in the last quarter of the assessment period for the high complexity case. 'Representativeness' was identified more frequently in the high than in the low case, but was the dominant heuristic in both. Reports completed after each simulation suggest that heuristics based on memory for particular conditions affect decisions. It is concluded that midwives use heuristics, derived mainly from their clinical experiences, in an attempt to save cognitive effort and to facilitate reasonably accurate decisions in the decision-making process.

Klasifikasi Kecamatan Berdasarkan Nilai Akhir SMA/MA di Kabupaten Aceh Selatan Menggunakan Analisis Diskriminan

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Fitriana A.R.

2015-11-01

Full Text Available Analisis diskriminan merupakan bagian dari analisis peubah ganda. Analisis diskriminan digunakan untuk memodelkan variabel tak bebas yang bersifat kualitatif dengan variabel bebas yang bersifat kuantitatif. Pada penelitian ini, analisis diskriminan lebih dari dua kelompok diterapkan pada data nilai akhir SMA/MA di Kabupaten Aceh Selatan yang bertujuan untuk mendapatkan model untuk pengklasifikasian kecamatan. Pengklasifikasian ini bertujuan untuk melihat perbedaan kualitas siswa SMA/MA yang berada di masing-masing kecamatan Kabupaten Aceh Selatan berdasarkan data nilai akhir. Variabel tak bebas yang digunakan berupa klasifikasi kecamatan berdasarkan rata-rata jumlah nilai akhir SMA/MA yang berada di masing-masing kecamatan yang dibentuk dengan K-Means Cluster. Sedangkan variabel bebas yang digunakan adalah data rata-rata nilai akhir SMA/MA untuk setiap mata pelajaran yang diujiankan pada masing-masing jurusan setiap kecamatan. Model yang didapatkan adalah dua model diskriminan untuk jurusan IPA dan IPS.

Why did Aceh lose its Nineteenth Century Independence? Comparisons with Siam and other states

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Anthony John S. Reid

2017-03-01

Full Text Available By the middle of the 19th century fully independent states in Southeast Asia were few, and all felt threatened by the advance of competitive European imperialisms. By 1900 only Siam (Thailand had retained its full formal independence, though arguably by yielding key levers of control to the British. Siam’s success is often compared with the failure of Burma and Viet Nam, conquered by Britain and France respectively in the late 19th century.  Archipelago states have seldom entered this comparison, although Aceh had unique advantages in the ability to play off British and Dutch. The argument here is that the Aceh leadership did have vital agency, and made some crucial choices that could be considered mistakes from a Siam perspective. Dutch and British choices and mistakes have been better studied, but Acehnese ones also deserve to be. 

Midwives' perceptions of women's preferences related to midwifery care in Germany: A focus group study.

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Lohmann, Susanne; Mattern, Elke; Ayerle, Gertrud M

2018-06-01

To explore how midwives perceive patient preferences related to midwifery care in Germany. This qualitative study, which was part of a larger study, used a hermeneutic-interpretive approach and involved focus group interviews with midwives. Data collection and analysis were done in a conjoined fashion between April 2015 and September 2016. Four focus group interviews were conducted in four different federal states of Germany. The sample of 20 qualified midwives was heterogeneous with regards to age, educational level, professional experience, type of midwifery care provided, and setting (employed, caseload, education) in which they provided services. Three main themes were identified: Strengths and limitations of midwives' present professional profile (midwives' area of responsibility, range of services, and competency); lack of midwives and midwifery services; women's experiences of conflict in interprofessional care. Each main theme is broken down into several aspects of content. Many women are not aware of the scope of professional knowledge and expertise of midwives. Moreover, the poor delineation of midwives' and obstetricians' areas of competency in Germany's hospitals seems to be disadvantageous for the women. Midwives feel that due to context implications they cannot live up to the quality of midwifery care they aspire to. Lack of midwives results in midwives being overwhelmed, women underserved, and both disappointed. On the one hand, new models of midwifery/maternity care need to be developed to solve some of the existing problems; on the other hand, new forms of interprofessional cooperation and management of transition of care points are required. Overall it is important that changes are implemented in such a way that women are enabled, and welcome, to clearly state their preferences for midwifery and maternity care. Particularly in Germany, tertiary education of midwives is needed to broaden their expertise and place them on an equal footing with

Provision of Abortion Services by Midwives in Limpopo Province of ...

African Journals Online (AJOL)

South Africa's Choice on Termination of Pregnancy (CTOP) Act of 1996 allows provision of abortion on request up to 12 weeks of gestation and permits midwives who have completed required training to conduct termination of pregnancies. This unique codification of midwives' role in abortion care reflects legislators' ...

The changing role of indigenous lay midwives in Guatemala: new frameworks for analysis.

Science.gov (United States)

Chary, Anita; Díaz, Anne Kraemer; Henderson, Brent; Rohloff, Peter

2013-08-01

to examine the present-day knowledge formation and practice of indigenous Kaqchikel-speaking midwives, with special attention to their interactions with the Guatemalan medical community, training models, and allopathic knowledge in general. a qualitative study consisting of participant-observation in lay midwife training programs; in-depth interviews with 44 practicing indigenous midwives; and three focus groups with midwives of a local non-governmental organization. Kaqchikel Maya-speaking communities in the Guatemalan highlands. the cumulative undermining effects of marginalization, cultural and linguistic barriers, and poorly designed training programs contribute to the failure of lay midwife-focused initiatives in Guatemala to improve maternal-child health outcomes. Furthermore, in contrast to prevailing assumptions, Kaqchikel Maya midwives integrate allopathic obstetrical knowledge into their practice at a high level. as indigenous midwives in Guatemala will continue to provide a large fraction of the obstetrical services among rural populations for many years to come, maternal-child policy initiatives must take into account that: (1)Guatemalan midwife training programs can be significantly improved when instruction occurs in local languages, such as Kaqchikel, and (2)indigenous midwives' increasing allopathic repertoire may serve as a productive ground for synergistic collaborations between lay midwives and the allopathic medical community. Copyright © 2012 Elsevier Ltd. All rights reserved.

PEMODELAN DAERAH TANGKAPAN AIR WADUK KELILING DENGAN MODEL SWAT (Keliling Reservoir Catchment Area Modeling Using SWAT Model

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Teuku Ferijal

2015-05-01

Full Text Available This study aimed to model watershed area of Keliling Reservoir using SWAT model. The reservoir is located in Aceh Besar District, Province of Aceh. The model was setup using 90m x 90m digital elevation model, land use data extracted from remote sensing data and soil characteristic obtained from laboratory analysis on soil samples. Model was calibrated using observed daily reservoir volume and the model performance was analyzed using RMSE-observations standard deviation ratio (RSR, Nash-Sutcliffe efficiency (NSE and percent bias (PBIAS. The model delineated the study area into 3,448 Ha having 13 subwatersheds and 76 land units (HRUs. The watershed is mostly covered by forest (53% and grassland (31%. The analysis revealed the 10 most sensitive parameters i.e. GW_DELAY, CN2, REVAPMN, ALPHA_BF, SOL_AWC, GW_REVAP, GWQMN, CH_K2 and ESCO. Model performances were categorized into very good for monthly reservoir volume with ENS 0.95, RSR 0.23, and PBIAS 2.97. The model performance decreased when it used to analyze daily reservoir inflow with ENS 0.55, RSR 0.67, and PBIAS 3.46. Keywords: Keliling Reservoir, SWAT, Watershed   ABSTRAK Penelitian ini bertujuan untuk untuk memodelkan daerah tangkapan air Waduk Keliling dengan menggunakan Model SWAT. Waduk Keliling terletak di Kabupaten Aceh Besar, Propinsi Aceh. Dalam penelitian ini Model SWAT dikembangkan berdasarkan data digital elevasi model resolusi 90 m x90 m, tata guna lahan yang diperoleh dari intepretasi citra satelit dan data soil dari hasil analisa sampel tanah yang diperoleh di daerah penelitian. Model dikalibrasi dengan data volume waduk dan kinerja model dianalisa menggunakan parameter rasio akar rata-rata kuadrat error dan standard deviasi observasi (RSR, efesiensi Nash-Sutcliffe (NSE dan persentase bias (PBIAS. Hasil deleniasi untuk daerah penelitian menghasilkan suatu DAS dengan luas 3,448 Ha dan memiliki 13 Sub DAS yang dikelompokkan menjadi 76 unit lahan. Sebagian besar wilayah study

The Implementation of Right-Fulfillment to the Health Care in Achieving the Millennium Development Goal (MDG’S

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Muhammad Zuhri

2016-04-01

Full Text Available The vision of Aceh Government in 2012-2017 is Aceh are dignified, prosperous, just, and independent based on the legislation of Aceh government as a form of Memorandum of Understanding. One of the visions of Aceh government 2012-2017 is the improved welfare of Acehnese people through quality health services through increasing life expectancy, infant mortality, decreasing the prevalence of malnutrition as well as the effectiveness of the treatment of infectious diseases to the achievement of the MDG’s. Model policies adopted by the Aceh government is monitoring and track record of cases, tv monitor, routine and case sms, a special program policy model, and the model of budget balancing. Model policies adopted by the district/city government is making a supporting program, All Village Midwives Must Live in the Village, deliveries assistance is performed by professional health workers, adjustment to the ability of APBK. Support new regulation of Regent Regulation (Perbub on Malaria Elimination and No Smoking Area. MDG’s target is not entirely in accordance with the indicator being built, because it requires adjustments in accordance with the ability of both district or city areas. Regulatory support is not adequate to support the achievement of the MDG’s in the field of health.

Midwives' influenza vaccine uptake and their views on vaccination of pregnant women.

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Ishola, D A; Permalloo, N; Cordery, R J; Anderson, S R

2013-12-01

Pregnant women in England are now offered seasonal influenza vaccine. Midwives could be influential in promoting this, but specific information on their views on the policy and their role in its implementation is lacking. London midwives were surveyed for their views on the new policy and their own vaccine uptake, using an anonymously self-completed semi-structured online survey via a convenience sampling approach. In total, 266 midwives responded. Sixty-nine percent agreed with the policy of vaccinating all pregnant women. Seventy-six percent agreed that midwives should routinely advise pregnant women on vaccination, but only 25% felt adequately prepared for this role. Just 28% wished to be vaccinators, due to concerns about increased workload and inadequate training. Forty-three percent received seasonal influenza vaccine themselves. Major reasons for non-uptake were doubts about vaccine necessity (34%), safety (25%) and effectiveness (10%); and poor arrangements for vaccination (11%). Suggested strategies for improving their own uptake included better access to evidence of effectiveness (67%) and improved work-based vaccination (45%). London midwives support influenza vaccination of pregnant women, but are more willing to give advice on, than to administer, the vaccine. Midwives' own influenza vaccine uptake could improve with more information and easier access to vaccination in their workplace.

Problematising public and private work spaces: midwives' work in hospitals and in homes.

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Bourgeault, Ivy Lynn; Sutherns, Rebecca; Macdonald, Margaret; Luce, Jacquelyne

2012-10-01

as the boundaries between public and private spaces become increasingly fluid, interest is growing in exploring how those spaces are used as work environments, how professionals both construct and convey themselves in those spaces, and how the lines dividing spaces traditionally along public and private lines are blurred. This paper draws on literature from critical geography, organisational studies, and feminist sociology to interpret the work experiences of midwives in Ontario, Canada who provide maternity care both in hospitals and in clients' homes. qualitative design involving in-depth semi-structured interviews content coded thematically. Ontario, Canada. community midwives who practice at home and in hospital. the accounts of practicing midwives illustrate the ways in which hospital and home work spaces are sites of both compromise and resistance. With the intention of making birthing women feel more `at home', midwives describe how they attempt to recreate the woman's home in the hospital. Similarly, midwives also reorient women's homes to a certain degree into a more standardised work space for home birth attendance. Many midwives also described how they like `guests' in both settings. there seems to be a conscious or unconscious convergence of midwifery work spaces to accommodate Ontario midwives' unique model of practice. we link these findings of midwives' place of work on their experiences as workers to professional work experiences in both public and private spaces and offer suggestions for further exploration of the concept of professionals as guests in their places of work. Copyright © 2012. Published by Elsevier Ltd.

Midwives׳ experiences of caring for women with learning disabilities - A qualitative study.

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Castell, Emma; Stenfert Kroese, Biza

2016-05-01

people with learning disabilities (LD) are increasingly likely to become parents and are entitled to have access to the right support to be able to be suitable parents. However, access to such support is affected by limited resources, attitudes towards people with LD becoming parents, and lack of training regarding caring for parents with learning disabilities for midwives. A learning disability (LD) is defined as a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), reduced skills to cope independently with everyday life, has an impact on most areas of a person's life and the difficulties started in early childhood. Little research has explored health professionals' experiences of their support of people with LD during their journey to become parents. Midwives are often the first professionals pregnant women come into contact with and therefore are key professionals in the support system for parents with LD. The principle objective of the current research is to develop an understanding of midwives' experiences of caring for women with a LD. the study explored midwives׳ experiences of caring for women with LD using an Interpretative Phenomenological Approach (IPA). nine qualified midwives employed by a single NHS trust participated in the study. a semi-structured interview schedule was utilised during one-to-one interviews with the midwives. The interview transcripts were analysed using IPA stages. Four superordinate themes were identified. The midwives reported receiving a lack of LD training and faced significant time constraints, which left them feeling that they could not spend the necessary time with the women to meet their pregnancy needs. The midwives felt unsupported in their attempts to deliver adequate midwifery care, speaking about a lack of accessible support for pregnant women with LD. They were left feeling responsible to fill the gaps in service provision. The midwives were dedicated

Personal, professional and workplace factors that contribute to burnout in Australian midwives.

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Fenwick, Jennifer; Lubomski, Anna; Creedy, Debra K; Sidebotham, Mary

2018-04-01

This study aimed to identify personal, professional and workplace factors that contribute to burnout in midwives. Burnout is prevalent in the midwifery workforce. Burnout adversely affects the well-being of midwives, diminishes the quality of care they provide and can shorten career duration. Self-administered online survey. The survey included the Copenhagen Burnout Inventory and personal and professional variables related to age, children, years of experience, role, model of care and satisfaction with work life. Midwives were invited to participate via an email sent from the Australian College of Midwives and through professional networks between June and July 2014. Variables associated with burnout were entered in a multinomial logistic regression. A total of 1,037 responses were received and 990 analysed. The prevalence of moderate to severe personal (N = 643; 64.9%) and work-related burnout (N = 428; 43.8%) were high. Having children, providing caseload midwifery care and working in a regional area were associated with low burnout. However, midwives registered for 5-10 years were more likely to report work and client-related burnout. Similarly, midwives reporting a lack of satisfaction with work-life balance were also more likely to report personal and work-related burnout. Family-friendly work environments that facilitate work-life balance can help to reduce the personal and organizational costs of burnout. Similarly, providing continuity of midwifery care in a caseload model can facilitate work-life balance and provide significant mental health benefits to participating midwives. © 2017 John Wiley & Sons Ltd.

Sistem Informasi Geografis Asrama Mahasiswa Aceh Berbasis LBS (Location Based Service “Saweue Syedara” Berbasis Android

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Alwie Augusra T. A

2015-01-01

Full Text Available Student Dormitory is a desirable place to live for all overseas Aceh students that far from home, Student Dormitory be exclusive if the existence of a dormitory is located very far from the government and from the student's hometown, so the presence of dormitory is felt not exist and far from elegant impression , there are many Aceh students dormitory are not recorded by the Regional Government , that recorded only dormitory under the auspices of the government, when in fact the most dormitory are located under other institutions. Along with the development of, make it even easier people's lives in their daily live. During its development, mobile technology can determine the position of users, find the location you want to target, and provide a route to that location. The use of mobile devices for the Aceh Government, Society, and students in particular is to facilitate them in the course of a visit to Student Dormitory. The geographic information system created using the Java programming language with SDK (Software Development Kit Android and using MySQL and SQLite databases, the system is a client-server. The process of making and development of Geographic Information System using SDLC (Software Development Life Cycle using prototyping life cycle. By using the life cycle of prototyping, the design can be quickly created and tested by users. Users can participate in helping the development of a system to provide feedback on the prototype that has been tried before, so that the system be made better. The result of this application design is the realization of a mobile application that can allow users to find information and search for Aceh Student Dormitory in Java Island, Indonesia. The Geographic Information System uses technology of LBS (Location Based Service, this allows users to find the location of dormitory that wish to visit. This system will be developed on mobile devices using the Android operating system.

Customer Satisfaction as a Mediator Variable between Service Quality and Customer Loyalty for PT. BNI (Persero Tbk Aceh Province, Indonesia

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Beby Karina Fawzea SEMBIRING

2017-09-01

Full Text Available This study aims to analyze the effect of service quality toward satisfaction and customer loyalty for PT. BNI (Persero Tbk, Aceh Province. The article also analyses customer satisfaction as a mediator variable between service quality and customer loyalty. The sampling technique in the study was based on cluster and convenience sampling with corresponding criteria; each respondent has a bank account and saving for at least one year. The primary data were collected from respondents using the structured questionnaires. A total of 220 questionnaires were distributed in five branch offices of PT. BNI (Persero Tbk operating in Aceh Province, namely the branchs of Lhokseumawe, Bireuen, Langsa, Sigli and Meulaboh. The results showed that service quality has a significant and positive effect toward satisfaction and customer loyalty for PT. BNI (Persero Tbk Aceh Province. Meanwhile, the variable of customer satisfaction can mediate the effect of service quality toward customer loyalty. However, the study found that service quality is the important element in increasing satisfaction and customer loyalty in national banking.

Spectators & spectacles: nurses, midwives and visuality.

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Barnard, Alan G; Sinclair, Marlene

2006-09-01

In this paper we reflect on how linear perspective vision influences the practice of nurses and midwives and to advance understanding of clinical practice in technologically intensive environments through examination of drawings by nurses and midwives and through critical analysis. There is increasing emphasis on vision in Western culture, and both nurses and midwives spend a great deal of time observing their clinical environment(s). Healthcare practitioners work increasingly in image-based realities and nurses rely on visual skills. Vision and visual representation are central to our practice and are important to examine because we look often at technology to assess people and care. The world in which we practise is one of meaning(s). Technological development is transformative in nature and produces changes that alter the way(s) we give care. Amongst all this change, it is unclear how we practise in environments characterized by increasing technology and it is unknown how nursing and midwifery practice alter as a result. Simple drawings included in this paper highlight an important and shared experience of clinical practice(s). They emphasize the importance and scope of the visual sense and expose practitioner behaviour that has enormous implications for current and future professional development and person-focussed care provision. Experiences described in this paper require further examination and highlight substantial changes to nurse-patient relationships, health care and the way we practise.

Potential Sedimentary Evidence of Two Closely Spaced Tsunamis on the West Coast of Aceh, Indonesia

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Monecke, Katrin; Meilianda, Ella; Rushdy, Ibnu; Moena, Abudzar; Yolanda, Irvan P.

2016-04-01

Recent research in the coastal regions of Aceh, Indonesia, an area that was largely affected by the 2004 Sumatra Andaman earthquake and ensuing Indian Ocean tsunami, suggests the possibility that two closely spaced tsunamis occurred at the turn of the 14th to 15th century (Meltzner et al., 2010; Sieh et al., 2015). Here, we present evidence of two buried sand layers in the coastal marshes of West Aceh, possibly representing these penultimate predecessors of the 2004 tsunami. We discovered the sand layers in an until recently inaccessible area of a previously studied beach ridge plain about 15 km North of Meulaboh, West Aceh. Here, the 2004 tsunami left a continuous, typically a few cm thick sand sheet in the coastal hinterland in low-lying swales that accumulate organic-rich deposits and separate the sandy beach ridges. In keeping with the long-term progradation of the coastline, older deposits have to be sought after further inland. Using a hand auger, the buried sand layers were discovered in 3 cores in a flooded and highly vegetated swale in about 1 km distance to the shoreline. The pair of sand layers occurs in 70-100 cm depth and overlies 40-60 cm of dark-brown peat that rests on the basal sand of the beach ridge plain. The lower sand layer is only 1-6 cm thick, whereas the upper layer is consistently thicker, measuring 11-17 cm, with 8-14 cm of peat in between sand sheets. Both layers consist of massive, grey, medium sand and include plant fragments. They show very sharp upper and lower boundaries clearly distinguishing them from the surrounding peat and indicating an abrupt depositional event. A previously developed age model for sediments of this beach ridge plain suggest that this pair of layers could indeed correlate to a nearby buried sand sheet interpreted as tsunamigenic and deposited soon after 1290-1400AD (Monecke et al., 2008). The superb preservation at this new site allows the clear distinction of two depositional events, which, based on a first

Resistivity structure of Sumatran Fault (Aceh segment) derived from 1-D magnetotelluric modeling

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Nurhasan, Sutarno, D.; Bachtiar, H.; Sugiyanto, D.; Ogawa, Y.; Kimata, F.; Fitriani, D.

2012-06-01

Sumatran Fault Zone is the most active fault in Indonesia as a result of strike-slip component of Indo-Australian oblique convergence. With the length of 1900 km, Sumatran fault was divided into 20 segments starting from the southernmost Sumatra Island having small slip rate and increasing to the north end of Sumatra Island. There are several geophysical methods to analyze fault structure depending on physical parameter used in these methods, such as seismology, geodesy and electromagnetic. Magnetotelluric method which is one of geophysical methods has been widely used in mapping and sounding resistivity distribution because it does not only has the ability for detecting contras resistivity but also has a penetration range up to hundreds of kilometers. Magnetotelluric survey was carried out in Aceh region with the 12 total sites crossing Sumatran Fault on Aceh and Seulimeum segments. Two components of electric and magnetic fields were recorded during 10 hours in average with the frequency range from 320 Hz to 0,01 Hz. Analysis of the pseudosection of phase and apparent resistivity exhibit vertical low phase flanked on the west and east by high phase describing the existence of resistivity contras in this region. Having rotated the data to N45°E direction, interpretation of the result has been performed using three different methods of 1D MT modeling i.e. Bostick inversion, 1D MT inversion of TM data, and 1D MT inversion of the impedance determinant. By comparison, we concluded that the use of TM data only and the impedance determinant in 1D inversion yield the more reliable resistivity structure of the fault compare to other methods. Based on this result, it has been shown clearly that Sumatra Fault is characterized by vertical contras resistivity indicating the existence of Aceh and Seulimeum faults which has a good agreement with the geological data.

Conflict Resolution in Aceh in Light of Track One and a Half Diplomacy

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Robert M. Heiling

2008-01-01

Full Text Available This paper analyzes the role of mediators in the resolution of the Aceh conflict within the framework of a three-step process. Two separate mediation efforts, one conducted by the Centre for Humanitarian Dialogue from 1999 until 2003 and a second one led by Martti Ahtisaari and his Crisis Management Initiative in 2004/2005, attempted to solve the Aceh confl ict. The author shows that beside contextual factors such as ripeness of the conflict and advantageous relations between and characteristics of the conflict parties, the success of Ahtisaari’s engagement can be further explained by procedural factors. These include mediator behaviour and mediation strategies. Furthermore the mediator’s ability to use contacts with official track one actors was crucial in securing the signing as well as the implementation of the present peace agreement. ----- Der Artikel analysiert die Rolle von Mediatoren in der Lösung des Aceh Konfl ikts mittels eines drei-Phasen Modells von Konfliktlösung. Zwei voneinander unabhängige Mediationsverfahren, jenes des Centre for Humanitarian Dialogue von 1999 bis 2003, und ein weiteres geleitet durch Martti Ahtisaari und seiner Crisis Management Initiative in 2004/2005, zielten darauf ab den Konflikt zu lösen. Der Autor zeigt, dass neben kontextuellen Faktoren wie einer “ripeness” des Konflikts sowie günstigen Veränderungen auf Seite der Konfliktparteien, prozedurale Faktoren für den Erfolg Ahtisaaris entscheidend waren. Diese Faktoren beziehen sich auf das Agieren und die Strategien des Mediators. Die Fähigkeit des Mediators, Kontakte zu offiziellen “track one” Akteuren aktiv während des Mediationsprozesses zu nutzen, bildete einen Schlüsselfaktor darin einen Friedensschluss und im weiteren Verlauf eine weitgehend erfolgreiche Umsetzung des aktuellen Abkommens zwischen den ehemaligen Konfliktparteien zu erreichen.

The Influence of Islamic Moral Values on the Students' Behavior in Aceh

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Nuriman; Fauzan

2017-01-01

This study shows the influence and relationship of Islamic moral values to the students' behavior in Aceh Province. Learning Objects are the moral values of Islam achieved in learning in high school and vocational institutions that are assumed to affect the students' behavior. The quantitative methods used in this study and was running by SPSS…

Konsepsi Pidana Hudud dalam Qanun Jinayat Aceh-Indonesia dan Brunei Darussalam

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Aharis Mabrur

2017-04-01

ABSTRACT: Although derive from Malay Islam-Sunni Shafeites, the hudud in Islamic Criminal Canon of Aceh and Brunei is indicated to be worded differently, whereas conceptually is known as a “definitive matter”, so it’s interesting to find out how the actual conception is, its implications, as well as things impacting. This normative legal research shows: although showing "red thread" with classical fiqh thought but overall it seems to be more moderate and suit generic of Aceh-Indonesia, so substantively different from KHJB that is purely represent Shafeite thought; the conception has implication on the mixing of hudud and ta’zir in the hudud criminal weighting context of QJA; and the both conceptions is interfered by the existence of paradigm of Islamic law legislation. It is recommended that the substance of QJA is arranged comprehensively and systematically based on its classification; to avoid the mixing of hudud and ta'zir in the crimes wording of hudud, the QJA could find the comparison of a “two-criminal law formulation” in KHJB; and as the living law it is alright that the fiqh of Shafi’i is prevailed in Islamic law process but by persist to prioritize the relevant aspect and without limiting the thought creativity.

Identification of Oxide Compound in Dolomite Mineral from Aceh Tamiang Region

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Nirmala Sari

2013-08-01

Full Text Available Indonesia has abundant mineral especially carbonate-based mineral, ike dolomite. Particularly in Aceh province's, the largest dolomite deposits is available in Aceh Tamiang district around 1.9 billion tons. Unfortunately, current use of dolomite in the industry and other applications is still limited. In this work we report the advanced preparation of dolomite using calcinations method. Whereas, with this method, the dolomite mineral can be processed into calcium and magnesium oxide which has a very wide field of application and higher values. To obtain optimal results, we also identify the effect of temperature on the formation of oxide compounds. Preliminary study using XRF founded that dolomite in village Selamat is known as the highest concentration of CaO (61.20% followed by MgO (25.28%. It is also showed that the main phase obtained by XRD is dolomite (CaMg(CO32. Furthermore, after the calcinations process at 700 °C, it was founded that the formation of dolomite were CaCO3 and MgO, whereas at temperatures of 900 °C mostly the CaCO3 has decomposed into CaO. SEM observations showed that dolomite has the composition of particles distributed homogeneously along the particle agglomerate when it calcinations.

Local communities and tourists’ perception towards to PLTD Apung sites as tsunami disaster tourism in Banda Aceh City

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Fahmi, U.; Ginting, N.; Sitorus, R.

2018-03-01

Earthquake and tsunami disasters that hit Banda Aceh city a few years ago, it can be classified as the most terrible natural disasters in the history of the world. Natural disasters were considered as a scary incident, also leave a lot of losses, both regarding moral and material for victims. The establishment of the tourism as media of preservation disaster could be something interesting and demand by the community, especially in the preservation of disaster that usually contains a different perspective. One of the silent witness the awesomeness of tsunami wave that preserves as disaster tourism is tsunami education park, PLTD Apung sites that located in the sub-district of Punge Blang Cut, District of Meuraxa, Banda Aceh city. The community and tourists that interact to tourism object can give the impression, assessment, opinion, felt and interpret something toward to information that displayed. The existence of development experience, ability to think, terms of reference are not the same for each in the community as well as tourists, make it possible to generate a different perception of development. The purpose of this research is to know Community and Tourists Perceptions towards to PLTD Apung sites as Tsunami Disaster Tourism in the sub-district of Punge Blang Cut, Banda Aceh city. This research will conduct by using the descriptive-qualitative method. The research goal is to be recommendations include development activity areas and participation are supposed to do by local community and tourists. In the recommendation is defined procedures development of PLTD Apung sites that considered to community and Tourists Perception. It is expected to optimize the development of PLTD Apung sites that can be an identity of tsunami disaster tourism in Banda Aceh city.

The Knowledge of Nurses and Midwives Related to Mentally-Handicapped Children

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Hatice Yildirim Sari

2008-04-01

Full Text Available AIM/BACKGROUND: The purpose of this research is to determine the knowledge of nurses and midwives who are working at primary health care services. METHODS: The information regarding the research has been given to the nurses and midwives working at primary health centers of Manisa, and 70 nurses and midwives have accepted to attend the research. In collecting the data, two questionnaire forms prepared by the researchers have been used and these forms are composed of two parts. In the first part of the questionnaire, there are questions about the sociodemografhic characteristics of midwives and nurses; in the second one the questions are related to the symptoms and causes of mental-handicap and the attempts regarding the mentally-handicapped child and his family. RESULTS: The nurses and midwives have stated that the most important cause of mental handicap is marriages among relatives (92.9%. and that in a situation of not being able to fullfill mental motor skills in relation to age, they suspect mental handicap (90%. They have also stated that they mostly have or can have difficulty in communucating with the mentally-handicapped child (64%. CONCLUSION: As a result, the nurses and midwives have adequate knowledge about the causes and symptoms of mental handicap. On the other hand, their knowledge regarding the services to be planned in care of mentally-handicapped children is limited. At the primary health care services, educational studies can be planned in order to give better health service for mentally-handicapped individuals. [TAF Prev Med Bull 2008; 7(2.000: 127-132

Built urban heritage conservation in Islamic societies: Study case in Banda Aceh, Indonesia

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Meutia, Z. D.

2017-06-01

This paper aims to find the concept of the built heritage related to Islamic societies with a case study in the city of Banda Aceh through study literature review, with the context of the planning in the era of uncertainty. In this paper will be elaborated and described what it was about heritage and urban heritage and conservation Islamic values in heritage, as well as explain the concept of the built heritage conservation in Islamic societies. Discussion and analysis will be done through its study literature. Literature reviews about built urban heritage conservation and perspective of the Islamic societies in Banda aceh was done using systematic methodology literature review. This methodology summarizes research results earlier that presents the fact that a more comprehensive and balanced. The synthesis of the results conducted using narrative techniques or technique of qualitative. The discovery paper in this paper is to understand the relationship the built heritage conservation of Islamic societies perspective that consider shari’a aspect and local tradition in built urban heritage that can affect to heritage planning.

Evaluation of a Web-Based Holistic Stress Reduction Pilot Program Among Nurse-Midwives.

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Wright, Erin M

2018-06-01

Work-related stress among midwives results in secondary traumatic stress, posttraumatic stress disorder, and job attrition. The purpose of this pilot project was to evaluate the effectiveness of a holistic, web-based program using holistic modalities for stress reduction and improved coping among certified nurse-midwives. A convenience sample of 10 midwives participated in a web-based holistic stress reduction intervention using yoga, mindfulness-based stress reduction, and meditation for four days each week over 4 weeks. Participants completed pre- and postintervention questionnaires (Perceived Stress Scale [PSS] and the Coping Self-Efficacy Scale [CSES]) for evaluation of effectiveness. The PSS means showed improvement in midwives' stress (16.4-12.3). The CSES means showed improvement in coping (174.8-214.5). Improvement was shown in each subscale of the CSES ("uses problem-focused coping": 19.2%; "stops unpleasant thoughts and emotions": 20.3%; and "gets support from family and friends": 16.6%). Findings suggest the potential for stress reduction and improved coping skills after using holistic techniques in a web-based format within a cohort of nurse-midwives. Further research of web-based, holistic intervention for stress reduction among midwives is warranted.

Keamanan Susu Fermentasi Yang Beredar Di Banda Aceh Berdasarkan Nilai Gizi dan Jumlah Bakteri Pathogen

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Yusdar Zakaria

2010-04-01

Full Text Available Safety condition of commercial fermented milk that put on the market in banda aceh based on nutritive value and pathogenic bacteria ABSTRACT. Fermented milk has much value primarily for the health of digestive system. However without hygienically and sterilized treatment it can become toxic to consumers. This research was conducted to observe nutritive value, the present of pathogenic bacteria, and the safety condition of commercial fermented milk that put on the market in Banda Aceh. Samples of commercial fermented milk tested were obtained from recognized retailers in Banda Aceh. Factorial completely randomized design with six replications was applied in this research. Variety of fermented milk products (yoghurt and drink yoghurt was the first factor to be analyzed, and the second one was expired date of the products (the date of production and the date of by expired. The amount of crude protein and lipid, pH level, and the amount of lactic acid bacteria, Coliform and Staphilococcus aureus were the parameter determined. The variety and the expired date of the products influenced the amount of crude protein and lipid, the pH level, the amount of lactic acid bacteria, Coliform and Staphilococcus aureus in the level of highly significant different (P<0,01. There was also found in highly significant interaction (P<0,01 between factors that influenced the amount of lactic acid bacteria and Staphilococcus aureus. On the other hand, the amount of Coliform was not influenced by those factors. The study also results in decreasing of the amount of crude protein and lipid as well as lactic acid bacteria caused by the ongoing time of storing. The longer fermented milk was stored, the lower the level of crude protein, lipid and lactic acid bacteria presented. The lipid level of fermented milk products those put on the market in Banda Aceh have been complied with the requirement standard of SNI 01-2981-1992. However, crude protein level has not achieved the

REVIEW OF RECONSTRUCTION IN ACEH FOLLOWING THE 2004 BOXING DAY TSUNAMI

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Zygmunt Lubkowski

2009-01-01

Full Text Available This paper summarises the findings of two field trips to the Aceh Province, which were made by the authors, in early 2006 and late 2007. The purpose of the trips was to assess and provide guidance to the rebuilding process following the 26 December 2004 earthquake and tsunami. The paper will discuss the key issues raised and show how the various agencies involved in the rebuilding process have met the challenges encountered.

[Experience of Handicap International in providing humanitarian relief in region near Aceh, Indonesia from March 1 to 27, 2005].

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Gillet, Y

2005-01-01

This report describes the experience of the author in March 2005 during the relief efforts deployed in the region near Aceh, Indonesia (North Sumatra) by Handicap International, one of the 400 NGO that provided humanitarian aid following the tsunami disaster that struck Southeast Asia on December 26, 2004. Working in Banda Aceh and Meulaboh, the author was confronted with the extent of the devastation both in terms of property damage and human suffering. Clinical cases were often severe and rarely encountered in industrialized countries. The tsunami worsened the already poor sanitary conditions: rundown care facilities, poorly trained health care personnel, tropical disease, poor hygiene, and AVP.

Prenatal screening for congenital anomalies: exploring midwives' perceptions of counseling clients with religious backgrounds.

Science.gov (United States)

Gitsels-van der Wal, Janneke T; Manniën, Judith; Gitsels, Lisanne A; Reinders, Hans S; Verhoeven, Pieternel S; Ghaly, Mohammed M; Klomp, Trudy; Hutton, Eileen K

2014-07-19

In the Netherlands, prenatal screening follows an opting in system and comprises two non-invasive tests: the combined test to screen for trisomy 21 at 12 weeks of gestation and the fetal anomaly scan to detect structural anomalies at 20 weeks. Midwives counsel about prenatal screening tests for congenital anomalies and they are increasingly having to counsel women from religious backgrounds beyond their experience. This study assessed midwives' perceptions and practices regarding taking client's religious backgrounds into account during counseling. As Islam is the commonest non-western religion, we were particularly interested in midwives' knowledge of whether pregnancy termination is allowed in Islam. This exploratory study is part of the DELIVER study, which evaluated primary care midwifery in The Netherlands between September 2009 and January 2011. A questionnaire was sent to all 108 midwives of the twenty practices participating in the study. Of 98 respondents (response rate 92%), 68 (69%) said they took account of the client's religion. The two main reasons for not doing so were that religion was considered irrelevant in the decision-making process and that it should be up to clients to initiate such discussions. Midwives' own religious backgrounds were independent of whether they paid attention to the clients' religious backgrounds. Eighty midwives (82%) said they did not counsel Muslim women differently from other women. Although midwives with relatively many Muslim clients had more knowledge of Islamic attitudes to terminating pregnancy in general than midwives with relatively fewer Muslim clients, the specific knowledge of termination regarding trisomy 21 and other congenital anomalies was limited in both groups. While many midwives took client's religion into account, few knew much about Islamic beliefs on prenatal screening for congenital anomalies. Midwives identified a need for additional education. To meet the needs of the changing client population

KANUNISASI FIKIH JINAYAT KONTEMPORER Studi Materi Muatan Qānūn Jināyat Aceh dan Brunei Darussalam

Directory of Open Access Journals (Sweden)

Samsudin Aziz

2014-10-01

Full Text Available This article will view specifically codification of Islamic Criminal Law in `Muslim community, such as Brunei Darussalam, a country based on Islamic principles, and Aceh is a part of Indonesian territory administratively, granted special autonomy to implement Islamic Sharia. Despite having different qualities, -as a country and a province- both have in common as a political power which apply Islamic Criminal Law. Refer to both qānūn jināyat in Brunei and Aceh, the author’ll explain the substance of the criminal law in both area, while also reinforces the implementation of Islamic Criminal Law in the framework of a modern state. The article concludes that basically the application of Islamic Sharia, particularly the Islamic Criminal Law, is closely related to the situation and socio-political conditions of a community or country. The differences of political system, for example, has contributed to the difference in the output of product or policy made by a particular country or territory. On the other hand, Brunei and the Aceh case show that there has been adjustment Islamic Criminal Law specifically set forth in the books of fiqh (as illustration of the Qur'an and Sunnah with the needs of the community itself

Permian ultrafelsic A-type granite from Besar Islands group, Johor, peninsular Malaysia

Science.gov (United States)

Ghani, Azman A.; Hazad, Fatin Izzani; Jamil, Azmiah; Xiang, Quek Long; Atiqah Wan Ismail, Wan Nur; Chung, Sun-Lin; Lai, Yu-Ming; Roselee, Muhammad Hatta; Islami, Nur; Nyein, Kyaw Kyaw; Amir Hassan, Meor Hakif; Abu Bakar, Mohd Farid; Umor, Mohd Rozi

2014-12-01

The granitic rocks of the peninsula have traditionally been divided into two provinces, i.e., Western and Eastern provinces, corresponding to S- and I-type granite respectively. The Western Province granite is characterised by megacrystic and coarse-grained biotite, tin-mineralised, continental collision granite, whereas, the Eastern Province granite is bimodal I-type dominated by granodiorite and associated gabbroic of arc type granite. This paper reports the occurrence of an A-type granite from peninsular Malaysia. The rocks occur in the Besar, Tengah, and Hujung islands located in the southeastern part of the peninsula. The granite is highly felsic with SiO2 ranging from 75.70% to 77.90% (differentiation index = 94.2-97.04). It is weakly peraluminous (average ACNK =1.02), has normative hypersthene (0.09-2.19%) and high alkali content (8.32-8.60%). The granites have many A-type characteristics, among them are shallow level of emplacement, high Ga, FeT/MgO and low P, Sr, Ti, CaO and Nb. Calculated zircon saturation temperatures for the Besar magma ranging from 793 ∘ to 806 ∘C is consistent with high temperature partial melting of a felsic infracrustal source which is taken as one of the mechanisms to produce A-type magma. The occurrence of the A-type granite can be related to the extensional back arc basin in the Indo-China terrane during the earliest Permian.

Western Australia facing critical losses in its midwifery workforce: a survey of midwives' intentions.

Science.gov (United States)

Pugh, Judith D; Twigg, Diane E; Martin, Tracy L; Rai, Tapan

2013-05-01

the ongoing attrition of the midwifery workforce frustrates future workforce planning and the provision of maternity services in Western Australia. This project determined factors contributing to the intention of the midwives to move jobs and/or leave the profession. a cross-sectional survey approach was taken for this descriptive research utilising a self-administered questionnaire developed by the Nursing and Midwifery Office, Department of Health, Western Australia. public and private health sectors in Western Australia, April-May 2010. 1,600 midwives employed in the public and private health sectors throughout Western Australia were invited to participate: 712 responded (44.5%), one-fifth of the state's registered midwives. most midwives worked part-time in a clinical role in public hospitals. Almost half intended moving jobs within 5 years and/or leaving midwifery. Excluding midwives of retirement age, the most common reasons for intending to move jobs were family commitments, working conditions and role dissatisfaction. Those intending to leave midwifery cited work-life balance, career change and family commitments. Midwives thought addressing the following issues would improve midwifery retention: flexible work arrangements, remuneration, staffing and caseload, workplace culture, professional development and models of care. retaining the midwifery workforce requires attention to workforce practices particularly flexible work arrangements and workloads; models of care to strengthen midwives' relationships with clients and colleagues; and accessible professional development. a review of workplace practices at unit and institution levels is urgently required in Western Australia so that midwives can achieve work-life balance and practice to the full extent of their professional role. These changes are necessary to forestall premature retirement of skilled and experienced midwives from the profession and workforce churn. Crown Copyright © 2012. Published by

Access to and use of sexual and reproductive health services provided by midwives among rural immigrant women in Spain: midwives' perspectives.

Science.gov (United States)

Otero-Garcia, Laura; Goicolea, Isabel; Gea-Sánchez, Montserrat; Sanz-Barbero, Belen

2013-11-08

There insufficient information regarding access and participation of immigrant women in Spain in sexual and reproductive health programs. Recent studies show their lower participation rate in gynecological cancer screening programs; however, little is known about the participation in other sexual and reproductive health programs by immigrant women living in rural areas with high population dispersion. The objective of this study is to explore the perceptions of midwives who provide these services regarding immigrant women's access and participation in sexual and reproductive health programs offered in a rural area. A qualitative study was performed, within a larger ethnographic study about rural primary care, with data collection based on in-depth interviews and field notes. Participants were the midwives in primary care serving 13 rural basic health zones (BHZ) of Segovia, a region of Spain with high population dispersion. An interview script was designed to collect information about midwives' perceptions on immigrant women's access to and use of the healthcare services that they provide. Interviews were recorded and transcribed with participant informed consent. Data were analyzed based on the qualitative content analysis approach and triangulation of results with fieldwork notes. Midwives perceive that immigrants in general, and immigrant women in particular, underuse family planning services. This underutilization is associated with cultural differences and gender inequality. They also believe that the number of voluntary pregnancy interruptions among immigrant women is elevated and identify childbearing and childrearing-related tasks and the language barrier as obstacles to immigrant women accessing the available prenatal and postnatal healthcare services. Immigrant women's underutilization of midwifery services may be linked to the greater number of unintended pregnancies, pregnancy terminations, and the delay in the first prenatal visit, as discerned by

42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

Science.gov (United States)

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS... nurse-midwives that is accredited by an accrediting body approved by the U.S. Department of Education; and (3) Be certified as a nurse-midwife by the American College of Nurse-Midwives or the American...

THE TSUNAMI TRANSFORMATION: HOW AGENCY FOR RECONSTRUCTION AND REHABILITATION [BRR] CONVERT DISASTER INTO AN OPPORTUNITY TO SUSTAINABLY DEVELOP TSUNAMI AFFECTED REGIONS OF ACEH AND NIAS

Directory of Open Access Journals (Sweden)

A. Hadi Arifin

2008-01-01

Full Text Available Reconstruction and rehabilitation is urgently needed by Aceh, both in terms of infrastructure and its development of the economic sector. Acehnese need to face this challenge to not only reconstruct the economics of Aceh but also to reconstruct the infrastructure and to build the social life of the Acehnese people. After the tsunami, Acehnese have lost their family member and also their property. It has been three years and the reconstruction for the transformation is still going on. The primary task of transformation projects should be further intensified and the education system, infrastructure, health, social, cultural, and economic development of Acehnese need to be reconstructed. This paper tries to elaborate the political economy related to the acute problems faced by BRR and Aceh Local Government and other agencies in the region.

Is caseload midwifery a healthy work-form? - A survey of burnout among midwives in Denmark

DEFF Research Database (Denmark)

Jepsen, Ingrid; Juul, Svend; Foureur, Maralyn

2017-01-01

Objective: To investigate the level of burnout among midwives working in caseloading practices compared to other models of midwifery care. Study design and setting: In this survey the Copenhagen Burnout Inventory was used to measure burnout among midwives working in a tertiary maternity unit...... Denmark. Main outcome measures: Mean burnout scores and the proportion of midwives with high burnout scores (a score >= 50). Results: The response rate was 82.0% as 50 out of 61 midwives answered the questionnaire. In caseload midwifery the burnout scores in personal, work-related and client......-related burnout were significantly lower when compared to ‘‘other models of care”. Among caseloading midwives, none had high scores of burnout in any of the measured domains. The proportions of high burnout scores among all of the participating midwives were 22% (95% CI: 12%–36%) in personal burnout, 20% (95% CI...

Knowledge of midwives about hypertensive disorders during pregnancy in primary healthcare

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Ethelwynn L. Stellenberg

2016-04-01

Full Text Available Background: Many factors or medical conditions may influence the outcome of pregnancy,which in turn, may increase infant and maternal morbidity and mortality. One such condition is an increase in blood pressure (BP. Setting: The study was conducted in maternity obstetrical units (MOUs in primary healthcare clinics (PHCs in the Eastern Cape, South Africa. Objectives: To determine the knowledge about hypertensive disorders during pregnancy (HDPs of registered midwives working in MOUs in PHCs. Methods: A quantitative descriptive correlation research design was applied. A simple random sample of 43 (44% rural and urban clinics was selected, and all registered midwives (n = 101 working in these clinics completed a self-administered questionnaire. Data were collected over a period of 1 month. The reliability and validity of the methodology were supported by experts and a pilot study. Descriptive statistics including various statistical tests to determine any associations between variables using a 95% confidence interval were applied. Results: A gap in the knowledge of midwives about HDPs was identified. Only 56.4% of the participants correctly answered the questions on the clinical manifestations of severe pre-eclampsia and 68.3% on the factors affecting BP, whereas 27.7% had no understanding about pre-eclampsia. Significant statistical differences were identified in the knowledge of staff in clinics where doctors visit regularly versus those in clinics where there are no visits (p = 0.04, and between experience of midwives and management of HDPs (p = 0.02. Conclusion: The knowledge of midwives is deficient regarding HDPs. Continuous professional development is critical in midwifery both in theory and in clinical practice. Keywords: Midwives; Hypertension; Eclampsia; Pre-eclampsia; Pregnancy

Pengaruh getah pepaya (Carica papaya) terhadap sintasan tokolan udang windu (Panaeus monodon) pada kepadatan yang berbeda selama pengangkutan

OpenAIRE

Sofyatuddin Karina; Wahyu Tursina

2013-01-01

The objective of present study was to evaluate the possibility of papaya’s latex (Carica papaya) as anti stress or larvaside for tiger shrimp (Panaeus monodon) post larvae Pl 14-30 during transportation. The tiger shrimp post larvae was collected from BBAP Ujung Batee, Aceh Besar on September, 2012. Reseach method used the completely random design with two factors, density of post larvae with three treatments (1000; 1500 dan 2000 ind/l) and concentration of papaya’s latex with four treatments...

An exploratory pilot study of nurse-midwives' attitudes toward active euthanasia and abortion.

Science.gov (United States)

Musgrave, C F; Soudry, I

2000-12-01

Over the past three decades, active euthanasia and abortion have received increasing international attention. Since both these practices are relevant to the role of the nurse-midwife, it is important to know what influences their attitudes towards them. Therefore, the purpose of this study was: 1, to survey the attitudes of nurse-midwives' to active euthanasia and its legalization; 2, to determine the relationship between nurse-midwives' attitudes toward active euthanasia and its legalization, and attitudes toward abortion, self-reported religiosity and religious affiliation. The study setting was an international midwifery conference and the sample consisted of 139 nurse-midwives attending the conference. The majority of nurse-midwives displayed a positive attitude toward active euthanasia and its legalization. In addition, there was a positive relationship between their attitude to abortion and active euthanasia. Self-reported religiosity and religious affiliation were significantly related to attitudes toward active euthanasia and its legalization. An interesting positive relationship between country of practice and attitudes to euthanasia was also found. Nurse-midwives practicing in countries with more liberal euthanasia and assisted suicide legislation were more supportive of active euthanasia. With the increasing acceptance of active euthanasia's legalization, the results of this study pose some ethical questions that nurse-midwives internationally will have to consider.

Midwives׳ clinical reasoning during second stage labour: Report on an interpretive study.

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Jefford, Elaine; Fahy, Kathleen

2015-05-01

clinical reasoning was once thought to be the exclusive domain of medicine - setting it apart from 'non-scientific' occupations like midwifery. Poor assessment, clinical reasoning and decision-making skills are well known contributors to adverse outcomes in maternity care. Midwifery decision-making models share a common deficit: they are insufficiently detailed to guide reasoning processes for midwives in practice. For these reasons we wanted to explore if midwives actively engaged in clinical reasoning processes within their clinical practice and if so to what extent. The study was conducted using post structural, feminist methodology. to what extent do midwives engage in clinical reasoning processes when making decisions in the second stage labour? twenty-six practising midwives were interviewed. Feminist interpretive analysis was conducted by two researchers guided by the steps of a model of clinical reasoning process. Six narratives were excluded from analysis because they did not sufficiently address the research question. The midwives narratives were prepared via data reduction. A theoretically informed analysis and interpretation was conducted. using a feminist, interpretive approach we created a model of midwifery clinical reasoning grounded in the literature and consistent with the data. Thirteen of the 20 participant narratives demonstrate analytical clinical reasoning abilities but only nine completed the process and implemented the decision. Seven midwives used non-analytical decision-making without adequately checking against assessment data. over half of the participants demonstrated the ability to use clinical reasoning skills. Less than half of the midwives demonstrated clinical reasoning as their way of making decisions. The new model of Midwifery Clinical Reasoning includes 'intuition' as a valued way of knowing. Using intuition, however, should not replace clinical reasoning which promotes through decision-making can be made transparent and be

Confidentiality, anonymity and amnesty for midwives in distress seeking online support - Ethical?

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Pezaro, Sally; Clyne, Wendy; Gerada, Clare

2018-06-01

Midwife health is intrinsically linked to the quality of safe patient care. To ensure safe patient care, there is a need to deliver emotional support to midwives. One option that midwives may turn to may be a confidential online intervention, instead of localised, face-to-face support. Following the Realist And MEta-narrative Evidence Syntheses: Evolving Standards publication standards, this realist synthesis approach explores the ethical considerations in permitting confidentiality, anonymity and amnesty in online interventions to support midwives in work-related psychological distress. An iterative search methodology was used to select nine papers for review. To assimilate information, papers were examined for ideas relating to ethical dimensions of online interventions to support midwives in work-related psychological distress. This review takes a narrative approach. Online interventions can support the development of insight, help seeking and open discussion. Additionally, Internet support groups can become morally persuasive in nature. Anonymity and confidentiality are both effective and therapeutic features of online interventions when used in collaboration with effective online moderation. Yet, ethical dilemmas remain where users cannot be identified. Confidentiality and anonymity remain key components of successful online interventions. However, sanctioning the corollary component of amnesty may provoke moral discomfort for those seeking immediate accountability. For others, amnesty is seen as essential for open disclosure and help seeking. Ultimately, the needs of midwives must be balanced with the requirement to protect the public and the professional reputation of midwifery. In supporting midwives online, the principles of anonymity, confidentiality and amnesty may evoke some resistance on ethical grounds. However, without offering identity protection, it may not be possible to create effective online support services for midwives. The authors of this

The organisational silence of midwives and nurses: reasons and results.

Science.gov (United States)

Yurdakul, Mine; Beşen, Meltem Aydin; Erdoğan, Semra

2016-07-01

The study was conducted to determine the issues about which nurses and midwives remain silent and the reasons for it and the perceived results of silence. Organisational silence is a vitally important issue in the health sector, due to the risks and mistakes that are not reported, and proposals for improvement that are not made. The sample of this descriptive survey, which investigated a cause and effect relationship, was 159 nurses and midwives. The data were collected using a questionnaire and the organisational silence scale. Of the study participants, 84.9% were nurses and 15.1% were midwives. Of all participants 88.7% were women. 8.8% of participants stated that they never remained silent about issues related to work and the workplace. Respondents most often remained silent about issues related to ethics and responsibility. 'Limited improvement and development' was frequently mentioned as a perceived result of organisational silence. Our study determined that organisational silence is quite common among nurses and midwives. Activities that raise the awareness of hospital administrations and employees about preventing the factors that cause and maintain silence in hospitals should be planned. © 2016 John Wiley & Sons Ltd.

A Cross-sectional Study of Midwives' Perspectives Towards their Professional Educational Needs.

Science.gov (United States)

Abedian, Kobra; Charati, Jamshid Yazdani; Samadaee, Keshvar; Shahhosseini, Zohreh

2014-06-01

Midwives are one of the most important health care providers and meeting their professional educational needs can be effective in maternal and child health promotion. The aim of this study was to investigate the midwives' perspectives towards their educational needs. In this cross-sectional study which was conducted in 2012 in Sari, North of Iran, 223 midwives during a convenience sampling method expressed their educational needs. The instrument of the data collection was a self-administered 64-question researcher- made questionnaire about the participants' educational needs in 10 fields related to midwifery profession. The mean age and employment record of the participants were 33.87±10.49 and 10.09±8.14 years respectively, and the majority (65.02%) of them was employed in the health care centers. Findings showed that the highest score of midwives' educational need was related to need to education about labor and delivery care (75.14±21.13%) which was followed by the need to education about pre marriage counseling (74.04±19.95%) and pre conception counseling (71.33±21.89%). Owing to the emergence of new dimensions of tasks in midwifery practice and due to developing some changes in the educational needs of midwives, it's necessary to implement an updated educational package in order to deliver the recommended standards of care and to increase midwives' participation in continuing education programs.

Midwives' experiences of facilitating normal birth in an obstetric-led unit: a feminist perspective.

LENUS (Irish Health Repository)

Keating, Annette

2012-01-31

OBJECTIVE: to explore midwives\\' experiences of facilitating normal birth in an obstetric-led unit. DESIGN: a feminist approach using semi-structured interviews focusing on midwives\\' perceptions of normal birth and their ability to facilitate this birth option in an obstetric-led unit. SETTING: Ireland. PARTICIPATION: a purposeful sample of 10 midwives with 6-30 years of midwifery experience. All participants had worked for a minimum of 6 years in a labour ward setting, and had been in their current setting for the previous 2 years. FINDINGS: the midwives\\' narratives related to the following four concepts of patriarchy: \\'hierarchical thinking\\

ANALISIS IMPLEMENTASI KONSEP KAFALAH PADA BANK SYARIAH MANDIRI BANDA ACEH: STUDI TERHADAP PENYELESAIAN KONTRA GARANSI SEKTOR KONSTRUKSI

Directory of Open Access Journals (Sweden)

Hamdani Hamdani

2013-06-01

Full Text Available The study in general aims to study the procedure of bank guarantee in Bank Syariah Mandiri (BSM Banda Aceh. In specific, this article analyzes the implementation of kafalah concept in resolving counter-guarantee for construction sector in the BSM. The data was gathered through interview with related parties and documentation study of relevant literatures. The collected data was then analyzed using descriptive analysis which included exposing, interpretation, and analysis. The findings show that in order to be approved for the product, customers are required to provide cash guarantees that cover tender, performance, cash advance, and maintenance with a minimum deposit is 10% of the total required amount of financing. In solving the counter-guarantee for the construction sector, the bank asked customers to immediately pay the shortage funds that has been converted to qardh financing in customers’ consent. In the case of they do not wish to repay or do not accept the conversion, the resolution has to be sought through Badan Arbitrase Syariah as governed by National Sharia Board No.11/DSN-MUI/V/2000. In general, the implementation of kafalah concept in solving the counter-guarantee for construction sector in BSM Banda Aceh has fulfilled shariah compliance especially the maslahah element. It was urgently needed in conducting various economics activities. =========================================== Penelitian ini secara umum bertujuan untuk mengkaji prosedur pemberian bank garansi di Bank Syari’ah Mandiri (BSM Banda Aceh. Secara khusus, artikel ini menganalisis pengaplikasian konsep kafalah dalam penyelesaian kontra garansi untuk sektor konstruksi pada BSM tersebut. Pengumpulan data dilakukan melalui wawancara dengan pihak-pihak terkait dan studi dokumentasi terhadap bahan-bahan yang relevan dengan bidang penelitian. Data yang terkumpul kemudian dianalisis dengan metode deskriptif analitis dengan cara pemaparan data yang meliputi penguraian

Sleep, stress and compensatory behaviors in Australian nurses and midwives

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Jillian Dorrian

2011-10-01

Full Text Available OBJECTIVE: To describe sleep, stress and compensatory behaviors in nurses and midwives. METHODS: The study included 41 midwives and 21 nurses working in Australian hospitals between 2005 and 2009. Participation was voluntary. All participants recorded on a daily basis their work and sleep hours, levels of stress and exhaustion, caffeine intake and use of sleep aids for a month (1,736 days, 1,002 work shifts. RESULTS: Participants reported moderate to high levels of stress and exhaustion on 20-40% of work days; experienced sleep disruption on more than 50% of work days; struggled to remain awake on 27% of work days; and suffered extreme drowsiness or experienced a near accident while travelling home on 9% of workdays. Age, perceived sleep duration and work hours were significant predictors of caffeine intake. About 60% of participants reported using sleep aids (about 20% reported taking prescription medications and 44% of nurses and 9% of midwives reported alcohol use as a sleep aid at least once during the study. Stress and workdays were significant predictors of sedative use. Overall, 22% reported being indifferent or mildly dissatisfied with their job. CONCLUSIONS: Sleep problems, high levels of stress and exhaustion and low job satisfaction are prevalent among nurses and midwives. The use of alcohol and sleeping pills as sleep aids, and the use of caffeine to help maintain alertness is also common. Nurses and midwives may use caffeine to compensate for reduced sleep, especially on workdays, and sleeping pills to cope with their daily work-related stress.

Antidepressants during pregnancy: Guideline adherence and current practice amongst Dutch gynaecologists and midwives.

Science.gov (United States)

Molenaar, Nina M; Brouwer, Marlies E; Duvekot, Johannes J; Burger, Huibert; Knijff, Esther M; Hoogendijk, Witte J; Bockting, Claudi L H; de Wolf, G S; Lambregtse-van den Berg, Mijke P

2018-06-01

prescription rates of antidepressants during pregnancy range from 2-3% in The Netherlands to 6.2% in the USA. Inconclusive evidence about harms and benefits of antidepressants during pregnancy leads to variation in advice given by gynaecologists and midwives. The objective was to investigate familiarity with, and adherence to the Dutch multidisciplinary guideline on Selective Serotonin Reuptake Inhibitor (SSRI) use during pregnancy by gynaecologists and midwives in the Netherlands. an online survey was developed and send to Dutch gynaecologists and midwives. The survey consisted mainly of multiple-choice questions addressing guideline familiarity and current practice of the respondent. Also, caregiver characteristics associated with guideline adherence were investigated. a total of 178 gynaecologists and 139 midwives responded. Overall familiarity with the Dutch guideline was 92.7%. However, current practice and advice given to patients by caregivers differed substantially, both between gynaecologists and midwives as well as within both professions. Overall guideline adherence was 13.9%. Multivariable logistic regression showed that solely caregiver profession was associated with guideline adherence, with gynaecologists having a higher adherence rate (OR 2.10, 95%CI 1.02-4.33) than midwives. although reported familiarity with the guideline is high, adherence to the guideline is low, possibly resulting in advice to patients that is inconsistent with guidelines and unwanted variation in current practice. further implementation of the recommendations as given in the guideline should be stimulated. Additional research is needed to examine how gynaecologists and midwives can be facilitated to follow the recommendations of the clinical guideline on SSRI use during pregnancy. Copyright © 2018 Elsevier Ltd. All rights reserved.

Factors influencing the retention of midwives in the public sector in Afghanistan: a qualitative assessment of midwives in eight provinces.

Science.gov (United States)

Wood, Molly E; Mansoor, G Farooq; Hashemy, Pashton; Namey, Emily; Gohar, Fatima; Ayoubi, Saadia Fayeq; Todd, Catherine S

2013-10-01

to examine factors that affect retention of public sector midwives throughout their career in Afghanistan. qualitative assessment using semi-structured in-depth interviews (IDIs) and focus group discussions (FGDs). health clinics in eight provinces in Afghanistan, midwifery education schools in three provinces, and stakeholder organisations in Kabul. purposively sampled midwifery profession stakeholders in Kabul (n=14 IDIs); purposively selected community midwifery students in Kabul (n=3 FGDs), Parwan (n=1 FGD) and Wardak (n=1 FGD) provinces (six participants per FGD); public sector midwives, health facility managers, and community health workers from randomly selected clinics in eight provinces (n=48 IDIs); midwives who had left the public sector midwifery service (n=5 IDIs). several factors affect a midwife throughout her career in the public sector, including her selection as a trainee, the training itself, deployment to her pre-assigned post, and working in clinics. Overall, appropriate selection is the key to ensuring deployment and retention later on in a midwife's career. Other factors that affect retention of midwives include civil security concerns in rural areas, support of family and community, salary levels, professional development opportunities and workplace support, and inefficient human resources planning in the public sector. Factors affecting midwife retention are linked to problems within the community midwifery education (CME) programme and those reflecting the wider Afghan context. Civil insecurity and traditional attitudes towards women were major factors identified that negatively affect midwifery retention. Factors such as civil insecurity and traditional attitudes towards women require a multisectoral response and innovative strategies to reduce their impact. However, factors inherent to midwife career development also impact retention and may be more readily modified. © 2013 Elsevier Ltd. All rights reserved.

Pengaruh Anggaran Waktu Audit, Kompleksitas Dokumen Audit dan Pengalaman Auditor terhadap Pertimbangan Audit Sampling pada Badan Pemeriksaan Keuangan (Bpk) Republik Indonesia Perwakilan Provinsi Aceh

OpenAIRE

Nadirsyah, Nadirsyah; Indriani, Mirna; Usman, Iskandar

2011-01-01

This research is done at BPK branch office Aceh Province which aim to know the influence of time budget audit, complexsity of audit document and audit experience toward judgement audit sampling either simultaneously or partially. Responden of this research is auditors at BPK branch office Aceh Province. The objective of this research is to be able to seek the causality between the time budget audit, complexsity of audit document and audit experience toward judgement audit sampling wi...

A qualitative study of how caseload midwifery is constituted and experienced by Danish midwives.

Science.gov (United States)

Jepsen, Ingrid; Mark, Edith; Nøhr, Ellen Aagaard; Foureur, Maralyn; Sørensen, Erik Elgaard

2016-05-01

the aim of this study is to advance knowledge about the working and living conditions of midwives in caseload midwifery and how this model of care is embedded in a standard maternity unit. This led to two research questions: 1) What constitutes caseload midwifery from the perspectives of the midwives? 2) How do midwives experience working in caseload midwifery? phenomenology of practice was the analytical approach to this qualitative study of caseload midwifery in Northern Denmark. The methodology was inspired by ethnography, and applied methods were field observations followed by interviews. thirteen midwives working in caseloads were observed during one or two days in the antenatal clinic and were interviewed at a later occasion. being recognised and the feeling of doing high quality care generate high job satisfaction. The obligation and pressure to perform well and the disadvantages to the midwives׳ personal lives are counterbalanced by the feeling of doing a meaningful and important job. Working in caseload midwifery creates a feeling of working in a self-governing model within the public hospital, without losing the technological benefits of a modern birth unit. Midwives in caseload midwifery worked on welcoming and including all pregnant women allocated to their care; even women/families where relationships with the midwives were challenging were recognised and respected. caseload midwifery is a work-form with an embedded and inevitable commitment and obligation that brings forward the midwife׳s desire to do her utmost and in return receive appreciation, social recognition and a meaningful job with great job satisfaction. There is a balance between the advantages of a meaningful job and the disadvantages for the personal life of the midwife, but benefits were found to outweigh disadvantages. In expanding caseload midwifery, it is necessary to understand that the midwives׳ personal lives need to be prepared for this work-form. The number of women per full

Clients' psychosocial communication and midwives' verbal and nonverbal communication during prenatal counseling for anomaly screening.

Science.gov (United States)

Martin, Linda; Gitsels-van der Wal, Janneke T; Pereboom, Monique T R; Spelten, Evelien R; Hutton, Eileen K; van Dulmen, Sandra

2016-01-01

This study focuses on facilitation of clients' psychosocial communication during prenatal counseling for fetal anomaly screening. We assessed how psychosocial communication by clients is related to midwives' psychosocial and affective communication, client-directed gaze and counseling duration. During 184 videotaped prenatal counseling consultations with 20 Dutch midwives, verbal psychosocial and affective behavior was measured by the Roter Interaction Analysis System (RIAS). We rated the duration of client-directed gaze. We performed multilevel analyses to assess the relation between clients' psychosocial communication and midwives' psychosocial and affective communication, client-directed gaze and counseling duration. Clients' psychosocial communication was higher if midwives' asked more psychosocial questions and showed more affective behavior (β=0.90; CI: 0.45-1.35; pcommunication was not related to midwives" client-directed gaze. Additionally, psychosocial communication by clients was directly, positively related to the counseling duration (β=0.59; CI: 0.20-099; p=0.004). In contrast with our expectations, midwives' client-directed gaze was not related with psychosocial communication of clients. In addition to asking psychosocial questions, our study shows that midwives' affective behavior and counseling duration is likely to encourage client's psychosocial communication, known to be especially important for facilitating decision-making. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Midwives' experiences of performing maternal observations and escalating concerns: a focus group study.

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Jeffery, Justine; Hewison, Alistair; Goodwin, Laura; Kenyon, Sara

2017-09-02

For the past decade, Maternal Mortality Reports, published in the United Kingdom every three years, have consistently raised concerns about maternal observations in maternity care. The reports identify that observations are not being done, not being completed fully, are not recorded on Early Warning Score systems, and/or are not escalated appropriately. This has resulted in delays in referral, intervention and increases the risk of maternal morbidity or mortality. However there has been little exploration of the possible reasons for non-completion of maternal observations. The aim of this study was to explore midwives' experiences of performing maternal observations and escalating concerns in rural and urban maternity settings in the West Midlands of England. A qualitative design involving a series of six focus groups with midwives and Supervisors of Midwives was employed to investigate the facilitators of, and barriers to the completion of maternal observations. Eighteen Midwives and 8 Supervisors of Midwives participated in a total of 6 focus groups. Three key themes emerged from the data: (1) Organisation of Maternal Observations (including delegation of tasks to Midwifery Support Workers, variation in their training, the care model used e.g. one to one care, and staffing issues); (2) Prioritisation of Maternal Observations (including the role of professional judgement and concerns expressed by midwives that they did not feel equipped to care for women with complex clinical needs; and (3) Negotiated Escalation (including the inappropriate response from senior staff to use of Modified Early Warning Score systems, and the emotional impact of escalation). A number of organisational and cultural barriers exist to the completion of maternal observations and the escalation of concerns. In order to address these the following actions are recommended: standardised training for Midwifery Support Workers, review of training of midwives to ensure it addresses the

A hermeneutic phenomenological study of Belgian midwives' views on ideal and actual maternity care.

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Van Kelst, Liesbeth; Spitz, Bernard; Sermeus, Walter; Thomson, Ann M

2013-01-01

to explore midwives' views on ideal and actual maternity care. a qualitative hermeneutic phenomenological study based on the method of van Manen (1997) using individual in-depth interviews to gather data. Flanders, Belgium. 12 purposively sampled midwives, of whom nine from three different non-university hospitals and three independent midwives conducting home births. five major themes were identified: 'woman-centred care', 'cultural change', 'support', 'midwife and obstetrician as equal partners' and 'inter-collegial harmony'. In this paper 'woman-centred care', 'cultural change' and 'support' are discussed along with their subthemes. Midwives thought ideal maternity care should be woman-centred in which there were no unnecessary interventions, women were able to make an informed choice and there was continuity of care. Furthermore, ideal maternity care should be supported by midwifery education and an adequate staffing level. Also, a cultural change was wanted as actual maternity care was perceived to be highly medicalised. Barriers to achieving woman-centred care and possible strategies to overcome these were described. findings from this study were consistent with those of other studies on midwives' experience with obstetric-led care. Despite the medicalised care, midwives still held a woman-centred ideology. In order to be able to work according to their ideology, different barriers need to be addressed. Although midwives suggested strategies to overcome these barriers, some were considered to be very difficult to overcome. Copyright © 2011 Elsevier Ltd. All rights reserved.

'She sort of shines': midwives' accounts of 'good' midwifery and 'good' leadership.

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Byrom, Sheena; Downe, Soo

2010-02-01

to explore midwives' accounts of the characteristics of 'good' leadership and 'good' midwifery. a phenomenological interview survey. Participants were asked about what made both good and poor midwives and leaders. two maternity departments within National Health Service trusts in the North West of England. qualified midwives, selected by random sampling stratified to encompass senior and junior grades. thematic analysis, carried out manually. ten midwives were interviewed. Sixteen codes and six sub-themes were generated. Across the responses, two clear dimensions (themes) were identified, relating on the one hand to aspects of knowledge, skill and competence (termed 'skilled competence'), and on the other hand to specific personality characteristics (termed 'emotional intelligence'). This study suggests that the ability to act knowledgeably, safely and competently was seen as a basic requirement for both clinical midwives and midwife leaders. The added element which made both the midwife and the leader 'good' was the extent of their emotional capability. this small-scale in-depth study could form the basis for hypothesis generation for larger scale work in this area in future. The findings offer some reinforcement for the potential applicability of theories of transformational leadership to midwifery management and practice. Copyright 2008 Elsevier Ltd. All rights reserved.

Continuing midwifery education beyond graduation: Student midwives' awareness of continuous professional development.

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Embo, M; Valcke, M

2017-05-01

Midwifery education plays an important role in educating graduates about engaging in continuous professional development (CPD) but there is a lack of empirical research analysing student midwives' awareness of CPD beyond graduation. We aimed to explore student midwives' awareness of the need to become lifelong learners and to map their knowledge of CPD activities available after graduation. Therefore, forty-seven reflective documents, written in the last week of student midwives' training programme, were analysed in a thematic way. Content analysis confirmed student midwives' awareness of the importance of CPD before graduation. They mentioned different reasons for future involvement in CPD and described both, formal and informal CPD-activities. Respondents were especially aware of the importance of knowledge, to a lesser degree of skills-training and still less of the potential value of the Internet for individual and collective learning. Respondents perceived a need for a mandatory preceptorship. Supporting learning guides were highly valued and the importance of reflection on CPD was well-established. This could have resulted from an integrated reflective learning strategy during education. Undergraduate midwives are aware of the importance of CPD and the interplay of formal and informal learning activities. Virtual learning requires special attention to overcome CPD challenges. Copyright © 2015 Elsevier Ltd. All rights reserved.

Faced with a dilemma: Danish midwives' experiences with and attitudes towards late termination of pregnancy.

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Christensen, Anne Vinggaard; Christiansen, Anne Hjøllund; Petersson, Birgit

2013-12-01

The introduction of prenatal screening for all pregnant women in Denmark in 2004 has lead to an increase in the number of late terminations of pregnancy after the 12th week of pregnancy. Midwives' experiences with late termination of pregnancy (TOP) are still poorly described in the scientific literature. To explore Danish midwives' experiences with and attitudes towards late TOP. Focus was on how midwives perceive their own role in late TOP, and how their professional identity is influenced by working with late TOP in a time where prenatal screening is rapidly developing. A qualitative study consisting of ten individual interviews with Danish midwives, all of whom had taken part in late TOP. Current practice of late TOP resembles the practice of normal deliveries and is influenced by a growing personalisation of the aborted foetus. The midwives strongly supported women's legal right to choose TOP and considerations about the foetus' right to live were suppressed. Midwives experienced a dilemma when faced with aborted foetuses that looked like newborns and when aborted foetuses showed signs of life after a termination. Furthermore, they were critical of how physicians counsel women/couples after prenatal diagnosis. The midwives' practice in relation to late TOP was characterised by an acknowledgement of the growing ethical status of the foetus and the emotional reactions of the women/couples going through late TOP. Other professions as well as structural factors at the hospital highly influenced the midwives' ability to organize their work with late terminations. There is a need for more thorough investigation of how to secure the best possible working conditions for midwives, and how to optimise the care for women/couples going through late TOP. © 2012 The Authors Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.

Thai midwives brought into family planning.

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1974-03-01

In Thailand "granny" midwives are being tested and trained to take part in modern family planning and public health programs. In Malaysia a survey of conditions relating to an increase in induced early termination or abortion of pregnancies is in progress. The International Development Research Centre (IDRC) supports these projects as well as others in Asia. Local paramedical workers, like the "barefoot doctors" in China, are being trained. In Thailand a growth plan is attempting to reduce the annual rate of population increase from about 3.3% to 2.5%. Many granny midwives have been contacted. Several methods of incentive and training are being tried and will be evaluated. Eventually granny midwives in all of Thailand's 60,000 villages will be enlisted in the national planning program. Of Thailand's 6 million married women of reproductive age less than half use modern birth control methods. Abortion is illegal in Thailand which is a predominantly Buddhist country. The project in Malaysia is being carried out by the University of Malaysia and the Federation of Family Planning Associations. Abortion is also illegal in Islamic Malaysia, although there are illegal abortion clinics. Trends so far reported to IDRC indicate that 1) lower class women are more cooperative interviewees than others, 2) most couples use some method of birth control, 3) many wish to interrupt their pregnancies, 4) poorer families have more children than wealthier ones, 5) the Chinese and Indian people show a greater tendency to limit families than do the Malays, and 6) most couples want 3 or 4 children.

Comparing satisfaction and burnout between caseload and standard care midwives: findings from two cross-sectional surveys conducted in Victoria, Australia.

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Newton, Michelle S; McLachlan, Helen L; Willis, Karen F; Forster, Della A

2014-12-24

Caseload midwifery reduces childbirth interventions and increases women's satisfaction with care. It is therefore important to understand the impact of caseload midwifery on midwives working in and alongside the model. While some studies have reported higher satisfaction for caseload compared with standard care midwives, others have suggested a need to explore midwives' work-life balance as well as potential for stress and burnout. This study explored midwives' attitudes to their professional role, and also measured burnout in caseload midwives compared to standard care midwives at two sites in Victoria, Australia with newly introduced caseload midwifery models. All midwives providing maternity care at the study sites were sent questionnaires at the commencement of the caseload midwifery model and two years later. Data items included the Midwifery Process Questionnaire (MPQ) to examine midwives' attitude to their professional role, the Copenhagen Burnout Inventory (CBI) to measure burnout, and questions about midwives' views of caseload work. Data were pooled for the two sites and comparisons made between caseload and standard care midwives. The MPQ and CBI data were summarised as individual and group means. Twenty caseload midwives (88%) and 130 standard care midwives (41%) responded at baseline and 22 caseload midwives (95%) and 133 standard care midwives (45%) at two years. Caseload and standard care midwives were initially similar across all measures except client-related burnout, which was lower for caseload midwives (12.3 vs 22.4, p = 0.02). After two years, compared to midwives in standard care, caseload midwives had higher mean scores in professional satisfaction (1.08 vs 0.76, p = 0.01), professional support (1.06 vs 0.11, p burnout (35.7 vs 47.7, p work-related burnout (27.3 vs 42.7, p burnout (11.3 vs 21.4, p burnout scores and higher professional satisfaction. Further research should focus on understanding the key features of the caseload model that are

Tanzanian midwives' perception of their professional role and implications for continuing professional development education.

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Jones, Brooke; Michael, Rene; Butt, Janice; Hauck, Yvonne

2016-03-01

This study explored Tanzanian midwives' perceptions of their professional role within their local context. Findings were to inform recommendations for continuing professional development education programs by Western midwifery educators. Using focus group interviews with sixteen Tanzanian midwives, the findings revealed that the midwives' overwhelming focus was on saving lives of women and newborns. The fundamental elements of saving lives involved prioritising care through receiving handover and undertaking physical assessment. Midwives were challenged by the poor working conditions, perceived lack of knowledge and associated low status within the local community. Based upon these findings, recommendations for continuing professional development education for Tanzanian midwives must ensure that saving lives is a major focus and that strategies taught must be relevant to the low-resource context of this developing country. In recognition of the high-risk women being cared for, there needs to be a focus on the prevention and management of maternity emergencies, in collaboration with medical practitioners. Copyright © 2015 Elsevier Ltd. All rights reserved.

Sufis’ Actions Against the Dutch in Aceh in The Late 19th and Early 20th Centuries

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Fakhriati Fakhriati

2016-01-01

Full Text Available Sufis in Aceh, historically, had shown its real action in their daily life in relation to both vertical and horizontal. For vertical relations, the followers performed any Sufi practice leading them to their God. For horizontal relationship, they protected and defended their society and state by performing jihad against the Dutch as colonizers and infidels for them. There are at Ieast three factors influenced Sufis actions to be more attractive. First, the condition of Acehnese sultanate became weak. Second, the Dutch seemed eagerly to expand their colonial territory to Aceh. Third, the Acehnese had already kept in touch with other Muslims in Arabia since the Islam coming to this area. This article elaborates in detail on this matter by using primary sources from manuscripts and archives. Besides, secondary sources are also referred for comperation.

Midwives' attitudes, beliefs and concerns about childhood vaccination: A review of the global literature.

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Attwell, K; Wiley, K E; Waddington, C; Leask, J; Snelling, T

2018-02-23

Vaccine hesitancy in industrialised countries is an area of concern. Health professionals play a significant role in parental vaccination decisions, however, to date the role of midwives has not been widely explored. This review sought to describe the attitudes and communication practices of midwives in developed countries towards childhood vaccines. Medline, Cinahl, PsychInfo, Embase and the grey literature were searched. Inclusion criteria were qualitative and quantitative studies reporting midwives' beliefs, attitudes and communication practices toward childhood vaccination. The search returned 366 articles, of which 359 were excluded by abstract. Two additional articles were identified from the grey literature and references, resulting in nine studies from five countries included in the review. Across the studies, the majority of midwives supported vaccination, although a spectrum of beliefs and concerns emerged. A minority expressed reservations about the scientific justification for vaccination, which focussed on what is not yet known rather than mistrust of current evidence. Most midwives felt that vaccines were safe; a minority were unsure, or believed they were unsafe. The majority of midwives agreed that childhood vaccines are necessary. Among those who expressed doubt, a commonly held opinion was that vaccine preventable diseases such as measles are relatively benign and didn't warrant vaccination against them. Finally, the midwifery model of care was shown to focus on providing individualised care, with parental choice being placed at a premium. The midwifery model care appears to differ in approach from others, possibly due to a difference in the underpinning philosophies. Research is needed to understand how midwives see vaccination, and why there appears to be a spectrum of views on the subject. This information will inform the development of resources tailored to the midwifery model of care, supporting midwives in advocating for childhood

Perinatal death: bereavement interventions used by US and Spanish nurses and midwives.

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Steen, Sue E

2015-02-01

Little research has been published from a global perspective regarding needs of nurses and midwives related to perinatal bereavement. To identify needs and concerns of US and Spanish nurses and midwives who have worked with perinatal death and to identify the bereavement interventions they use to help families with this experience. A cross-sectional study was conducted. Data were collected in 2011 from US (n=44) and Spanish (n=15) nurses and midwives via a questionnaire. Statistically significant differences between the nurses/midwives in each country were found regarding needs relating to knowledge, communication skills and managing personal feelings. Interventions of accompanying, listening, offering keepsakes, baptism discussion, and funeral planning were also found to be significantly different between the two groups. These findings demonstrate a continued need to increase the standard and consistency of perinatal bereavement care worldwide. Bereavement education in nursing curricula and practice settings in both cultures is essential to increase the standard of care.

Obstetrics in a Time of Violence: Mexican Midwives Critique Routine Hospital Practices.

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Zacher Dixon, Lydia

2015-12-01

Mexican midwives have long taken part in a broader Latin American trend to promote "humanized birth" as an alternative to medicalized interventions in hospital obstetrics. As midwives begin to regain authority in reproductive health and work within hospital units, they come to see the issue not as one of mere medicalization but of violence and violation. Based on ethnographic fieldwork with midwives from across Mexico during a time of widespread social violence, my research examines an emergent critique of hospital birth as a site of what is being called violencia obstétrica (obstetric violence). In this critique, women are discussed as victims of explicit abuse by hospital staff and by the broader health care infrastructures. By reframing obstetric practices as violent-as opposed to medicalized-these midwives seek to situate their concerns about women's health care in Mexico within broader regional discussions about violence, gender, and inequality. © 2015 by the American Anthropological Association.

Midwives' and women's views on accessing dental care during pregnancy: An Australian qualitative study.

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Lim, Shao Yin Madeleine; Riggs, Elisha; Shankumar, Ramini; Marwaha, Parul; Kilpatrick, Nicky

2018-04-16

Maternal behaviours during pregnancy are likely to play a significant role in the development of dental caries in children. Although midwives are well placed to discuss oral health and provide information to women, dental attendance by women during pregnancy is minimal. This study aimed to explore midwives' experience of facilitating pregnant women's access to dental care and to document women's experience of receiving dental information and care during pregnancy. Focus groups with midwives and telephone interviews with women, who were referred to Monash Health Dental Services, were conducted to explore their perspectives and experiences. The qualitative data was thematically analysed. Three focus groups with 13 midwives and telephone interviews with eight women, who recently gave birth, were conducted. Three key themes were identified: maternal oral health knowledge; barriers to accessing dental information and care during pregnancy, and suggested recommendations. This study highlighted the barriers that exist for midwives to discuss oral health with women and refer women to dental care, and women's experiences of accessing dental care during pregnancy. Ongoing collaboration between the maternity and dental services is required to strengthen midwives' knowledge, confidence and practice in supporting women to access dental care during pregnancy. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Shoreline change after 12 years of tsunami in Banda Aceh, Indonesia: a multi-resolution, multi-temporal satellite data and GIS approach

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Sugianto, S.; Heriansyah; Darusman; Rusdi, M.; Karim, A.

2018-04-01

The Indian Ocean Tsunami event on the 26 December 2004 has caused severe damage of some shorelines in Banda Aceh City, Indonesia. Tracing back the impact can be seen using remote sensing data combined with GIS. The approach is incorporated with image processing to analyze the extent of shoreline changes with multi-temporal data after 12 years of tsunami. This study demonstrates multi-resolution and multi-temporal satellite images of QuickBird and IKONOS to demarcate the shoreline of Banda Aceh shoreline from before and after tsunami. The research has demonstrated a significant change to the shoreline in the form of abrasion between 2004 and 2005 from few meters to hundred meters’ change. The change between 2004 and 2011 has not returned to the previous stage of shoreline before the tsunami, considered post tsunami impact. The abrasion occurs between 18.3 to 194.93 meters. Further, the change in 2009-2011 shows slowly change of shoreline of Banda Aceh, considered without impact of tsunami e.g. abrasion caused by ocean waves that erode the coast and on specific areas accretion occurs caused by sediment carried by the river flow into the sea near the shoreline of the study area.

Occupational burnout and work factors in community and hospital midwives: a survey analysis.

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Yoshida, Yukiko; Sandall, Jane

2013-08-01

community-based midwifery practice has been promoted in the UK maternity policy over the last decade as a means of increasing continuity of care. However, there have been growing concerns to suggest that the community-based continuity model may not be sustainable due to the high levels of occupational burnout in midwives resulted by increased on-call work. this paper attempted to identify work factors associated with the levels of burnout in community midwives as compared to hospital midwives, aiming at contributing to the debate of organising sustainable midwifery care. a statistical analysis was conducted drawing on data from a survey of all midwives working at one Hospital Trust in England (n=238). Occupational burnout was measured using the Maslach Burnout Inventory (MBI). the sample midwives (n=128, 54%) had significantly higher levels of burnout compared to the reference groups. Multiple regression analysis identified as follows: (1) high levels of occupational autonomy were a key protective factor of burnout, and more prevalent in the community, (2) working hours were positively associated with burnout, and community midwives were more likely to have higher levels of stress recognition, and (3) support for work-life-balance from the Trust had a significant protective effect on the levels of burnout. the results should be taken into account in the maternity policy in order to incorporate continuity of care and sustainable organisation of midwifery care. Copyright © 2012 Elsevier Ltd. All rights reserved.

Nurses' and midwives' acquisition of competency in spiritual care: a focus on education.

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Attard, Josephine; Baldacchino, Donia R; Camilleri, Liberato

2014-12-01

The debate that spirituality is 'caught' in practice rather than 'taught' implies that spiritual awareness comes about through clinical experience and exposure, requiring no formal education and integration within the curricula. This is challenged as it seems that providing students with a 'taught' component equips students with tools to identify and strengthen resources in 'catching' the concept. This study forms part of a modified Delphi study, which aims to identify the predictive effect of pre- and post-registration 'taught' study units in spiritual care competency of qualified nurses/midwives. A purposive sample of 111 nurses and 101 midwives were eligible to participate in the study. Quantitative data were collected by the Spiritual Care Competency Scale (SCCS) (Van Leeuwen et al., 2008) [response rate: nurses (89%; n=99) and midwives (74%; n=75)]. Overall nurses/midwives who had undertaken the study units on spiritual care scored higher in the competency of spiritual care. Although insignificant, nurses scored higher in the overall competency in spiritual care than the midwives. 'Taught' study units on spiritual care at pre- or post-registration nursing/midwifery education may contribute towards the acquisition of competency in spiritual care. Copyright © 2014 Elsevier Ltd. All rights reserved.

Midwives at youth clinics attitude to HPV vaccination and their role in cervical cancer prevention.

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Oscarsson, Marie G; Dahlberg, Annica; Tydén, Tanja

2011-11-01

To explore youth clinic midwives role in cervical cancer prevention and their attitude to HPV vaccination. Individual interviews with 13 midwives working at youth clinics in Sweden. The interviews were recorded, transcribed, and analysed by qualitative content analysis. Three themes were identified in the qualitative content analysis: "Cervical cancer prevention not a prioritised area", "Ambivalence to the HPV vaccine", and "Gender and socioeconomic controversies". Few midwives talked spontaneously about cervical cancer prevention. The responsibility for providing information about HPV vaccination was considered as primarily that of school health nurses and parents. Midwives were positive about the HPV vaccination, but recognised certain risks, such as its potential negative impact on cervical cancer screening and increased sexual risk taking. The midwives expressed concerns with medical risks, such as side effects and unknown long-term effects of the HPV vaccine. The midwives in the study had ethical concerns that boys were not included in the program and not all families had the financial resources to vaccinate their children. Thus, weak socioeconomic groups might be excluded. The midwives considered cervical cancer prevention as important, but did not integrate information on the HPV vaccine into their routine work, mainly because young people visiting youth clinics had had their sexual debut and they were concerned about the medical risks and that the vaccine was too expensive. Copyright © 2011 Elsevier B.V. All rights reserved.

The African Health Profession Regulatory Collaborative for Nurses and Midwives

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McCarthy Carey F

2012-08-01

Full Text Available Abstract Background More than thirty-five sub-Saharan African countries have severe health workforce shortages. Many also struggle with a mismatch between the knowledge and competencies of health professionals and the needs of the populations they serve. Addressing these workforce challenges requires collaboration among health and education stakeholders and reform of health worker regulations. Health professional regulatory bodies, such as nursing and midwifery councils, have the mandate to reform regulations yet often do not have the resources or expertise to do so. In 2011, the United States of America Centers for Disease Control and Prevention began a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks. The initiative is called the African Health Regulatory Collaborative for Nurses and Midwives. This article describes the African Health Regulatory Collaborative for Nurses and Midwives and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. Discussion The African Health Profession Regulatory Collaborative for Nurses and Midwives convenes leaders responsible for regulation from 14 countries in East, Central and Southern Africa. It provides a high profile, south-to-south collaboration to assist countries in implementing joint approaches to problems affecting the health workforce. Implemented in partnership with Emory University, the Commonwealth Secretariat, and the East, Central and Southern African College of Nursing, this initiative also supports four to five countries per year in implementing locally-designed regulation improvement projects. Over time, the African Health Regulatory Collaborative for Nurses and Midwives will help to increase the regulatory capacity of health professional organizations and ultimately improve regulation and

PENGEMBANGAN KOMPETENSI PROFESIONALISME GURU PAI DI ACEH

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Zulfikar Ali Butho

2016-12-01

Full Text Available The Development of Professionalism Competence of Islamic Education Teachers in Aceh. The development in Islamic Education Teachers Lhokseumawe City area, against the background by the competence of teachers of Islamic education suffered a setback of several indicators of professionalism. The findings based on qualitative data collection techniques are described through descriptive analysis reveals that the development of professional competencies of teachers in Lhokseumawe city has not shown significant growth. Efforts to develop professional competence of teachers are done through independent study, individual training, discussions and meetings of the board of teachers, strengthening through teachers’ group work, and organizing centre for teachers’ activities at the district level. However, the whole process of the training for teachers of Islamic education became stagnant, the budget cut for improving the quality of teachers, less motiveted, and lack of mastery of information and technology.

MEMBUMIKAN KARAKTER JUJUR DALAM PENDIDIKAN DI ACEH

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Teuku Zulkhairi

2017-02-01

Full Text Available Significance the study was to prove the importance of grounding the honest character education in Aceh at all levels. This phenomenon is referred to the decadency of morality as a result of the loss of an real culture. That trend of dishonesty spread in the country as which is a direct impact of the failure of the education system in forming the honest character of this nation. In fact, the honesty is the soul of education as well as the purpose of education itself. All education stakeholders should make effort to immediately revive the central role of education in building the character of youth nation who is studying at all levels of education. Grounding honest character of students, besides to save this nation from destruction, it will also supported the success of learners in the path of life and Hereafter

Improving Vaginal Examinations Performed by Midwives

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Rhoda S. Muliira

2013-06-01

Full Text Available A vaginal examination (VE is an essential part of midwifery care, and is routinely performed when assessing the progress of labour. As evidence shows that during labour women may find VEs unpleasant,embarrassing and sometimes painful, the aim of this article is to review literature on the use of VEs during labour and to synthesise information from the available literature on how to provide an effective VE. The studies considered were retrieved from three databases (the Cumulative Index to Nursing and Allied Health Literature [CINAHL], SCOPUS and MEDLINE using the following search terms: “VEs in labour”, “midwives and use of VEs” and “women experiences of VEs in labour”. The literature reviewed suggests that midwives are not careful about VEs. Therefore, a concerted effort is needed to pay attention to the frequency of VEs, the management ofpain and distress, information-giving and the preferences of the patient, so that the patient can feel in control during a VE.

The perception of midwives regarding psychosocial risk assessment during antenatal care

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Johanna M. Mathibe-Neke

2014-05-01

Full Text Available Background: The physiological and psychological changes caused by pregnancy may increase a woman’s vulnerability to depression, which may in turn have adverse effects on both maternal and foetal wellbeing. Inadequate psychosocial risk assessment of women by midwives may lead to lack of psychosocial support during pregnancy and childbirth. Pregnant women who lack psychosocial support may experience stress, anxiety and depression that could possibly affect foetal wellbeing. Objective:The objective of this study was toexplore and describe the perception of psychosocial risk assessment and psychosocial care by midwives providing antenatal care to pregnant women. Method: An interpretive and descriptive qualitative approach was adopted. Three focus group interviews were conducted with midwives working in three Maternal Obstetric Units in Gauteng Province, using a semi-structured interview guide. The constant comparison data analysis approach was used. Results:Findings revealed that midwives are aware of and have encountered a high prevalence of psychosocial problems in pregnant women. Furthermore, they acknowledged the importance of psychosocial care for pregnant women although they stated that they were not equipped adequately to offer psychosocial assessment and psychosocial care. Conclusion:The findings provided a basis for incorporation of psychosocial care into routine antenatal care.

A phenomenological study of the effects of clinical negligence litigation on midwives in England: the personal perspective.

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Robertson, Judith H; Thomson, Ann M

2014-03-01

to explore how midwives' personal involvement in clinical negligence litigation affects their emotional and psychological well-being. descriptive phenomenological study using semi-structured interviews. in-depth interviews were conducted in participants' homes or at their place of work and focused on participants' experience of litigation. Participants were recruited from various regions of England. 22 National Health Service (NHS) midwives who had been alleged negligent. unfamiliarity with the legal process when writing statements, attending case conferences and being a witness in court provoked significant stress for midwives. This was exacerbated by the prolonged nature of maternity claims. Support ranged from good to inadequate. Participants who no longer worked for the defendant Trust felt unsupported. Stress could manifest as physical and mental ill-health. Some midwives internalised the allegations of negligence believing their whole career had become worthless. Previous knowledge of the legal process ameliorated the experience. Midwives also exhibited anger and resentment when litigation concluded and some took years to heal from the experience. midwives come from a caring and relational paradigm. When interfacing with the adversarial and contentious paradigm of tort law, midwives can abreact and suffer emotional, physical and psychological harm. Support for midwives experiencing litigation must be improved. Understanding the effects of personal involvement in litigation is important in order to improve the quality of support for this group of midwives. It will also aid development of targeted education for undergraduate, post-graduate and in-service midwives. In the longer term it may help policy makers when considering reform of clinical negligence litigation and NHS employers to structure support mechanisms for staff involved. Copyright © 2013 Elsevier Ltd. All rights reserved.

The lost pedestrian: Identifying determinant factors of no-pedestrian phenomenon in the area of Baiturrahman Grand Mosque, Banda Aceh, Indonesia

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Nasution, M. A.

2018-03-01

The area of Baiturrahman Grand Mosque in Banda Aceh has a deep meaning for people of Aceh because it is a historical site, which has many historical heritages. Recently, it is rarely seen people walk along the corridor of the town. People always drive to move along the road and stop right on their destination. Some are still walking, but only for 20-30 meter. On the other hand, a number of the vehicle significantly increase followed by the needs of parking space. The intensity of the traffic is high in day time; in the morning, at noon, and in the late afternoon. The research will be conducted using qualitative and quantitative methods; investigating the change of the environment caused by development, disaster, and conflict, interviewing government as the decision maker and public figure, questionnaires, and finding information from official documents and literature. It is necessary to identify the determinant factors of no-pedestrian phenomenon in the area of Banda Aceh because it is expected to create atmosphere, which encourage people to walk along the city center, revive walking habits to urban community, and strengthen the role of city center as a center of activities; praying, shopping, and engaging in recreation and leisure.

Australian private midwives with hospital visiting rights in Queensland: Structures and processes impacting clinical outcomes.

Science.gov (United States)

Fenwick, J; Brittain, H; Gamble, J

2017-12-01

Reporting the outcomes for women and newborns accessing private midwives with visiting rights in Australia is important, especially since this data cannot currently be disaggregated from routinely collected perinatal data. 1) Evaluate the outcomes of women and newborns cared for by midwives with visiting access at one Queensland facility and 2) explore private midwives views about the structures and processes contributing to clinical outcomes. Mixed methods. An audit of the 'all risk' 529 women receiving private midwifery care. Data were compared with national core maternity variables using Chi square statistics. Telephone interviews were conducted with six private midwives and data analysed using thematic analysis. Compared to national data, women with a private midwife were significantly more likely to be having a first baby (49.5% vs 43.6% p=0.007), to commence labour spontaneously (84.7% vs 52.7%, p<0.001), experience a spontaneous vaginal birth (79% vs 54%, p<0.001) and not require pharmacological pain relief (52.9% vs 23.1%, p<0.001). The caesarean section rate was significantly lower than the national rate (13% vs 32.8%, p<0.001). In addition fewer babies required admission to the Newborn Care Unit (5.1% vs 16%, p<0.001). Midwives were proud of their achievements. Continuity of care was considered fundamental to achieving quality outcomes. Midwives valued the governance processes embedded around the model. Private midwives with access to the public system is safe. Ensuring national data collection accurately captures outcomes relative to model of care in both the public and private sector should be prioritised. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

KEPEMIMPINAN KEPALA MADRASAH DALAM MENINGKATKAN KINERJA GURU PADA MAN MODEL BANDA ACEH

OpenAIRE

Yusnidar Yusnidar

2014-01-01

School head master is one of factors in encouraging the school to reach its vision, mission, aim and target through the planned implemented program. The aim of the study is to know the leadership of the head master of the school in improving the teachers’ commitment, work motivation and obstacles experiencing by the school head master in improving the teachers’ performance at MAN Model Banda Aceh. The study used descriptive method. The data collection techniques were observations, interviews,...

Kepemimpinan Kepala Madrasah dalam Meningkatkan Kinerja Guru pada Man Model Banda Aceh

OpenAIRE

Yusnidar, Yusnidar

2014-01-01

School head master is one of factors in encouraging the school to reach its vision, mission, aim and target through the planned implemented program. The aim of the study is to know the leadership of the head master of the school in improving the teachers' commitment, work motivation and obstacles experiencing by the school head master in improving the teachers' performance at MAN Model Banda Aceh. The study used descriptive method. The data collection techniques were observations, interviews,...

Predictors of perceiving smoking cessation counselling as a midwife's role: a survey of Dutch midwives.

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Bakker, Martijntje J; de Vries, Hein; Mullen, Patricia Dolan; Kok, Gerjo

2005-02-01

Smoking during pregnancy can have many serious consequences. As the usual providers of pregnancy care in the Netherlands, midwives could serve as effective counsellors to pregnant women about cigarette smoking. The aim of the present study was to identify relevant factors that hamper or promote the provision of effective smoking cessation advice and counselling. Questionnaires were mailed to midwives; 237 (64.4%) were returned. Questions were asked about advantages and disadvantages of giving smoking cessation advice, perceived health benefits for mother and child, smoking behaviour and normative beliefs of colleagues, self-efficacy and role definition of midwives with regard to giving smoking cessation advice. Midwives who have a more positive role definition regarding giving smoking cessation advice are more convinced of the advantages of giving advice, the advantages of quitting for their clients and perceive more support from their colleagues with regard to giving advice. In general, midwives were motivated to provide their clients with smoking cessation advice. They were less comfortable with guiding women through the cessation process. Therefore, effective materials and training should be developed to facilitate and stimulate midwives in their role as effective counsellors.

Modern Times, New Birth and New Midwives: Midwifery in Japan, 1868–1930s

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Aya Homei

2002-01-01

Full Text Available The shin-sanba, or medical ‘new-midwife’ who emerged during the Meiji period (1868- 1912 in Japan seems, looked at from the present, to have successfully replaced the ‘old-midwife’ (kyû-sanba and the increasingly criminalised ‘non-licensed midwife’ (mumenkyo-sanba, while midwifery was constantly developing as a modern medical profession. This paper suggests that the history of the midwife during the modern time was more complex than what we see today. First, the emergence and prosperity of shin-sanba were specific to the historical contingencies of modern Japan and the interplay of various groups of historical actors – hygiene officers, sankai (obstetrician-gynaecologists, other midwives, and ‘clients’. Second, through the course of the modern period, shin-sanba did not replace other types of midwives and in fact, different kinds of midwives did coexist. Finally, the existence and status of midwives greatly depended upon the laissez faire medical market, and the market’s realities often contradicted the medical rhetoric that favoured shin-sanba over other kinds of midwives.

Utilization of Activated Carbon Prepared from Aceh Coffee Grounds as Bio-sorbent for Treatment of Fertilizer Industrial Waste Water

Science.gov (United States)

Mariana, M.; Mahidin, M.; Mulana, F.; Aman, F.

2018-05-01

The people of Aceh are well known as coffee drinkers. Therefore, a lot of coffee shops have been established in Aceh in the past decade. The growing of coffee shops resulting to large amounts of coffee waste produced in Aceh Province that will become solid waste if not wisely utilized. The high carbon content in coffee underlined as background of this research to be utilized those used coffee grounds as bio-sorbent. The preparation of activated carbon from coffee grounds by using carbonization method that was initially activated with HCl was expected to increase the absorption capacity. The prepared activated carbon with high reactivity was applied to adsorb nitrite, nitrate and ammonia in wastewater outlet of PT. PIM wastewater pond. Morphological structure of coffee waste was analyzed by using Scanning Electron Microscopy (SEM) and Fourier transform infrared spectroscopy (FTIR). The result showed that the adsorption capacity of iodine was equal to 856.578 mg/g. From the characterization results, it was concluded that the activated carbon from coffee waste complied to the permitted quality standards in accordance with the quality requirements of activated carbon SNI No. 06-3730-1995. Observed from the adsorption efficiency, the bio-sorbent showed a tendency of adsorbing more ammonia than nitrite and nitrate of PT. PIM wastewater with ammonia absorption efficiency of 56%.

POLA REKRUTMEN CALONLEGISLATIF DAPIL 1 PROVINSI ACEH YANG DILAKUKAN OLEH PARTAI KEADILAN SEJAHTERA (PKS DAN PARTAI NASIONAL DEMOKRAT (NASDEM

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Ruslan Ruslan

2016-12-01

Full Text Available Political recruitment is the process of filling positions in political institutions, including political parties. While the Political Party is a vehicle to bring a particular party political interests in the throne of power in order to achieve what is expected. The purpose of this research is to see how the pattern of recruiting candidates for legislative constituency 1 Aceh province conducted by PKS and NasDem Party, criteria to be used in recruiting candidates for legislative constituency 1 Aceh province conducted by PKS and NasDem Party and what the opportunities and challenges in recruiting candidates one electoral district conducted by PKS and NasDem Party. The method used is descriptive method with qualitative approach. The data collection was done by interview and documentation. The result showed that the pattern of recruiting candidates for the electoral district legilatif 1 Aceh province conducted by the PKS and NasDem show that much different. In connection with this, it is an opportunity and a challenge PKS namely the legislative elections of 2014 more challenges than opportunities obtained by the PKS because of money politics so were experienced by the Party NasDem money politics becomes the greatest challenge in the legislative election first times followed by the Party NasDem   DOI : http://dx.doi.org/10.17977/um019v1i22016p111

Chilean midwives and midwifery students' views of women's midlife health-care needs.

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Binfa, Lorena; Pantoja, Loreto; Gonzalez, Hilda; Ransjö-Arvidson, Anna-Berit; Robertson, Eva

2011-08-01

to determine Chilean midwives' views with regard to Chilean women's health-care needs in midlife. The aim was also to explore Chilean midwifery students' views on the clinical care provided to women in midlife. a qualitative study using focus group discussions and narratives which were analysed using thematic manifest and latent content analysis. 10 different primary health care (PHC) centres in Santiago, Chile. 22 midwives, working in PHC clinics and 13 (n = 13) midwifery students with PHC clinical experience, attending their fourth or fifth year of midwifery education at the School of Midwifery in Santiago. the midwives felt that women in midlife have special health-care service needs. They also considered themselves to be the most appropriate health staff to provide health care for women in midlife, but recognised that they lacked competence in attending psychological and social health-care needs of women in midlife such as violence, abuse and sexuality issues. The midwifery students remarked that many midwives focused their attention on fulfilling the biomedical requirements. Even if the midwives had knowledge about recent research on menopause, they had difficulties in approaching this issue and including it in their counselling. Some students also questioned the sometimes disrespectful attitude shown, especially towards Peruvian immigrants and women with psychosocial problems. the findings suggest that midwives need more education about women's health-care needs in midlife, and that more focus should be placed on the psychosocial aspects of midwifery. More reflections about the quality of the client-provider relationship in clinical practice are needed. Gender issues, the structure of power relationships, and empowerment should be incorporated and critically discussed during midwifery education and training, and also in clinics. Copyright © 2010 Elsevier Ltd. All rights reserved.

Projections of tsunami inundation area coupled with impacts of sea level rise in Banda Aceh, Indonesia

Science.gov (United States)

Tursina, Syamsidik, Kato, Shigeru

2017-10-01

In a long term, sea level rise is anticipated to give devastating effects on Banda Aceh, as one of the coastal cities in the northern tip of Sumatra. The growth of the population and buildings in the city has come to the stage where the coastal area is vulnerable to any coastal hazard. Some public facilities and settlements have been constructed and keep expanding in the future. According to TOPEX/POSEIDON satellite images, 7 mm/year the sea level has been risen between 1992 and 2015 in this area. It is estimated that in the next 100 years, there will be 700 mm additional sea level rise which will give a setback more over to a rather flat area around the coast. This research is aim at investigating the influence of sea level rise toward the tsunami inundation on the land area particularly the impacts on Banda Aceh city. Cornell Multigrid Coupled Tsunami Model (COMCOT) simulation numerically generated tsunami propagation. Topography and bathymetry data were collected from GEBCO and updated with the available nautical chart (DISHIDROS, JICA, and field measurements). Geological movement of the underwater fault was generated using Piatanesi and Lorito of 9.15 Mw 2004 multi-fault scenario. The inundation area produced by COMCOT revealed that the inundation area was expanded to several hundred meters from the shoreline. To investigate the impacts of tsunami wave on Banda Aceh, the inundation area were digitized and analyzed with Quantum GIS spatial tools. The Quantum GIS analyzed inundations area affected by the projected tsunami. It will give a new tsunami-prone coastal area map induced by sea level rise in 100 years.

Midwives' and health visitors' collaborative relationships: A systematic review of qualitative and quantitative studies.

Science.gov (United States)

Aquino, Maria Raisa Jessica Ryc V; Olander, Ellinor K; Needle, Justin J; Bryar, Rosamund M

2016-10-01

Interprofessional collaboration between midwives and health visitors working in maternal and child health services is widely encouraged. This systematic review aimed to identify existing and potential areas for collaboration between midwives and health visitors; explore the methods through which collaboration is and can be achieved; assess the effectiveness of this relationship between these groups, and ascertain whether the identified examples of collaboration are in line with clinical guidelines and policy. A narrative synthesis of qualitative and quantitative studies. Fourteen electronic databases, research mailing lists, recommendations from key authors and reference lists and citations of included papers. Papers were included if they explored one or a combination of: the areas of practice in which midwives and health visitors worked collaboratively; the methods that midwives and health visitors employed when communicating and collaborating with each other; the effectiveness of collaboration between midwives and health visitors; and whether collaborative practice between midwives and health visitors meet clinical guidelines. Papers were assessed for study quality. Eighteen papers (sixteen studies) met the inclusion criteria. The studies found that midwives and health visitors reported valuing interprofessional collaboration, however this was rare in practice. Findings show that collaboration could be useful across the service continuum, from antenatal care, transition of care/handover, to postnatal care. Evidence for the effectiveness of collaboration between these two groups was equivocal and based on self-reported data. In relation, multiple enablers and barriers to collaboration were identified. Communication was reportedly key to interprofessional collaboration. Interprofessional collaboration was valuable according to both midwives and health visitors, however, this was made challenging by several barriers such as poor communication, limited resources, and

Improving health services to displaced persons in Aceh, Indonesia: a balanced scorecard.

Science.gov (United States)

Chan, Grace J; Parco, Kristin B; Sihombing, Melva E; Tredwell, Susan P; O'Rourke, Edward J

2010-09-01

After the Indian Ocean tsunami in December 2004, the International Organization for Migration constructed temporary health clinics to provide medical services to survivors living in temporary accommodation centres throughout Aceh, Indonesia. Limited resources, inadequate supervision, staff turnover and lack of a health information system made it challenging to provide quality primary health services. A balanced scorecard was developed and implemented in collaboration with local health clinic staff and district health officials. Performance targets were identified. Staff collected data from clinics and accommodation centres to develop 30 simple performance measures. These measures were monitored periodically and discussed at meetings with stakeholders to guide the development of health interventions. Two years after the tsunami, 34 000 displaced persons continued to receive services from temporary health clinics in two districts of Aceh province. From March to December 2007, the scorecard was implemented in seven temporary health clinics. Interventions stimulated and tracked by the scorecard showed measurable improvements in preventive medicine, child health, capacity building of clinic staff and availability of essential drugs. By enhancing communication, the scorecard also led to qualitative benefits. The balanced scorecard is a practical tool to focus attention and resources to facilitate improvement in disaster rehabilitation settings where health information infrastructure is poor. Introducing a mechanism for rapid improvement fostered communication between nongovernmental organizations, district health officials, clinic health workers and displaced persons.

Social networking sites (SNS) as a tool for midwives to enhance social capital for adolescent mothers.

Science.gov (United States)

Nolan, Samantha; Hendricks, Joyce; Williamson, Moira; Ferguson, Sally

2018-07-01

to explore ways in which midwives can enhance the support provided by social networking sites for adolescent mothers. a narrative approach was employed to guide the research design and processes. Approval was obtained from Edith Cowan University human ethics department. focus groups and interviews were undertaken with adolescent mothers and midwives in Western Australia. the four key themes identified across both groups were validation by midwives, importance of ownership, enhanced community connections and the importance of guideline development. findings suggest both mothers and midwives consider there are a variety of ways in which healthcare professionals could enhance the support afforded to adolescent mothers by their use of SNS. Midwives were more likely to consider the need for guideline development, but the underlying value of accessible, professionally mediated online support and information was consistent across the two groups. Midwives would benefit from acknowledging the role played by SNS in providing support to adolescent mothers and by considering ways in which this technology can be used to lend further support to this group of mothers. Copyright © 2018 Elsevier Ltd. All rights reserved.

A Study of Midwives as a Source of the Stereotypic Mother Image.

Science.gov (United States)

Niemela, Pirkko

A study was conducted to measure the extent to which Finnish midwives accept the "mother myth," or the stereotypical beliefs of mothers who idealize motherhood. A set of 45 statements about motherhood was administered to 382 Finnish midwives who were given 30 minutes to read the statements and indicate the extent of their agreement on a…

Midwives׳ decision making about transfers for 'slow' labour in rural New Zealand.

Science.gov (United States)

Patterson, Jean; Skinner, Joan; Foureur, Maralyn

2015-06-01

Midwives who provided Lead Maternity Care (LMC) to women in rural areas were invited to share their experiences of decision making around transfer in labour. Ethics approval was obtained from the NZ National Ethics Committee. to explore midwives׳ decision making processes when making transfer decisions for slow labour progress from rural areas to specialist care. individual and group interviews were conducted with a purposive sample of rural midwives. The recalled decision processes of the midwives were subjected to a content and thematic analysis to expose experiences in common and to highlight aspects of probabilistic (normative), heuristic (behavioural), and group decision making theory within the rural context. New Zealand. 15 midwives who provided LMC services to women in their rural areas. 'making the mind shift', 'sitting on the boundary', 'timing the transfer' and 'the community interest' emerged as key themes. The decision processes were also influenced by the woman׳s preferences and the distance and time involved in the transfer. the findings contribute insights into the challenge of making transfer decisions in rural units; particularly for otherwise well women who were experiencing slow labour progress. Knowledge of the fallibility of our heuristic decision making strategies may encourage the practitioner to step back and take a more deliberative, probabilistic view of the situation. In addition to the clinical picture, this process should include the relational and aspirational aspects for the woman, and any logistical challenges of the particular rural context. Copyright © 2015 Elsevier Ltd. All rights reserved.

Managing a work-life balance: the experiences of midwives working in a group practice setting.

Science.gov (United States)

Fereday, Jennifer; Oster, Candice

2010-06-01

To explore how a group of midwives achieved a work-life balance working within a caseload model of care with flexible work hours and on-call work. in-depth interviews were conducted and the data were analysed using a data-driven thematic analysis technique. Children, Youth and Women's Health Service (CYWHS) (previously Women's and Children's Hospital), Adelaide, where a midwifery service known as Midwifery Group Practice (MGP) offers a caseload model of care to women within a midwife-managed unit. 17 midwives who were currently working, or had previously worked, in MGP. analysis of the midwives' individual experiences provided insight into how midwives managed the flexible hours and on-call work to achieve a sustainable work-life balance within a caseload model of care. it is important for midwives working in MGP to actively manage the flexibility of their role with time on call. Organisational, team and individual structure influenced how flexibility of hours was managed; however, a period of adjustment was required to achieve this balance. the study findings offer a description of effective, sustainable strategies to manage flexible hours and on-call work that may assist other midwives working in a similar role or considering this type of work setting. Copyright 2008 Elsevier Ltd. All rights reserved.

'Practising under your own Pin'- a description of the transition experiences of newly qualified midwives.

Science.gov (United States)

Avis, Mark; Mallik, Maggie; Fraser, Diane M

2013-11-01

Transition experiences of newly qualified midwives were examined in depth during the third phase of a UK evaluation study of midwifery education. The fitness to practise and the retention of newly qualified nursing and midwifery graduates are pressing concerns for health care managers. The advantages of preceptorship are reported in the literature but the content and timing of schemes remain unclear. A semi-structured diary was kept for up to 6 months by 35 newly qualified midwives in 18 work sites covering all countries in the UK. The preceptor and supervisor of midwives for each newly qualified midwife completed short questionnaires about their preceptee's performance, and a further sub-sample of newly qualified midwives and preceptors participated in a semi-structured interview. Data were analysed to elicit aspects of newly qualified midwives transition experiences. Findings confirm that structured preceptorship schemes are not widely available. Newly qualified midwives primarily obtained transition support from members of the midwifery team. Although perceived as competent, there is no demarcation point in becoming confident to practise as a registered practitioner. Implications for managers include the importance of a supportive culture within clinical teams for successful transition and the introduction of structured preceptorship schemes facilitated by appropriate rotation patterns. © 2012 John Wiley & Sons Ltd.

Irish midwives' experiences of providing maternity care to non-Irish women seeking asylum

Directory of Open Access Journals (Sweden)

Tobin CL

2014-01-01

Full Text Available Carolyn L Tobin,1 Jo Murphy-Lawless2 1Department of Nursing, College of Health and Human Services, University of New Hampshire, Durham, NH, USA; 2School of Nursing and Midwifery, Trinity College, Dublin, Ireland Background: Immigration and asylum seeking has been an important social and political phenomenon in Ireland since the mid 1990s. Inward migration to Ireland was seen in unprecedented numbers from 1995 onward, peaking in 2002 with 11,634 applications for refugee status. Asylum and immigration is an issue of national and international relevance as the numbers of displaced people worldwide continues to grow, reaching the highest level in 20 years at 45.2 million in 2012. Midwives provide the majority of care to childbearing women around the world, whether working as autonomous practitioners or under the direction of an obstetrician. Limited data currently exist on the perspectives of midwives who provide care to childbearing women while they are in the process of seeking asylum. Such data are important to midwifery leaders, educators, and policy-makers. The aims of this study were to explore midwives' perceptions and experiences of providing care to women in the asylum process and to gain insight into how midwives can be equipped and supported to provide more effective care to this group in the future.Methods: Data were collected via indepth unstructured interviews with a purposive sample of ten midwives from two sites, one a large urban inner city hospital, and the second, a smaller more rural maternity hospital. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using content analysis. Results: Five themes emerged from the data, barriers to communication, understanding cultural difference, challenges of caring for women who were unbooked, the emotional cost of caring, and structural barriers to effective care. Conclusion: Findings highlight a need to focus on support and education for midwives, improved

Comparative Study on the Cost of Building Public House Construction Using Red Brick and Interlock Brick Building Material in the City of Banda Aceh

Science.gov (United States)

Malahayati, Nurul; Hayati, Yulia; Nursaniah, Cut; Firsa, T.; Fachrurrazi; Munandar, Aris

2018-05-01

Red brick and interlocking brick are the building materials that are often used for wall installation work on houses construction. In the development of building materials technology and cost savings, interlocking brick can be alternative to replace red bricks. In Aceh Province, the use of interlocking bricks is less popular compared to other big cities in Indonesia. Interlocking brick is made from a mixture of clay, concrete sand and compacted cement and one of the environmentally friendly materials because it does not burn the process like red brick material. It is named interlocking brick because the installation method is locked together and it serves as a structural and partition wall of residential buildings. The aims of this study are to compare the cost of building a house in Banda Aceh City using red brick and interlock brick building materials. The data were obtained from interviews and questionnaires distributed to respondents who had built houses in Banda Aceh City. The results concluded that the house construction cost using interlock brick offer lower construction cost at comparable quality rather than using red brick.

Kajian kesesuaian lingkungan untuk pengembangan wisata di Pantai Ganting, Pulau Simeulue, Provinsi Aceh

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Herdiana Mutmainah

2016-04-01

Full Text Available Abstract. Simeulue Island is situated Indian Ocean in western part of Aceh Province, this is one of the outer island in Indonesia. Simeulue has big potency in marine resources such as  clean waters and beautiful beach, coral reefs and mangrove ecosystems. Therefore, Simeulue is very promising as an ecotourism destination. The objective of present study was to evaluate the condition of the water quality and the potency for a marine ecotourism development. The feasibility study was conducted on August in Ganting Beach, Village of Kuala Makmur, Simeulue Island. The purposive random sampling method was used to determine twelve sampling stations. The measured water quality parameters were pH, temperature, salinity, turbidity, dissolved oxygen, brightness, BOD5, odors, oil and debris. These parameters were analyized and mapped using software ODV, and then compared to the sea water quality standard for marine tourism as well as the characteristics of the coast to the suitability index of recreational area. The results showed that the water quality of Ganting Beach is very suitable for recreational activities (index 77, category S1  andit is suitable for swimming and also for boating tourism activities, banana boats and jet skis (index 16, category S2. Keywords: water quality; marine tourism; Ganting Beach   Abstrak. Pulau Simeulue, merupakan salah satu pulau terdepan sebelah barat Negara Kesatuan Republik Indonesia (NKRI, dan terletak di Samudera Hindia.Simeulue memiliki potensi sumberdaya laut yang besar, diantaranya perairan yang besih dan jenih, pantai yang indah, terumbu karang dan hutan bakau, sehingga sangat berpotensi untuk dikembang menjadi tujuan wisata. Penelitian ini bertujuan untuk menilai kondisi kualitas perairan dan potensi kesesuaian wisata Pulau Simeulue.Penelitian ini dilaksanakan pada bulan Agustus 2015 bertempat di Pantai Ganting, Kelurahan Kuala Makmur, Kabupaten Simeulue. Sebanyak 12 lokasi pengambilan sampel kualitas air

Educational priorities and current involvement in genetic practice: a survey of midwives in the Netherlands, UK and Sweden.

NARCIS (Netherlands)

Benjamin, C.M.; Anionwu, E.N.; Kristoffersson, U.; Kate, L.P. ten; Plass, A.M.C.; Nippert, I.; Julian-Reynier, C.; Harris, H.J.; Schmidtke, J.; Challen, K.; Calefato, J.M.; Waterman, C.; Powell, E.; Harris, R.

2009-01-01

OBJECTIVE: to investigate whether practising midwives are adequately prepared to integrate genetic information into their practice. DESIGN: a cross-sectional, postal, structured questionnaire survey was sent to practising midwives. SETTING: practising midwives from the Netherlands (NL), Sweden (SE)

A qualitative study of how caseload midwifery is constituted and experienced by Danish midwives

DEFF Research Database (Denmark)

Jepsen, Ingrid; Mark, Edith; Nøhr, Ellen Aagaard

2016-01-01

and pressure to perform well and the disadvantages to the midwives׳ personal lives are counterbalanced by the feeling of doing a meaningful and important job. Working in caseload midwifery creates a feeling of working in a self-governing model within the public hospital, without losing the technological...... benefits of a modern birth unit. Midwives in caseload midwifery worked on welcoming and including all pregnant women allocated to their care; even women/families where relationships with the midwives were challenging were recognised and respected. KEY CONCLUSIONS: caseload midwifery is a work...... for the personal life of the midwife, but benefits were found to outweigh disadvantages. IMPLICATIONS FOR PRACTICE: In expanding caseload midwifery, it is necessary to understand that the midwives׳ personal lives need to be prepared for this work-form. The number of women per full time midwife has to be surveilled...

The Historical Basis of Aceh Socio-Economics Development (1511-1904

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Mehmet Özay

2012-06-01

Full Text Available Abstract It is vital to see the connection between experiences in history and contemporary developments in almost all corners of the world. Regions which appear as leading powers in economic developments have historically had their own particular dynamics. In the event that the dynamics of the past uncover the true means to go forward, it will trigger the path of progress at an unexpected time, when similar conditions are met. Taking this condition into account with regard to Aceh, we see that Aceh has been a potential candidate for the newly emerging economic development centers in Southeast Asia after the disastrous event on 26th December, 2004, pursuant to which the Memorandum of Understanding (MoU in Helsinki was signed by the related sides on 15th August, 2005. To assess and evaluate the possibilities and opportunities that open up before Aceh Province by virtue of the MoU, the tradition of economic developments in history should be revisited and evaluated. It might be assumed that the reflections from the past will certainly enlighten the future. This article suggests that the economic development of the Sultanate of Aceh Darussalam in the past might be a starting point for all parties in Aceh Province to deduce exactly how to deal with prevailing difficulties so as to commence economic progress in the region. It is considered that historical experiences are repetitive. The significance of Aceh was based on several diverse factors, primarily its state structure, economic activities, and geo-strategic position on the extreme northwest of Sumatra, that allowed it to be a part of the international sea trade between the east and the west between the 16th and 19th centuries. These characteristics propelled Aceh to become not only a prominent region, but also gain supremacy in global partnerships in the business of international trade. After the peace agreement celebrations, it is the need of the hour for all social and economic sectors in Aceh

The influence of maternity units' intrapartum intervention rates and midwives' risk perception for women suitable for midwifery-led care.

Science.gov (United States)

Mead, Marianne M P; Kornbrot, Diana

2004-03-01

to test the hypothesis that midwives working in higher intervention units would have a higher perception of risk for the intrapartum care of women suitable for midwifery-led care than midwives working in lower intervention units. an initial retrospective analysis of the computerised records of 9887 healthy Caucasian women in spontaneous labour enabled the categorisation of 11 units as either 'lower intrapartum intervention' or 'higher intrapartum intervention' units. A survey of the midwives involved in intrapartum care in these 11 units, using standardised scenario questionnaires, was used to investigate midwives' options for intrapartum interventions, their perceptions of intrapartum risk and the accuracy of these perceptions in the light of actual maternity outcomes. midwives working in maternity units that had a higher level of intervention generally perceived intrapartum risks to be higher than midwives working in lower intervention units. However, midwives generally underestimated the ability of women to progress normally and overestimated the advantages of technological interventions, in particular epidural analgesia. variations in intrapartum care cannot be solely explained by the characteristics of the women. The influence of the workplace culture plays a significant role in shaping midwives' perceptions of risk, but it seems even more likely that the medicalisation of childbirth has had an influence on midwives' appreciation of intrapartum risks. Intervention rates for low-risk births are often higher than recommended by research. The level of interventions varies across hospitals and higher rates are associated with higher perception of risk by midwives. Attention needs to be given to the influence the workplace plays in shaping midwives' perception of risk; and to the effect of organisational culture on intervention rates.

The mentoring experiences of new graduate midwives working in midwifery continuity of care models in Australia.

Science.gov (United States)

Cummins, Allison M; Denney-Wilson, E; Homer, C S E

2017-05-01

The aim of this paper was to explore the mentoring experiences of new graduate midwives working in midwifery continuity of care models in Australia. Most new graduates find employment in hospitals and undertake a new graduate program rotating through different wards. A limited number of new graduate midwives were found to be working in midwifery continuity of care. The new graduate midwives in this study were mentored by more experienced midwives. Mentoring in midwifery has been described as being concerned with confidence building based through a personal relationship. A qualitative descriptive study was undertaken and the data were analysed using continuity of care as a framework. We found having a mentor was important, knowing the mentor made it easier for the new graduate to call their mentor at any time. The new graduate midwives had respect for their mentors and the support helped build their confidence in transitioning from student to midwife. With the expansion of midwifery continuity of care models in Australia mentoring should be provided for transition midwives working in this way. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

The experiences of midwives and nurses collaborating to provide birthing care: a systematic review.

Science.gov (United States)

Macdonald, Danielle; Snelgrove-Clarke, Erna; Campbell-Yeo, Marsha; Aston, Megan; Helwig, Melissa; Baker, Kathy A

2015-11-01

Collaboration has been associated with improved health outcomes in maternity care. Collaborative relationships between midwives and physicians have been a focus of literature regarding collaboration in maternity care. However despite the front line role of nurses in the provision of maternity care, there has not yet been a systematic review conducted about the experiences of midwives and nurses collaborating to provide birthing care. The objective of this review was to identify, appraise and synthesize qualitative evidence on the experiences of midwives and nurses collaborating to provide birthing care.Specifically, the review question was: what are the experiences of midwives and nurses collaborating to provide birthing care? This review considered studies that included educated and licensed midwives and nurses with any length of practice. Nurses who work in labor and delivery, postpartum care, prenatal care, public health and community health were included in this systematic review.This review considered studies that investigated the experiences of midwives and nurses collaborating during the provision of birthing care. Experiences, of any duration, included any interactions between midwives and nurses working in collaboration to provide birthing care.Birthing care referred to: (a) supportive care throughout the pregnancy, labor, delivery and postpartum, (b) administrative tasks throughout the pregnancy, labor, delivery and postpartum, and (c) clinical skills throughout the pregnancy, labor, delivery and postpartum. The postpartum period included the six weeks after delivery.The review considered English language studies that focused on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research.This review considered qualitative studies that explored the experiences of collaboration in areas where midwives and nurses work together. Examples of these areas included: hospitals

An explorative study of factors contributing to the job satisfaction of primary care midwives.

Science.gov (United States)

Warmelink, J Catja; Hoijtink, Kirsten; Noppers, Marloes; Wiegers, Therese A; de Cock, T Paul; Klomp, Trudy; Hutton, Eileen K

2015-04-01

the main objectives of our study was to gain an understanding of how primary care midwives in the Netherlands feel about their work and to identify factors associated with primary care midwives׳ job satisfaction and areas for improvement. a qualitative analysis was used, based on the constructivist/interpretative paradigm. Three open-ended questions in written or online questionnaire, analysed to identify factors that are linked with job satisfaction, were as follows: 'What are you very satisfied with, in your work as a midwife?', 'What would you most like to change about your work as a midwife?' and 'What could be improved in your work?'. 20 of the 519 primary care practices in the Netherlands in May 2010 were included. at these participating practices 99 of 108 midwives returned a written or online questionnaire. in general, most of the participating primary care midwives were satisfied with their job. The factors positively associated with their job satisfaction were their direct contact with clients, the supportive co-operation and teamwork with immediate colleagues, the organisation of and innovation within their practice group and the independence, autonomy, freedom, variety and opportunities that they experienced in their work. Regarding improvements, the midwives desired a reduction in non-client-related activities, such as paperwork and meetings. They wanted a lower level of work pressure, and a reduced case-load in order to have more time to devote to individual clients׳ needs. Participants identified that co-operation with other partners in the health care system could also be improved. our knowledge, our study is the first explorative study on factors associated with job satisfaction of primary care midwives. While there are several studies on job satisfaction in health care; little is known about the working conditions of midwives in primary care settings. Although the participating primary care midwives in the Netherlands were satisfied with their

Current situation of midwives in indonesia: Evidence from 3 districts in West Java Province

Science.gov (United States)

2010-01-01

Background The village midwife is a central element of Indonesia's strategy to improve maternal and child health and family planning services. Recently there has been concern that the midwives were not present in the villages to which they had been assigned. To determine the extent to which this was the case we conducted a field-based census and survey of village midwives in three districts in West Java Province, Indonesia. Findings In June 2009 we interviewed a random sample of village midwives from three districts - Ciamis, Garut and Sukabumi - in West Java Province. Trained interviewers visited all villages represented in the sample to interview the midwives. We also obtained information about the midwives and their professional activities in the last year. Thirty percent of village midwives had moved to another location in the 12 months between the end of 2008, when the sampling frame was constructed, and December 2009 when the survey was conducted; most had moved to a government health center or another village. Of those who were present, there was considerable variation between districts in age distribution and qualifications. The total number of services provided was modest, also with considerable variation between districts. The median number of deliveries assisted in the last year was 64; the amount and mix of family planning services provided varied between districts and were dominated by temporary methods. Conclusions Compared to an earlier survey in an adjacent province, the village midwives in these three districts were younger, had spent less time in the village and a higher proportion were permanent civil servants. A high proportion had moved in the previous year with most moving to a health center or another village. The decision to move, as well as the mix of services offered, seems to be largely driven by opportunities to increase their private practice income. These opportunities are greater in urban areas. As urbanization procedes the forces

Review: Miller, Michelle Ann (2009, Rebellion and Reform in Indonesia – Jakarta’s Security and Autonomy Policies in Aceh

Directory of Open Access Journals (Sweden)

Antje Missbach

2009-01-01

Full Text Available Review of the monograph: Miller, Michelle Ann, Rebellion and Reform in Indonesia – Jakarta’s Security and Autonomy Policies in Aceh, London/ New York: Routledge, 2009, ISBN 13: 978-0-415-45467-4, 240 pages.

A hermeneutic phenomenological analysis of midwives' ways of knowing during childbirth.

Science.gov (United States)

Hunter, Lauren P

2008-12-01

to explore the ways of knowing used by the midwife while attending women during childbirth through textual analysis of poems written by American midwives. a hermeneutic phenomenology and human science research method inspired by van Manen was used. Midwifery ways of knowing during childbirth were thematically derived from 10 poems written by midwives about attending childbirth or the experience of being a midwife. Textual analysis included examination of the poems as a whole, via verse and metaphor, and via individual lines of prose. 10 American midwives wrote the poems used in this study. The poems were discovered through online searches of many databases using the key words 'poetry, poems, midwifery and childbirth' and through a national call for poetry by the researcher over a period of 4 years (1996-2000), undertaken in order to publish an anthology of poetry written by midwives. three authoritative ways of knowing that guided the care given by the midwife to women during childbirth were discovered. They were self-knowledge from the belief system of the individual midwife, grounded knowledge from the midwife's personal lived experience with childbirth, and informed knowledge from objective and scholarly sources. midwives must continue to develop their own body of knowledge in order to move the profession forward. Multiple ways of knowing including the use of experiential/contextual and intuitive knowledge is legitimate and humane, if provision of care is holistic. Care of women during childbirth can be enhanced with the use of multiple knowers and multiple ways of knowing. This study captured a unique and fresh interpretation of the lived experience of midwifery knowledge. Midwifery educational programmes should offer opportunities for students to explore the artistry as well as the science of midwifery practice.

Profil Pengguna E-commerce (Studi di Wilayah Kerja Balai Besar Pengkajian dan Pengembangan Komunikasi dan Informatika Medan)

OpenAIRE

S.Sos, Budiman

2017-01-01

Perkembangan Teknologi Informasi dan Komunikasi (TIK) telah mempengaruhi berbagai sektor, salah satu contohnya adalah e-commerce. Tren e-commerce di masyarakat sangat menarik untuk diteliti, terutama profil, karakteristik, dan tren pemakaian. Penelitian ini bertujuan untuk mendeskripsikan penggunaan e-commerce pada masyarakat di wilayah kerja Balai Besar Pengkajian dan Pengembangan Komunikasi dan Informatika (BBPPKI) Medan. Penelitian ini menggunakan metode survei dengan responden berusia ant...

Teamwork among midwives during neonatal resuscitation at a maternity hospital in Nepal.

Science.gov (United States)

Wrammert, Johan; Sapkota, Sabitri; Baral, Kedar; Kc, Ashish; Målqvist, Mats; Larsson, Margareta

2017-06-01

The ability of health care providers to work together is essential for favourable outcomes in neonatal resuscitation, but perceptions of such teamwork have rarely been studied in low-income settings. Neonatal resuscitation is a proven intervention for reducing neonatal mortality globally, but the long-term effects of clinical training for this skill need further attention. Having an understanding of barriers to teamwork among nurse midwives can contribute to the sustainability of improved clinical practice. To explore nurse midwives' perceptions of teamwork when caring for newborns in need of resuscitation. Nurse midwives from a tertiary-level government hospital in Nepal participated in five focus groups of between 4 and 11 participants each. Qualitative Content Analysis was used for analysis. One overarching theme emerged: looking for comprehensive guidelines and shared responsibilities in neonatal resuscitation to avoid personal blame and learn from mistakes. Participants discussed the need for protocols relating to neonatal resuscitation and the importance of shared medical responsibility, and the importance of the presence of a strong and transparent leadership. The call for clear and comprehensive protocols relating to neonatal resuscitation corresponded with previous research from different contexts. Nurse midwives working at a maternity health care facility in Nepal discussed the benefits and challenges of teamwork in neonatal resuscitation. The findings suggest potential benefits can be made from clarifying guidelines and responsibilities in neonatal resuscitation. Furthermore, a structured process to deal with clinical incidents must be considered. Management must be involved in all processes. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

An expression of love--midwives' experiences in the encounter with lesbian women and their partners.

Science.gov (United States)

Spidsberg, Bente Dahl; Sørlie, Venke

2012-04-01

This paper is a report of a descriptive study of midwives' lived experiences of caring for lesbian women and their partners. A growing body of qualitative studies describes lesbian women's experiences of maternity care. Studies about midwives' caring experiences in the encounter are needed to improve care for lesbian women and their partners. A qualitative study, using a phenomenological-hermeneutical method influenced by Ricoeur was conducted. Eleven midwives were recruited by snowball method. Interviews were conducted in 2009 and participants were encouraged to share events in their midwifery practice encountering lesbian women. The midwives described the lesbian love-relationship as strong and caring, but including elements of difference which could make the couple vulnerable. It was important for midwives to acknowledge their own attitudes and culturally sensitive non-verbal communication; also to consider the co-mother's needs and role as different compared with those of fathers. Although caring for lesbian couples was seen as unproblematic, midwives described experiences of ambivalence or anxiety in the encounter and they had noticed that some couples had had negative experiences with maternity care. Studies are required to map content, consequences and coping strategies regarding the ambivalent or uncertain caring situations and to assess a co-mother's particular role and needs during pregnancy, labour and the postnatal period to provide tailored care for lesbian couples. © 2011 Blackwell Publishing Ltd.

Non-invasive nursing technologies for pain relief during childbirth--the Brazilian nurse midwives' view.

Science.gov (United States)

Vargens, Octavio M C; Silva, Alexandra C V; Progianti, Jane M

2013-11-01

to describe the non-invasive care technologies most frequently used by nurse midwives to relieve childbirth pain, and provide a synthesis of studies published by Brazilian nurse midwives on the use of such technologies. a systematic literature review focusing on the non-invasive pain relief strategies used by nurse midwives in Brazil. Surveys of three databases (BDENF, CINAHL and MEDLINE) were conducted between 2002 and 2012. The inclusion criteria were: (1) full-text article available; (2) published between 2002 and 2012; (3) written by Brazilian nurse midwives, and (4) fitting the descriptors: childbirth pain; non-invasive technologies; labour; and pain relief. For purposes of analysis, the technologies mentioned were classified into four main categories of support as they relate to environment, position, tactile stimulation, and energy level. we located 21 scientific articles that met the inclusion criteria and addressed the non-invasive technologies that nurse midwives use to provide pain relief during labour. The technologies most used was: stimulation of breathing and relaxation; use of massage with essential oils; encouraging freedom to move, to walk and the free choice for vertical positioning; use of showers and baths; use of birth ball. Brazilian nurse midwives have made efforts to focus care during delivery on the parturient. By studying and publishing about the non-invasive care technologies they have strengthened de-medicalised knowledge, based on scientific evidence and good outcomes in pain relief during labour. the study presented ideas towards improved theoretical foundations and strategies for establishing practice consonant with humanised care. Copyright © 2012 Elsevier Ltd. All rights reserved.

Addressing the workplace needs of Western Australian midwives: a Delphi study.

Science.gov (United States)

Hauck, Yvonne L; Bayes, Sara J; Robertson, Jeanette M

2012-05-01

To determine the workplace needs of Western Australian midwives working in public metropolitan secondary hospitals. Using a three-round Delphi approach, Round 1 incorporated focus groups and a questionnaire. Fifteen focus groups were conducted with midwives also having the option of contributing through an open-ended questionnaire. During Round 2, 38 items reflecting seven themes were prioritised with a final ranking performed in Round 3. In total, 114 midwives participated in Round 1, 72 in Round 2 and 89 in Round 3. During Round 1, workplace needs identified as being met included: working across all areas of midwifery; ability to work in areas of interest; opportunity to work with low to moderate risk women; supportive colleagues; accessible parking; hospital close to home and friendly work atmosphere. Round 2 items revealed the five top unmet needs as: adequate midwifery staff coverage; access to maintained equipment; competitive pay scales; patient safety issues and opportunities to implement midwifery models. The top ranked needs from Round 3 included: recognising the unpredictable nature of midwifery services; provision of competent medical coverage, and adequate midwifery staff coverage. Demand for maternity services is unpredictable; however, in order to maintain a sustainable maternity workforce, WA midwives' prioritised needs would suggest health management focus upon expanding the availability of midwifery models of care, fostering flexible working conditions and ensuring collaboration between maternity health professionals occurs within clinically safe staffing levels.

Exploring Midwives' Need and Intention to Adopt Electronic Integrated Antenatal Care.

Science.gov (United States)

Markam, Hosizah; Hochheiser, Harry; Kuntoro, Kuntoro; Notobroto, Hari Basuki

2018-01-01

Documentation requirements for the Indonesian integrated antenatal care (ANC) program suggest the need for electronic systems to address gaps in existing paper documentation practices. Our goals were to quantify midwives' documentation completeness in a primary healthcare center, understand documentation challenges, develop a tool, and assess intention to use the tool. We analyzed existing ANC records in a primary healthcare center in Bangkalan, East Java, and conducted interviews with stakeholders to understand needs for an electronic system in support of ANC. Development of the web-based Electronic Integrated ANC (e-iANC) system used the System Development Life Cycle method. Training on the use of the system was held in the computer laboratory for 100 midwives chosen from four primary healthcare centers in each of five regions. The Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire was used to assess their intention to adopt e-iANC. The midwives' intention to adopt e-iANC was significantly influenced by performance expectancy, effort expectancy and facilitating conditions. Age, education level, and computer literacy did not significantly moderate the effects of performance expectancy and effort expectancy on adoption intention. The UTAUT results indicated that the factors that might influence intention to adopt e-iANC are potentially addressable. Results suggest that e-iANC might well be accepted by midwives.

What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England.

Science.gov (United States)

Beenstock, Jane; Sniehotta, Falko F; White, Martin; Bell, Ruth; Milne, Eugene Mg; Araujo-Soares, Vera

2012-04-24

Around 5,000 miscarriages and 300 perinatal deaths per year result from maternal smoking in the United Kingdom. In the northeast of England, 22% of women smoke at delivery compared to 14% nationally. Midwives have designated responsibilities to help pregnant women stop smoking. We aimed to assess perceived implementation difficulties regarding midwives' roles in smoking cessation in pregnancy. A self-completed, anonymous survey was sent to all midwives in northeast England (n = 1,358) that explores the theoretical explanations for implementation difficulties of four behaviours recommended in the National Institute for Health and Clinical Excellence (NICE) guidance: (a) asking a pregnant woman about her smoking behaviour, (b) referring to the stop-smoking service, (c) giving advice about smoking behaviour, and (d) using a carbon monoxide monitor. Questions covering Michie et al.'s theoretical domain framework (TDF), describing 11 domains of hypothesised behavioural determinants (i.e., 'knowledge', 'skills', 'social/professional role/identity', 'beliefs about capabilities', 'beliefs about consequences', 'motivation and goals', 'memory', 'attention and decision processes', 'environmental context and resources', 'social influences', 'emotion', and 'self-regulation/action planning'), were used to describe perceived implementation difficulties, predict self-reported implementation behaviours, and explore relationships with demographic and professional variables. The overall response rate was 43% (n = 589). The number of questionnaires analysed was 364, following removal of the delivery-unit midwives, who are not directly involved in providing smoking-cessation services. Participants reported few implementation difficulties, high levels of motivation for all four behaviours and identified smoking-cessation work with their role. Midwives were less certain about the consequences of, and the environmental context and resources available for, engaging in this work relative to

A Survey of Job Satisfaction among Midwives Working in Hospitals

Directory of Open Access Journals (Sweden)

Fariba Khavayet

2018-01-01

Full Text Available Background & aim: Job satisfaction is one of the important factors enhancing organizational efficiency and employees' performance. This study aimed to evaluate job satisfaction among midwives working in hospitals. Methods: This cross-sectional study included all midwives (N=100 working in hospitals affiliated to Abadan School of Medical Sciences, Abadan, Iran in 2016. To obtain data, we used a demographic as well as Herzberg's Job Satisfaction Questionnaire with α=0.96 in Iran. To analyze the data, independent t-test, Chi-square test, and Pearson correlation coefficient were run in SPSS, version 22. Results: The mean age and work experience of the subjects were 35.37±7.3 and 11.23±7.8 years, respectively. The mean job satisfaction score of the midwives was 302.41±19. The results showed that the subjects had moderate job satisfaction in the eight domains of occupational nature and position (48%, job security (46%, salary and benefits (61%, occupational and environmental conditions (90%, relationship with colleagues (87%, supervision (91%, management policy-making (80%, and personal relationships (85%. There was a significant correlation between work experience and job satisfaction, while there was no significant relationship between job satisfaction and other demographic variables. Conclusion: Considering the moderate level of job satisfaction among the midwives working in the hospitals affiliated to Abadan School of Medical Sciences, authorities should take effective steps to address job dissatisfaction by promoting occupational security, creating professional standards, and using midwives’ capabilities in building appropriate relationships with colleagues.

Analisa ekonomi usaha pendederan kerapu macan (Epinephelus fuscoguttatus dan kerapu lumpur (Epinephelus coioides dalam tambak di Kabupaten Bireuen Provinsi Aceh

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Farok Afero

2015-04-01

Full Text Available Abstract. This study presented an economic analysis of nursery operation for tiger and green grouper with different production scales. The result highlighted small scale nursery of tiger grouper with a 3 year projected both positive cumulative cash flows and NPV. Small scale of green grouper highlighted both positive cumulative cash flow and NPV, also IRR and B/C higher than the medium and large scale. Medium scale of tiger grouper generated both positive cumulative cash flow and NPV. In addition, medium scale of tiger grouper generated IRR and B/C higher than small and large scale. Medium scale of green grouper generated IRR and B/C higher than large scale. The results of the financial analysis indicated the income of large scale of tiger grouper higher than medium scale, but the ratio benefit of medium scale higher than large scale. Small scale of green grouper indicated ratio benefit higher than medium and large scale. The sensitivity analysis showed decreased survival rate to 60% affects a negative contribution to the NPV, IRR and B/C on a large scale of green grouper. On the other side, small scale of green grouper obtained higher profit ratio despite a decline in survival rate, an increase in seed costs and falling seed prices. This suggests that small scale of green grouper not affected to volatility of the main variable costs. Keywords: Nursery; tiger grouper; green grouper; production scale Abstrak. Penelitian ini menyajikan analisa ekonomi pendederan kerapu macan dan lumpur dengan skala produksi yang berbeda. Penelitian menunjukkan bahwa budidaya kerapu macan dalam skala kecil, dengan proyeksi 3 tahun menghasilkan arus kas kumulatif dan NPV positif. Sedangkan pendederan kerapu lumpur skala kecil menunjukkan arus kas kumulatif dan NPV positif, IRR dan B/C yang lebih tinggi dibandingkan dengan pendederan skala menengah dan besar. Pendederan kerapu macan skala menengah menghasilkan aliran kas dan NPV positif. Selain itu, pendederan kerapu

birth complications control between midwives among women in ...

African Journals Online (AJOL)

Method: The study adopted was survey design. The sample .... traditional midwives, policy makers, women in general, government and ... mal-presentation of the fetal head ii) ..... in minimizing maternal trauma and ensuring an optimal birth for ...

A qualitative study of volunteer doulas working alongside midwives at births in England: Mothers' and doulas' experiences.

Science.gov (United States)

McLeish, Jenny; Redshaw, Maggie

2018-01-01

to explore trained volunteer doulas' and mothers' experiences of doula support at birth and their perceptions of how this related to the midwife's role. a qualitative descriptive study, informed by phenomenological social psychology. semi-structured interviews were carried out between June 2015 and March 2016. Interview transcripts were analysed using inductive thematic analysis. three community volunteer doula projects run by third sector organisations in England. 19 volunteer doulas and 16 mothers who had received doula support during labour. three overarching themes emerged: (1) 'the doula as complementary to midwives', containing subthemes 'skilled physical and emotional support', 'continuous presence', 'woman-centred support', 'ensuring mothers understand and are understood' and 'creating a team for the mother'; (2)'the doula as a colleague to midwives', containing subthemes 'welcomed as a partner', 'co-opted to help the midwives', and 'doulas identify with the midwives'; and (3) 'the doula as challenge to midwives', containing subthemes 'confusion about the doula's role', 'defending informed choice', and 'counterbalancing disempowering treatment'. KEY CONCLUSIONS&IMPLICATIONS FOR PRACTICE: volunteer doulas can play an important role in improving women's birth experiences by offering continuous, empowering, woman-focused support that complements the role of midwives, particularly where the mothers are disadvantaged. Greater clarity is needed about the scope of legitimate volunteer doula advocacy on behalf of their clients, to maximise effective working relationships between midwives and doulas. Copyright © 2017. Published by Elsevier Ltd.

Australian midwives and provision of nutrition education during pregnancy: A cross sectional survey of nutrition knowledge, attitudes, and confidence.

Science.gov (United States)

Arrish, Jamila; Yeatman, Heather; Williamson, Moira

2016-10-01

Maternal nutrition during pregnancy affects the health of the mother and the baby. Midwives are ideally placed to provide nutrition education to pregnant women. There is limited published research evidence of Australian midwives' nutrition knowledge, attitudes and confidence. To investigate Australian midwives' nutrition knowledge, attitudes and confidence in providing nutrition education during pregnancy. Members of the Australian College of Midwives (n=4770) were sent an invitation email to participate in a web-based survey, followed by two reminders. The completion rate was 6.9% (329 of 4770). The majority (86.6% and 75.7%, respectively) highly rated the importance of nutrition during pregnancy and the significance of their role in nutrition education. Midwives' nutrition knowledge was inadequate in several areas such as weight gain, dairy serves and iodine requirements (73.3%, 73.2% and 79.9% incorrect responses, respectively). The level of confidence in discussing general and specific nutrition issues ranged mostly from moderate to low. The majority of the midwives (93%) provided nutrition advice to pregnant women. This advice was mostly described as 'general' and focused on general nutrition topics. Only half of the midwives reported receiving nutrition education during midwifery education (51.1%) or after registration (54.1%). Australian midwives' attitudes towards nutrition during pregnancy and their role in educating pregnant women about it were positive but their knowledge and confidence did not align with these attitudes. This could be due to minimal nutrition education during midwifery education or during practice. Continued education to improve midwives' nutrition knowledge and confidence is essential. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

An explorative study of factors contributing to the job satisfaction of primary care midwives

NARCIS (Netherlands)

Warmelink, J.C.; Hoijtink, K.; Noppers, M.; Wiegers, T.A.; de Cock, T.P.; Klomp, T.; Hutton, E.K.

2015-01-01

Objective: the main objectives of our study was to gain an understanding of how primary care midwives in the Netherlands feel about their work and to identify factors associated with primary care midwives' job satisfaction and areas for improvement. Design: a qualitative analysis was used, based on

An explorative study of factors contributing to the job satisfaction of primary care midwives.

NARCIS (Netherlands)

Warmelink, J.C.; Hoijtink, K.; Noppers, M.; Wiegers, T.A.; Cock, T.P. de; Klomp, T.; Hutton, E.K.

2015-01-01

Objective: the main objectives of our study was to gain an understanding of how primary care midwives in the Netherlands feel about their work and to identify factors associated with primary care midwives׳ job satisfaction and areas for improvement. Design: a qualitative analysis was used, based on

Fighting female infanticide by working with midwives: an Indian case study.

Science.gov (United States)

Murthy, R K

1996-06-01

In many cultures throughout history, parents have preferred to conceive and bear sons rather than daughters. In May 1995, Adithi, a nongovernmental organization (NGO) working in parts of Bihar with resource-poor women, and Bal Mahila Kalyan (BMK), an NGO working with poor people in general, organized a workshop with traditional midwives on the issue of female infanticide. A prior study found that traditional midwives are often called upon to kill female infants. These women mainly belong to the dalit community, are mostly illiterate, typically live in poverty, and have little power in the community. The workshop goals were to explore gender discrimination in different caste and religious groups; to understand the history and extent of female infanticide in the area, and to examine whether the incidence varies with caste, class, religion, and birth order; and to identify strategies to combat female infanticide. 28 traditional midwives participated. This paper describes the proceedings of the workshop and examines strategies for combatting female infanticide.

Implementasi Augmented Reality (AR) Pada Pengenalan Koleksi Museum Aceh Sebagai Sarana Pembelajaran Multimedia Berbasis Android

OpenAIRE

Heriza, Rahmat

2016-01-01

131421024 Berkembang nya laju teknologi Augmented Reality (AR) membuat kehidupan menjadi lebih real, dengan menggabungkan dunia maya kedalam dunia nyata dalam bentuk 3 Dimensi dengan menggunakan fitur kamera. Tujuan aplikasi ini memberi edukasi dan informasi kepada masyarakat mempelajari koleksi Museum Aceh dengan memanfaatkan teknologi augmented reality. AR sangat membantu dalam visualisasi bentuk objek, maka dengan dibuat nya aplikasi ini sebagai media pembelajaran objek koleksi Museum A...

Architectural heritage in post-disaster society: a tool for resilience in Banda Aceh after the 2004 tsunami disaster

Science.gov (United States)

Dewi, Cut; Nopera Rauzi, Era

2018-05-01

This paper discusses the role of architectural heritage as a tool for resilience in a community after a surpassing disaster. It argues that architectural heritage is not merely a passive victim needing to be rescued; rather it is also an active agent in providing resilience for survivors. It is evidence in the ways it acts as a signifier of collective memories and place identities, and a place to seek refuge in emergency time and to decide central decision during the reconstruction process. This paper explores several theories related to architectural heritage in post-disaster context and juxtaposes them in a case study of Banda Aceh after the 2004 Tsunami Disaster. The paper is based on a six-month anthropological fieldwork in 2012 in Banda Aceh after the Tsunami Disaster. During the fieldwork, 166 respondents were interviewed to gain extensive insight into the ways architecture might play a role in post-disaster reconstruction.

Work/life balance and health: the Nurses and Midwives e-cohort Study.

Science.gov (United States)

Schluter, P J; Turner, C; Huntington, A D; Bain, C J; McClure, R J

2011-03-01

Nursing and midwifery are demanding professions. Efforts to understand the health consequences and workforce needs of these professions are urgently needed. Using a novel electronic approach, the Nurses and Midwives e-cohort Study (NMeS) aims to investigate longitudinally Australian and New Zealand nurses' and midwives' work/life balance and health. This paper describes NMeS participation; provides key baseline demographic, workforce and health indicators; compares these baseline descriptions with external norms; and assesses the feasibility of the electronic approach. From 1 April 2006 to 31 March 2008, nurses in Australia and New Zealand, and midwives in Australia were invited to participate. Potential participants were directed to a purpose-built NMeS Internet site, where study information was provided and consent sought. Once obtained, a range of standardized tools combined into one comprehensive electronic questionnaire was elicited. Overall, 7633 (2.3%) eligible nurses and midwives participated (6308 from Australia and 1325 from New Zealand) from a total pool of 334,400. Age, gender, occupational and health profiles were similar between countries and to national figures. However, some differences were noted; for instance, Queensland participants were over-represented, while Victorian and South Australian participants were under-represented, and 28.2% of Australians were in high strain positions compared with 18.8% of New Zealanders. Using an internationally novel web-based approach, a large cohort, which appears generally similar to population norms, has been established. Provided participant retention is adequate, the NMeS will provide insight into understanding the drivers of nurses' and midwives' workforce retention and work-related factors associated with their health. © 2011 The Authors. International Nursing Review © 2011 International Council of Nurses.

Midwives being 'with woman': An integrative review.

Science.gov (United States)

Bradfield, Zoe; Duggan, Ravani; Hauck, Yvonne; Kelly, Michelle

2018-04-01

Midwives being 'with woman' is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being 'with woman' to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon. This review synthesises research and theoretical literature to report on what is known and published about being 'with woman'. A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process. The outcome of the review revealed three global themes and corresponding subthemes that encompassed 'with woman': (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women. Research and theoretical sources support the concept that being 'with woman' is a fundamental construct of midwifery practice as evident within the profession's philosophy. Findings suggest that the concept of midwives being 'with woman' is a dynamic and developing construct. The philosophy of being 'with woman' acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Pengaruh Dana Alokasi Umum (DAU), Dana Alokasi Khusus (DAK), Belanja Langsung, dan Pendapatan Perkapita Terhadap Pertumbuhan Ekonomi Sebagai Variabel Moderating Jumlah Penduduk Pada Pemerintahan Kabupaten/Kota Provinsi Aceh

OpenAIRE

Lubis, Imam Rizky Anwar

2016-01-01

The purpose of this study to examine General Allocation Fund, Special Allocation Fund, Direct Expenditure, and Gross Domestic Product with Total Population as the moderating variable to The Effect Of The Economic Growth in District/city Province Aceh from the period 2010-2013. The design research in this minithesis is using causal associative design, with 9 cities as the sample each year of the 18 cities in Province Aceh from the period 2010-2013. This research utilizes secondary data. The...

Studi Perencanaan Koordinasi Proteksi Mempertimbangkan Busur Api Pada Sistem Kelistrikan PT. Semen Indonesia Aceh Menggunakan Standar IEEE 1584-2002

Directory of Open Access Journals (Sweden)

Dhimas Oktavian Andryana

2017-03-01

Full Text Available PT. Semen Indonesia pabrik Aceh merupakan perusahaan patungan (joint venture company antara PT. Semen Indonesia (Persero bersama PT. Samana Citra Agung. Total daya listrik yang dibutuhkan sebesar 85.8 MW dengan sistem kelistrikan pada sistem tegangan rendah dan menengah. Guna menjaga kontinuitas daya listrik, diperlukan koordinasi proteksi untuk meminimalisir dampak yang ditimbulkan ketika terjadi gangguan. Salah satu dampak yang ditimbulkan adalah adanya busur api (arc flash. Namun demikian, energi yang dihasilkan oleh busur api setelah dilakukan koordinasi proteksi perlu dipertimbangkan agar tidak melampaui standard yang diizinkan. Analisa busur api dilakukan dengan menggunakan perhitungan standar IEEE 1584-2002. Setelah dilakukan beberapa analisa didapatkan bahwa beberapa daerah di PT. Semen Indonesia pabrik Aceh memiliki nilai insiden energi diatas kategori 4, sehingga diperlukan tambahan peralatan berupa rele differensial sebagai pengaman utama agar nilai insiden energi busur api bisa dikategorikan sesuai standard NFPA 70E.

Midwives' views on appropriate antenatal counselling for congenital anomaly tests: Do they match clients' preferences?

NARCIS (Netherlands)

Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels–van der Wal, J.T.; van Dulmen, S.

2014-01-01

Objective: to identify how midwives in low and middle income countries (LMIC) and high income countries (HIC) care for women with female genital mutilation (FGM), their perceived challenges and what professional development and workplace strategies might better support midwives to provide

Exploring midwives' perception of confidence around facilitating water birth in Western Australia: A qualitative descriptive study.

Science.gov (United States)

Nicholls, Sarah; Hauck, Yvonne L; Bayes, Sarah; Butt, Janice

2016-02-01

the option of labouring and/or birthing immersed in warm water has become widely available throughout hospitals in the United Kingdom and Europe over the last two decades. The practice, which also occurs in New Zealand and interstate in Australia, has until recently only been available in Western Australia for women birthing at home with a small publically funded Community Midwifery Program. Despite its popularity and acceptance elsewhere, birth in water has only recently become an option for women attending some public health services in Western Australia. The Clinical Guidelines developed for the local context that support water birth require that the midwives be confident and competent to care for these women. The issue of competency can be addressed with relative ease by maternity care providers; however confidence is rather more difficult to teach, foster and attain. Clinical confidence is an integral element of clinical judgement and promotes patient safety and comfort. For this reason confident midwives are an essential requirement to support the option of water birth in Western Australia. The aim of this study was to capture midwives' perceptions of becoming and being confident in conducting water birth in addition to factors perceived to inhibit and facilitate the development of that confidence. a modified grounded theory methodology with thematic analysis. four public maternity services offering the option of water birth in the Perth metropolitan area. registered midwives employed at one of the four publicly funded maternity services that offered the option of water birth between June 2011 and June 2013. Sixteen midwives were interviewed on a one to one basis. An additional 10 midwives participated in a focus group interview. three main categories emerged from the data analysis: what came before the journey, becoming confident - the journey and staying confident. Each contained between three and five subcategories. Together they depicted how midwives

What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England

OpenAIRE

Beenstock, Jane; Sniehotta, Falko F; White, Martin; Bell, Ruth; Milne, Eugene MG; Araujo-Soares, Vera

2012-01-01

Abstract Background Around 5,000 miscarriages and 300 perinatal deaths per year result from maternal smoking in the United Kingdom. In the northeast of England, 22% of women smoke at delivery compared to 14% nationally. Midwives have designated responsibilities to help pregnant women stop smoking. We aimed to assess perceived implementation difficulties regarding midwives’ roles in smoking cessation in pregnancy. Methods A self-completed, anonymous survey was sent to all midwives in northeast...

The Understanding Bereavement Evaluation Tool (UBET) for midwives: factor structure and clinical research applications.

Science.gov (United States)

Hollins Martin, Caroline J; Forrest, Eleanor; Wylie, Linda; Martin, Colin R

2013-10-01

The NMSF (2009) survey reported that bereavement midwife care was inadequate in a number of UK NHS Trusts. Using a small grant from the Scottish government, 3 experienced midwifery lecturers designed an interactive workbook called "Shaping bereavement care for midwives in clinical practice" for the purpose of improving delivery of bereavement education to student midwives. An instrument called the Understanding Bereavement Evaluation Tool (UBET) was designed to measure effectiveness of the workbook at equipping students with essential knowledge. To assess validity and reliability of the UBET at measuring midwives' self-perceptions of knowledge surrounding delivery of bereavement care to childbearing women, partners and families who have experienced childbirth related bereavement. An evaluative audit using the UBET was undertaken to explore student midwives' (n=179) self perceived knowledge levels before and after the workbook intervention. Validity tests have shown that the UBET, (6-item version), could be considered a psychometrically robust instrument for assessing students' knowledge gain. PCA identified that the UBET comprised two sub-scales (theoretical knowledge base - Q 1, 2 & 3 and psychosocial elements of care delivery - Q 4, 5 & 6). Data has shown that the easy to administer and short 6-item UBET is a valid and reliable tool for educators to measure success at delivering education using the "Shaping bereavement care for midwives in clinical practice" work book. Copyright © 2012 Elsevier Ltd. All rights reserved.

Helminthiasis Prevalence in Brick Makers at Lambada Peukan Village, Aceh Besar Region, Indonesia

OpenAIRE

Syahrizal, Dedy; Mustika, Cut; Ikhsan,; Azhary, Mulkan

2011-01-01

Helminthiasis are the common health problem in the develop country. WHO prediction 400 million people had infection of helminthiasis. Soil is the usual media to transmitted helminth to human (soil transmitted helminthiasis). One of the rule worker that has hard contact to helminth is the brick maker. This activity usual doing with convensional technique.The objective of this devotion are to knowing helminthiasis prevalence on brick maker in Lambada Peukan Village. The primer data is the co...

Educational priorities and current involvement in genetic practice: a survey of midwives in the Netherlands, UK and Sweden.

Science.gov (United States)

Benjamin, Caroline M; Anionwu, Elizabeth N; Kristoffersson, Ulf; ten Kate, Leo P; Plass, Anne Marie C; Nippert, Irmgard; Julian-Reynier, Claire; Harris, Hilary J; Schmidtke, Joerg; Challen, Kirsty; Calefato, Jean Marc; Waterman, Christine; Powell, Eileen; Harris, Rodney

2009-10-01

to investigate whether practising midwives are adequately prepared to integrate genetic information into their practice. a cross-sectional, postal, structured questionnaire survey was sent to practising midwives. practising midwives from the Netherlands (NL), Sweden (SE) and the United Kingdom (UK). 1021 replies were received, achieving a response rate of 62%. 79% (799/1015) of midwives reported attending courses with some 'genetic content' during their initial training. Sixty-eight per cent (533/784) judged this to have been useful for clinical practice. Variation was seen between countries in the amount of genetic content in post-registration training (SE 87%, NL 44%, UK 17%) and most was considered useful. Questions assessing clinical activity identified a current need for genetic knowledge. Midwives described low levels of self-reported confidence both in overtly genetic procedures and in everyday tasks that were underpinned by genetic knowledge. For eight of the 12 procedures, fewer than 20% of midwives considered themselves to be confident. Differences were apparent between countries. Midwives identified psychosocial, screening and risk assessment aspects of genetic education as being important to them, rather than technical aspects or genetic science. given the low reported confidence with genetic issues in clinical practice, it is essential that this is addressed in terms of the amount, content and targeting of genetic education. This is especially important to ensure the success of national antenatal and baby screening programmes. The results of this study suggest that midwives would welcome further training in genetics, addressing genetic topics most relevant to their clinical practice.

Public health education for midwives and midwifery students: a mixed methods study.

Science.gov (United States)

McNeill, Jenny; Doran, Jackie; Lynn, Fiona; Anderson, Gail; Alderdice, Fiona

2012-12-07

Current national and international maternity policy supports the importance of addressing public health goals and investing in early years. Health care providers for women during the reproductive and early postnatal period have the opportunity to encourage women to make choices that will impact positively on maternal and fetal health. Midwives are in a unique position, given the emphasis of the philosophy of midwifery care on building relationships and incorporating a holistic approach, to support women to make healthy choices with the aim of promoting health and preventing ill health. However, exploration of the educational preparation of midwives to facilitate public health interventions has been relatively limited. The aim of the study was to identify the scope of current midwifery pre registration educational provision in relation to public health and to explore the perspectives of midwives and midwifery students about the public health role of the midwife. This was a mixed methods study incorporating a survey of Higher Educational Institutions providing pre registration midwifery education across the UK and focus groups with midwifery students and registered midwives. Twenty nine institutions (53% response) participated in the survey and nine focus groups were conducted (59 participants). Public health education was generally integrated into pre registration midwifery curricula as opposed to taught as a discrete subject. There was considerable variation in the provision of public health topics within midwifery curricula and the hours of teaching allocated to them. Focus group data indicated that it was consistently difficult for both midwifery students and midwives to articulate clearly their understanding and definition of public health in relation to midwifery. There is a unique opportunity to impact on maternal and infant health throughout the reproductive period; however the current approach to public health within midwifery education should be reviewed to

Cultural meanings of tuberculosis in Aceh Province, Sumatra.

Science.gov (United States)

Caprara, A; Abdulkadir, N; Idawani, C; Asmara, H; Lever, P; De Virgilio, G

2000-07-01

This paper shows how disease transmission and particularly what biomedicine calls tuberculosis are interpreted in the non-Western context of Aceh Province, Sumatra, Indonesia. It tries also to focus on factors influencing perceptions and health-seeking behaviors. Results show that what biomedicine calls TB is represented by a semantic network of illnesses. Parts of this network are clearly identified as transmissible while others are related to specific phenomena affecting the individual, such as terbuk (poisoning) or trouk (fatigue produced by hard work), and are not considered contagious. Forms of transmission are interpreted mostly through empirical and analogic categories. TB is attributed to four different aspects: (a) biomedical categories such as germ theory; (b) socio-economic conditions; (c) transgression of social rules; and (d) poisoning and the influences of supernatural powers. Health-seeking behaviors are related to the perceived causes of the disease, economic factors, and the accessibility of health services.

The buck stops here: midwives and maternity care in rural Scotland.

Science.gov (United States)

Harris, Fiona M; van Teijlingen, Edwin; Hundley, Vanora; Farmer, Jane; Bryers, Helen; Caldow, Jan; Ireland, Jillian; Kiger, Alice; Tucker, Janet

2011-06-01

To explore and understand what it means to provide midwifery care in remote and rural Scotland. Qualitative interviews with 72 staff from 10 maternity units, analysed via a case study approach. Remote and rural areas of Scotland. Predominantly midwives, with some additional interviews with paramedics, general surgeons, anaesthetists and GPs. Remote and rural maternity care includes a range of settings and models of care. However, the impact of rural geographies on decision-making and risk assessment is common to all settings. Making decisions and dealing with the implications of these decisions is, in many cases, done without onsite specialist support. This has implications for the skills and competencies that are needed to practice midwifery in remote and rural settings. Whereas most rural midwives reported that their skills in risk assessment and decisions to transfer were well developed and appropriate to practising in their particular settings, they perceived these decisions to be under scrutiny by urban-based colleagues and felt the need to stress their competence in the face of what they imagined to be stereotypes of rural incompetence. This study shows that skills in risk assessment and decision-making are central to high quality remote and rural midwifery care. However, linked to different perspectives on care, there is a risk that these skills can be undermined by contact with colleagues in large urban units, particularly when staff do not know each other well. There is a need to develop a professional understanding between midwives in different locations. It is important for the good working relationships between urban and rural maternity units that all midwives understand the importance of contextual knowledge in both decisions to transfer from rural locations and the position of midwives in receiving units. Multiprofessional CPD courses have been effective in bringing together teams around obstetric emergencies; we suggest that a similar format may be

Pengaruh Ketersediaan Anggaran Dan Jiwa Kewirausahaan Terhadap Kinerja Pelayanan Aparatur Skpd Di Kabupaten Aceh Utara

OpenAIRE

Idris, Amiruddin

2013-01-01

As to this watchfulness aim is to gets description about phenomenon supported by empirical proof and has been found clarity with conclusion about influence from the budget availability and Entrepreneurship towards performance civil servants service SKPD At North Aceh. This research is supposed can give contribution for order government governance and performance civil servants. This research is supposed can give contribution for organization theory development and management theory HRD, espe...

Exposure to traumatic events at work, posttraumatic symptoms and professional quality of life among midwives.

Science.gov (United States)

Cohen, Ran; Leykin, Dmitry; Golan-Hadari, Dita; Lahad, Mooli

2017-07-01

in their line of duty, midwives are often exposed to traumatic births that may lead to symptoms of compassion fatigue (CF), which includes burnout (BO) and secondary traumatic stress (STS).Conversely, midwives derive pleasure and great satisfaction in seeing the positive effect they have on their clients. This experience is known as compassion satisfaction (CS). Together, CS and CF comprise the professional quality of life (ProQOL). The aim of this paper was to study midwives' professional quality of life and traumatic experiences. The highly stressful environment of midwives may also include primary exposure to traumatic experiences and therefore PTSD levels were also assessed. the participants (N=93) were professional midwives from four medical centers in Israel. The participants answered selfreport questionnaires that assessed their ProQOL and PTSD symptoms. results indicated relatively high levels of CS which may mitigate, at least to some degree, the negative aspects of CF. PTSD levels significantly and positively correlated with STS and BO. Sixteen per cent presented with PTSD symptoms of clinical significance. Also, seniority was significantly and positively correlated with BO and PTSD symptoms. high ProQOL was found amongst the participants, with more than 74% scoring on the high range of CS. Nevertheless, we recommend further research and implementing strategies to maintain or further enhance CS and decrease CF levels. Finally, a more comprehensive understanding of the development of PTSD amongst midwives is vital in order to minimize its occurrence in the future. Copyright © 2017 Elsevier Ltd. All rights reserved.

Oral Histories of Nurse-Midwives in Georgia, 1970-1989: Blazing Trails, Building Fences, Raising Towers.

Science.gov (United States)

Thrower, Eileen J B

2018-05-26

This article provides an account of the establishment and development of the contemporary nurse-midwifery profession in Georgia, which was previously undocumented. Oral history interviews with nurse-midwives who were in clinical and educational practice in Georgia during the 1970s and 1980s were collected and analyzed to identify factors that affected the establishment of nurse-midwifery in this state. This study relied on historical methodology. Oral history interviews provided primary sources for analysis. Secondary sources included archives belonging to the narrators' nurse-midwifery services as well as scholarly and professional publications from 1923 to the present. Data were analyzed using Miller-Rosser and colleagues' method. In-depth interviews were conducted with 14 nurse-midwives who worked in clinical practice or education in Georgia in the 1970s and 1980s. The narrators' testimonies revealed facilitators for the establishment of nurse-midwifery in Georgia, including increasing access to care, providing woman-centered care, interprofessional relationships, and the support of peers. Resistance from the medical profession, financial constraints, and public misconceptions were identified as barriers for the profession. Oral histories in this study provided insight into the experiences of nurse-midwives in Georgia as they practiced and taught in the 1970s and 1980s. Interprofessional connections and cooperation supported the nurse-midwifery profession, and relationships with peers anchored the nurse-midwives. Mentoring relationships and interprofessional collaboration supported the nurse-midwives as they adapted and evolved to meet the needs of women in Georgia. © 2018 by the American College of Nurse-Midwives.

Care during the third stage of labour: A postal survey of UK midwives and obstetricians

Directory of Open Access Journals (Sweden)

Tuffnell Derek

2010-05-01

Full Text Available Abstract Background There are two approaches to care during the third stage of labour: Active management includes three components: administration of a prophylactic uterotonic drug, cord clamping and controlled cord traction. For physiological care, intervention occurs only if there is clinical need. Evidence to guide care during the third stage is limited and there is variation in recommendations which may contribute to differences in practice. This paper describes current UK practice during the third stage of labour. Methods A postal survey of 2230 fellows and members of the Royal College of Obstetricians and Gynaecologists (RCOG and 2400 members of the Royal College of Midwives was undertaken. Respondents were asked about care during the third stage of labour, for vaginal and caesarean births and their views on the need for more evidence to guide care in the third stage. The data were analysed in Excel and presented as descriptive statistics. Results 1189 (53% fellows and members of the RCOG and 1702 (71% midwives responded, of whom 926 (78% and 1297 (76% respectively had conducted or supervised births in the last year. 93% (863/926 of obstetricians and 73% (942/1297 of midwives report 'always or usually' using active management. 66% (611/926 of obstetricians and 33% (430/1297 of midwives give the uterotonic drug with delivery of the anterior shoulder; this was intramuscular Syntometrine® for 79% (728/926 and 86% (1118/1293 respectively. For term births, 74% (682/926 of obstetricians and 41% (526/1297 of midwives clamp the cord within 20 seconds, as do 57% (523/926 and 55% (707/1297 for preterm births. Controlled cord traction was used by 94% of both obstetricians and midwives. For caesarean births, intravenous oxytocin was the uterotonic used by 90% (837/926 of obstetricians; 79% (726/926 clamp the cord within 20 seconds for term births as do 63% (576/926 for preterm births. Physiological management was used 'always or usually' by 2% (21

Midwifery at the crossroads in Estonia: attitudes of midwives and other key stakeholders

DEFF Research Database (Denmark)

Lazarus, Jeffrey V; Rasch, Vibeke; Liljestrand, Jerker

2005-01-01

were obtained by sending a 32-question questionnaire, based on an agenda developed through semistructured interviews, to all midwives in Estonia. A nominal group technique was employed with key stakeholders to determine the extent of their agreement with the questionnaire's major findings. RESULTS......: The response rate to the questionnaire was 75%. There was no significant association between work satisfaction and independent variables of age, ethnicity, work abroad, increased responsibility, and involvement in postpartum care and counseling. There was, however, a significant association between work...... satisfaction and salary. The group process revealed that although there is no agreement on the role of family doctors and midwives in antenatal care, there is a general agreement that midwives should be more involved in postpartum care and that their tasks need to be better defined. CONCLUSIONS: Almost half...

Comparing satisfaction and burnout between caseload and standard care midwives: findings from two cross-sectional surveys conducted in Victoria, Australia

OpenAIRE

Newton, Michelle S; McLachlan, Helen L; Willis, Karen F; Forster, Della A

2014-01-01

Background Caseload midwifery reduces childbirth interventions and increases women?s satisfaction with care. It is therefore important to understand the impact of caseload midwifery on midwives working in and alongside the model. While some studies have reported higher satisfaction for caseload compared with standard care midwives, others have suggested a need to explore midwives? work-life balance as well as potential for stress and burnout. This study explored midwives? attitudes to their p...

Cue acquisition: A feature of Malawian midwives decision making process to support normality during the first stage of labour.

Science.gov (United States)

Chodzaza, Elizabeth; Haycock-Stuart, Elaine; Holloway, Aisha; Mander, Rosemary

2018-03-01

to explore Malawian midwives decision making when caring for women during the first stage of labour in the hospital setting. this focused ethnographic study examined the decision making process of 9 nurse-midwives with varying years of clinical experience in the real world setting of an urban and semi urban hospital from October 2013 to May 2014.This was done using 27 participant observations and 27 post-observation in-depth interviews over a period of six months. Qualitative data analysis software, NVivo 10, was used to assist with data management for the analysis. All data was analysed using the principle of theme and category formation. analysis revealed a six-stage process of decision making that include a baseline for labour, deciding to admit a woman to labour ward, ascertaining the normal physiological progress of labour, supporting the normal physiological progress of labour, embracing uncertainty: the midwives' construction of unusual labour as normal, dealing with uncertainty and deciding to intervene in unusual labour. This six-stage process of decision making is conceptualised as the 'role of cue acquisition', illustrating the ways in which midwives utilise their assessment of labouring women to reason and make decisions on how to care for them in labour. Cue acquisition involved the midwives piecing together segments of information they obtained from the women to formulate an understanding of the woman's birthing progress and inform the midwives decision making process. This understanding of cue acquisition by midwives is significant for supporting safe care in the labour setting. When there was uncertainty in a woman's progress of labour, midwives used deductive reasoning, for example, by cross-checking and analysing the information obtained during the span of labour. Supporting normal labour physiological processes was identified as an underlying principle that shaped the midwives clinical judgement and decision making when they cared for women in

Design and Usability Testing of an mHealth Application for Midwives in Rural Ghana

Science.gov (United States)

Velez, Olivia

2011-01-01

Midwives in Ghana provide the majority of rural primary and maternal healthcare services, but have limited access to data for decision making and knowledge work. Few mobile health (mHealth) applications have been designed for midwives. The study purpose was to design and test an mHealth application (mClinic) that can improve data access and reduce…

The coral triangle initiative: What are we missing? A case study from Aceh

KAUST Repository

Rudi, Edi

2012-10-01

Abstract The Coral Triangle Initiative is an ambitious attempt to conserve the marine biodiversity hotspot known as the Coral Triangle. However, the reef fauna in many nearby regions remains poorly explored and, consequently, the focus on the Coral Triangle risks overlooking other areas of high conservation significance. One region of potential significance, Aceh, Indonesia, has not been visited by coral taxonomists since the Dutch colonial period. Here we document the species richness of scleractinian corals of Pulau Weh, Aceh. We also compare the species richness of the genus Acropora at 3-5 sites in each of nine regions in Indonesia and Papua New Guinea. Although dominated by widespread Indo-Pacific species, the coral fauna of Pulau Weh is also the eastern and western boundary for many Indian Ocean and Pacific Ocean species, respectively. We identified a total of 133 scleractinian species, of which three have been previously recorded only in the western Indian Ocean and five are presently undescribed. The mean species richness of the Acropora at Pulau Weh is similar to regions within the Coral Triangle. This high species richness plus the high proportion of endemics suggests that the Andaman Sea is of similarly high conservation value to the Coral Triangle. We suggest that an international initiative similar to the Coral Triangle Initiative is required to conserve this region, which includes the territorial waters of six countries. © 2012 Fauna & Flora International.

Post-traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross-sectional retrospective survey.

Science.gov (United States)

Wahlberg, Å; Andreen Sachs, M; Johannesson, K; Hallberg, G; Jonsson, M; Skoog Svanberg, A; Högberg, U

2017-07-01

To examine post-traumatic stress reactions among obstetricians and midwives, experiences of support and professional consequences after severe events in the labour ward. Cross-sectional online survey from January 7 to March 10, 2014. Members of the Swedish Society of Obstetrics and Gynaecology and the Swedish Association of Midwives. Potentially traumatic events were defined as: the child died or was severely injured during delivery; maternal near-miss; maternal mortality; and other events such as violence or threat. The validated Screen Questionnaire Posttraumatic Stress Disorder (SQ-PTSD), based on DSM-IV (1994) 4th edition, was used to assess partial post-traumatic stress disorder (PTSD) and probable PTSD. Partial or probable PTSD. The response rate was 47% for obstetricians (n = 706) and 40% (n = 1459) for midwives. Eighty-four percent of the obstetricians and 71% of the midwives reported experiencing at least one severe event on the delivery ward. Fifteen percent of both professions reported symptoms indicative of partial PTSD, whereas 7% of the obstetricians and 5% of the midwives indicated symptoms fulfilling PTSD criteria. Having experienced emotions of guilt or perceived insufficient support from friends predicted a higher risk of suffering from partial or probable PTSD. Obstetricians and midwives with partial PTSD symptoms chose to change their work to outpatient care significantly more often than colleagues without these symptoms. A substantial proportion of obstetricians and midwives reported symptoms of partial or probable PTSD after severe traumatic events experienced on the labour ward. Support and resilience training could avoid suffering and consequences for professional carers. In a survey 15% of Swedish obstetricians and midwives reported PTSD symptoms after their worst obstetric event. © 2016 Royal College of Obstetricians and Gynaecologists.

Job Satisfaction and Subjective Well-Being Among Midwives: Analysis of a Multinational Cross-Sectional Survey.

Science.gov (United States)

Jarosova, Darja; Gurkova, Elena; Ziakova, Katarina; Nedvedova, Daniela; Palese, Alvisa; Godeas, Gloria; Chan, Sally Wai-Chi; Song, Mi Sook; Lee, Jongwon; Cordeiro, Raul; Babiarczyk, Beata; Fras, Malgorzata

2017-03-01

There is a considerable amount of empirical evidence to indicate a positive association between an employee's subjective well-being and workplace performance and job satisfaction. Compared with nursing research, there is a relative lack of consistent scientific evidence concerning midwives' subjective well-being and its determinants related to domains of job satisfaction. The purpose of the study was to examine the association between the domains of job satisfaction and components of subjective well-being in hospital midwives. This cross-sectional descriptive study involved 1190 hospital midwives from 7 countries. Job satisfaction was measured by the McCloskey/Mueller Satisfaction Scale. Subjective well-being was conceptualized in the study by the 2 components (the affective and the cognitive component). The affective component of subjective well-being (ie, emotional well-being) was assessed by the Positive and the Negative Affect Scale. The cognitive component of subjective well-being (ie, life satisfaction) was measured by the Personal Well-Being Index. Pearson correlations and multiple regression analyses were used to determine associations between variables. Findings from correlation and regression analyses indicated an overall weak association between the domains of job satisfaction and components of subjective well-being. Satisfaction with extrinsic rewards, coworkers, and interaction opportunities accounted for only 13% of variance in the cognitive component (life satisfaction). The affective component (emotional well-being) was weakly associated with satisfaction with control and responsibility. The low amount of variance suggests that neither component of subjective well-being is influenced by the domains of job satisfaction. Further studies should focus on identifying other predictors of subjective well-being among midwives. A better understanding of how specific job facets are related to the subjective well-being of midwives might assist employers in the

Midwives' views on of appropriate antenatal counselling for congenital anomaly tests: do they match clients' preferences?

NARCIS (Netherlands)

Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels-van der Wal, J.T.; Dulmen, S. van

2014-01-01

Objective: this study aims to provide insight into: (a) midwives' views on appropriate antenatal counselling for congenital anomaly tests, and (b) whether these views match clients' preferences regarding antenatal counselling. Design: a comparative (midwives versus clients) questionnaire survey.

Birth environment facilitation by midwives assisting in non-hospital births: a qualitative interview study.

Science.gov (United States)

Igarashi, Toshiko; Wakita, Mariko; Miyazaki, Kikuko; Nakayama, Takeo

2014-07-01

midwifery homes (similar to birth centres) are rich in midwifery wisdom and skills that differ from those in hospital obstetrical departments, and a certain percentage of pregnant women prefer birth in these settings. This study aimed to understand the organisation of the perinatal environment considered important by independent midwives in non-hospital settings and to clarify the processes involved. semi-structured qualitative interview study and constant comparative analysis. 14 independent midwives assisting at births in midwifery homes in Japan, and six independent midwives assisting at home births. Osaka, Kyoto, Nara, and Shiga, Japan. midwives assisting at non-hospital births organised the birth environment based on the following four categories: 'an environment where the mother and family are autonomous'; 'a physical environment that facilitates birth'; 'an environment that facilitates the movement of the mother for birth'; and 'scrupulous safety preparation'. These, along with their sub-categories, are presented in this paper. independent midwives considered it important to create a candid relationship between the midwife and the woman/family from the period of pregnancy to facilitate birth in which the woman and her family were autonomous. They also organised a distinctive environment for non-hospital birth, with preparations to guarantee safety. Experiential knowledge and skills played a major part in creating an environment to facilitate birth, and the effectiveness of this needs to be investigated objectively in future research. Copyright © 2014 Elsevier Ltd. All rights reserved.

Midwives' Experiences, Education, and Support Needs Regarding Basic Newborn Resuscitation in Jordan.

Science.gov (United States)

Kassab, Manal; Alnuaimi, Karimeh; Mohammad, Khitam; Creedy, Debra; Hamadneh, Shereen

2016-06-01

Newborns who are compromised at birth require rapid attention to stabilize their respiration attempts. Lack of knowledge regarding basic newborn resuscitation is a contributing factor to poor newborn health outcomes and increased mortality. The purpose of this study was to explore Jordanian midwives' experiences, education, and support needs to competently perform basic newborn resuscitation. Qualitative descriptive methodology was used to analyze a convenience sample of 20 midwives. A thematic approach was used to analyze the data. Participants discussed their experiences of basic newborn resuscitation including knowledge, skills, and barriers and suggested solutions to improve practice. Four themes were revealed: lack of knowledge and skills in newborn resuscitation, organizational constraints, inadequate teamwork, and educational needs. The midwives perceived that their ability to perform newborn resuscitation was hindered by lack of knowledge and skills in newborn resuscitation, organizational constraints (such as lack of equipment), and poor co-ordination and communication among team members. © The Author(s) 2015.

The Effect of Used Information Technology, Internal Control, and Regional Accounting System on the Performance of City Governance Agency of Banda Aceh City, Indonesia

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Muslim Djalil

2017-07-01

Full Text Available The purpose of this research is to examine the influence of utilization of information technology, internal control system, and regional financial accounting system on the performance of city government agencies in Banda Aceh city government, Indonesia.The population of the research is 39 city government agencies (SKPK of Banda Aceh and by using the simple random sampling technique, it is selected 28 agencies within city government as a sample and employed 84 persons as respondents. The primary data of this research arecollected by using questionnaire and analyzed by using the multiple regression regresion method with a SPSS application software.The result shows that perceived by simultaneously statistical test indicated that the utilization of information technology, internal control system and implementation of regionalfinancial accounting system have a significant positive effect on the performance of city government agency. Similarly, tested partially, utilization of information technology, internalcontrol system, and implementation of the regional financial accounting system also have a significant positive effect on the performance of city government agencies in the city government of Banda Aceh, Indonesia.Keywords: Information Technology, Internal Control System, Regional Financial Accounting System, and Performance of City Governance.

Psychosocial aspect of quality of life among working and unemployed nurses and midwives.

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Czekirda, Marta; Chruściel, Paweł; Czekirda, Neomi; Jarosz, Mirosław J

2017-09-21

The objective of the study was to explain differences in the subjective evaluation of the psychological and social aspects of quality of life in a group of working and unemployed nurses and midwives. The survey was conducted in a group of 620 professionally-active and inactive people (315 nurses and 305 midwives), selected by random stratified-systematic sampling. The tool used to gather empirical material was the standardized questionnaire WHOQoL-100. Professionally-active nurses evaluated the mental domain less favourably (M=12.33), compared with unemployed nurses (M=12.73), and the difference between average values was statistically significant (p=.043). It is also worth noting that in the group of midwives there were significant differences in each discussed domain. The unemployed respondents evaluated more positively the overall quality of life (M=14.29; p=.005) and the mental domain (M=12.85; p=.009), while the social domain was evaluated less favourably by the professionally-active midwives (M=12.73; p=.022). Paradoxically, those who were unemployed made slightly more positive evaluations in comparison with the professionally active. Professional work is not a factor preferably affecting the quality of life and its psychosocial dimension. The higher quality of life of the unemployed respondents may result from the buffering impact of social support.

PENGARUH MOTIVASI KERJA DAN KEMAMPUAN MENGAJAR GURUTERHADAP PRESTASI BELAJAR SISWA PADA GUGUS IISEKOLAH DASAR KECAMATAN KEBAYAKAN KABUPATEN ACEH TENGAH

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Fatmasari Fatmasari

2014-02-01

Full Text Available Motivation is one of the superior tools in order subordinate willing to work hard and smart in accord with the goal. If there is one achieve his or her motivation, then he or she tend to be continuously motivated. On the other hand, if there is one often fail to reach his or her motivation, then he or she keep preserving and keep make effort and pray till his or her motivation be reached or becomes hopeless. This study is aimed at knowing if there is a significant relationship between work motivation and teacher teaching ability toward the students’ achievement in Gugus II Primary School, Kebayakan Sub-district, Aceh Tengah. This study uses a quantitative approach with descriptive methods. The populations of the study were all the teachers and students at Gugus II Primary School Kebayakan sub-district, Aceh Tengah. The samples of the study were 31 teachers and 31 students. The results of this study indicate that the first hypothesis that there is a positive effect on work motivation with student achievement (rx1y = 0.670, second, there is a positive effect of the teachers teaching ability on the student achievement (rx2y = 0.691, there are three positive influence on work motivation and teachers teaching ability upon the achievement (rx1x2 = 0.856. The simultaneous analysis indicates that work motivation and the teachers teaching ability could affect the students’ achievement. Out of motivation variable hypothesis on the teacher high teaching ability has a significant influence on students’ achievement in Gugus II Primary School, Kebayakan sub-district, Aceh Tengah

ACEH IN HISTORY: Preserving Traditions and Embracing Modernity

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Amirul Hadi

2013-12-01

Full Text Available This paper attempts to critically discuss on how the Acehnese in history, while trying to embrace the modern world, have made every effort at preserving their traditions. As an ethnic group which has a glorious past, Aceh has strongly been connected to “identity”; and this is expressed in various means, including “social memory.” For this very reason, “traditions”, including those of the past, are explored and preserved. Yet, the challenges of modernity are also apparent. It is in this context that the Acehnese are trapped at the crossroad. On the one hand, they tend to preserve their traditions, yet, on the other, they need to embrace modern lives. The Acehnese seem to have encountered considerable obstacles on this issue, for they tend to focus more on historical “romanticism” (nostalgia rather than historical “awareness” (consciousness. Eventually, the “spirit” of the past cannot be brought into light.

Integration of midwives into the Quebec health care system. L'Equipe d'Evaluation des Projets-Pilotes Sages-Femmes.

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Collin, J; Blais, R; White, D; Demers, A; Desbiens, F

2000-01-01

This paper reports on one aspect of the evaluation of the midwifery pilot projects in Quebec: the identification of the professional and organizational factors, as well as the mode of integrating midwives into the maternity care system, that would promote the best outcomes and the autonomy of midwives. The research strategy involved a multiple-case study, in which each midwifery pilot project represented a case. Based on a qualitative approach, the study employed various sources of data: individual interviews and focus groups with key informants, site observations and analyses of written documents. Results show that midwives were poorly integrated into the health care system during the evaluation. Four main reasons were identified: lack of knowledge about the practice of midwifery on the part of other health care providers; deficiencies in the legal and organizational structure of the pilot projects; competition over professional territories; and gaps between the midwives' and other providers' professional cultures. Recommendations are provided to facilitate the integration of midwives into the health care system.

Factors affecting integration of midwifery nursing science theory with clinical practice in Vhembe District, Limpopo Province as perceived by professional midwives.

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Malwela, Thivhulawi; Maputle, Sonto M; Lebese, Rachel T

2016-05-24

Professional midwives have an important role to play in midwifery training to produce a competent midwife. According to the social learning theory, professional midwives act as role models for students. When allocated for clinical learning experiences in the training hospitals, students will have the opportunity to observe the well-trained, skilled, and experienced professional midwives. The whole process will enable students to integrate theory with practice and they will become competent. The aim of this study was to determine the factors affecting integration of midwifery nursing science theory with clinical practice as perceived by midwives. The study was conducted at the training hospitals in Vhembe district of the Limpopo Province, South Africa. These hospitals were: Donald Fraser, Siloam, and Tshidzini. A qualitative explorative, descriptive and contextual design was used. A Nonprobability, convenient sampling method was used to select 11 midwives from the following hospitals: Donald Fraser, Siloam, and Tshidzini, in Vhembe district. In-depth individual interviews were conducted. Data were analysed through open coding method. One theme and five sub-themes emerged from the analysed data, namely: shortage of midwives, attitudes towards student midwives, reluctance to perform teaching functions, language barriers, and declining midwifery practice standards. Shortage of midwives in the clinical areas led to fewer numbers of mentors whom the students could observe and imitate to acquire clinical skills. Some of the midwives were reluctant to teach students. Recommendations were made for both training institutions and hospitals to employ preceptors for students in the clinical practical.

Breastfeeding initiation: An in-depth qualitative analysis of the perspectives of women and midwives using Social Cognitive Theory.

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Edwards, M E; Jepson, R G; McInnes, R J

2018-02-01

to explore women's and midwives' expectations, knowledge and experiences of breastfeeding initiation using Social Cognitive Theory. a qualitative study using focus group discussions and individual interviews. Breastfeeding initiation was defined for this study as a process within the first 48hours after birth. Data were analysed using qualitative inductive analysis then further deductive analysis using Social Cognitive Theory (SCT). a purposefully selected sample of primigravid antenatal and postnatal women (n=18) and practising midwives (n=18) from one Health Board area in Scotland. attachment of the baby to the breast at birth was hindered by sleepy babies and the busy unfamiliar hospital environment. These resulted in mothers struggling to maintain their motivation to breastfeed and to develop low self-efficacy. Instinctive attachment was rare. Midwives who considered it was normal for babies to be sleepy and unable to attach or feed at birth did not facilitate instinctive baby behaviour. Midwives sometimes experienced lack of autonomy and environmental circumstances that made women centred care difficult. Furthermore caring for high numbers of women, dependent on their help, resulted in reduced self-efficacy for providing effective breastfeeding support. interviewing both women and midwives specifically about initiation of breastfeeding has allowed for deeper insights into this critical period and enabled a comparison between the data obtained from mothers and midwives. The findings suggest that instinctive attachment is not an expectation of either mothers or midwives and results in a loss of breastfeeding confidence in both. to facilitate initiation there is a need for more research to develop appropriate maternal and midwifery skills, and make changes to the cultural environment in hospitals. Social Cognitive Theory could be used as a framework in both the antenatal and immediate postnatal period to develop strategies and materials to increase women's and

The perception of midwives regarding psychosocial risk assessment ...

African Journals Online (AJOL)

2014-05-22

May 22, 2014 ... Pregnancy, birth and parenthood are phases in life that create demands on a ... woman's vulnerability to depression, which may in turn have adverse effects on both maternal .... functions that are rendered by midwives in order to reduce ... make her feel accepted through enhancing her self-esteem,.

Newly-graduated midwives transcending barriers: a grounded theory study.

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Barry, Michele J; Hauck, Yvonne L; O'Donoghue, Thomas; Clarke, Simon

2013-12-01

Midwifery has developed its own philosophy to formalise its unique identity as a profession. Newly-graduated midwives are taught, and ideally embrace, this philosophy during their education. However, embarking in their career within a predominantly institutionalised and the medically focused health-care model may challenge this application. The research question guiding this study was as follows: 'How do newly graduated midwives deal with applying the philosophy of midwifery in their first six months of practice?' The aim was to generate a grounded theory around this social process. This Western Australian grounded theory study is conceptualised within the social theory of symbolic interactionism. Data were collected by means of in-depth, semi-structured interviews with 11 recent midwifery graduates. Participant and interviewer's journals provided supplementary data. The 'constant comparison' approach was used for data analysis. The substantive theory of transcending barriers was generated. Three stages in transcending barriers were identified: Addressing personal attributes, Understanding the 'bigger picture', and finally, 'Evaluating, planning and acting' to provide woman-centred care. An overview of these three stages provides the focus of this article. The theory of transcending barriers provides a new perspective on how newly-graduated midwives deal with applying the philosophy of midwifery in their first six months of practice. A number of implications for pre and post registration midwifery education and policy development are suggested, as well as recommendations for future research. Copyright © 2013 Elsevier Ltd. All rights reserved.

ANALISIS POTENSI PEMBERDAYAAN EKONOMI MASYARAKAT BERBASIS MASJID DI KOTA BANDA ACEH

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Kamaruddin Kamaruddin

2013-08-01

Full Text Available Mosque-based economic empowerment aims to increase the independence and well-being in which the mosque is expected to meet the financial needs independently and it is instrumental in creating a prosperous society. Economic empowerment of local communities is not limited to business - of producing goods and services but also includes training and mentoring, financing or access to capital and market access. This study examines the potential of mosque in the city of Banda Aceh and also provides an overview of the opportunities and challenges in the community empowerment such as: (i human resources, (ii institutional capacity (iii social integrity (iv SME business climate and surrounding environment and (v stakeholders support.

A meta-ethnographic synthesis of midwives' and nurses' experiences of adverse labour and birth events.

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Elmir, Rakime; Pangas, Jackie; Dahlen, Hannah; Schmied, Virginia

2017-12-01

Health professionals are frequently exposed to traumatic events due to the nature of their work. While traumatic and adverse labour and birth events experienced by women are well researched, less attention has been given to midwives' and nurses' experiences of these events and the impact it has on their lives. To undertake a meta-ethnographic study of midwives' and nurses' experiences of adverse labour and birth events. Scopus, CINHAL PLUS, MEDLINE and PUBMED databases were searched using subject headings and keywords. The search was limited to papers published in peer-reviewed journals from 2004-October 2016. Quality appraisal was undertaken using the Critical Appraisal Skills Programme tool. Papers had to be qualitative or have a substantial qualitative component. Studies were included if they primarily focused on midwives' or nurses' perspectives or experiences of complicated, traumatic or adverse labour and birth events. A meta-ethnographic approach was used incorporating methods of reciprocal translation guided by the work of Noblit and Hare (1988, Meta-Ethnography: Synthesizing qualitative studies (Vol. 11). Newbury Park: Sage publications). Eleven qualitative studies were included in the final sample. Four major themes were (i) feeling the chaos; (ii) powerless, responsible and a failure; (iii) "It adds another scar to my soul"; and (iv) finding a way to deal with it. Midwives and nurses feel relatively unprepared when faced with a real-life labour and birth emergency event. While many of the midwives and nurses were traumatised by the experience, some were able to view their encounter as an opportunity to develop their emergency response skills. Witnessing and being involved in a complicated or adverse labour and birth event can be traumatic for nurses and midwives. Organisational and collegial support needs to be available to enable these health professionals to talk about their feelings and concerns. © 2017 John Wiley & Sons Ltd.

The Effect of Organizational Culture, Leadership Style, and Functional Position on Organizational Commitment and Their Impact on the Performance of Internal Auditors in Aceh, Indonesia

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M. Shabri Abd. Majid

2016-06-01

Full Text Available This study aims at empirically examining the influence of the organizational culture, leadership style, and functional position of an auditor on organizational commitment and their impact on the performance of government internal auditors in Aceh, Indonesia. All 183 of the governmental internal auditors at the district level within the Province of Aceh, Indonesia, were investigated. Data, which are gathered by distributing questionnaires to the entire population, are then analysed by the Structural Equation Modelling (SEM technique.The study found that organizational culture, leadership style, and functional auditor have affected the performance of the governmental internal auditor either directly or indirectly through organizational commitment.Keywords: Organizational Culture, Leadership Style, Functional Auditor, Organizational Commitment, Internal Auditor Performance.

A qualitative study on barriers in the prevention of anaemia during pregnancy in public health centres: perceptions of Indonesian nurse-midwives.

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Widyawati, Widyawati; Jans, Suze; Utomo, Sutarti; van Dillen, Jeroen; Janssen, A L M Lagro

2015-02-26

Anemia in pregnancy remains a major problem in Indonesia over the past decade. Early detection of anaemia in pregnancy is one of the components which is unsuccessfully implemented by nurse-midwives. This study aims to explore nurse-midwives' experiences in managing pregnant women with anaemia in Public Health Centres. We conducted a qualitative study with semi-structured face to face interviews from November 2011 to February 2012 with 23 nurse-midwives in five districts in Yogyakarta Special Province. Data analysis was thematic, using the constant comparison method, making comparison between participants and supported by ATLAS.ti software. Twelve nurse-midwives included in the interviews had less than or equal to 10 years' working experience (junior nurse-midwives) and 11 nurse-midwives had more than 10 years' working experience (senior nurse-midwives) in Public Health Centres. The senior nurse-midwives mostly worked as coordinators in Public Health Centres. Three main themes emerged: 1) the lack of competence and clinical skill; 2) cultural beliefs and low participation of family in antenatal care programme; 3) insufficient facilities and skilled support staff in Public Health Centres. The nurse-midwives realized that they need to improve their communication and clinical skills to manage pregnant women with anaemia. The husband and family involvement in antenatal care was constrained by the strength of cultural beliefs and lack of health information. Moreover, unfavourable work environment of the Public Health Centres made it difficult to apply antenatal care the pregnant womens' need. The availability of facilities and skilled staffs in Public Health Centre as well as pregnant women's husbands or family members contribute to the success of managing anaemia in pregnancy. Nurse-midwives and pregnant women need to be empowered to achieve the optimum result of anaemia management. We recommend a more comprehensive approach in managing pregnant women with anaemia

Attachment Styles To The Father and Coping Strategies Among Early Adolescents In Banda Aceh City

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Fatmawati, Fatmawati; Muhammad Alwi Zainuddin, Nuzsep Almigo Bin

2014-01-01

This present study sought to investigate the relationship between attachment styles to the father and coping strategies among early adolescents. The population that has been studied was the seventh grade students ofin one of junior high school in Banda Aceh city that meet the established criteria, specifically at least 12 years old and still have father. The sampling technique applied was universal sampling because the number of eligible population was only 81 students. Total of samples taken...

Predicting impact of SLR on coastal flooding in Banda Aceh coastal defences

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Al'ala, Musa; Syamsidik, Kato, Shigeru

2017-10-01

Banda Aceh is a low-lying city located at the northern tip of Sumatra Island and situated at the conjuncture of Malacca Strait and the Andaman Sea. A Sea Level Rise (SLR) rate at 7 mm/year has been observed around this region. In the next 50 years, this city will face a serious challenge to encounter impacts of the sea level rise, such as frequent coastal floodings. This study is aimed at estimating impacts of the sea level rise induced coastal floodings on several types of coastal structures and city drainage system. Numerical simulations of Delft3D were applied to investigate the influence of the gradual sea level rise in 50 years. The hydrodynamic process of coastal flooding and sediment transport were simulated by Delft3D-Flow. Topography and bathymetry data were collected from GEBCO and updated with the available nautical chart (DISHIDROS, JICA, and field measurements). Hydrodynamic process gains the flow process revealing the level of the sea water intrusion also observed in the model. Main rivers (Krueng Aceh, Krueng Neng, and Alue Naga Flood Canal) and the drainage system were observed to see the tides effects on coastal structures and drainage system. The impact on coastal community focusing on affected area, shoreline retreat, the rate of sea intrusion was analyzed with spatial tools. New coastal line, coastal flooding vulnerable area, and the community susceptibility properties map influenced by 50 years sea level rise is produced. This research found that the city needs to address strategies to anticipate the exacerbating impacts of the sea level rise by managing its coastal spatial planning and modify its drainage system, especially at the drainage outlets.

Australian midwives knowledge, attitude and perceived learning needs around perinatal mental health.

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Hauck, Yvonne L; Kelly, Georgina; Dragovic, Milan; Butt, Janice; Whittaker, Pamela; Badcock, Johanna C

2015-01-01

a cross sectional survey was undertaken to explore midwives' knowledge of, and attitudes towards, mental health disorders in childbearing women vis-à-vis their perceived mental health learning needs. a 50.1% response rate included 238 midwives employed in the only public tertiary maternity hospital in Western Australia from March to June 2013. The survey comprised a mixture of custom-designed questions and vignettes presenting various disorders. Only 37.6% of midwives felt well-equipped to support women, whilst 50.2% reported insufficient access to information. Demand was highest for education on: personality disorders (77.8%); the impact of childbearing on mental health disorders (74.2%); and skills for handling stress and aggression (57.8%). Knowledge scores were variable: on average eight out of a maximum 13 questions were answered correctly, but few (2.7%) answered more than 11 correctly, and 3.7% scored ≤4 correct. Across disorders, recognition from vignettes was highest for depression (93.9%), and lowest for schizophrenia (65.6%). Surprisingly, there were no associations between general knowledge scores and previous mental health experience, recent professional development, or access to information around mental health. The majority endorsed positive beliefs about midwives' role in mental health assessment, and belief in women's recovery (83.5%), however, cluster analysis of warmth and competence ratings revealed negative stereotyping of mental health disorders. Midwives accept it is their role to assess the mental health status of women but many feel ill-equipped to do so and express a strong desire for further knowledge and skills across a range of perinatal mental health topics. Attitudes to recovery are positive but negative stereotypes exist; therefore awareness of potential bias is important to negate their influence on care. Learning needs may change due to trends in clinical practice. Strategies are needed to recognise negative beliefs and to

Revitalizing the unused urban space, case study: Lhokseumawe, Aceh -Indonesia

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Wahid, J.; Karsono, B.; Koesmeri, D. R. A.; Indriannisa, S. E.

2018-03-01

The phenomenon of urban decline in the highly industrialized nation is now slowly taking place in the developing world. Deindustrialization as defined as a decline in the manufacturing sectors led to the changes in social, economic and subsequently a shift in urban activities. By taking Lhokseumawe, Aceh, Republic of Indonesia as an example, this paper attempts to uncover the possibilities and opportunities in identifying the causes and tracing back on the decline. Lhokseumawe, Aceh was a well-known industrial region outside Java Island, and it has attracted thousands of workers from northern Sumatera and the nearby regions. After the downturn of the economy and the change in activities, the city slowly showed a decline. Scholars has estimated that one in six of the cities around the world that relied on oil and gas production activities will suffer from this phenomenological impact. Lhokseumawe is a good example of an industrial plants where PT Arun LNG (private limited company) operated since 1974 grew up rapidly and nicknamed “Petrodollar City”. The trickle effect of the activities from the petrodollar business led to a few settlements popping up at the periphery as a result of urban sprawl from Lhokseumawe, however, the glory of the economic growth outlived within a short period. This was resulted from the production of PT Arun NGL which had dropped dramatically in the 2000s and suddenly closed the operation in October 2014. From these perspectives, this paper attempts to investigate the impact of deindustrialization within the urban space and activity in Lhokseumawe which have consequences to urban declining phenomena. By taking one of the revitalized urban space formerly known as Cunda Plaza (CP) as a case study area, the paper will apply synoptic method through observation, space mapping and interview techniques for gathering and examining the data. The findings indicates that Cunda Plaza is a magnet as a central hub of urban activities which can be

Improving inpatient postnatal services: midwives views and perspectives of engagement in a quality improvement initiative

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Wray Julie

2011-11-01

Full Text Available Abstract Background Despite major policy initiatives in the United Kingdom to enhance women's experiences of maternity care, improving in-patient postnatal care remains a low priority, although it is an aspect of care consistently rated as poor by women. As part of a systems and process approach to improving care at one maternity unit in the South of England, the views and perspectives of midwives responsible for implementing change were sought. Methods A Continuous Quality Improvement (CQI approach was adopted to support a systems and process change to in-patient care and care on transfer home in a large district general hospital with around 6000 births a year. The CQI approach included an initial assessment to identify where revisions to routine systems and processes were required, developing, implementing and evaluating revisions to the content and documentation of care in hospital and on transfer home, and training workshops for midwives and other maternity staff responsible for implementing changes. To assess midwifery views of the quality improvement process and their engagement with this, questionnaires were sent to those who had participated at the outset. Results Questionnaires were received from 68 (46% of the estimated 149 midwives eligible to complete the questionnaire. All midwives were aware of the revisions introduced, and two-thirds felt these were more appropriate to meet the women's physical and emotional health, information and support needs. Some midwives considered that the introduction of new maternal postnatal records increased their workload, mainly as a consequence of colleagues not completing documentation as required. Conclusions This was the first UK study to undertake a review of in-patient postnatal services. Involvement of midwives at the outset was essential to the success of the initiative. Midwives play a lead role in the planning and organisation of in-patient postnatal care and it was important to obtain their

Midwives experiences of establishing partnerships: working with pregnant women who use illicit drugs.

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Miles, Maureen; Chapman, Ysanne; Francis, Karen; Taylor, Beverley

2014-10-01

To present the interpreted experiences of midwives who choose to work with pregnant women who also use illicit drugs. Twelve (n=12) Australian midwives were interviewed. Each interview was audio-taped, de-identified and transcribed. The interviews were analysed using a systematic, thematic analysis approach informed by Heideggarian hermeneutic phenomenology. Three themes identified from the data that encapsulate the experience were establishing partnerships, making a difference, and letting go and redefining practice. The interpretations of establishing partnerships which includes engagement, genuine regard and compassion, with a subtheme courting the system are presented in this paper. The midwives' experiences were both positive and negative, as they were rewarded and challenged by the needs of women who use illicit drugs and the systems in which they worked. The midwives in this study found that establishing partnerships was essential to their work. They appraised their experience of working with pregnant women who used illicit drugs and found strategies that attempted to meet the needs of the women, the system and themselves. The participants revealed that to support women and families who use illicit drugs in their community, partnerships must be based on deep respect and trust. Significant components engagement, genuine regard and compassion that are central to midwifery partnerships require revisiting to address the needs of this vulnerable population of women. Copyright © 2013 Elsevier Ltd. All rights reserved.

Nurse-midwives in federally funded health centers: understanding federal program requirements and benefits.

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Carter, Martha

2012-01-01

Midwives are working in federally funded health centers in increasing numbers. Health centers provide primary and preventive health care to almost 20 million people and are located in every US state and territory. While health centers serve the entire community, they also serve as a safety net for low-income and uninsured individuals. In 2010, 93% of health center patients had incomes below 200% of the Federal Poverty Guidelines, and 38% were uninsured. Health centers, including community health centers, migrant health centers, health care for the homeless programs, and public housing primary care programs, receive grant funding and enjoy other benefits due to status as federal grantees and designation as federally qualified health centers. Clinicians working in health centers are also eligible for financial and professional benefits because of their willingness to serve vulnerable populations and work in underserved areas. Midwives, midwifery students, and faculty working in, or interacting with, health centers need to be aware of the regulations that health centers must comply with in order to qualify for and maintain federal funding. This article provides an overview of health center regulations and policies affecting midwives, including health center program requirements, scope of project policy, provider credentialing and privileging, Federal Tort Claims Act malpractice coverage, the 340B Drug Pricing Program, and National Health Service Corps scholarship and loan repayment programs. © 2012 by the American College of Nurse-Midwives.

Prevention of postpartum haemorrhage by community-based auxiliary midwives in hard-to-reach areas of Myanmar: a qualitative inquiry into acceptability and feasibility of task shifting.

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Than, Kyu Kyu; Mohamed, Yasmin; Oliver, Victoria; Myint, Theingi; La, Thazin; Beeson, James G; Luchters, Stanley

2017-05-17

In Myanmar, postpartum haemorrhage is the leading cause of maternal mortality and contributes to around 30% of all maternal deaths. The World Health Organization recommends training and supporting auxiliary midwives to administer oral misoprostol for prevention of postpartum haemorrhage in resource-limited settings. However, use of misoprostol by auxiliary midwives has not formally been approved in Myanmar. Our study aimed to explore community and provider perspectives on the roles of auxiliary midwives and community-level provision of oral misoprostol by auxiliary midwives. A qualitative inquiry was conducted in Ngape Township, Myanmar. A total of 15 focus group discussions with midwives, auxiliary midwives, community members and mothers with children under the age of three were conducted. Ten key informant interviews were performed with national, district and township level health planners and implementers of maternal and child health services. All audio recordings were transcribed verbatim in Myanmar language. Transcripts of focus group discussions were fully translated into English before coding, while key informants' data were coded in Myanmar language. Thematic analysis was done using ATLAS.ti software. Home births are common and auxiliary midwives were perceived as an essential care provider during childbirth in hard-to-reach areas. Main reasons provided were that auxiliary midwives are more accessible than midwives, live in the hard-to-reach areas, and are integrated in the community and well connected with midwives. Auxiliary midwives generally reported that their training involved instruction on active management of the third stage of labour, including use of misoprostol, but not all auxiliary midwives reported using misoprostol in practice. Supportive reasons for task-shifting administration of oral misoprostol to auxiliary midwives included discussions around the good relationship and trust between auxiliary midwives and midwives, whereby midwives felt

Tax revenue and inflation rate predictions in Banda Aceh using Vector Error Correction Model (VECM)

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Maulia, Eva; Miftahuddin; Sofyan, Hizir

2018-05-01

A country has some important parameters to achieve the welfare of the economy, such as tax revenues and inflation. One of the largest revenues of the state budget in Indonesia comes from the tax sector. Besides, the rate of inflation occurring in a country can be used as one measure, to measure economic problems that the country facing. Given the importance of tax revenue and inflation rate control in achieving economic prosperity, it is necessary to analyze the relationship and forecasting tax revenue and inflation rate. VECM (Vector Error Correction Model) was chosen as the method used in this research, because of the data used in the form of multivariate time series data. This study aims to produce a VECM model with optimal lag and to predict the tax revenue and inflation rate of the VECM model. The results show that the best model for data of tax revenue and the inflation rate in Banda Aceh City is VECM with 3rd optimal lag or VECM (3). Of the seven models formed, there is a significant model that is the acceptance model of income tax. The predicted results of tax revenue and the inflation rate in Kota Banda Aceh for the next 6, 12 and 24 periods (months) obtained using VECM (3) are considered valid, since they have a minimum error value compared to other models.

A Preliminary Study on Rainfall Interception Loss and Water Yield Analysis on Arabica Coffee Plants in Central Aceh Regency, Indonesia

Directory of Open Access Journals (Sweden)

Reza Benara

2012-12-01

Full Text Available Rainfall interception loss from plants or trees can reduce a net rainfall as source of water yield. The amount of rainfall interception loss depends on kinds of plants and hydro-meteorological characteristics. Therefore, it is important to study rainfall interception loss such as from Arabica Coffee plantation which is as main agricultural commodity for Central Aceh Regency. In this study, rainfall interception loss from Arabica Coffee plants was studied in Kebet Village of Central Aceh Regency, Indonesia from January 20 to March 9, 2011. Arabica coffee plants used in this study was 15 years old, height of 1.5 m and canopy of 4.567 m2. Rainfall interception loss was determined based on water balance approach of daily rainfall, throughfall, and stemflow data. Empirical regression equation between rainfall interception loss and rainfall were adopted as a model to estimate rainfall interception loss from Arabica Coffee plantation, which the coefficient of correlation, r is 0.98. In water yield analysis, this formula was applied and founded that Arabica Coffee plants intercept 76% of annual rainfall or it leaved over annual net rainfall 24% of annual rainfall. Using this net rainfall, water yield produced from Paya Bener River which is the catchment area covered by Arabica Coffee plantation was analyzed in a planning of water supply project for water needs domestic of 3 sub-districts in Central Aceh Regency. Based on increasing population until year of 2025, the results showed that the water yield will be not enough from year of 2015. However, if the catchment area is covered by forest, the water yield is still enough until year of 2025

Relasi Islam dan Politik dalam Sejarah Politik Aceh Abad 16-17

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Kamaruzzaman Kamaruzzaman

2016-10-01

�ؤون الدولة وأمور الدين. ولكن مع الأسف الشديد، انتهى هذا الاندماج بعد ظهور الاستعمار الأوروبي ويعرّف علي أبناء المستعمرين نظام دولة وألقى من خلاله جذور حملة فصل الدين عن الدولة.   Abstrak: Artikel ini berusaha menjelaskan tentang hubungan Islam dan politik di Aceh pada abad ke 16-17 M. Pada masa tersebut, Aceh mencapai masa kejayaaan tidak hanya dalam bidang ilmu pengetahuan, tetapi juga dalam bidang politik. Karena itu, kajian ini ingin melihat aspek apa saja yang menyebabkan hubungan Islam dan negara dapat menyatu pada masa tersebut. Sejarah historis, ada beberapa perubahan dinamika politik di dalam sejarah Aceh. Melalui pendekatan sosial-sejarah, pengkaji menelaah fase-safe di dalam sejarah politik di Aceh. Dapat dikatakan bahwa ada beberapa bukti sejarah tentang pengalaman Aceh ketika memposisikan Islam dalam kancah politik. Hal ini dibuktikan bukan hanya dari sisi sejarah kerajaan Aceh Darussalam, tetapi juga dari beberapa kitab yang dihasilkan oleh para ‘ulama Aceh yang menjelaskan tentang sistem pemerintahan. Kajian ini menjadi salah satu bukti kuat bagaimana praktik Islam dan negara di Asia Tenggara, yaitu tidak ada ada pemisahan antara urusan negara dan agama. Kenyataan sejarah ini berakhir ketika para penjajah dari Eropaa datang memperkenalkan sistem negara-bangsa.

The American College of Nurse-Midwives' dream becomes reality: The Division of Accreditation.

Science.gov (United States)

Carrington, Betty Watts; Burst, Helen Varney

2005-01-01

Recognized continuously by the US Department of Education since 1982 as a specialized accrediting agency, the American College of Nurse-Midwives' Division of Accreditation (DOA) accredits not only nurse-midwifery education programs at the postbaccalaureate or higher academic level as certificate and graduate programs for registered nurses (RNs), but also precertification programs for professional midwives from other countries who are licensed as RNs in the United States. The DOA also accredits midwifery education programs for non-nurses at the postbaccalaureate or higher academic level as certificate and graduate programs, and precertification programs for professional midwives from other countries. The accreditation process is a voluntary activity involving both nurse-midwifery and/or midwifery education programs and the DOA. Present plans include another expansion of recognition: to become an institutional accreditation agency for independent and proprietary schools and to continue as a programmatic accrediting agency. Since its inception, the accreditation process has been viewed as a positive development in nurse-midwifery education.

DISTRIBUSI UKURAN DAN PARAMETER POPULASI LOBSTER PASIR (Panulirus homarus DI PERAIRAN ACEH BARAT

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Duranta D Kembaren

2015-12-01

Full Text Available Penelitian tentang distribusi ukuran dan parameter populasi lobster pasir di perairan Aceh Barat dilakukan pada bulanApril sampai November 2013. Penelitian ini bertujuan untukmengkaji status lobster di perairan Aceh Barat dilihat dari aspek distribusi ukuran dan parameter populasinya. Pengamatan dan pengukuran lobster dilakukan di tempat pengumpul lobster dengan sistem sampling acak. Sebaran frekuensi panjang karapas selanjutnya ditabulasikan dan dianalisa dengan metode kurva logistik. Struktur ukuran lobster yang tertangkap menunjukkan bahwa lobster jantan dominan tertangkap dibawah ukuran nilai tengah 72,5 mm dan sebaliknya diatas ukuran nilai tengah 72,5 mm yang didominasi jenis kelamin betina. Lobster terlebih dahulu tertangkap sebelum mencapai ukuran matang gonad (Lc = 65,8mm< Lm= 76,8 mm. Puncak musim pemijahan terjadi pada bulan Mei dan Agustus. Panjang asimtosis (CL∞  sebesar 119,5 mm dengan laju pertumbuhan (K 0,39/tahun serta laju kematian total (Z 1,44/tahun, laju kematian alamiah (M 0,67/tahun dan laju keamatian akibat penangkapan (F 0,77/tahun. Laju eksploitasi sudah mengarah kepada penangkapan yang berlebih (E=0,54, oleh karena itu perlu dilakukan tindakan pengelolaan perikanan lobster yang berkelanjutan. Salah satu upaya yang dapat di tempuh adalah dengan menerapkan sistem penutupan musim penangkapan lobster pada saat terjadinya puncak musim pemijahan. Research on the length distribution and population parameters of scalloped spiny lobster conducted in the Aceh Barat waters during April to November 2013. The aim of this study was to assess lobster fishery status in this waters from the point of view their length size and population parameters. Sampel collected randomly in the lobster landing site. Distribution of carapace length frequency was tabulated and analysed using logistic curve method. Length composition of male lobster was dominated under 72,5 mm midlenght, while female lobster was dominated above 72

Complementary and alternative medicine in pregnancy: a survey of North Carolina certified nurse-midwives.

Science.gov (United States)

Allaire, A D; Moos, M K; Wells, S R

2000-01-01

To determine the prevalence and types of complementary and alternative medicine therapies used by certified nurse-midwives in North Carolina. Surveys were sent to all 120 licensed certified nurse-midwives in North Carolina requesting information concerning their recommendations for use of complementary and alternative medicine for their pregnant or postpartum patients. Eighty-two responses were received (68.3%). Seventy-seven (93.9%) reported recommending complementary and alternative medicine to their pregnant patients in the past year. Forty-seven (57.3%) reported recommending complementary and alternative medicine to more than 10% of patients. The percentage of nurse-midwives who recommended each type of complementary and alternative medicine was as follows: herbal therapy (73.2%), massage therapy (67.1%), chiropractic (57.3%), acupressure (52.4%), mind-body interventions (48.8%), aromatherapy (32.9%), homeopathy (30.5%), spiritual healing (23.2%), acupuncture (19.5%), and bioelectric or magnetic applications (14.6%). The 60 respondents who reported prescribing herbal therapies gave them for the following indications: nausea and vomiting, labor stimulation, perineal discomfort, lactation disorders, postpartum depression, preterm labor, postpartum hemorrhage, labor analgesia, and malpresentation. Complementary and alternative medicine, especially herbal therapy, is commonly prescribed to pregnant women by nurse-midwives in North Carolina.

Student midwives' duty hours: risks, standards, and recommendations.

Science.gov (United States)

Lawrence, Rachel; Kantrowitz-Gordon, Ira; Landis, Andrea

2014-01-01

A growing body of literature has emerged describing the risks of extended-duty shifts and sleep deprivation. Worldwide, midwifery organizations have not adopted standards for practitioner or student duty shifts. This project reviews the literature related to extended-duty shifts in an effort to develop evidence-based recommendations for student nurse-midwives/student midwives (SNMs/SMs). A comprehensive literature search was conducted through electronic databases, major journals, and reference lists published in English since January 2001. Primary research studies evaluating sleep deprivation and shift duration were included. Studies that did not include the target population (shift workers) and those that formed conclusions related to extended-duty shifts greater than 30 hours were excluded. In addition, an extensive worldwide review of duty-hour recommendations from more than 300 health care organizations was conducted. A total of 40 studies met the inclusion criteria. Extended-duty shifts (those greater than 12 hours) increased the risk for cognitive and physical functional errors, safety concerns, and decreased quality of life from sleep deprivation. Cognitive function errors included attention lapses, visual tracking errors, decreased mentation and immediate recall, and decreased learning capacity. Physical errors included decreased motor skills and slowed reaction times in clinical simulations. These deficits led to an increased risk of motor vehicle accidents, needle sticks, and performance equivalent to unsafe blood alcohol concentrations. An overall decrease in quality of life and job satisfaction was linked to extended-duty shifts. Seven organizations for medical residents or advanced practice nurses have developed policy statements on duty shifts, with extended-duty shift limitations between 12 and 24 hours. The risks associated with extended-duty shifts may inhibit the development of SNMs/SMs into competent practitioners and place patients at risk. It

The Challenges of Providing Postpartum Education in Dar es Salaam, Tanzania: Narratives of Nurse-Midwives and Obstetricians.

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Mselle, Lilian Teddy; Aston, Megan; Kohi, Thecla W; Mbekenga, Columba; Macdonald, Danielle; White, Maureen; Price, Sheri; Tomblin Murphy, Gail; O'Hearn, Shawna; Jefferies, Keisha

2017-10-01

Postpartum education can save lives of mothers and babies in developing countries, and the World Health Organization recommends all mothers receive three postpartum consultations. More information is needed to better understand how postpartum education is delivered and ultimately improves postpartum health outcomes. The purpose of this qualitative study was to examine how postpartum care was delivered in three postnatal hospital clinics in Dar es Salaam, Tanzania. Semistructured interviews with 10 nurse-midwives and three obstetricians were conducted. Feminist poststructuralism guided the research process. Postpartum education was seen to be an urgent matter; there was a lack of supportive resources and infrastructure in the hospital clinics, and nurse-midwives and obstetricians had to negotiate conflicting health and traditional discourses using various strategies. Nurse-midwives and obstetricians are well positioned to deliver life-saving postpartum education; however, improvements are required including increased number of nurse-midwives and obstetricians.

Intermittent Auscultation for Intrapartum Fetal Heart Rate Surveillance: American College of Nurse-Midwives.

Science.gov (United States)

2015-01-01

Fetal heart rate surveillance is a standard component of intrapartum care. The fetal heart rate can be evaluated using intermittent auscultation or electronic fetal monitoring. Research that has compared these 2 strategies found them to be equivalent with respect to long-term neonatal outcomes. The purpose of this clinical bulletin by the American College of Nurse-Midwives is to review the evidence for use of intermittent auscultation and provide recommendations for intermittent auscultation technique, interpretation, and documentation. © 2015 by the American College of Nurse-Midwives.

A survey of midwives' views on providing aspects of antenatal care in Estonia

DEFF Research Database (Denmark)

Lazarus, Jeffrey V; Rull, Kristiina; Wyn Huws, Dyfed

2007-01-01

statements on aspects of ANC and five combinations of possible professionals (including midwives obstetrician-gynaecologists and various combinations of the two) who could have responsibility for carrying out those aspects of ANC and included them in a self-administered questionnaire. The questionnaire...... assessment of a pregnancy, or carry out fetal monitoring during pregnancy. There was consensus among respondents that either midwives or obstetrician-gynaecologists could have responsibility for referring for further tests and examinations if a pregnancy was thought to be at risk. There was also consensus...

Nurses', midwives' and key stakeholders' experiences and perceptions on requirements to demonstrate the maintenance of professional competence.

Science.gov (United States)

Casey, Mary; Cooney, Adeline; O' Connell, Rhona; Hegarty, Josephine-Mary; Brady, Anne-Marie; O' Reilly, Pauline; Kennedy, Catriona; Heffernan, Elizabeth; Fealy, Gerard; McNamara, Martin; O' Connor, Laserina

2017-03-01

To present the qualitative findings from a study on the development of scheme(s) to give evidence of maintenance of professional competence for nurses and midwives. Key issues in maintenance of professional competence include notions of self- assessment, verification of engagement and practice hours, provision of an evidential record, the role of the employer and articulation of possible consequences for non-adherence with the requirements. Schemes to demonstrate the maintenance of professional competence have application to nurses, midwives and regulatory bodies and healthcare employers worldwide. A mixed methods approach was used. This included an online survey of nurses and midwives and focus groups with nurses and midwives and other key stakeholders. The qualitative data are reported in this study. Focus groups were conducted among a purposive sample of nurses, midwives and key stakeholders from January-May 2015. A total of 13 focus groups with 91 participants contributed to the study. Four major themes were identified: Definitions and Characteristics of Competence; Continuing Professional Development and Demonstrating Competence; Assessment of Competence; The Nursing and Midwifery Board of Ireland and employers as regulators and enablers of maintaining professional competence. Competence incorporates knowledge, skills, attitudes, professionalism, application of evidence and translating learning into practice. It is specific to the nurse's/midwife's role, organizational needs, patient's needs and the individual nurse's/midwife's learning needs. Competencies develop over time and change as nurses and midwives work in different practice areas. Thus, role-specific competence is linked to recent engagement in practice. © 2016 John Wiley & Sons Ltd.

Midwives' perceptions of organisational structures and processes influencing their ability to provide caseload care to socially disadvantaged and vulnerable women.

Science.gov (United States)

Menke, Jane; Fenwick, Jennifer; Gamble, Jenny; Brittain, Hazel; Creedy, Debra K

2014-10-01

This study examined midwives' perceptions of organisational structures and processes of care when working in a caseload model (Midwifery Group Practice MGP) for socially disadvantaged and vulnerable childbearing women. This study used Donabedian's theoretical framework for evaluating the quality of health care provision. Of the 17 eligible midwives, 15 participated in focus group discussions and two others provided written comments. Thematic analysis was guided by three headings; clinical outcomes, processes of care and organisational structure. Midwives believed they provided an excellent service to socially disadvantaged and vulnerable childbearing women. Midwives gained satisfaction from working in partnership with women, working across their full scope of practice, and making a difference to the women. However the midwives perceived the MGP was situated within an organisation that was hostile to the caseload model of care. Midwives felt frustrated and distressed by a lack of organisational support for the model and a culture of blame dominated by medicine. A lack of material resources and no identified office space created feelings akin to 'homelessness'. Together these challenges threatened the cohesiveness of the MGP and undermined midwives' ability to advocate for women and keep birth normal. If access to caseload midwifery care for women with diverse backgrounds and circumstances is to be enhanced, then mechanisms need to be implemented to ensure organisational structures and processes are developed to sustain midwives in the provision of 'best practice' maternity care. Women accessing midwifery caseload care have excellent maternal and newborn outcomes. However there remains limited understanding of the impact of organisational structures and processes of care on clinical outcomes. Copyright © 2014 Elsevier Ltd. All rights reserved.

A decade of mangrove recovery at affected area by the 2004 tsunami along coast of Banda Aceh city

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Onrizal; Mansor, M.

2018-03-01

Banda Aceh (BA) is the capital of Aceh Province, Indonesia. It was the most affected areas by the 2004 tsunami. Before the natural catastrophe, most of the BA mangroves disturbed by human activities and remaining mangroves were fragmented and had a low density of trees. Therefore, the objectives of this study were to calculate the impact of the tsunami on mangrove and subsequently to evaluate the mangrove recovery based on spatial and temporal analysis and ground truthing method within the period 11 years in intertidal areas of BA. Three regions of BA coastal areas were selected, namely Kuala Cangkoy, Gampong Jawa and Lambada coasts. Before the tsunami, the mangrove forests in BA were only 13.6% of BA coastlands and fragmented. Approximately 48.9% of the mangroves have destroyed due to the tsunami. The BA mangroves at 5 and 11 years after tsunami were 66.5% and 81.3% relative to the data before tsunami, respectively. It means that the BA is very vulnerable due to the future tsunami occur. Therefore, the mangrove restoration in BA needs to be improved and maintain based on green belt concept for coastal protection as well as productivity of estuarine ecosystem.

The Relationship between Occupational Stress and Work Ability among Midwives in Mashhad, Iran

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Masoumeh Kordi

2014-07-01

Full Text Available Background and Aim: Occupational stress is one of the key factors in reducing staff productivity in organizations with physical and psychological impacts on employees. Nursing and midwifery are among the most stressful professions. Therefore, this study aimed to determine the relationship between occupational stress and work ability of midwives in Mashhad, Iran in 2011. Materials and Methods: This cross-sectional study was carried on 123 midwives employed in the public hospitals and health centres in Mashhad, Iran using two-stage sampling method. Demographic and work-related data were obtained through a self-structured questionnaire. Occupational stress and work ability were measured using Occupational Stress Assessment Questionnaire (OSAQ and Work Ability Index Questionnaire (WAIQ. The statistical analysis was performed using student’s t-test, One Way ANOVA, correlation coefficient, and linear regression model through SPSS statistical software (version 11.5.   Results: The results showed that the mean score of occupational stress and work ability was 149 ± 0.01 and 38.81±0.05, respectively. There was a negative correlation between job-related stress and work ability. Midwives with higher occupational stress experienced poorer work ability (P=0.021, r=-0.061.   Conclusion: Sever work stress is associated with reduced work ability. So it is recommended to eliminate or decrease occupational stress and increase work ability among Iranian midwives using preventive measures, although identification of sources of occupational stress seems necessary in order to adopt appropriate stress management strategies.

Female Genital Mutilation/Cutting: Innovative Training Approach for Nurse-Midwives in High Prevalent Settings

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Samuel Kimani

2018-01-01

Full Text Available Background. Female genital mutilation/cutting (FGM/C has no medical benefits and is associated with serious health complications. FGM/C including medicalization is illegal in Kenya. Capacity building for nurse-midwives to manage and prevent FGM/C is therefore critical. Objective. Determine the current FGM/C knowledge and effect of training among nurse-midwives using an electronic tool derived from a paper-based quiz on FGM/C among nurse-midwives. Methods. Nurse-midwives n=26 were assessed pre- and post-FGM/C training using a quiz comprising 12 questions. The quiz assessed the following factors: definition, classification, determining factors, epidemiology, medicalization, prevention, health consequences, and nurse-midwives’ roles in FGM/C prevention themes. The scores for individuals and all the questions were computed and compared using SPSS V22. Results. The mean scores for the quiz were 64.8%, improving to 96.2% p<0.05 after training. Before the training, the following proportions of participants correctly answered questions demonstrating their knowledge of types of cutting (84.6%, link with health problems (96.2%, FGM/C-related complications (96.2%, communities that practice FGM/C (61.5%, medicalization (43.6%, reinfibulation (46.2%, dissociation from religion (46.2%, and the law as it relates to FGM/C (46.2%. The participants demonstrated knowledge of FGM/C-related complications with the proportion of nurse-midwives correctly answering questions relating to physical impact (69.2%, psychological impact (69.2%, sexual impact (57.7%, and social impact (38.5%. Additionally, participant awareness of NM roles in managing FGM/C included the following: knowledge of the nurse-midwife as counselor (69.2%, advocate (80.8%, leader (26.9%, role model (42.3%, and caregiver (34.6%. These scores improved significantly after training. Conclusion. Substantial FGM/C-related knowledge was demonstrated by nurse-midwives. They, however, showed challenges in

Interaction of Geohazards and Settlements through the Past Millennium, Banda Aceh, Indonesia

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Sieh, K.; Daly, P.; Tai, Y. S.; McKinnon, E. E.; Feener, R. M.; Parnell, A. C.; Ismail, N.

2017-12-01

Geo-archaeological fieldwork conducted between 2010-2012 around Banda Aceh, Indonesia revealed stratigraphic evidence for one (possibly two) historic tsunami occurring in the decades after 1366±3. Between 2015 - 2017 we conducted an extensive landscape archaeology survey in 43 coastal villages spanning over 40 km to see if these past tsunamis impacted coastal settlement. In the first major systemic survey of its kind in Indonesia, we found and documented 995 archaeological sites ranging from the late 10th to 20th centuries CE, containing over 5,000 carved gravestones, and 50,000 ceramic sherds. The distribution of ceramic material suggests seven discrete areas of cultural activity before the 14th century CE tsunami. Our working hypothesis is that six of these sites were villages of local inhabitants who utilized imported ceramics. These started at the end of the 10th century and have evidence for activity through present day. However, detailed analysis of the chronology of the ceramics material strongly suggests that there was a notable reduction of activity between 1360 and 1450 CE (Figure 2), supporting the hypothesis that coastal settlements were disrupted by the historic tsunami. The distribution of ceramic material after 1500 CE across the survey area shows a gradual repopulation of pre-tsunami sites, as well as a significant expansion of activity starting at the end of the 16th Century, for all areas but Lamreh. The density of settlements increases during the late-Ming and Qing period, which corresponds to the rise of the Acehnese sultanate and the formation of the urban center of Banda Aceh, when the coastal settlement patterns closely resembled the areas devastated by the 2004 Indian Ocean tsunami. This poster is a detailed accompaniment

BSE Practice and BSE Self-Efficacy among Nursing Students in Aceh, Indonesia

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Juanita Juanita

2013-01-01

Full Text Available Purpose: To survey the level of BSE practice among female nursing students in Aceh, and the degree of self-efficacy in those who did practice it.Method: Seventy-six nursing students from the Public Nursing College, Syiah Kuala University in Aceh who met the inclusion criteria were recruited. Stratified proportionate random sampling was used to determine the required number of first, second, and third year students. BSE self-efficacy of the students was measured by the BSE Self-Efficacy Questionnaire which was modified from an existing tool developed by Khatun (2010. In addition, the students’ doing BSE or not was measured by BSE Practice Questionnaire which was developed by the researcher. The data were analyzed by using descriptive statistics.Result: Only 39.5% of the students practiced BSE with more than half of the students saying they did not practice BSE (60.5%. The main factors that influenced the students’ performing BSE were not having a family history of breast cancer, single, and no history of breast illness. Among the thirty students who practiced BSE, most of them did not practice it routinely (70%, nor at the correct time (86.7%, and their confidence in performing BSE was at a moderate level overall, with a high level for BSE procedural efficacy and moderate level for barrier management efficacy.Conclusion: A majority of the Acehnese nursing students did not practice BSE, and those who did had only a moderate level of BSE self-efficacy. Therefore, the results of this study suggest emphasizing the need to teach nursing students about BSE in their undergraduate courses, with future follow-up research regarding the success of the educational program.Keywords: practice, self-efficacy, breast self-examination (BSE, nursing students

ANALISIS MANAJEMEN RISIKO PRODUK KAFALAH (STUDI PADA BANK MUAMALAT INDONESIA BANDA ACEH

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Satria Munawir

2014-06-01

Full Text Available Kafalah is a guarantee of a guarantor, either in the form of self assurance and treasure to the second party in relation to the rights and obligations of both parties that the other party. In banking sector, implementation of the concept is well known as a bank guarantee, which is a guarantee in the form of paper issued by the bank which resulted in the obligation to pay to the party receiving the collateral if the guaranteed party breach the contract. This article aims to study the implementaion of kafalah product at BMI Banda Aceh including strategies in preventing risks related the products. It also examines the implementation of kafalah from an Islamic perspective. In finding the answer, this article employes qualitative approach. Data was collected through field research and library research which was then analized using descriptive analysis method. The results show that the product kafalah undertaken by BMI Branch of Banda Aceh is a form of insurance that includes guaranteed tender, performance bonds, warranties advance, and guarantee maintenance with a deposit of 100% cash collateral to the insurance value is small and a deposit of 60% of fixed asset plus 40% cash collateral for eprtanggungan whose value is greater than the value of the desired assurance customers. Moreover, the client or the insured must enter into cooperation agreements with project leaders to work on a particular project. Tips management undertaken by BMI Branch Banda is analyzing the customer or contractor using character analysis and collateral is more dominant than the overall analysis of 5C, because the BMI-related risks faced by the provision of guarantees / kafalah is credit risk and reputation risk. From the Islamic perspective, the implementation of kafalah has complied with Islamic jurisprudence. Keywords: Analysis, Risk Management, Kafalah, Bank Muamalat Indonesia

Interprofessional collaboration at transition of care: perspectives of child and family health nurses and midwives.

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Psaila, Kim; Schmied, Virginia; Fowler, Cathrine; Kruske, Sue

2015-01-01

To examine collaboration in the provision of universal health services for children and families in Australia from the perspective of midwives and child health and family health nurses. Collaboration is identified as a key concept contributing to families' smooth transition between maternity and child health services. However, evidence suggests that collaboration between services is often lacking. Few studies have explored how maternity and child health and family health services or professionals collaborate to facilitate a smooth transition. This study reports on data collected in phases 1 and 2 of a three-phase mixed-methods study investigating the feasibility of implementing a national approach to child health and family health services in Australia (Child Health: Researching Universal Services study). In phase 1, consultations (via discussion groups, focus groups and teleconferences) were held with 45 midwives and 60 child health and family health nurses. Themes identified were used to develop phase 2 surveys. In phase 2, 1098 child health and family health nurses and 655 midwives returned surveys. Midwives and child health and family health nurses reported 'some collaboration'. Midwives and child health and family health nurses indicated that collaboration was supported by having agreement on common goals and recognising and valuing the contributions of others. Organisational barriers such as poor communication and information transfer processes obstructed relationships. Good collaboration was reported more frequently when working with other professionals (such as allied health professionals) to support families with complex needs. This study provides information on the nature and extent of collaboration from the perspective of midwives and child health and family health nurses providing universal health services for children and families. Both professional groups emphasised the impact of service disconnection on families. However, their ability to negotiate

'Twin2twin' an innovative method of empowering midwives to strengthen their professional midwifery organisations.

Science.gov (United States)

Cadée, Franka; Perdok, Hilde; Sam, Betty; de Geus, Myrte; Kweekel, Liselotte

2013-10-01

midwives need professional support from a national midwifery organisation to be able to provide the services that are by regulatory mechanisms and accreditation expected of them. Not all midwives in the world are united in a professional organisation. The aim of this project was to strengthen the midwifery organisations of Sierra Leone and the Netherlands. During the process of the project it was realised that the development of a platform of exchange at organisational level would be enhanced by introducing personal exchange between individual midwives. In response to this new insight the original project plan was adjusted by incorporating the twin2twin method. twin2twin is a feminist methodology of mutual exchange between twenty pairs of midwives from different organisations (in this case Sierra Leone and the Netherlands). The method can be distinguished by 10 specific steps. It was developed, used and (re)evaluated through focus group discussions, storytelling and written evaluations. twinning of organisations was strengthened by adding a human component to the process. With the use of the 'twin2twin' method, midwives were encouraged to invested in a professional and personal bond with their 'twin sister'. This bond was independent and went beyond the relatively short four year project period. Through personal engagement and mutual exchange of knowledge and skills, midwives empowered each other to build and strengthen their midwifery organisations both in Sierra Leone and the Netherlands. (Empowerment refers to the expansion in people's ability to make strategic life choices in a context where this ability was previously denied to them (Narayan, 2005); organisational empowerment includes processes and structures that enhance members' skills and provides them with the mutual support necessary to effect community level change (Zimmerman, 1995).). despite challenges we are convinced that twin2twin can be of additional benefit for the success of other projects

Pengetahuan Keluarga Tentang Penatalaksanaan Diet Diabetes Mellitus Di Wilayah Kerja Puskesmas Kecamatan Babussalam Kabupaten Aceh Tenggara

OpenAIRE

Iskandar

2012-01-01

Diabetes Mellitus is a heterogeneous group of disorders characterized by increased levels of blood or hiperglikemia.Diabetes Melllitus glukosadalam is a collection of symptoms that occur in a person caused by the presence of elevated levels of sugar (glucose) blood due to insulin deficiency both absolute and relative. This study aims to identify Family Knowledge About Treatment of diabetes mellitus diet health centers in the region of Southeast Aceh Regency Babussalam District, on July 25 to ...

Prevalence of burnout, depression, anxiety and stress in Australian midwives: a cross-sectional survey.

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Creedy, D K; Sidebotham, M; Gamble, J; Pallant, Julie; Fenwick, J

2017-01-09

The health and wellbeing of midwives are important considerations for workforce retention and quality care. The occurrence and relationships among mental health conditions such as burnout and depression have received little attention. We investigated the prevalence of burnout, depression, anxiety and stress in Australian midwives. An online survey was conducted in September 2014. Participants were recruited through the Australian College of Midwives and professional networks. The survey sought personal and professional details. Standard measures included the Copenhagen Burnout Inventory (CBI) (Personal, Work and Client subscales), and Depression, Anxiety, and Stress Scale (DASS). The sample was collapsed into two groups according to DASS clinical cut-offs (normal/mild versus moderate/severe/extreme). Effect size statistics were calculated and judged according to Cohen's guidelines. One thousand thirty-seven surveys were received. Respondents were predominantly female (98%), with an average age of 46.43 years, and 16.51 years of practice. Using a CBI subscale cut-off score of 50 and above (moderate and higher), 64.9% (n = 643) reported personal burnout; 43.8% (n = 428) reported work-related burnout; and 10.4% (n = 102) reported client-related burnout. All burnout subscales were significantly correlated with depression, anxiety and stress, particularly personal and work-related burnout with Spearman's rho correlations ranging from .51 to .63 (p stress (22.1%) symptoms. Mann-Whitney U tests revealed significant differences between groups with depression (r = .43), anxiety (r = .41) and stress (r = 48) having a medium size effect on burnout. Prevalence of personal and work-related burnout in Australian midwives was high. The physical and psychological exhaustion associated with the different types of burnout were reflected in symptoms of depression, anxiety and stress symptoms. Further research is needed to support the personal well-being of

Job satisfaction and determinant factors among midwives working at health facilities in Addis Ababa city, Ethiopia.

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Bekru, Eyasu Tamru; Cherie, Amsale; Anjulo, Antehun Alemayehu

2017-01-01

Midwives are the primary source of care and support for mothers and newborns at the most vulnerable time in their lives.The Ethiopian National Reproductive Health Strategy targeted reduction of Maternal Mortality rate to 267/100,000 live births in the years 2006-2015. Midwives play a crucial role in the care of pregnant women, from the first antenatal visit right through to the delivery and the postpartum period. Institution based cross-sectional study was carried out from March 2015 to April 2015 in Addis Ababa city, Ethiopia to assess job satisfaction and its determinants among midwives working at government health facilities. A total of 234 midwives were involved from 84 health centers and 8 governmental hospitals proportional to the size of health centers and hospitals using simple random sampling method. A total of 175 and 59 midwives were taken from health centers and government hospitals respectively. Different variables like Socio demographic, Job related domain and Organizational domain were collected using pre structured questionnaire after getting written consent. Data entry and analysis were done using SPSS 21.00. Binary logistic regression was used to determine factors affecting job satisfaction. P-values less than 0.05 were considered statistically significant. From 234 eligible respondents 221 midwives participated in this study which makes a response rate of 94.44%. The overall mean job satisfaction was 52.9%. Independent predictors of job satisfaction includes Sex [AOR = 4.07 (95%CI: 1.36-12.37)], working unit [AOR = 0.04 (95%CI:(0.001-0.45)], Educational status [AOR = 5.74(95%CI: 1.48-40.47)], Marital status [AOR = 3.48 [1.01-11.97)], supervision [AOR = 4.33 (95%CI: 1.53-20.22)], standard of care[AOR 4.80, (3.38-50.10)] and work load [AOR 8.94, (95%CI 2.37-22.65)]. Midwives were least satisfied from salary, extrinsic reward and professional opportunity subscales while they were most satisfied from coworker relation and the standard of care they

Job satisfaction and determinant factors among midwives working at health facilities in Addis Ababa city, Ethiopia

Science.gov (United States)

Bekru, Eyasu Tamru; Cherie, Amsale; Anjulo, Antehun Alemayehu

2017-01-01

Background Midwives are the primary source of care and support for mothers and newborns at the most vulnerable time in their lives.The Ethiopian National Reproductive Health Strategy targeted reduction of Maternal Mortality rate to 267/100,000 live births in the years 2006–2015. Midwives play a crucial role in the care of pregnant women, from the first antenatal visit right through to the delivery and the postpartum period. Methodology Institution based cross-sectional study was carried out from March 2015 to April 2015 in Addis Ababa city, Ethiopia to assess job satisfaction and its determinants among midwives working at government health facilities. A total of 234 midwives were involved from 84 health centers and 8 governmental hospitals proportional to the size of health centers and hospitals using simple random sampling method. A total of 175 and 59 midwives were taken from health centers and government hospitals respectively. Different variables like Socio demographic, Job related domain and Organizational domain were collected using pre structured questionnaire after getting written consent. Data entry and analysis were done using SPSS 21.00. Binary logistic regression was used to determine factors affecting job satisfaction. P-values less than 0.05 were considered statistically significant. Result From 234 eligible respondents 221 midwives participated in this study which makes a response rate of 94.44%. The overall mean job satisfaction was 52.9%. Independent predictors of job satisfaction includes Sex [AOR = 4.07 (95%CI: 1.36–12.37)], working unit [AOR = 0.04 (95%CI:(0.001–0.45)], Educational status [AOR = 5.74(95%CI: 1.48–40.47)], Marital status [AOR = 3.48 [1.01–11.97)], supervision [AOR = 4.33 (95%CI: 1.53–20.22)], standard of care[AOR 4.80, (3.38–50.10)] and work load [AOR 8.94, (95%CI 2.37–22.65)]. Midwives were least satisfied from salary, extrinsic reward and professional opportunity subscales while they were most satisfied from

Job satisfaction and determinant factors among midwives working at health facilities in Addis Ababa city, Ethiopia.

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Eyasu Tamru Bekru

Full Text Available Midwives are the primary source of care and support for mothers and newborns at the most vulnerable time in their lives.The Ethiopian National Reproductive Health Strategy targeted reduction of Maternal Mortality rate to 267/100,000 live births in the years 2006-2015. Midwives play a crucial role in the care of pregnant women, from the first antenatal visit right through to the delivery and the postpartum period.Institution based cross-sectional study was carried out from March 2015 to April 2015 in Addis Ababa city, Ethiopia to assess job satisfaction and its determinants among midwives working at government health facilities. A total of 234 midwives were involved from 84 health centers and 8 governmental hospitals proportional to the size of health centers and hospitals using simple random sampling method. A total of 175 and 59 midwives were taken from health centers and government hospitals respectively. Different variables like Socio demographic, Job related domain and Organizational domain were collected using pre structured questionnaire after getting written consent. Data entry and analysis were done using SPSS 21.00. Binary logistic regression was used to determine factors affecting job satisfaction. P-values less than 0.05 were considered statistically significant.From 234 eligible respondents 221 midwives participated in this study which makes a response rate of 94.44%. The overall mean job satisfaction was 52.9%. Independent predictors of job satisfaction includes Sex [AOR = 4.07 (95%CI: 1.36-12.37], working unit [AOR = 0.04 (95%CI:(0.001-0.45], Educational status [AOR = 5.74(95%CI: 1.48-40.47], Marital status [AOR = 3.48 [1.01-11.97], supervision [AOR = 4.33 (95%CI: 1.53-20.22], standard of care[AOR 4.80, (3.38-50.10] and work load [AOR 8.94, (95%CI 2.37-22.65]. Midwives were least satisfied from salary, extrinsic reward and professional opportunity subscales while they were most satisfied from coworker relation and the standard of

A Window of Opportunity for Aceh, Indonesia Post-Tsunami: Historic Continuity, Current Points of Interest, and a Pattern. Output of the Cultural Simulation Model

National Research Council Canada - National Science Library

2006-01-01

...) for the Situation in Aceh, Indonesia. The CSM uses news filtering, a knowledge acquisition and contextual memory method, which we refer to as a Cultural Construct, as well as interaction by modelers, subject matter experts (SMEs...

Midwives' supervisory styles and leadership role as experienced by Norwegian mothers in the context of a fear of childbirth.

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Lyberg, Anne; Severinsson, Elisabeth

2010-05-01

The aim of the present study was to describe the midwives' supervisory style and leadership role as experienced by pregnant women and new mothers in the context of a fear of childbirth. A service led by midwives can influence the quality of care. The sample consisted of 13 mothers. Data were interpreted by means of qualitative content analysis. The findings revealed that the midwives' supervisory styles were related to their ability to create a trusting and caring relationship, demonstrate problem-solving capacity, and showing willingness, preparedness and courage to support the women. The midwives' leadership role was described as involving a crucial set of professional management skills and techniques. The findings have strengthened the argument for the provision of continuity of care to women who are afraid of childbirth. Further studies should focus more specifically on the implementation of research in practice. It is necessary for midwives to demonstrate leadership in order to develop practice, predict challenges and changes, provide different care delivery models and acquire an evidence base for care. This also demands systematic supervision to improve care outcomes.

THE RESISTANCE OF ULAMA DAYAH ACEH TAMIANG AGAINST WOMEN’S RIGHTS IN COMPILATION OF ISLAMIC LAW (KHI

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Muhammad Nasir

2017-06-01

Full Text Available This article provides the latest information on how the Ulama Dayah Aceh Tamiang's response to the implementation of the Compilation of Islamic Law (KHI, particularly related to women's rights regulated in the issue of marriage registration, the validity of divorce, and joint property (gono gini and their views on the KHI as Islamic law legislated by the government. according to some circles as a form of reform of Islamic law in Indonesia which is also claimed as a law that many defend the rights of women, although there are still some who argue that KHI discriminatory against women. This paper departs from research was conducted on Dayah Aceh Tamiang Ulama by using interview and observation method. There are three theories used in analyzing this research data, namely; Theory of Relation State and Religion, Theory of Ulama and State Authority, and Theory of Conservative turn. The finding of this article reveals that the resistance of the Ulama Dayah against KHI can be identified in two levels. Firstly, they disagreed with some aspects of KHI in such as marriage registration, joint property, and divorce legal procedures. Secondly, the fact that Ulama Dayah were not involved in the process of legal drafting of the KHI.

Coping and help in birth: An investigation into 'normal' childbirth as described by new mothers and their attending midwives.

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Darra, Susanne; Murphy, Fiona

2016-09-01

to investigate how 'normal' childbirth is described by new mothers and their attending midwives. a qualitative, reflexive, narrative study was used to explore birth stories using in-depth, un-structured interviews. 21 new mothers and their 16 attending midwives were recruited from the locality surrounding a district general hospital in South Wales, United Kingdom (UK). the findings identified that the mothers wanted to cope with labour and birth, by breathing through it and using some birth interventions with the help of knowledgeable midwives. Midwives aimed to achieve 'normality' in birth but also commonly utilised birth interventions. Consequently the notion of 'normal' birth as not involving interventions in birth was not found to be a useful defining concept in this study. Furthermore, current dichotomous models and theories of birth and midwifery in particular those relating to pain management did not fully explain the perspectives of these women and their midwives. dichotomous models and theories for birth and midwifery practice and those which incorporate the term 'normal' birth are shown to be not entirely useful to fully explain the contemporary complexity of childbirth in the UK. Therefore it is now necessary to consider avoiding using dichotomous models of birth and midwifery in the UK and to instead concentrate on developing integrated models that reflect the real life current experiences of women and their midwives. Copyright © 2016 Elsevier Ltd. All rights reserved.

Prediksi Erosi Kebun Kopi Rakyat di Kecamatan Permata, Kabupaten Bener Meriah, Provinsi Aceh

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Hairul Basri

2012-10-01

Full Text Available Prediction of Erosion in the Coffee Plantation in Subdistrict of Permata, District of Bener Meriah, Province of Aceh Abstract. This study aimed to determine the level of erosion that occurred on the slopes of plantation of coffee community in sub-district of Permata, district of Bener Meriah, Province of Aceh, conducted from January to August 2011. Coffee plantations of community were located in sub-district of Permata as samples, particularly in the village of Jungke which had 8 percent slope and the village of Seni Antara which had 30 percent slope. This study was conducted by field observation and laboratory analysis to predict the values of erosion using the method of USLE (universal soil loss equation. Further Erosion Hazard Level (TBE was determined by considering the effective depth of soil. The results showed that the value of the actual erosion that occurred in the coffee plantation of community in the village of Seni Antara which had 30 percent slope at 87,711.47 tones ha-1 year-1 greater than the actual value of erosion in the village Jungke which only 8 percent slopes at 21.79 tones ha-1 year-1. Erosion Hazard Rate on slopes of 30 percent (village of Seni Antara classified as very heavy, while TBE at 8 percent slope (Village of Jungke as light. The main factors that affected the value of erosion were the value of LS (long and large slope and the value of K (erodibility. To prevent erosion on coffee plantations advised people to be able to add shade trees, use of litter and planting cover crops.

Effect of space structures against development of transport infrastructure in Banda Aceh by using the concept of transit oriented development

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Noer, Fadhly; Matondang, A. Rahim; Sirojuzilam, Saleh, Sofyan M.

2017-11-01

Due to the shifting of city urban development causing the shift of city services center, so there is a change in space pattern and space structure in Banda Aceh, then resulting urban sprawl which can lead to congestion problem occurs on the arterial road in Banda Aceh, it can be seen from the increasing number of vehicles per year by 6%. Another issue occurs by urban sprawl is not well organized of settlement due to the uncontrolled use of space so that caused grouping or the differences in socioeconomic strata that can impact to the complexity of population mobility problem. From this background problem considered to be solved by a concept that is Transit Oriented Development (TOD), that is a concept of transportation development in co-operation with spatial. This research will get the model of transportation infrastructure development with TOD concept that can handle transportation problem in Banda Aceh, due to change of spatial structure, and to find whether TOD concept can use for the area that has a population in medium density range. The result that is obtained equation so the space structure is: Space Structure = 0.520 + 0.206X3 + 0.264X6 + 0.100X7 and Transportation Infrastructure Development = -1.457 + 0.652X1 + 0.388X5 + 0.235X6 + 0.222X7 + 0.327X8, So results obtained with path analysis method obtained variable influences, node ratio, network connectivity, travel frequency, travel destination, travel cost, and travel time, it has a lower value when direct effect with transportation infrastructure development, but if the indirect effect through the structure of space has a greater influence, can be seen from spatial structure path scheme - transportation infrastructure development.

Work engagement as a key driver of quality of care: a study with midwives.

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Freeney, Yseult; Fellenz, Martin R

2013-01-01

Against a backdrop of increased work intensification within maternity hospitals, the purpose of this paper is to examine the role of work engagement in the quality of care delivered to patients and in general health of the midwives delivering care, as reported by midwives and nurses. Quantitative questionnaires consisting of standardised measures were distributed to midwives in two large maternity hospitals. These questionnaires assessed levels of work engagement, supervisor and colleague support, general health and quality of care. Structural equation modelling analysis revealed a best-fit model that demonstrated work engagement to be a significant partial mediator between organisational and supervisor support and quality of care, and as a significant predictor of self-reported general health. Together, supervisor support, social support and organisational resources, mediated by work engagement, explained 38 per cent of the variance in quality of care at the unit level and 23 per cent of variance in general health among midwives (chi2(67) = 113; p employee work engagement. The results also highlight the significant role of the immediate nurse manager and suggest training and development for such roles is a valuable investment. These results are the first to link work engagement and performance in health care contexts and point to the value of work engagement for both unit performance and for individual employee well-being in health organisations.

Midwives, gender equality and feminism.

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Walsh, Denis

2016-03-01

Gender inequality and the harmful effects of patriarchy are sustaining the wide spread oppression of women across the world and this is also having an impact on maternity services with unacceptable rates of maternal mortality, the continued under investment in the midwifery profession and the limiting of women's place of birth options. However alongside these effects, the current zeitgeist is affirming an alignment of feminism and gender equality such that both have a high profile in public discourse. This presents a once in a generation opportunity for midwives to self-declare as feminists and commit to righting the wrongs of this most pernicious form of discrimination.

LOCAL WISDOM OF SABANG ISLAND SOCIETY (ACEH, INDONESIA IN BUILDING ECOLOGICAL INTELLIGENCE TO SUPPORT SUSTAINABLE TOURISM

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Dian ASWITA

2018-05-01

Full Text Available One of the existing natural and environmental uses in Aceh (Indonesia is tourism. One of the aspects that determine the development and sustainability of tourism is the institutional and community aspects. Sustainable tourism is a picture of the ecosystem sustainability and socio-economic development of the community. This study aims to reveal and find local wisdom practices and explore local knowledge owned by Sabang Island community in the management and conservation of the environment so as to support the realization of sustainable tourism. This study uses rationalistic paradigm and uses qualitative research method. The data that has been collected is analyzed descriptively. Local wisdom and local knowledge are reflected in how society has a unique way of looking at and understanding nature and interacting with it. In the Aceh community, there are customary institutions that regulate the rules or interactions of the community with the environment, including “panglima laot”, “keujreun blang”, “peutua seuneubok”, “pawang glee or peutua uteun”, “haria peukan” and “syahbanda”. Local wisdom and local knowledge have great potential in maintaining, preserving and sustainability of the environment used by communities to meet their living needs. Ecological, social and religious intelligence formed through local wisdom and local knowledge can be an aspect in maintaining environmental sustainability in order to build sustainable tourism on Sabang Island.

The emotional and professional wellbeing of Australian midwives: A comparison between those providing continuity of midwifery care and those not providing continuity.

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Fenwick, Jennifer; Sidebotham, Mary; Gamble, Jenny; Creedy, Debra K

2018-02-01

Continuity of midwifery care contributes to significant positive outcomes for women and babies. There is a perception that providing continuity of care may negatively impact on the wellbeing and professional lives of midwives. To compare the emotional and professional wellbeing as well as satisfaction with time off and work-life balance of midwives providing continuity of care with midwives not providing continuity. Online survey. Measures included; Copenhagen Burnout Inventory (CBI); Depression, Anxiety and Stress Scale-21; and Perceptions of Empowerment in Midwifery Scale (PEMS-Revised). The sample (n=862) was divided into two groups; midwives working in continuity (n=214) and those not working in continuity (n=648). Mann Whitney U tests were used to compare the groups. The continuity group had significantly lower scores on each of the burnout subscales (CBI Personal p=.002; CBI Work pwork-life balance. Our results indicate that providing continuity of midwifery care is also beneficial for midwives. Conversely, midwives working in shift-based models providing fragmented care are at greater risk of psychological distress. Maternity service managers should feel confident that re-orientating care to align with the evidence is likely to improve workforce wellbeing and is a sustainable way forward. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Preliminary study on detection sediment contamination in soil affected by the Indian Ocean giant tsunami 2004 in Aceh, Indonesia using laser-induced breakdown spectroscopy (LIBS)

Energy Technology Data Exchange (ETDEWEB)

Idris, Nasrullah, E-mail: nasrullah.idris@unsyiah.ac.id [Department of Physics, Faculty of Mathematics and Natural Sciences, Syiah Kuala University, Jl. Syech Abdurrauf No. 3 Darussalam, 23111 Banda Aceh, Aceh (Indonesia); Ramli, Muliadi [Department of Chemistry, Faculty of Mathematics and Natural Sciences, Syiah Kuala University, Jl. Syech Abdurrauf No. 3 Darussalam, 23111 Banda Aceh, Aceh (Indonesia); Hedwig, Rinda; Lie, Zener Sukra [Department of Computer Engineering, Bina Nusantara University, 9 K. H. Syahdan, Jakarta 14810 (Indonesia); Kurniawan, Koo Hendrik [Research Center of Maju Makmur Mandiri Foundation, 40 Srengseng Raya, Kembangan, Jakarta Barat 11630, Jakarta (Indonesia)

2016-03-11

This work is intended to asses the capability of LIBS for the detection of the tsunami sediment contamination in soil. LIBS apparatus used in this work consist of a laser system and an optical multichannel analyzer (OMA) system. The soil sample was collected from in Banda Aceh City, Aceh, Indonesia, the most affected region by the giant Indian Ocean tsunami 2004. The laser beam was focused onto surface of the soil pellet using a focusing lens to produce luminous plasma. The experiment was conducted under air as surrounding gas at 1 atmosphere. The emission spectral lines from the plasma were detected by the OMA system. It was found that metal including heavy metals can surely be detected, thus implying the potent of LIBS technique as a fast screening tools of tsunami sediment contamination.

Surviving workplace adversity: a qualitative study of nurses and midwives and their strategies to increase personal resilience.

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Mcdonald, Glenda; Jackson, Debra; Vickers, Margaret H; Wilkes, Lesley

2016-01-01

To explore the experiences of Australian nurses and midwives who perceived themselves as resilient. The focus of this paper is to report the strategies used by a group of nurses and midwives to develop and maintain their resilience, despite encountering serious workplace adversity. Despite the potentially adverse effects of nursing work, many nurses and midwives thrive through exercising self-efficacy and coping skills. The relationship between thriving and resilience is clear, as resilience refers to the ability to cope well with adversity and change. The participants were part of an instrumental, collective case study investigation of personal resilience amongst nurses and midwives. Prior to an innovative, work-based intervention including workshops and mentoring, participants were interviewed to collect baseline perceptions and experiences of personal resilience and workplace adversity. Interview transcripts were analysed thematically. Participants attributed their ability to thrive in the workplace to three major influences: support networks, personal characteristics and ability to organise work for personal resilience. Participant insights contributed to a deeper understanding of personal resilience and highlight future initiatives to enhance the ability of nurses and midwives to thrive within health organisations and systems. It is vital that resilience-enhancing initiatives, such as peer mentoring and tailored work options to increase autonomy, are implemented at earlier career phases. © 2015 John Wiley & Sons Ltd.

Documentation and billing for services provided by midwives teaching obstetrics and gynecology residents and medical students.

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Wilson-Liverman, Angela; Slager, Joan; Wage, Deborah

2009-01-01

Certified nurse-midwives are teaching obstetrics and gynecology residents and medical students in major academic institutions across the United States. In these instances, the ability to appropriately document services rendered to support a billable service is paramount. This article explains the difference in requirements for midwives' documentation when working with residents compared with documentation required of an attending obstetrician-gynecologist. It also reviews the teaching physician guidelines developed by the Centers for Medicare and Medicaid Services (CMS) as well as current evaluation and management documentation requirements. Several examples of documentation are provided, as are suggestions for enhancement and simplification of the guidelines to include midwives. An important point to remember is that the CMS rules do not prohibit a certified nurse-midwife from teaching a resident.

Midwives' adoption of the reproductive life plan in contraceptive counselling: a mixed methods study.

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Stern, J; Bodin, M; Grandahl, M; Segeblad, B; Axén, L; Larsson, M; Tydén, T

2015-05-01

How is the reproductive life plan (RLP) adopted in midwifery contraceptive counselling? A majority of midwives adopted the RLP in their counselling, had predominantly positive experiences and considered it a feasible tool for promoting reproductive health. The RLP is a health-promoting tool recommended by the Centers for Disease Control and Prevention in the USA for improving preconception health. It was recently used in a clinical setting in Sweden and was found to increase women's knowledge about fertility and to influence women's wishes to have their last child earlier in life. An exploratory mixed methods study among 68 midwives who provided contraceptive counselling in primary health care to at least 20 women each during the study period. Midwives received an introduction and materials for using the RLP in contraceptive counselling. Three months later, in the spring of 2014, they were invited to complete a questionnaire and participate in a focus group interview about their adoption of the RLP. Data collection was through a questionnaire (n = 53 out of 68; participation rate 78%) and five focus group interviews (n = 22). Participants included both younger and older midwives with longer and shorter experiences of contraceptive counselling in public and private health care in one Swedish county. Quantitative data were analysed for differences between users and non-users, and qualitative data were analysed by qualitative content analysis to explore the midwives experiences and opinions of using the RLP. Sixty-eight per cent of midwives had used the RLP in their contraceptive counselling. Four categories emerged through the focus group interviews: (i) A predominantly positive experience; (ii) The RLP-a health-promoting tool; (iii) individual and societal factors influence the RLP counselling; and (4) long-term implementation comprises opportunities, risks and needs. The most common reason for not using the RLP was lack of information. There was general lack of

An exploration of the effects of clinical negligence litigation on the practice of midwives in England: A phenomenological study.

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Robertson, Judith H; Thomson, Ann M

2016-02-01

to explore how midwives׳ personal involvement in clinical negligence litigation affects their midwifery practice. descriptive phenomenological study using semi-structured interviews. in 2006-2007 in-depth interviews were conducted in participants׳ homes or at their place of work and focused on participants׳ experience of litigation. Participants were recruited from various regions of England. 22 National Health Service (NHS) midwives who had been alleged negligent. clinical practice affected was an increase in documentation, fear of practising outside clinical guidelines and electronic fetal monitoring of women at low obstetric risk; these changes were not widespread. Changes in practice were sometimes perceived negatively and sometimes positively. Forming a good relationship with childbearing women was judged to promote effective midwifery care but litigation had affected the ability of a minority of midwives to advocate for women if this relationship had not been established. Litigation could result in loss of confidence leading to self-doubt, isolation, increased readiness to seek medical assistance and avoidance of working in the labour ward, perceived as an area with a high risk of litigation. A blame culture in the NHS was perceived by several midwives. In contrast an open non-punitive culture resulted in midwives readily reporting mistakes to risk managers. Litigation lowered midwifery morale and damaged professional reputations, particularly when reported in the newspapers. Some midwives expressed thoughts of leaving midwifery or taking time off work because of litigation but only one was actively seeking other employment, another took sick leave and one had left midwifery and returned to nursing. litigation can have a negative effect on midwives׳ clinical practice and morale and fosters a culture of blame within the NHS. education regarding appropriate documentation, use or non-use of electronic fetal monitoring and the legal status of clinical

Management of group b streptococcus-positive pregnant women at maternity homes in JAPAN: a questionnaire survey of compliance among midwives.

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Yamaguchi, Kotomi; Ohashi, Kazutomo

2018-01-01

Per the 2014 Japanese Midwives Association (JMA) guidelines, midwives were allowed to manage the deliveries for group B streptococcus (GBS)-positive pregnant women in labour at maternity homes without the supervision of a medical doctor if they complied with the guidelines of the Japan Society of Obstetrics and Gynecology (JSOG), wherein midwives working for maternity homes are expected to cooperate with commissioned obstetricians and paediatricians in cooperative medical facilities. We examined the rate of compliance with these JMA and JSOG guidelines regarding the management of GBS-positive pregnant women among midwives at maternity homes in Japan. Between October and December 2015, an anonymous questionnaire was distributed to 337 maternity homes registered with the JMA by mail. The questionnaire obtained information regarding the timing of GBS screening, specimen collection, transfer of GBS-positive pregnant women from a maternity home to a hospital, administration of intrapartum antibiotic prophylaxis, and collaboration between midwives and commissioned obstetricians. Data were analysed using descriptive statistics. We used frequency distribution as the statistical test. Responses were received from 246 (73.0%) maternity homes, of which complete responses from 204 maternity homes (valid response rate, 60.5%) were analysed. Of these 204 maternity homes, only 97 (47.5%) conducted a GBS screening test during 33-37 weeks of gestation as recommended by the JSOG guidelines. Although midwives alone managed GBS-positive pregnant women in labour at 135 maternity homes (66.2%), intrapartum antibiotic prophylaxis, as recommended by the JSOG guidelines, was conducted in only 111 (54.4%). Moreover, only 37.0% (50/135) and 82.2% (111/135) of maternity homes ensured that GBS-positive pregnant women in labour with an elapse of ≥18 h after PROM and a body temperature of ≥38.0 °C, respectively, were transferred to a hospital by ambulance. Only at 58.3% (119/204) of

Working in caseload midwifery care: the experience of midwives working in a birth centre in North Queensland.

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Edmondson, Marissa C; Walker, Sandra B

2014-03-01

Pregnancy, birth and child rearing are significant life events for women and their families. The demand for services that are family friendly, women focused, safe and accessible is increasing. These demands and rights of women have led to increased government and consumer interest in continuity of care and the establishment in Australia of birth centres, and the introduction of caseload midwifery models of care. The aim of this research project was to uncover how birth centre midwives working within a caseload model care constructed their midwifery role in order to maintain a positive work-life balance. A Grounded Theory study using semi-structured individual interviews was undertaken with seven midwives who work at a regional hospital birth centre to ascertain their views as to how they construct their midwifery role while working in a caseload model of care. The results showed that caseload midwifery care enabled the midwives to practice autonomously within hospital policies and guidelines for birth centre midwifery practice and that they did not feel too restricted in regards to the eligibility of women who could give birth at the centre. Work relationships were found to be a key component in being able to construct their birth centre midwifery role. The midwives valued the flexibility that came with working in supportive partnerships with many feeling this enabled them to achieve a good work-life balance. The research contributes to the current body of knowledge surrounding working in a caseload model of care as it shows how the birth centre midwives construct their midwifery role. It provides information for development and improvement of these models of care to ensure that sustainability and quality of care is provided to women and their families. Copyright © 2013 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Factors influencing mother's participation in Posyandu for improving nutritional status of children under-five in Aceh Utara district, Aceh province, Indonesia.

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Nazri, Cut; Yamazaki, Chiho; Kameo, Satomi; Herawati, Dewi M D; Sekarwana, Nanan; Raksanagara, Ardini; Koyama, Hiroshi

2016-01-22

Posyandu, or pos pelayanan terpadu (integrated service post), is a community-based activity for health services in Indonesia. According to the Indonesian Basic Health Survey, the prevalence of children under five in Indonesia who suffered from being underweight was 19.6 %. The wasting was 12.1 % and the stunting was 37.2 % in 2013, and these values have not changed greatly from 2007; much greater than the WHO targets of, less than 10 % underweight, 5 % wasting, and 20 % stunting. In Aceh were 26.6, 16.8, and 43.3 %, respectively. Also, the participation percentages of mothers to Posyandu was about 45 %, far below the national target of 100 %. In Aceh Province, the percentage was even lower (34 % in 2013). This study aimed to investigate the factors influencing participation of mothers in Posyandu. This research used a cross-sectional design with sample of mothers who had children under five. They were chosen by multistage random sampling. Sample size was determined by the WHO formula. Face-to-face interviews were carried out using a questionnaire. The questionnaire consisted of items about socio-demographic characteristics, satisfaction with Posyandu services, attitude towards Posyandu benefits, and intention to attend Posyandu. The collected data were analyzed by using EZR (version 1.21). Fisher's exact test was performed to examine the associations between the socio-demographic factors, attitude, satisfaction, and intention covariates with participation. Logistic regression was used to describe the strength of the relationship between the predictor variables and participation. There were no significant differences in age, marital status, education level, occupation, family size, and distance to Posyandu between low participation group except for the monthly household income. Among the socio-demographic factors, only monthly household income had a significant association with the frequency of mothers' participation. Satisfaction, attitude, and intention were

Women's, midwives' and obstetricians' experiences of a structured process to document refusal of recommended maternity care.

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Jenkinson, Bec; Kruske, Sue; Stapleton, Helen; Beckmann, Michael; Reynolds, Maree; Kildea, Sue

2016-12-01

Ethical and professional guidance for midwives and obstetricians emphasises informed consent and respect for patient autonomy; the right to refuse care is well established. However, the existing literature is largely silent on the appropriate clinical responses when pregnant women refuse recommended care, and accounts of disrespectful interactions and conflict are numerous. Policies and processes to support women and maternity care providers are rare and unstudied. To document the perspectives of women, midwives and obstetricians following the introduction of a structured process (Maternity Care Plan; MCP) to document refusal of recommended maternity care in a large tertiary maternity unit. A qualitative, interpretive study involved thematic analysis of in-depth semi-structured interviews with women (n=9), midwives (n=12) and obstetricians (n=9). Four major themes were identified including: 'Reassuring and supporting clinicians'; 'Keeping the door open'; 'Varied awareness, criteria and use of the MCP process' and 'No guarantees'. Clinicians felt protected and reassured by the structured documentation and communication process and valued keeping women engaged in hospital care. This, in turn, protected women's access to maternity care. However, the process could not guarantee favourable responses from other clinicians subsequently involved in the woman's care. Ongoing discussions of risk, perceived by women and some midwives to be pressure to consent to recommended care, were still evident. These limitations may have been attributable to the absence of agreed criteria for initiating the MCP process and fragmented care. Varying awareness and use of the process also diminished women's access to it. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Blame and guilt - a mixed methods study of obstetricians' and midwives' experiences and existential considerations after involvement in traumatic childbirth

DEFF Research Database (Denmark)

Schrøder, Katja; Jørgensen, Jan S; Lamont, Ronald F

2016-01-01

INTRODUCTION: When complications arise in the delivery room, midwives and obstetricians operate at the interface of life and death, and in rare cases the infant or the mother suffers severe and possibly fatal injuries related to the birth. This descriptive study investigated the numbers and propo......INTRODUCTION: When complications arise in the delivery room, midwives and obstetricians operate at the interface of life and death, and in rare cases the infant or the mother suffers severe and possibly fatal injuries related to the birth. This descriptive study investigated the numbers...... and proportions of obstetricians and midwives involved in such traumatic childbirth and explored their experiences with guilt, blame, shame and existential concerns. MATERIAL AND METHODS: A mixed methods study comprising a national survey of Danish obstetricians and midwives and a qualitative interview study...... the meaning of life. Sixty-five percent felt that they had become a better midwife or doctor due to the traumatic incident. CONCLUSIONS: The results of this large, exploratory study suggest that obstetricians and midwives struggle with issues of blame, guilt and existential concerns in the aftermath...

[Integral obstetrics impeded by history? Midwives and gynaecologists through the ages].

Science.gov (United States)

van der Lee, N; Scheele, F

2016-01-01

There is a long and complicated history concerning the interprofessional collaboration between midwives and gynaecologists, which is still evident in current practice. Yet, in the analysis of collaborative problems, history and its lessons are often overlooked. Consequently, less effective solutions to problems may be found, because the root cause of a problem is not addressed. In this historical perspective we show how policies of the respective professions have often focused on self-preservation and competition, rather than on effective collaboration. We also highlight how the independent midwives lost and regained authorisation, status and income. Finally, using a theoretical model for interprofessional collaboration, we reflect on where history impedes the development of integral obstetrics. The focus must be averted away from professional self-interest and power struggles, but this proves to be a complex exercise.

Evaluation of Ethical Attitude Approaches in Midwives and their Relationship with their Demographic Features

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Afhami, Narges; Nekuei, Nafisehsadat; Bahadoran, Parvin; Taleghani-Esfahani, HamidReza

2018-01-01

Background: Ethical approach is one of the paramount aspects of life. The position of this approach in medical occupations has always been noticed. This study was carried out to analyze the types of ethical approaches in midwives and their relationship with their demographic features. Materials and Methods: The current descriptive-correlation and cross-sectional study was conducted from October to December 2014 using quota random sampling technique. The participants consisted of 189 midwives employed in Isfahan, Iran. The data collection tool was a researcher-made questionnaire. The midwives' attitudes were examined in the four fields of virtue ethics, deontologism, utilitarianism, and religious ethics. Data were analyzed using descriptive and inferential statistics in SPSS software (p ethics with the mean value of 64.36 out of 100. A positive significant relationship was found between deontologism and education level (F = 8.74; p = 0.004), and total ethical approach and workplace (F = 2.60; p = 0.053). There was a reverse significant relationship between age and work experience and virtue ethics (r = −0.15; p = 0.035 and r = −0.20; p = 0.005, respectively). Conclusions: The existing high percentage of religious ethics shows the religious tendency of the participants. The determination of ethical approach among midwives as one of the important medical groups and creation and improvement of the most appropriate attitude among them based on the present regulations and requirements in society are principles that we should attempt to achieve.

The attitudes of pregnant women and midwives towards raised BMI in a maternity setting: A discussion of two repertory grid studies.

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Hodgkinson, Emma L; Smith, Debbie M; Hare, Dougal J; Wittkowski, Anja

2017-02-01

Weight-related stereotypes may have a detrimental impact on interactions between midwives and pregnant women with a body mass index (BMI) outside the recommended range of 18-30kg/m 2 . This paper explores the reciprocal construal of midwives and pregnant women with a raised BMI and considers the clinical implications of these constructs. Ten pregnant women with a BMI≥30kg/m 2 and 11 midwives and from an inner city maternity service were recruited. Participants provided information that allowed for the creation of a repertory grid; generating psychological constructs (perceptions or attitudes) identifying similarities and differences between pregnant women and midwives across a BMI range. Midwives were extremely conscious of being perceived as judgemental. They construed all pregnant women as anxious and vulnerable, but attributed characteristics such as "less health-conscious" and "complacent" to those with a raised BMI. The ideal pregnant woman and ideal midwife were typically construed as more likely to have a BMI of 18-30kg/m 2 . Pregnant women with a BMI≤18kg/m 2 were construed as lacking warmth. While midwives differentiated between the elements based on role, the pregnant women construed the elements according to their BMI. Similarly, they construed those with a BMI≤18kg/m 2 as having an undesirable personality, and acknowledged weight-related stereotypes for those with a raised BMI. It is possible these constructs impact on the way midwives care for and interact with women. Midwives may be supported through reflective clinical supervision and communication skills training to reduce the perceptions of stigma experienced by women with a raised BMI. It may be beneficial to involve pregnant women with a raised BMI in service development to ensure services meet their needs. Copyright © 2016 Elsevier Ltd. All rights reserved.

Evaluation of an Obstetric Ultrasound Curriculum for Midwives in Liberia.

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Bentley, Suzanne; Hexom, Braden; Nelson, Bret P

2015-09-01

Point-of-care ultrasound is an effective tool for clinical decision making in low- and middle-income countries, but lack of trained providers is a barrier to its utility in these settings. In Liberia, given that midwives provide most prenatal care, it is hypothesized that training them in prenatal ultrasound through an intensive condensed training course is both feasible and practical. This quantitative prospective study of preobservational and postobservational assessment evaluated a 1-week ultrasound curriculum consisting of 4 modules, each comprising a didactic component, a practical session, and supervised patient encounters. A knowledge-based pretest and presurvey addressing prior use and comfort were administered. At the intervention conclusion, identical posttests and postsurveys were administered with an objective structured clinical examination (OSCE). The test, survey, and OSCE were repeated after 1 year. All scores and responses were tabulated, and qualitative analysis with paired t tests was performed. Thirty-one midwives underwent intervention and written evaluation, with 14 followed up at 1 year. Seventeen underwent the OSCE, with 8 retained at 1 year. There was a significant increase between pretest and immediate and 1-year posttest scores (36.6% versus 90% and 66%; P .05). Average overall comfort using ultrasound increased from presurvey to immediate postsurvey scores (from 1.8 to 3.8; P .05). Midwives in Liberia had very low baseline knowledge and comfort using ultrasound. A 1-week curriculum increased both short- and long-term knowledge and comfort and led to adequate overall OSCE scores that were retained at 1 year. © 2015 by the American Institute of Ultrasound in Medicine.

Perception of pregnant women towards midwives: attitude and practice during child delivery in health institutions in Ogbomoso, South-West, Nigeria

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Adeyemo F. Oluyemisi

2014-01-01

Full Text Available Background: This study aims to ascertain pregnant women’s perceptions of the attitudes and practice of midwives during labour in a mission teaching hospital and a state hospital in Ogbomoso, Southwest Nigeria, and to determine whether or not a relationship exists between patients’perceptions of midwives practice during delivery and the occurrence of neonatal deaths.Methods: The survey was conducted by administering the questionnaire adapted from Caring Behaviour Inventory (CBI to a random sample of five hundred and seventy nine respondent mothers who gave birth in either a Mission teaching hospital or a state hospital in Ogbomoso, Southwest Nigeria. This standardised questionnaire collects demographic data and patient perceptions of nursing attitudes and practice, ranking patients’ responses to a series of statements about the midwives on a four point Likert scale. Data was analysed using Pearson product moment correlation analyses and multiple regression analyses.Results: Our study revealed that there was a positive response on the attitude and practise of midwives during delivery by the respondents. Secondly, there was a positive impression on the influence of the attitude and practice of midwives during delivery by the respondents.Conclusions: There was no evidence of a relationship between patients’ perceptions of midwives practice during delivery and the occurrence of neonatal deaths.

A qualitative descriptive exploration of the educational and career plans of early career neonatal nurses and midwives: An Irish perspective.

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Coughlan, Linda Martina; Patton, Declan

2018-01-01

The scarcity of appropriately qualified nurses and midwives is a major obstacle in achieving an effective health system. Neonatal nurses and midwives require a high level of skill and education to fulfil their role. It is also an area that sees high staff turnover rates. For this study a descriptive qualitative approach was used to ascertain early career neonatal nurses' and midwives' experiences of further education, their future career plans, and their perceived facilitators and barriers to further education and career progression. After receiving ethical approval, twelve nurses and midwives were recruited across three tertiary level neonatal units in Ireland. Semi structured interviews were carried out and interview transcripts were subsequently analysed using Attride-Stirling's (2001) Thematic Networks to deduce themes from the data. Support and involvement, mentoring, and career progression and retention were the three main themes identified upon analysis of the data. The majority of participants identified definitive career plans but some felt their goals were unachievable in their current workplace. Consequently a large number of participants have plans to leave their employment in neonates and pursue a career in other areas of nursing. Staff appraisals and succession planning programmes may assist early career nurses and midwives in focusing on their individual career goals, leading to a greater uptake of further specialised education and improved retention of neonatal nurses and midwives. Copyright © 2017 Elsevier Ltd. All rights reserved.

Pregnancy as an ideal time for intervention to address the complex needs of black and minority ethnic women: views of British midwives.

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Aquino, Maria Raisa Jessica V; Edge, Dawn; Smith, Debbie M

2015-03-01

maternal health inequalities exist across the world. In the United Kingdom, whilst there are variations within and between groups, Black and Minority Ethnic (BME) women tend to have worse maternal health outcomes than White British women. However, there is limited information about BME women's experience of maternity services. Midwives are central to the provision of safe maternity care but little is known about their perceptions of ethnically-based inequalities in maternal healthcare. Therefore, this study explored a cohort of midwives' experiences of providing care for BME women, focussing on their views on the relationship between maternal health inequalities and service delivery. using a specifically-designed topic guide, 20 semi-structured interviews were conducted with qualified midwives in one National Health Service (NHS) Trust in the North West of England over a two-month period. Data were subsequently transcribed and thematically analysed. three main and seven sub-themes were identified. Firstly, 'language' summarised difficulties midwives experienced in engaging with women whose English was limited. Secondly, 'expectations of maternity care' outlined the mismatch between midwives and women's expectations of maternity care. Finally, 'complex needs extending beyond maternity care' highlighted the necessity of inter-agency working to address women's care holistically when their needs transcend the scope of maternity services. Midwives' accounts indicated that they strive to provide equitable care but encountered numerous barriers in doing so. Paradoxically, this might contribute to inequalities in service delivery. In midwives' view, unrestricted access to interpretation and translation services is essential for provision of effective, holistic maternity care. Participants also advocated education for both women and midwives. For the former, this would improve BME women's understanding of health and care systems, potentially leading to more realistic

Using action research to develop midwives' skills to support women with perinatal mental health needs.

Science.gov (United States)

Madden, Deirdre; Sliney, Annmarie; O'Friel, Aoife; McMackin, Barbara; O'Callaghan, Bernie; Casey, Kate; Courtney, Lisa; Fleming, Valerie; Brady, Vivienne

2018-02-01

The aim of the research was to identify and develop midwives' skills to support women with mental health needs during pregnancy, using an action research approach. A review of perinatal mental health services in a large Dublin maternity unit revealed a high number of referred women who 'did not attend' the perinatal mental health service with few guidelines in place to support midwives in identifying and referring women for specialist help. Action research using cooperative inquiry involved a mental health nurse specialist and a team of midwives, who were drawn to each other in mutual concern about an area of practice. Data were gathered from three Cooperative Inquiry meetings, which incorporated one main Action Research Cycle of constructing, planning, taking and evaluating action. Data were analysed using a thematic content analysis framework. Participants experienced varying levels of uncertainty about how to support women with perinatal mental health needs. Cooperative inquiry supported participants in making sense of how they understood perinatal mental health and how they managed challenges experienced when caring for women with perinatal mental health issues. Participants developed a referral pathway, highlighted the significance of education to support women with perinatal mental health issues and identified the value of using open questions to promote conversation with pregnant women about mental health. Midwives value education and support to identify and refer women at risk of perinatal mental health issues. Cooperative inquiry, with a focus on action and shared reflection, facilitated the drawing together of two professional groups with diverse knowledge bases to work together to develop practice in an area of mutual concern. Perinatal mental health is a significant public health issue and midwives need support to make psychosocial assessments and to negotiate access to specialist services where available and when required. © 2017 John Wiley & Sons

What should be prioritised in the development of an online intervention designed to support midwives in work-related psychological distress? An exploratory Delphi Survey.

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Sally Pezaro

2015-09-01

This study outlines how consensus in the development of an online intervention designed to support midwives in work-related psychological distress may be achieved. Study outcomes will steer the design and development of an intervention, and highlight the most salient themes and elements to be included within an online intervention to support midwives. Midwives are entitled to psychological support, yet this is an area in which a paucity of knowledge in relation to their needs resides. This early research is the first of its kind to highlight the needs of midwives. Its’ vision is to develop an evidence based solution to improve the health and well-being of midwives, as they, in turn, care for our mothers and babies.

Student midwives' perceptions on the organisation of maternity care and alternative maternity care models in the Netherlands - a qualitative study.

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Warmelink, J Catja; de Cock, T Paul; Combee, Yvonne; Rongen, Marloes; Wiegers, Therese A; Hutton, Eileen K

2017-01-11

A major change in the organisation of maternity care in the Netherlands is under consideration, going from an echelon system where midwives provide primary care in the community and refer to obstetricians for secondary and tertiary care, to a more integrated maternity care system involving midwives and obstetricians at all care levels. Student midwives are the future maternity care providers and they may be entering into a changing maternity care system, so inclusion of their views in the discussion is relevant. This study aimed to explore student midwives' perceptions on the current organisation of maternity care and alternative maternity care models, including integrated care. This qualitative study was based on the interpretivist/constructivist paradigm, using a grounded theory design. Interviews and focus groups with 18 female final year student midwives of the Midwifery Academy Amsterdam Groningen (AVAG) were held on the basis of a topic list, then later transcribed, coded and analysed. Students felt that inevitably there will be a change in the organisation of maternity care, and they were open to change. Participants indicated that good collaboration between professions, including a shared system of maternity notes and guidelines, and mutual trust and respect were important aspects of any alternative model. The students indicated that client-centered care and the safeguarding of the physiological, normalcy approach to pregnancy and birth should be maintained in any alternative model. Students expressed worries that the role of midwives in intrapartum care could become redundant, and thus they are motivated to take on new roles and competencies, so they can ensure their own role in intrapartum care. Final year student midwives recognise that change in the organisation of maternity care is inevitable and have an open attitude towards changes if they include good collaboration, client-centred care and safeguards for normal physiological birth. The graduating

The impact of outpatient priming for induction of labour on midwives' work demand, work autonomy and satisfaction.

Science.gov (United States)

Turnbull, Deborah; Adelson, Pamela; Oster, Candice; Coffey, Judy; Coomblas, John; Bryce, Robert; Wilkinson, Chris

2013-09-01

Induction of labour often begins with the application of a priming agent to soften the cervix, generally requiring women to stay in hospital overnight (inpatient priming). An alternative is outpatient priming by a midwife, where women are allowed to go home following priming. This approach has the potential to impact, either positively or negatively, on the midwives involved. To what extent did the introduction of outpatient priming influence midwives' work demands, work autonomy, stress and job satisfaction. A before-after study (with two separate cross-sectional samples) was conducted alongside a randomized controlled trial of outpatient versus inpatient priming, conducted at two metropolitan teaching hospitals in Australia. Midwives completed a questionnaire before the introduction of outpatient priming and again approximately two years later. 208 midwives participated (response rates-time 1:81% (87/108); time 2:78% (121/156)). A mixed model analysis test of pre-post intervention differences found no changes in work demand, work autonomy and satisfaction. At time 2, over 80% of midwives reported that the introduction of the practice had reduced or made no difference to their work stress and workload, and 93% reported that outpatient priming had increased or had no impact on their job satisfaction. Furthermore, 97% of respondents were of the opinion that the option of outpatient priming should continue to be offered. Results suggest that outpatient priming for induction of labour is viable from a midwifery practice perspective, although more research is needed. Copyright © 2013. Published by Elsevier Ltd.

Evaluating Midwives Communication Skills from the Perspective of Parturient Women Attending to Hospitals for Delivery

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Maryam Sadat Katebi

2017-04-01

Full Text Available Background & aim: Communication is a fundamental human need. Medical students and healthcare professionals must be attuned to the needs of patients using effective communication skills. With regards to medical training, currently the focus is on theoretical matters and communication skills are taken for granted. This problem has caused miscommunication with patients referred to teaching hospitals. We conducted this study to assess communication skills of midwives from the perspective of parturient women. Methods: In this descriptive study, we evaluated 50 midwives working in maternity wards of Ghaem, Imam Reza, Omolbanin, and Hasheminejad hospitals in Mashhad, Iran. Three parturient women were selected per one midwife in a maternity ward. The parturient women participating in this study were in labor, delivery, admission or postpartum stages and completed the Interpersonal Communication Skills inventory by interview. To analyze the data, descriptive statistics, t-test, ANOVA, and Pearson product-moment correlation were performed, using SPSS 16. Results: The mean scores of communication behaviors of midwives with parturient in delivery, admission, and postpartum stages were 92.61±10.81, 93.31±10.59, and 94.19±8.26, respectively. Between the previous delivery of parturient, with communication behavior of midwives in the stage of admiss­ion or post-partum (P=0.015 and satisfaction of pregnancy with communication behavior of midwife in labor stage (P

Analisis Determinan Kualitas Laporan Keuangan Kementerian/Lembaga Satuan Kerja Di Wilayah Kerja Kantor Pelayanan Perbendaharaan Negara Banda Aceh

OpenAIRE

Simanungkalit, Alfa M H

2016-01-01

The objective of research is to test the influence of the Implementation of SAP (Standard Government Accountancy), the quality of SDM (Human Resources), Internal Control System, Organizational Commitment, the Use of Information Technology, and Accessibility on the Quality of Financial Statement of Ministerial/Institutional Work Units in the working area of KPPN (State Treasury Service Office), Banda Aceh. The population was 423 Ministerial/Institutional work units in the working area of KPPN,...

Implementasi Pengelolaan Zakat di Aceh

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Mursyid Djawas

2016-06-01

Full Text Available This article discusses the local provision of Aceh; Qanun No. 7 of 2004 on Zakat Management. Qanun No. 7 of 2004 on Management of Zakat on the managing zakat is an effort to increase and optimize the potential of zakat in Indonesia, which is still far from the expected. Some of the issues discussed in this article are the provisions of Qanun on muzakki (person who obliged to pay zakat, mustahiq (those entitled to receive zakat , Baitul Mal and Conditions ' uqubat (sanctions against deviations from the zakat. This article studied by using Islamic approach and normative juridical with library research. The results show that the discussion in relation to mustahiq zakat, the Qanun has provided a guarantee for people who in Act No. 18 of 2001 established as one of income sources (local revenue. In the provisions of the charity 's Qanun, very clearly stipulated that zakah is only distributed to mustahiq accordance with Shari'ah. This shows that zakat cannot be used for purposes that are not included in one of the senif that has been clearly mentioned in the Qur'an. In relation to sanctions against irregularities of zakat, the existence of this Qanun can be considered as a complement to Law No. 38 of 1999 on Zakat which still has many shortcomings, especially the clauses providing for sanctions for irregularities to the management of zakat. In the Act, the sanctions more set on irregularities for zakat were Qanun zakat management is already include amyl and muzakki. The Qanun is also member of the delegation of authority for management immense charity by Baitul Mal.

Preparedness of newly qualified midwives to deliver clinical care: an evaluation of pre-registration midwifery education through an analysis of key events.

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Skirton, Heather; Stephen, Nicole; Doris, Faye; Cooper, Maggie; Avis, Mark; Fraser, Diane M

2012-10-01

this study was part of a larger project commissioned to ascertain whether midwife teachers bring a unique contribution to the preparation of midwives for practice. The aim of this phase was to determine whether the student midwives' educational programme had equipped them to practise competently after entry to the professional register. this was a prospective, longitudinal qualitative study, using participant diaries to collect data. data were collected from newly qualified midwives during the initial six months after they commenced their first post as a qualified midwife. the potential participants were all student midwives who were completing their education at one of six Universities (three in England, one in Scotland, one in Wales and one in Northern Ireland). Diary data were submitted by 35 newly qualified midwives; 28 were graduates of the three year programme and seven of the shortened programme. diary entries were analysed using thematic analysis (Braun and Clarke, 2006), with a focus on identification of key events in the working lives of the newly qualified midwives. A total of 263 key events were identified, under three main themes: (1) impact of the event on confidence, (2) gaps in knowledge or experience and (3) articulated frustration, conflict or distress. essentially, pre-registration education, delivered largely by midwife teachers and supported by clinical mentors, has been shown to equip newly qualified midwives to work effectively as autonomous practitioners caring for mothers and babies. While newly qualified midwives are able to cope with a range of challenging clinical situations in a safe manner, they lack confidence in key areas. Positive reinforcement by supportive colleagues plays a significant role in enabling them to develop as practitioners. whilst acknowledging the importance of normality in childbearing there is a need within the curriculum to enable midwives to recognise and respond to complex care situations by providing theory

Geological Aspect of Slope Failure and Mitigation Approach in Bireun - Takengon Main Road, Aceh Province, Indonesia

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Ibnu Rusydy

2016-04-01

Full Text Available A soil and rock slope assessment survey was conducted along Bireun – Takengon main road in Aceh Province, Indonesia. The slope assessment survey was carried out to determine the geological condition, verify and identify the potential areas of slope failure and to study what type of slope stability and protection method could be applied to the road. Several research methodologies were conducted in the field such as rock and soil identification, and slope assessment. The survey was conducted in four selected areas along Bireun – Takengon main road. In study area I, soil creep occurred because of a presence of montmorillonite clay. The mitigation methods to reduce soil creeping in this area are building a retaining wall and pile. The shotcrete, wire mesh, net rock bolting, and rock removal method is suitable to apply in study area II. The shotcrete and soil nails were used because the type of rocks in those areas is sedimentary rock such as shale, sandstone, siltstone, and a boulder of a volcanic rock. The same approach shall be applied in study area IV. study area III was the best spot to learn about the mitigation approach for slope stability and provides many lessons learned. Aceh Province experience active tectonic movement, high intensity of rain, geological structures, a high degree of weathering, and high intensity of earthquake,as primary factors which trigger landslides. The techonology of slope stabilizing and protection methods can be applied to mitigate landslides.

Midwives' experiences of labour care in midwifery units. A qualitative interview study in a Norwegian setting.

Science.gov (United States)

Skogheim, Gry; Hanssen, Tove A

2015-12-01

In some economically developed countries, women's choice of birth care and birth place is encouraged. The aim of this study was to explore and describe the experiences of midwives who started working in alongside/free-standing midwifery units (AMU/FMU) and their experiences with labour care in this setting. A qualitative explorative design using a phenomenographic approach was used. Semi-structured interviews were conducted with ten strategically sampled midwives working in midwifery units. The analysis revealed the following five categories of experiences noted by the midwives: mixed emotions and de-learning obstetric unit habits, revitalising midwifery philosophy, alertness and preparedness, presence and patience, and coping with time. Starting to work in an AMU/FMU can be a distressing period for a midwife. First, it may require de-learning the medical approach to birth, and, second, it may entail a revitalisation (and re-learning) of birth care that promotes physiological birth. Midwifery, particularly in FMUs, requires an especially careful assessment of the labouring process, the ability to be foresighted, and capability in emergencies. The autonomy of midwives may be constrained also in AMUs/FMUs. However, working in these settings is also viewed as experiencing "the art of midwifery" and enables revitalisation of the midwifery philosophy. Copyright © 2015 Elsevier B.V. All rights reserved.

FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS DISABILITAS PENDUDUK ≥ 15 TAHUN DI PROVINSI NANGGROE ACEH DARUSSALAM

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Julianty Pradono

2012-07-01

Full Text Available Analysis of disability status of population aged 15 years and above in Nanggroe Aceh Darussalam(NAD has the objective to further depict disability status and related factors in NAD post tsunami. Thestudy used data from Post Tsunami Regional Health Survey (Surkesda NAD 2006 and National SocioeconomicSurvey (Susenas 2005 (Core, included 13.227 respondent. The questions on disability (WHODAS-II, adapting concept oflCF (International Classification of Functioning, Disability and Health,were included in Surkesda NAD 2006. Disability status was rated based on responses to 12 questions ofWHO-DASII. This study used principal component analysis method inorder to measure disability score.Then, logistic regression method was used to determine risk factors of disability. There are variousfactors influencing disability status in NAD post tsunami, i. e., age, gender, education, history of chronicdiseases, economic status, and living areas (urban/rural or with(out conflict history. Disability wasmore prevalent for older age groups than younger age groups. Female respondents rated their healthworse than male respondents. Low educated respondent had higher risk of disability compared torespondent with higher education. The risk of disability was also related to chronic diseases experienced by respondent, those with chronic diseases tended to be disable than those without chronicdiseases. Disability was also experienced more by those with impoverished economic status, or lived inrural area. Sustaining the Primary Health Service for elderly especially to prevent the chronic diseaseswas the essential thing to be done. Keyword: disability; post tsunami Nanggroe Aceh Darussalam (NAD; age 15 years and above

"Working towards being ready": A grounded theory study of how practising midwives maintain their ongoing competence to practise their profession.

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Calvert, Susan; Smythe, Elizabeth; McKenzie-Green, Barbara

2017-07-01

to present a grounded theory research study explaining how New Zealand midwives maintain their ongoing competence to practise their profession. grounded theory, an interpretive emergent research methodology was used to examine the process of maintaining competence in midwifery practice. New Zealand urban and rural practice settings. twenty-six midwives from across New Zealand were interviewed and asked about maintaining their competence to practise. Five midwives were interviewed twice, to explore the emerging findings and as one method of member checking. the grounded theory of 'working towards being ready' describes a continuous process in which midwives engage as they work to maintain practice competence. The component parts comprise professional positioning, identifying needs, strategizing solutions and reflecting on practice. The process is contextual, diverse and is influenced by the practice setting where the salient conditions of resourcing, availability and opportunity for engagement in activities are significant. across the midwifery profession, midwives in New Zealand are currently working under the generic umbrella of midwifery practice. Midwives work across a range of practice arenas in diverse ways focussed on providing safe care and require a range of professional development activities germane to their area of practice. When the midwife has access to professional development pertinent to their practice, women and the profession benefit. As there is diversity of practice, then mandated processes for ongoing competence need to have flexibility to reflect that diversity. midwives engage in development that allows them to remain current in practice and that enables them to provide appropriate care to women and their babies. As a consequence they can develop expertise in certain aspects of midwifery. Mandated processes that require engagement in activities aimed at demonstration of competence should be evaluated and tailored to ensure they meet the needs

'Stay home for as long as possible': midwives' priorities and strategies in communicating with first-time mothers in early labour.

Science.gov (United States)

Eri, Tine S; Blystad, Astrid; Gjengedal, Eva; Blaaka, Gunnhild

2011-12-01

To explore the priorities and strategies midwives in a labour ward use in their communication with primiparous women who seek contact in the early phase of labour. A qualitative study using focus groups. Norway. 18 Midwives. Five themes that seemed to constitute the key elements in the communication were identified. The themes were designated 'Getting the picture', 'Normalising the situation', 'Giving concrete advice', 'Letting the woman make the decision', and 'Staying at home for as long as possible'. The findings of this study indicate that the midwives' overall strategy was to encourage women to remain out of hospital for as long as possible 'for their own good'. This strategy seems to rely on knowledge derived from non-contextual science within the dominant medical childbirth paradigm, and might not meet women's needs in early labour. When women are admitted in early labour, midwives should be able to 'protect' these women from unnecessary interventions and do so in partnership with the women themselves rather than accepting that women's mere presence in the labour ward yields complications and increases the likelihood of caesarean section. From the findings of this study, it is reasonable to ask whether an obstacle to this course might be the midwives' subordination to the medical paradigm. This causes midwives to function as 'gatekeepers' to the medical system instead of working in accordance with the philosophy of midwifery: 'for women's own good'. Copyright © 2011 Elsevier Ltd. All rights reserved.

Evaluation of ethical attitude approaches in midwives and their relationship with their demographic features

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Narges Afhami

2018-01-01

Full Text Available Background: Ethical approach is one of the paramount aspects of life. The position of this approach in medical occupations has always been noticed. This study was carried out to analyze the types of ethical approaches in midwives and their relationship with their demographic features. Materials and Methods: The current descriptive-correlation and cross-sectional study was conducted from October to December 2014 using quota random sampling technique. The participants consisted of 189 midwives employed in Isfahan, Iran. The data collection tool was a researcher-made questionnaire. The midwives' attitudes were examined in the four fields of virtue ethics, deontologism, utilitarianism, and religious ethics. Data were analyzed using descriptive and inferential statistics in SPSS software (p < 0.050. Results: The highest score belonged to religious ethics with the mean value of 64.36 out of 100. A positive significant relationship was found between deontologism and education level (F = 8.74; p = 0.004, and total ethical approach and workplace (F = 2.60; p = 0.053. There was a reverse significant relationship between age and work experience and virtue ethics (r = −0.15; p = 0.035 and r = −0.20; p = 0.005, respectively. Conclusions: The existing high percentage of religious ethics shows the religious tendency of the participants. The determination of ethical approach among midwives as one of the important medical groups and creation and improvement of the most appropriate attitude among them based on the present regulations and requirements in society are principles that we should attempt to achieve.

What helps or hinders midwives to implement physical activity guidelines for obese pregnant women? A questionnaire survey using the Theoretical Domains Framework.

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McParlin, Catherine; Bell, Ruth; Robson, Stephen C; Muirhead, Colin R; Araújo-Soares, Vera

2017-06-01

to investigate barriers and facilitators to physical activity (PA) guideline implementation for midwives when advising obese pregnant women. a cross-sectional, self-completion, anonymous questionnaire was designed using the Theoretical Domains Framework. this framework was developed to evaluate the implementation of guidelines by health care professionals. A total of 40 questions were included. These were informed by previous research on pregnant women's and midwives views, knowledge and attitudes to PA, and supported by national evidence based guidelines. Demographic information and free text comments were also collected. three diverse NHS Trusts in the North East of England. all midwives employed by two hospital Trusts and the community midwives from the third Trust (n=375) were invited to participate. mean domain scores were calculated. Factor and regression analysis were performed to describe which theoretical domains may be influencing practice. Free text comments were analysed thematically. 192 (53%) questionnaires were returned. Mean domain scores were highest for social professional role and knowledge, and lowest for skills, beliefs about capabilities and behaviour regulation. Regression analysis indicated that skills and memory/attention/decision domains had a statistically significant influence on midwives discussing PA with obese pregnant women and advising them accordingly. Midwives comments indicated that they felt it was part of their role to discuss PA with all pregnant women but felt they lacked the skills and resources to do so effectively. midwives seem to have the necessary knowledge about the need/importance of PA advice for obese women and believe it is part of their role, but perceive they lack necessary skills and resources, and do not plan or prioritise the discussion regarding PA with obese pregnant woman. designing interventions that improve skills, promote routine enquiry regarding PA and provide resources (eg. information, referral

Scolders, carers or friends: South African midwives' contrasting styles of communication when discussing smoking cessation with pregnant women.

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Everett-Murphy, Katherine; Paijmans, Jeske; Steyn, Krisela; Matthews, Catherine; Emmelin, Maria; Peterson, Zaino

2011-08-01

to investigate how midwives are currently communicating with women about smoking during pregnancy with a view to involving them in a smoking cessation intervention in antenatal clinics. a qualitative study using individual, in-depth interviews for data collection. 24 nurses providing antenatal care to pregnant smokers attending public sector clinics in five major cities in South Africa. three archetypes of midwives, characterised by different styles of communication and approaches to smoking cessation, emerged from the analysis of the interview data. These were described as the 'Angry Scolders', the 'Benign Carers' and the 'Enthusiastic Friends'. The first type conformed to the traditional, authoritarian style of communication, where the midwife assumed a dominant, expert role. When women failed to comply with their advice, these midwives typically became angry and confrontational. The second type of midwife used a paternalistic communication style and emphasised the role of education in changing behaviour. However, these midwives had little confidence that they could influence women to quit. The third type embraced a patient-centred approach, consciously encouraging more interaction with their patients and attempting to understand change from their point of view. These midwives were optimistic of women's capacity to change and more satisfied with their current health education efforts than the first two types. The Benign Carers and Enthusiastic Friends were more open to participation in the potential intervention than the Angry Scolders. the prevailing traditional, authoritarian style of communication is inappropriate for smoking cessation education and counselling as it provokes resistance and avoidance on the part of pregnant smokers. The paternalistic approach appears to be largely ineffectual, whereas the patient-centred approach elicits the most positive response from pregnant women and enhances the possibility of a trusting and cooperative relationship with

Determinan Kinerja Pengelolaan Keuangan Desa: Studi pada Kecamatan Gandapura Kabupaten Bireuen Aceh

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Finta Munti

2017-07-01

Full Text Available The purpose of this study is to investigate the determinants of Village Financial Management Performance in Gandapura village in the District of Bireuen - Aceh. The tested variables are village officers’ capacity, financial reporting compliance and supervision quality of Badan Permusyawaratan Desar (BPD. The population is all village within Gandapura district, Bireuen, which consists of 40 villages in total. This study involved all the population as the sample. Seletected respondents are Keuchik (or head of villages, village treasurers, Tuha Peut (or village legislative/supervision board and village facilitators. The data collected through questionaraires and analysed by using multiple linear analysis. This study uncovered an empirical evidence on the effect of village officers’ capacity, financial reporting compliance and supervision quality both collectively and indivdually on the village Financial Management Performance.

Outcomes of planned home births with certified professional midwives: large prospective study in North America.

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Johnson, Kenneth C; Daviss, Betty-Anne

2005-06-18

To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system. Prospective cohort study. All home births involving certified professional midwives across the United States (98% of cohort) and Canada, 2000. All 5418 women expecting to deliver in 2000 supported by midwives with a common certification and who planned to deliver at home when labour began. Intrapartum and neonatal mortality, perinatal transfer to hospital care, medical intervention during labour, breast feeding, and maternal satisfaction. 655 (12.1%) women who intended to deliver at home when labour began were transferred to hospital. Medical intervention rates included epidural (4.7%), episiotomy (2.1%), forceps (1.0%), vacuum extraction (0.6%), and caesarean section (3.7%); these rates were substantially lower than for low risk US women having hospital births. The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America. No mothers died. No discrepancies were found for perinatal outcomes independently validated. Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States.

Shaping the Role of sub-Saharan African Nurses and Midwives ...

African Journals Online (AJOL)

To explore the role expectations of different stakeholders in the health care system on the roles and tasks that nurses and midwives perform, in order to clarify and strengthen these roles and shape the future of nursing education and practice in sub-Saharan Africa. Qualitative focus group discussions were held with different ...

A qualitative study exploring midwives' perceptions and knowledge of maternal obesity: Reflecting on their experiences of providing healthy eating and weight management advice to pregnant women.

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McCann, Mary T; Newson, Lisa; Burden, Catriona; Rooney, Jane S; Charnley, Margaret S; Abayomi, Julie C

2018-04-01

Midwives are responsible for providing advice regarding the complex issues of healthy eating and weight management during pregnancy. This study utilised an inductive data-driven thematic approach in order to determine midwives' perceptions, knowledge, and experiences of providing healthy eating and weight management advice to pregnant women. Semistructured interviews with 17 midwives were transcribed verbatim and data subjected to thematic analysis. The findings offer insight into the challenges facing midwives in their role trying to promote healthy eating and appropriate weight management to pregnant women. Three core themes were identified: (a) "If they eat healthily it will bring their weight down": Midwives Misunderstood; (b) "I don't think we are experienced enough": Midwives Lack Resources and Expertise; and (c) "BMI of 32 wouldn't bother me": Midwives Normalised Obesity. The midwives recognised the importance of providing healthy eating advice to pregnant women and the health risks associated with poor diet and obesity. However, they reported the normalisation of obesity in pregnant women and suggested that this, together with their high workload and lack of expertise, explained the reasons why systematic advice was not in standard antenatal care. In addition, the current lack of UK clinical guidance, and thus, possibly lack of clinical leadership are also preventing delivery of tailored advice. Implementation literature on understanding the barriers to optimal health care delivery and informing clinical practice through research evidence needs to be further investigated in this field. This study has recommendations for policy makers, commissioners, service providers, and midwives. © 2017 John Wiley & Sons Ltd.

Entrepreneurial nurses and midwives in the United Kingdom: an integrative review.

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Drennan, Vari; Davis, Kathy; Goodman, Claire; Humphrey, Charlotte; Locke, Rachel; Mark, Annabelle; Murray, Susan F; Traynor, Michael

2007-12-01

This paper is a report of an integrative literature review to investigate: (a) the extent of entrepreneurial activity by nurses, midwives and health visitors in the United Kingdom and (b) the factors that influenced these activities. Internationally, social and commercial entrepreneurial activity is regarded as important for economic growth and social cohesion. Seventeen bibliographic databases were searched using single and combined search terms: 'entrepreneur$', 'business', 'private practice', 'self-employ$', 'intrapreneur$''social enterprise$''mutuals', 'collectives', 'co-op' and 'social capital' which were related to a second layer of terms 'Nurs$', 'Midwi$', 'Visit$'. 'Entrepreneur$' Private Midwi$, Independent Midwi$, and 'nursing workforce'. In addition, hand searches of non-indexed journals and grey literature searches were completed. The following inclusion criteria were: (a) describing nurses, midwife and/or health visitor entrepreneurship (b) undertaken in the UK, and (c) reported between January 1996 and December 2005. Of 154 items included only three were empirical studies; the remainder were narrative accounts. While quality of these accounts cannot be verified, they provide as complete an account as possible in this under-researched area. The numbers of nurses, midwives and health visitors acting entrepreneurially were very small and mirror international evidence. A categorization of entrepreneurial activity was inductively constructed by employment status and product offered. 'Push' and 'pull' influencing factors varied between types of entrepreneurial activity. Empirical investigation into the extent to which nurses and midwives respond to calls for greater entrepreneurialism should take account of the complex interplay of contextual factors (e.g. healthcare legislation), professional and managerial experience and demographic factors.

Pengaruh Pengetahuan dan Sikap Dukun Bayi terhadap Tindakan Pertolongan Persalinan oleh Dukun Bayi di Kecamatan Baktiya Kabupaten Aceh Utara

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Effendi

2012-01-01

Maternal and child health issues (MCH) is still a health problem in Indonesia include the high maternal and infant mortality rate (IMR). Indonesia ranks fourth highest maternal mortality rate in 2005 when viewed from the developing countries of the world. One of the problems related to childbirth are births attended by TBAs. Until now the existence of TBAs remains a major option for people who are unable to reach the service delivery provided by the government as village midwives and midwives...

DUKUNGAN ORGANISASI YANG DIRASAKAN DAN KETERIKATAN KARYAWAN PADA KARYAWAN PT. BANK RAKYAT INDONESIA (Persero Tbk, CABANG BANDA ACEH

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Santi Julita

2017-06-01

Full Text Available Development of globalization impact to a strict competition between the companies. This lead the Human Resources factor into a crucial role in maintaining, directing and developing the company. Therefore, every company needs employees who are bound by their job. One of the things that can encourage the formation of relationship between the employee is perceived organizational support. This study aims to determine the relationship between perceived organizational support by attachment of employees at PT. Bank Rakyat Indonesia (Persero Tbk, Branch of Banda Aceh. The number of samples in this study were 139 permanent employees who were still working or were not taking time off from work with a minimum term of one year and the last education was diploma. The sampling technique used purposive sampling technique. Collecting the data using the scale adaptation of Survey of Perceived Organizational Support with 17-item version (α= .91 and a scale adaptation of Utrecht Work Engagement Scale (UWES with 17-item version (α= .95. The results of data analysis using pearson product moment correlation technique that showed a positive relationship between perceived organizational support by attachment of employees at PT. Bank Rakyat Indonesia (Persero Tbk, Branch of Banda Aceh (rxy = .30, p < .05. The higher of perceived organizational support to the employee, likewise the higher bound of employee or otherwise.

LOCAL GOVERNMENT ROLE IN THE SOLVING OF CATCHING FISH ILLEGALLY IN ACEH REGION

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Adwani

2016-01-01

Full Text Available This study aimed to describe the shape of local government actions in tackling illegal fishing in Aceh, the handling of illegal fishing destructive fishery resources. The fundamental point is Law No. 45 Year 2009 concerning fisheries. This spesification of this research descriptive analysis, used both normative juridical approach and empirical. The results showed that the local government has made an effort preventive and repressive in the case of illegal fishing. To coordinate with relevant agencies and empower the role of traditional institutions of the sea to assist the role of government and law enforcement.Local governments should improve the coordination and supervision of the marine area, to monitor and evaluate the performance of local authorities in applying the law against this illegal fishing case.

Mapping integration of midwives across the United States: Impact on access, equity, and outcomes

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Stoll, Kathrin; MacDorman, Marian; Declercq, Eugene; Cramer, Renee; Cheyney, Melissa; Fisher, Timothy; Butt, Emma; Yang, Y. Tony; Powell Kennedy, Holly

2018-01-01

Poor coordination of care across providers and birth settings has been associated with adverse maternal-newborn outcomes. Research suggests that integration of midwives into regional health systems is a key determinant of optimal maternal-newborn outcomes, yet, to date, the characteristics of an integrated system have not been described, nor linked to health disparities. Methods Our multidisciplinary team examined published regulatory data to inform a 50-state database describing the environment for midwifery practice and interprofessional collaboration. Items (110) detailed differences across jurisdictions in scope of practice, autonomy, governance, and prescriptive authority; as well as restrictions that can affect patient safety, quality, and access to maternity providers across birth settings. A nationwide survey of state regulatory experts (n = 92) verified the ‘on the ground’ relevance, importance, and realities of local interpretation of these state laws. Using a modified Delphi process, we selected 50/110 key items to include in a weighted, composite Midwifery Integration Scoring (MISS) system. Higher scores indicate greater integration of midwives across all settings. We ranked states by MISS scores; and, using reliable indicators in the CDC-Vital Statistics Database, we calculated correlation coefficients between MISS scores and maternal-newborn outcomes by state, as well as state density of midwives and place of birth. We conducted hierarchical linear regression analysis to control for confounding effects of race. Results MISS scores ranged from lowest at 17 (North Carolina) to highest at 61 (Washington), out of 100 points. Higher MISS scores were associated with significantly higher rates of spontaneous vaginal delivery, vaginal birth after cesarean, and breastfeeding, and significantly lower rates of cesarean, preterm birth, low birth weight infants, and neonatal death. MISS scores also correlated with density of midwives and access to care across

Midwives' experiences with mother-infant skin-to-skin contact after a caesarean section: 'fighting an uphill battle'.

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Zwedberg, Sofia; Blomquist, Josefin; Sigerstad, Emelie

2015-01-01

to explore midwives' experiences and perceptions of skin-to-skin contact between mothers and their healthy full-term infants immediately and during the first day after caesarean section. qualitative interviews with semi-structured questions. eight midwives at three different hospitals in Stockholm participated in the study. All participants provided care for mothers and their newborn infants after caesarean birth. transcribed material was analysed and interpreted using qualitative content analysis. The analysis yielded the theme 'fighting an uphill battle'. skin-to-skin contact was considered to be important, and something that midwives strove to implement as a natural element of postnatal care. However, in daily practice, midwives experienced many obstacles to such care, such as lack of knowledge among parents and other professionals about the benefits of skin-to-skin contact, the mother's condition after the caesarean section, and other organisational difficulties (e.g. collaboration with other professionals, lack of time). Introducing more skin-to-skin care was a challenge for the midwives, who sometimes felt both dismissed and disappointed when they tried to communicate the benefits of this type of care. skin-to-skin contact is not prioritised because many health care practitioners are unaware of its positive effects, and their care reflects this lack of knowledge. There is a need for education among all health care practitioners involved in caesarean procedures. Another difficulty is that many parents are unaware of the benefits of skin-to-skin contact. Maternity outpatient clinics need to inform parents about the benefits of such care, so mothers will understand the importance of skin-to-skin contact. Copyright © 2014 Elsevier Ltd. All rights reserved.

Oil palm biomass utilization as an energy source and its possibility use for polygeneration scenarios in Langsa City, Aceh Province, Indonesia

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Hani, M. R.; Mahidin, M.; Husin, H.; Hamdani, H.; Khairil, K.

2018-03-01

This article deals with the discussion on the recent status of oil palm biomass utilization as an energy source and its possibility use for polygeneration system. The discussion focused only on the energy viewpoint. At this point, many projects and research have been developed in order to utilize the oil palm biomass to meet the energy demand of industries and communities, especially in the largest producing countries: Indonesia and Malaysia; and a few in Thailand, Africa, Latin America and Europe. Through the simulation work in the case study, it is evident that the government of Langsa City can fulfill the fresh water to their community and electricity to Langsa Harbor only by using EFB and PKS from one POM with the generated power of 12 MW, while the desalination plant consumes about 7 MW of electricity. If all potency of biomass from all POMs in Aceh Timur and Aceh Tamiang, without the combination of other primary energy sources is used, Langsa City might earn surplus of energy. The use of the oil palm biomass for polygeneration scenarios is possible and feasible from the technical point of view.

Boundary element inverse analysis for rebar corrosion detection: Study on the 2004 tsunami-affected structure in Aceh

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S. Fonna

2018-06-01

Full Text Available Evaluation of rebar/reinforcing-steel corrosion for the 2004 tsunami-affected reinforced concrete (RC buildings in Aceh was conducted using half-cell potential mapping technique. However, the results only show qualitative meaning as corrosion risk rather than the corrosion itself, such as the size and location of corrosion. In this study, boundary element inverse analysis was proposed to be performed to detect rebar corrosion of the 2004 tsunami-affected structure in Aceh, using several electrical potential measurement data on the concrete surface. One RC structure in Peukan Bada, an area heavily damaged by the tsunami, was selected for the study. In 2004 the structure was submerged more than 5 m by the tsunami. Boundary element inverse analysis was developed by combining the boundary element method (BEM and particle swarm optimization (PSO. The corrosion was detected by evaluating measured and calculated electrical potential data. The measured and calculated electrical potential on the concrete surface was obtained by using a half-cell potential meter and by performing BEM, respectively. The solution candidates were evaluated by employing PSO. Simulation results show that boundary element inverse analysis successfully detected the size and location of corrosion for the case study. Compared with the actual corrosion, the error of simulation result was less than 5%. Hence, it shows that boundary element inverse analysis is very promising for further development to detect rebar corrosion. Keywords: Inverse analysis, Boundary element method, PSO, Corrosion, Reinforced concrete

Pengaruh Profesionalisme, Pengetahuan Mendeteksi Kekeliruan, Etika Profesi, dan Akuntabitas terhadap Pertimbangan Tingkat Materialitas (Studi pada Kap Aceh, Medan dan Palembang)

OpenAIRE

Aprilla, Hildayeni; ', Andreas; Hasan, Mudrika alamsyah

2017-01-01

The research aims to examine the influence ofprofessionalism, knowledge of error detection, professional ethical, and accountability to the judgment of materiality level. Object of this research were public accountants that registered in Aceh, Medan, and Palembang. There are eighty questionnaires were sent, but only forty two questionnaires are returned. That data are analyzed by multiple regression method and SPSS program version 19. The variables were examined are influence ofprofessionalis...

“Listen, do, repeat, understand and remember”: Teaching English to very young children in Aceh

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Qismullah Yusuf

2017-07-01

Full Text Available This qualitative study investigated the methods used in teaching English vocabulary to very young children (i.e. toddlers at a bilingual school in Banda Aceh, Indonesia. Not much research has been published on teaching English to toddlers in the EFL context; therefore, this research is important as the results can become additional input to L2 teachers who teach very young children because by understanding their conditions of learners, teachers can help them reach their full potential as language learners. An observation sheet and a set of interview questions were used to collect data from an English teacher. There was only one teacher who became the participant because the school under study is thus far the only school that provides an English learning environment for children as young as toddlers in the city of Banda Aceh. The class was observed for three class meetings. The results showed that of the four teaching methods observed, the most commonly employed method was Total Physical Response (TPR, followed by Natural Approach (NA, Communicative Language Teaching (CLT and Suggestopedia (SG as the least. Furthermore, based on the interview with the teacher, it was indicated that TPR and NA were more appropriate for teaching the toddlers English vocabulary. Through TPR, the very young children demonstrated their understanding of commands by responding with simple answers or gestures. In NA, they were situated in a natural environment and not prompted to speak until they felt ready to do so. Additionally, the teacher used no specific textbooks because music, pictures, and authentic materials procured an immense role in supporting the activities in the classroom.

Morphometric variations of three species of harvested cephalopods found in northern sea of Aceh Province, Indonesia

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ZAINAL ABIDIN MUCHLISIN

2014-10-01

Full Text Available Muchlisin ZA, Zulkarnaini B, Purnawan S, Muhadjier A, Fadli N, Cheng SH. 2014. Morphometric variations of three species of harvested cephalopods found in northern sea of Aceh Province, Indonesia. Biodiversitas 15: 142-146. The purpose of the present study was to evaluate the morphometrics of three harvested cephalopods, Sepioteuthis lessoniana, Sepia officinalis and Uroteuthis sp. found in northern sea of Aceh Province, Indonesia. Sampling was conducted for six months from July to December 2012 in one week interval. A total of 318 cephalopods; 139 Sepioteuthis lessoniana, 139 Uroteuthis sp. and 40 Sepia officinalis were analyzed for morphometric study and 13 anatomical characters were measured to the nearest 0.01 mm using a digital calipers. Morphometric measurements were significantly different between the different species of cephalopods (ANOVA, p<0.05. S. officinalis differed in six morphological characters (head length, head width, tentacles length, gladius width, rancis width and length from the squid species. Fin width and length were significantly greater in S. lessoniana than in S. officinalis and Uroteuthis sp. On the other hand, Uroteuthis sp. had significantly greater mantle lengths, standard lengths and gladius lengths than the other two cephalopod species (Duncan Test, p<0.05. However, fin width was similar between S. lessoniana and Uroteuthis sp., while eye diameter was similar between S. officinalis and Uroteuthis sp. A Discriminant Function Analysis scatter plot successfully discriminated the three species indicating significant differences in morphological variation. This analysis also indicates that morphometrically, S. lessoniana and S. officinalis are more similar to each other despite being in different orders.

NUMERICAL SIMULATION OF UJONG SEUDEUN LAND SEPARATION CAUSED BY THE 2004 INDIAN OCEAN TSUNAMI, ACEH-INDONESIA

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Musa Al'ala

2015-07-01

Full Text Available The Aceh province in Indonesia, located around the Sumatra subduction area, was one of the worst hit areas with respect to damage from the impact of the 2004 Indian Ocean tsunami. A 9.15 Mw earthquake triggered the tsunami. One of the impacts was the disconnection of several areas from their mainland, thus creating new small islands. This happened around Ujong Seudeun village in Aceh Jaya District. Prior to the tsunami, the village had approximately 500 residents. However, after the tsunami, the area was severely eroded and a small strait had been inserted between the village and the Sumatra Island mainland. This study investigates the magnitude of the tsunami wave forces that separated the area to yield a newly deserted small island. This study was conducted by numerical simulations and by coupling the COMCOT (Cornell Multi-grid Coupled Tsunami Model and Delft3D models. These tools have specific advantages, namely, COMCOT’s linear modeling is based on a series of earthquake mechanisms and Delft3D uses non-linear morphological dynamic modeling. Their software includes the explicit leapfrog finite difference scheme (COMCOT and the non-linear shallow water equation (Delft3D. Bathymetry data fromnewly formed coastline and the small island’s shape were digitized using 2005 Quickbird Images. Results from this research reveal the estimated tsunami wave heights and forces that disconnected the small island of Ujong Seuden from the Sumatra Island mainland. These results can be used to further develop the COMCOT model to incorporate sediment modules.

'Midwives Overboard!' Inside their hearts are breaking, their makeup may be flaking but their smile still stays on.

Science.gov (United States)

Pezaro, Sally; Clyne, Wendy; Turner, Andrew; Fulton, Emily A; Gerada, Clare

2016-06-01

Midwifery practice is emotional and, at times, traumatic work. Cumulative exposure to this, in an unsupportive environment can result in the development of psychological and behavioural symptoms of distress. As there is a clear link between the wellbeing of staff and the quality of patient care, the issue of midwife wellbeing is gathering significant attention. Despite this, it can be rare to find a midwife who will publically admit to how much they are struggling. They soldier on, often in silence. This paper aims to present a narrative review of the literature in relation to work-related psychological distress in midwifery populations. Opportunities for change are presented with the intention of generating further conversations within the academic and healthcare communities. A narrative literature review was conducted. Internationally, midwives experience various types of work-related psychological distress. These include both organisational and occupational sources of stress. Dysfunctional working cultures and inadequate support are not conducive to safe patient care or the sustained progressive development of the midwifery profession. New research, revised international strategies and new evidence based interventions of support are required to support midwives in psychological distress. This will in turn maximise patient, public and staff safety. Ethically, midwives are entitled to a psychologically safe professional journey. This paper offers the principal conclusion that when maternity services invest in the mental health and wellbeing of midwives, they may reap the rewards of improved patient care, improved staff experience and safer maternity services. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

'Mental health day' sickness absence amongst nurses and midwives: workplace, workforce, psychosocial and health characteristics.

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Lamont, Scott; Brunero, Scott; Perry, Lin; Duffield, Christine; Sibbritt, David; Gallagher, Robyn; Nicholls, Rachel

2017-05-01

To examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as 'mental health days'. The occupational stress associated with the nursing profession is increasingly recognized and nurse/midwifery absenteeism is a significant global problem. Taking a 'mental health day' as sickness absence is a common phenomenon in Australian health care. No previous studies have empirically explored the characteristics of nurses and midwives using such sickness absence. Online cross-sectional survey. Survey comprising validated tools and questions on workplace and health characteristics was distributed to nurses and midwives in New South Wales, Australia, between May 2014 - February 2015. Sample characteristics were reported using descriptive statistics. Factors independently predictive of 'mental health day' reportage were determined using logistic regression. Fifty-four percentage of the n = 5041 nurse and midwife respondents took 'mental health days'. Those affected were significantly more likely to be at younger ages, working shifts with less time sitting at work; to report workplace abuse and plans to leave; having been admitted to hospital in previous 12 months; to be current smokers; to report mental health problems, accomplishing less due to emotional problems and current psychotropic medication use. Specific characteristics of nurses and midwives who report taking 'mental health day' sickness absence offer healthcare administrators and managers opportunities for early identification and intervention with workplace measures and support frameworks to promote well-being, health promotion and safety. © 2016 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

[Planned home births assisted by nurse midwives: maternal and neonatal transfers].

Science.gov (United States)

Koettker, Joyce Green; Brüggemann, Odaléa Maria; Dufloth, Rozany Mucha

2013-02-01

The objective of this explorative and descriptive study was to describe the rates and reasons for intrapartum transfers from home to hospital among women assisted by nurse midwives, and the outcomes of those deliveries. The sample consisted of eleven women giving birth and their newborns, from January 2005 to December 2009. Data was collected from the maternal and neonatal records and was analyzed using descriptive statistics. The transfer rate was 11%, most of the women were nulliparous (63.6%), and all of them were transferred during the first stage of labor. The most common reasons for transfer were arrested cervical dilation, arrested progress of the fetal head and cephalopelvic disproportion. Apgar scores were >7 for 81.8% of the newborns; and there were no admissions to the neonatal intensive care unit. The results show that planned home births assisted by nurse midwives following a clinical protocol, had good outcomes even when a transfer to the hospital was needed.

The organization and financing of cervical cancer prevention carried out by midwives in primary health care.

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Sobczyk, Karolina; Woźniak-Holecka, Joanna; Holecki, Tomasz; Szałabska, Dorota

2016-01-01

The main objective of the project was the evaluation of the organizational and financial aspects of midwives in primary health care (PHC), functioning under The Population Program for the Early Detection of Cervical Cancer two years after the implementation of new law regulations, which enable this occupational group to collect cytological material for screening. Under this project, the data of the Program's Coordinating Centre, affecting midwives' postgraduate education in the field of pap smear tests, was taken into analysis. Furthermore, The National Health Fund (NFZ) reports on contracts entered in the field of the discussed topics, taking into consideration the value of health services performed within the Program in respect of ambulatory care and primary care units. NFZ concluded contracts for the provision of PHC service with 6124 service providers in 2016, including the contracts in the field of providing health services under the cervical cancer prevention program by PHC midwifes, which were entered into by 358 institutions (5.85%). The value of the basic services under the Program, carried out under NFZ contracts in 2014, amounted to approx. PLN 12.3 million, while the value of services performed by PHC midwives represented only 0.38% of this sum. The introduction of legislative changes, allowing PHC midwives to collect cytological material for screening, did not cause, in the period of the observation on a national scale, the expected growth of availability of basic stage services within the cervical cancer prevention program.

Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.

Science.gov (United States)

Baird, Kathleen; Creedy, Debra K; Saito, Amornrat S; Eustace, Jennifer

2018-01-15

Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives' knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change. Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z=4.88, p90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. Training, support processes, and referral pathways, contributed to midwives' sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence. Copyright © 2018. Published by Elsevier Ltd.

A qualitative study on barriers in the prevention of anaemia during pregnancy in public health centres: perceptions of Indonesian nurse-midwives

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Widyawati, W.; Jans, S.M.P.J.; Utomo, S.; Dillen, J. van; Janssen, A.L.

2015-01-01

BACKGROUND: Anemia in pregnancy remains a major problem in Indonesia over the past decade. Early detection of anaemia in pregnancy is one of the components which is unsuccessfully implemented by nurse-midwives. This study aims to explore nurse-midwives' experiences in managing pregnant women with

Maternal obesity support services: a qualitative study of the perspectives of women and midwives

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Dearden Andy M

2011-10-01

Full Text Available Abstract Background Twenty percent of pregnant women in the UK are obese (BMI ≥ 30 kg/m2, reflecting the growing public health challenge of obesity in the 21st century. Obesity increases the risk of adverse outcomes during pregnancy and birth and has significant cost implications for maternity services. Gestational weight management strategies are a high priority; however the evidence for effective, feasible and acceptable weight control interventions is limited and inconclusive. This qualitative study explored the experiences and perceptions of pregnant women and midwives regarding existing support for weight management in pregnancy and their ideas for service development. Methods A purposive sample of 6 women and 7 midwives from Doncaster, UK, participated in two separate focus groups. Transcripts were analysed thematically. Results Two overarching themes were identified, 'Explanations for obesity and weight management' and 'Best care for pregnant women'. 'Explanations' included a lack of knowledge about weight, diet and exercise during pregnancy; self-talk messages which excused overeating; difficulties maintaining motivation for a healthy lifestyle; the importance of social support; stigmatisation; and sensitivity surrounding communication about obesity between midwives and their clients. 'Best care' suggested that weight management required care which was consistent and continuous, supportive and non-judgemental, and which created opportunities for interaction and mutual support between obese pregnant women. Conclusions Women need unambiguous advice regarding healthy lifestyles, diet and exercise in pregnancy to address a lack of knowledge and a tendency towards unhelpful self-talk messages. Midwives expressed difficulties in communicating with their clients about their weight, given awareness that obesity is a sensitive and potentially stigmatising issue. This indicates more could be done to educate and support them in their work with

Mapping integration of midwives across the United States: Impact on access, equity, and outcomes.

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Saraswathi Vedam

Full Text Available Our multidisciplinary team examined published regulatory data to inform a 50-state database describing the environment for midwifery practice and interprofessional collaboration. Items (110 detailed differences across jurisdictions in scope of practice, autonomy, governance, and prescriptive authority; as well as restrictions that can affect patient safety, quality, and access to maternity providers across birth settings. A nationwide survey of state regulatory experts (n = 92 verified the 'on the ground' relevance, importance, and realities of local interpretation of these state laws. Using a modified Delphi process, we selected 50/110 key items to include in a weighted, composite Midwifery Integration Scoring (MISS system. Higher scores indicate greater integration of midwives across all settings. We ranked states by MISS scores; and, using reliable indicators in the CDC-Vital Statistics Database, we calculated correlation coefficients between MISS scores and maternal-newborn outcomes by state, as well as state density of midwives and place of birth. We conducted hierarchical linear regression analysis to control for confounding effects of race.MISS scores ranged from lowest at 17 (North Carolina to highest at 61 (Washington, out of 100 points. Higher MISS scores were associated with significantly higher rates of spontaneous vaginal delivery, vaginal birth after cesarean, and breastfeeding, and significantly lower rates of cesarean, preterm birth, low birth weight infants, and neonatal death. MISS scores also correlated with density of midwives and access to care across birth settings. Significant differences in newborn outcomes accounted for by MISS scores persisted after controlling for proportion of African American births in each state.The MISS scoring system assesses the level of integration of midwives and evaluates regional access to high quality maternity care. In the United States, higher MISS Scores were associated with significantly

Perilaku Hygienitasi Pengelolaan dan Pembuatan Kue Home Industri Rumahan di Desa Lampanah Kecamatan Seulimeum

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Fajriansyah Fajriansyah

2017-05-01

Full Text Available There are many home-based food managers that do not maintain the hygiene of the food they manage, other than that the habit of managers who do not pay attention to personal hygiene in making home food. The purpose of this research is to know the management of home cake making in Lampanah Village, Seulimeum District, Aceh. This descriptive study includes knowledge, personal hygiene and the habit of home-made cake management. The research location was conducted in Lampanah Village, Seulimeum District. The results of the research are known that the management of home cake is still much less good that is equal to 60,0%. Although generally high knowledge (80.0%, but has a poor hygienist of 60.0%. Likewise with the habit of cake-making is generally not good (80.0%. In conclusion, the high knowledge of home industry managers does not necessarily have an impact on hygiene and habits on positive behavior related to business management in the health sector. The suggestion is expected to the public more to maintain hygiene, especially personal hygiene so that the food served can be protected from various diseases, in addition to counseling to the community related to the management of home-cooked food needs to be done by health personnel. Keywords:   Home industry, habits, knowledge, personal hygiene Terdapat banyak pengelola makanan rumahan yang tidak menjaga kebersihan makanan yang dikelolanya, selain itu kebiasaan pengelola yang tidak memperhatikan personal hygiene dalam pembuatan makanan rumahan. Tujuan penelitian ini adalah untuk mengetahui tinjauan pengelolaan pembuatan kue rumahan di Desa Lampanah Kecamatan Seulimeum Kabupaten Aceh Besar. Penelitian dekriptif ini meliputi pengetahuan, personal hygiene dan kebiasaan pengelolaan pembuatan kue rumahan. Lokasi penelitian dilakukan di Desa Lampanah Kecamatan Seulimeum Kabupaten Aceh Besar. Hasil penelitian diketahui pengelolaan pembuatan kue rumahan masih banyak yang kurang baik yaitu sebesar 60

Possibilities for transparency and trust in the communication between midwives and pregnant women: the case of smoking.

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Petersen, Zaino; Nilsson, Maria; Everett, Katherine; Emmelin, Maria

2009-08-01

to explore barriers to and possibilities for interactive communication between midwives and pregnant women regarding smoking behaviour during pregnancy. the study was based on a qualitative research design aiming at a Grounded Theory analysis of interviews with pregnant women. public sector antenatal clinics in Cape Town, South Africa predominantly providing care to women of mixed ancestry. in-depth interviews with 12 pregnant women purposively selected on the basis of smoking behaviour, age and marital status to reach maximum variation. the findings indicated low levels of transparency and trust in antenatal visits. Lack of trust was related to categories such as conflicting personal capabilities and socio-cultural and medical expectations, combined with a didactic approach from caregivers. The unworthy woman was identified as the core category of the interviews describing how women feel in their relationship with midwives. A theoretical model illustrates possibilities for change in relation to an ideal situation where a supportive caregiver, congruent expectations and capabilities result in women feeling visible. culturally appropriate smoking cessation interventions should be of high priority. Training in patient-centred counselling for midwives is necessary for creating an open dialogue with pregnant mothers about their smoking habits. The time constraint experienced by midwives also suggests that other methods apart from midwife counselling should be investigated for inclusion in the clinical setting.

The Influence of Organizational Commitment and Motivation in the Relationship between Budget Participation and Managerial Performance (Empirical Study on Provincial Government Agencies ( SKPA of Aceh Province, Indonesia

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Muslim A. Djalil

2017-07-01

Full Text Available The objective of research is to empirically examine the influence of organizational commitment and motivation in the relationship between budget participation and managerialperformance of Provincial Government Agencies (SKPA of Aceh Province.Total samples used in this study were 92 respondents who were in the position of Echelon III and IV in SKPA of Aceh Province. The data source of this study was primary data obtained through the distribution of a questionnaire to the selected respondents. The collected data were analyzed by using Path Analysis Method.The result of the study indicated that the organizational commitment, motivation, and budget participation have a significant influence on the managerial performance both simultaneously and partially. However, the organizational commitment and motivation did not mediate the relationshipbetween budget participation and managerial performance.Keywords: Managerial Performance, Budget Participation, Organizational Commitment, Motivation

What are the characteristics of perinatal events perceived to be traumatic by midwives?

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Sheen, Kayleigh; Spiby, Helen; Slade, Pauline

2016-09-01

there is potential for midwives to indirectly experience events whilst providing clinical care that fulfil criteria for trauma. This research aimed to investigate the characteristics of events perceived as traumatic by UK midwives. as part of a postal questionnaire survey conducted between December 2011 and April 2012, midwives (n=421) who had witnessed and/or listened to an account of an event and perceived this as traumatic for themselves provided a written description of their experience. A traumatic perinatal event was defined as occurring during labour or shortly after birth where the midwife perceived the mother or her infant to be at risk, and they (the midwife) had experienced fear, helplessness or horror in response. Descriptions of events were analysed using thematic analysis. Witnessed (W; n=299) and listened to (H; n=383) events were analysed separately and collated to identify common and distinct themes across both types of exposure. six themes were identified, each with subthemes. Five themes were identified in both witnessed and listened to accounts and one was salient to witnessed accounts only. Themes indicated that events were characterised as severe, unexpected and complex. They involved aspects relating to the organisational context; typically limited or delayed access to resources or personnel. There were aspects relating to parents, such as having an existing relationship with the parents, and negative perceptions of the conduct of colleagues. Traumatic events had a common theme of generating feelings of responsibility and blame Finally for witnessed events those that were perceived as traumatic sometimes held personal salience, so resonated in some way with the midwife's own life experience midwives are exposed to events as part of their work that they may find traumatic. Understanding the characteristics of the events that may trigger this perception may facilitate prevention of any associated distress and inform the development of

Improving the quality and content of midwives' discussions with low-risk women about their options for place of birth: Co-production and evaluation of an intervention package.

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Henshall, Catherine; Taylor, Beck; Goodwin, Laura; Farre, Albert; Jones, Miss Eleanor; Kenyon, Sara

2018-04-01

Women's planned place of birth is gaining increasing importance in the UK, however evidence suggests that there is variation in the content of community midwives' discussions with low risk women about their place of birth options. The objective of this study was to develop an intervention to improve the quality and content of place of birth discussions between midwives and low-risk women and to evaluate this intervention in practice. The study design comprised of three stages: (1) The first stage included focus groups with midwives to explore the barriers to carrying out place of birth discussions with women. (2) In the second stage, COM-B theory provided a structure for co-produced intervention development with midwives and women representatives; priority areas for change were agreed and the components of an intervention package to standardise the quality of these discussions were decided. (3) The third stage of the study adopted a mixed methods approach including questionnaires, focus groups and interviews with midwives to evaluate the implementation of the co-produced package in practice. A maternity NHS Trust in the West Midlands, UK. A total of 38 midwives took part in the first stage of the study. Intervention design (stage 2) included 58 midwives, and the evaluation (stage 3) involved 66 midwives. Four women were involved in the intervention design stage of the study in a Patient and Public Involvement role (not formally consented as participants). In the first study stage participants agreed that pragmatic, standardised information on the safety, intervention and transfer rates for each birth setting (obstetric unit, midwifery-led unit, home) was required. In the second stage of the study, co-production between researchers, women and midwives resulted in an intervention package designed to support the implementation of these changes and included an update session for midwives, a script, a leaflet, and ongoing support through a named lead midwife and regular

[How Italian midwives contribute to breastfeeding promotion: a national experience of "cascade" training].

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Giusti, Angela; Conti, Stefania; Di Lorenzo, Giuseppina; Donati, Serena; Perra, Alberto; Grandolfo, Michele

2006-01-01

Social changes of the last century have increasingly transformed maternity and newborn care into a medical act and have greatly reduced the number of breastfeeding women. In Italy, the explicit aim of the Ministry of Health concerning mother and child health (Progetto-Obiettivo Materno-Infantile) is to bring this process back to a more natural activity. The prevalence of women who breastfed after the third month of life has been set as an indicator of the effectiveness of mother and child health services. However, the percentage of fully breastfeeding women at the fourth month of the newborn varies greatly among Italian regions, from 18 to 56%. As in many other Countries in the European Union, in Italy the initial education of the mother and child caregivers often lacks a specific formal training on breastfeeding promotion, as do academic midwife-training courses. In 2004 the Italian Federation of the Colleges of Midwives implemented a cascade training project in collaboration with the Istituto Superiore di Sanita, to train trainer-midwives who in turn would train midwives, either already working (Continuing Medical Education) or during their formal academic education. Contents, techniques and methods have been the same as those adopted for the World Health Organization's 40+40 hours course "Breastfeeding: counselling: a training course" for trainers. A total of 39 training coordinators and teachers of academic midwifery courses have participated, in two separate groups. In their turn, the trainers have trained 74 working midwives, from almost every Italian region. Throughout the training program, the trainers were supervised by two tutors who assessed their learning-teaching performance and provided a final certificate. The program allowed the trainers and the other participants to reach a standard level of knowledge on the issue, regardless of their initial knowledge. Moreover, it helped to build and share a common language and attitude on the protection

Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana

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Prince Peprah

Full Text Available This qualitative study was conducted in some selected rural communities within the Birim South District between March to June 2017 with the main aim of teasing out insights into Ghana’s perspective of pregnant women’s attitudes and perceptions about modern and traditional midwives and perceptional impact on health seeking behaviour and status. To the best of our knowledge, this is the first known study in Ghana that has provided empirical evidence on this subject. The study found that pregnant women have good attitudes and perceptions toward traditional midwives based on their personal experiences, beliefs and philosophies. Thus, pregnant women only see the need to seek the service of modern midwives when serious complications occur during childbirth and predominantly have their deliveries supervised by traditional midwives. These results call for, specifically two main policy interventions. First, behavioral change interventions through education, community sensitisation and awareness, is required. This should target family members, especially husbands and mothers in-law who are key household decision makers. This will radically help change the conservative attitudes and perceptions about modern midwives by pregnant women. Second, based on the support offered and willingness showed by the study participants, effective intercultural midwifery system will help maximise the utilisation of our midwifery and health delivery systems. Traditional and modern midwives need to work together to ensure safe birth. We consider collaboration among healthcare providers as critical, especially in the rural areas where the number of modern midwives are limited. Keywords: Traditional midwife, Modern midwife, Intercultural midwifery system, Behavioral change, Rural Ghana

Job burnout and its relation with personality traits among the midwives working in Isfahan, Iran.

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Esfahani, Mitra Savabi; Mirzaee, Mahnaz; Boroumandfar, Khadijeh; Abedi, Mohammad Reza

2012-03-01

Health-related professionals are at high risk of job burnout which will in turn lead to effects on health services provision. The present study was conducted to define job burnout and its association with personal characteristics among the midwives working in Isfahan, Iran. This descriptive correlational study was performed on 193 midwives working in health centers and hospitals in Isfahan. The participants were selected through cluster random sampling. The data was collected by a researcher-made personal characteristics questionnaire as well as Maslach Burnout Inventory. The data was analyzed by descriptive and inferential statistical tests in SPSS. In the present study, the highest frequencies of job burnout dimensions were for the low levels of emotional exhaustion (58%) and depersonalization (65.8%), and high levels of personal performance (58%). There was a significant inverse association between age and depersonalization (p = 0.02). However, no significant relations were found between job burnout dimensions and variables of marital status, number of children, level of education, and residential status. Although the results of this research showed a low prevalence of job burnout among midwives, the stressful nature of midwifery as a profession necessitates educational intervent.

Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study.

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Baird, Kathleen M; Saito, Amornrat S; Eustace, Jennifer; Creedy, Debra K

2017-11-01

Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills. To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period. A pre-post intervention design was used. Midwives and nurses (n=154) attended a full day workshop. Of these, 149 completed pre-post workshop measures of knowledge and preparedness. Additional questions at post-training explored participants' perceptions of organisational barriers to routine enquiry, as well as anticipated impact of training on their practice. Training occurred between July 2015 and October 2016. Using the Wilcoxon signed-rank test, all post intervention scores were significantly higher than pre intervention scores. Knowledge scores increased from a pre-training mean of 21.5-25.6 (Z=-9.56, pworkplace allowed adequate time to respond to disclosures of DV. Brief training can improve knowledge, preparedness, and confidence of midwives and nurses to conduct routine enquiry and support women during the perinatal period. Training can assist midwives and nurses to recognise signs of DV, ask women about what would be helpful to them, and address perceived organisational barriers to routine enquiry. Practice guidelines and clear referral pathways following DV disclosure need to be implemented to support gains made through training. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Training of midwives in advanced obstetrics in Liberia.

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Dolo, Obed; Clack, Alice; Gibson, Hannah; Lewis, Naomi; Southall, David P

2016-05-01

The shortage of doctors in Liberia limits the provision of comprehensive emergency obstetric and neonatal care. In a pilot project, two midwives were trained in advanced obstetric procedures and in the team approach to the in-hospital provision of advanced maternity care. The training took two years and was led by a Liberian consultant obstetrician with support from international experts. The training took place in CB Dunbar Maternity Hospital. This rural hospital deals with approximately 2000 deliveries annually, many of which present complications. In February 2015 there were just 117 doctors available in Liberia. In the first 18 months of training, the trainees were involved with 236 caesarean sections, 35 manual evacuations of products of conception, 25 manual removals of placentas, 21 vaginal breech deliveries, 14 vacuum deliveries, four repairs of ruptured uteri, the management of four cases of shoulder dystocia, three hysterectomies, two laparotomies for ruptured ectopic pregnancies and numerous obstetric ultrasound examinations. The trainees also managed 41 cases of eclampsia or severe pre-eclampsia, 25 of major postpartum haemorrhage and 21 of shock. Although, initially they only assisted senior doctors, the trainees subsequently progressed from direct to indirect supervision and then to independent management. To compensate for a shortage of doctors able to undertake comprehensive emergency obstetric and neonatal care, experienced midwives can be taught to undertake advanced obstetric care and procedures. Their team work with doctors can be particularly valuable in rural hospitals in resource-poor countries.

Building Ecoliteracy Through Adiwiyata Program (Study at Adiwiyata School in Banda Aceh

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Mirza Desfandi

2017-07-01

Full Text Available This study is back grounded by importance of ecoliteracy for each individual. One of comprehensive efforts to build ecoliteracy in community is through Adiwiyata Program. This study is aimed to find out how the effectiveness of Adiwiyata Program in the effort to build students’ ecoliteracy in Banda Aceh. The method which is used is survey. The study is conducted in ten schools, with respondents are principal, teachers, administrative staff and students. Data analysis is done descriptively toward five variable and hypothesis test use nonparametric statistic test. The result of study showed that there is significant influence of school policy, curriculum implementation, school culture and school infrastructure management toward students’ ecoliteracy. The findings of study is the more effective four components of Adiwiyata is implemented, the higher of students’ecoliteracy. Therefore, four components of Adiwiyata should be implemented maximally, among other by strengthening Adiwiyata school team.

How well does pre-service education prepare midwives for practice: competence assessment of midwifery students at the point of graduation in Ethiopia

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Yigzaw, T; Ayalew, F; Kim, Y.M.; Gelagay, M; Dejene, D; Gibson, H; Teshome, A; Broerse, J.E.W.; Stekelenburg, J.

2015-01-01

Background: Midwifery support and care led by midwives is the most appropriate strategy to improve maternal and newborn health. The Government of Ethiopia has recently improved the availability of midwives by scaling up pre-service education. However, the extent to which graduating students acquire

How well does pre-service education prepare midwives for practice : competence assessment of midwifery students at the point of graduation in Ethiopia

NARCIS (Netherlands)

Yigzaw, Tegbar; Ayalew, Firew; Kim, Young-Mi; Gelagay, Mintwab; Dejene, Daniel; Gibson, Hannah; Teshome, Aster; Broerse, Jacqueline; Stekelenburg, Jelle

2015-01-01

Background: Midwifery support and care led by midwives is the most appropriate strategy to improve maternal and newborn health. The Government of Ethiopia has recently improved the availability of midwives by scaling up pre-service education. However, the extent to which graduating students acquire

The effects of midwives' job satisfaction on burnout, intention to quit and turnover: a longitudinal study in Senegal.

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Rouleau, Dominique; Fournier, Pierre; Philibert, Aline; Mbengue, Betty; Dumont, Alexandre

2012-04-30

Despite working in a challenging environment plagued by persistent personnel shortages, public sector midwives in Senegal play a key role in tackling maternal mortality. A better understanding of how they are experiencing their work and how it is affecting them is needed in order to better address their needs and incite them to remain in their posts. This study aims to explore their job satisfaction and its effects on their burnout, intention to quit and professional mobility. A cohort of 226 midwives from 22 hospitals across Senegal participated in this longitudinal study. Their job satisfaction was measured from December 2007 to February 2008 using a multifaceted instrument developed in West Africa. Three expected effects were measured two years later: burnout, intention to quit and turnover. Descriptive statistics were reported for the midwives who stayed and left their posts during the study period. A series of multiple regressions investigated the correlations between the nine facets of job satisfaction and each effect variable, while controlling for individual and institutional characteristics. Despite nearly two thirds (58.9%) of midwives reporting the intention to quit within a year (mainly to pursue new professional training), only 9% annual turnover was found in the study (41/226 over 2 years). Departures were largely voluntary (92%) and entirely domestic. Overall the midwives reported themselves moderately satisfied; least contented with their "remuneration" and "work environment" and most satisfied with the "morale" and "job security" facets of their work. On the three dimensions of the Maslach Burnout Inventory, very high levels of emotional exhaustion (80.0%) and depersonalization (57.8%) were reported, while levels of diminished personal accomplishment were low (12.4%). Burnout was identified in more than half of the sample (55%). Experiencing emotional exhaustion was inversely associated with "remuneration" and "task" satisfaction, actively job

[Attitudes of polish physicians towards extending competencies of nurses and midwives with respect to prescribing medicines].

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Mazur, Nicole; Zarzeka, Aleksander; Dąbrowski, Filip; Panczyk, Mariusz; Gałązkowski, Robert; Gotlib, Joanna

2017-01-01

Due to the amendment of the Nurse and Midwife professions Act, since 1st of January 2016 Polish nurses and midwives with certain qualifications are able to prescribe medicines and referral for diagnostic tests. To analyse attitudes of physicians on new professional competencies of nurses and midwives regarding: prescribing medicines and referring patients for certain diagnostic tests. In the study took part 436 physicians (245 women, 193 man). The average age was 36,6 years old (min.: 21; max.: 76; SD: 11,65; median: 31). 274 people lived in a city with over 500 thousand citizens, 70 people - city below 100 thousand citizens, 54 people - city between 100-500 thousands citizens and 14 people lived in a country. Most of people lived in masovian district. Authors prepared and validated own questionnaire, which contained statements assessed in Likert scale (1-strongly disagree, 5-stronlgy agree). It contained 22 questions about opinions of new abilities of nurses and midwives. The questionnaire was sent three times to Regional Medical Chamber in Warsaw via an online questionnaire: https://docs.google.com/forms/d/1cxiaJFPxDVphByhBTk4gDIBsm6bQsxGLVXDK-RtpGnk/ The reliability of the questionnaire used was tested in a pilot study by the coefficient α-Cronbach, which amounted to 0.937. Due to the fact that the study was performed in a group of doctors they did not require the consent of the Bioethics Committee, of Medical University of Warsaw to carry them out. The results are presented using descriptive statistics, which were obtained through statistical analysis using Microsoft Excel and StatSoft Statistica 12.0 (license Medical University of Warsaw). 53% of doctors claim that the new powers do not improve patient care. 35% of respondents disagreed with the opinion that the new powers will raise the prestige of professional nurses and midwives. At the same time 49% believe that prescriptions for nurses and midwives reduce the responsibilities of doctors. Only 9% agreed

The Virtual International Day of the Midwife: A Synchronous Open Online Conference for Continuing Professional Development and Learning for Midwives

DEFF Research Database (Denmark)

Sidebotham, Mary; Dalsgaard, Annette; Davis, Deborah

2015-01-01

AIM: To examine the contribution of the Virtual International Day of the Midwife (VIDM) conference to midwives' continuing professional development (CPD). BACKGROUND: Knowledge and understanding of CPD for midwives as synchronous online learning is limited. Studies of e-learning programs for CPD...... to participants for 1 month after the conference via the wiki page in 2012 and 2013. FINDINGS: The survey was completed by 239 conference participants. Midwifery students and clinical midwives were the largest groups of attendees. The most common countries of residence were Australia, United Kingdom, and United...... States. Respondents believed that the conference contributed to their professional development by enabling professional growth, facilitating shared learning, and raising awareness of global issues. CONCLUSION: Offering synchronous events is important to facilitate deeper learning for those engaging...

Psychosocial health and well-being among obstetricians and midwives involved in traumatic childbirth

DEFF Research Database (Denmark)

Schrøder, Katja; Larsen, Pia Veldt; Jørgensen, Jan Stener

2016-01-01

Objective this study investigates the self-reported psychosocial health and well-being of obstetricians and midwives in Denmark during the most recent four weeks as well as their recall of their health and well-being immediately following their exposure to a traumatic childbirth. Material...... and methods a 2012 national survey of all Danish obstetricians and midwives (n=2098). The response rate was 59% of which 85% (n=1027) stated that they had been involved in a traumatic childbirth. The psychosocial health and well-being of the participants was investigated using six scales from the Copenhagen...... significantly higher scores than obstetricians, to a minor extent during the most recent four weeks and to a greater extent immediately following a traumatic childbirth scale, indicating higher levels of self-reported psychosocial health problems. Sub-group analyses showed that this difference might be gender...

Revealing Hidden Diversity in Menjangan Besar Island, Karimunjawa: Reef-Associated Decapods as a Proxy of Biodiversity Estimation (Mengungkap Keanekaragaman Tersembunyi di Pulau Menjangan Besar, Karimunjawa: Estimasi Biodiversitas Menggunakan Dekapoda..

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Ni Putu Dian Pertiwi

2015-07-01

Full Text Available Kepulauan Indonesiamemiliki sejumlahArea Perlindungan Laut dan Taman Nasional yang merupakan tempat tinggal bagi organisme laut dengan tingkat keanekaragaman yang tinggi. Karimunjawa sebagai salah satu Taman Nasional, dikenal mempunyai keanekaragaman terumbu karang yang tinggi dan merupakan salah satu kawasan yang digunakan sebagai area studi keanekaragaman laut. Penelitian ini bertujuan untuk mengestimasi keanekaragaman organisme pada habitat terumbu karang yang terdapat di kawasan pesisir Karimunjawa. Metode sampling semi-kuantitatif digunakan untuk mengestimasi keanekaragaman terumbu karang, dengan menggunakan anggota kelompok dekapoda sebagai perwakilan. Enam belas terumbu karang mati (dead coral head dari anggota Pocillopora, di koleksi dengan ukuran yang sama pada kedalaman 10 meter di kawasan Pulau Menjangan Besar, Karimunjawa. Seluruh dekapoda yang dikumpulkan, diidentifikasi sampai tingkat famili dan menunjukkan terdapat 11 famili dari total 203 individu. Nilai statistik dari kekayaan spesies (Chao1 and ACE menunjukkan hanya 11 famili dekapoda yang dapat ditemukan di kawasan tersebut. Hasil kurva rarefaksi menunjukkan nilai yang mencapai titik kesetimbangan setelah karang mati ke-empat belas, yang mengindikasikan bahwa penambahan koleksi sampel tidak akan mengubah estimasi keanekaragaman yang ditemukan. Index keanekaragaman Shanon-Wiener juga menunjukkan nilai keanekaragaman yang rendah dengan nilai 1.9. Hasil penelitian ini dapat digunakan sebagai dasar pemahaman bagi keseluruhan keanekaragaman terumbu karang yang terdapat pada suatu kawasan dan sebagai dasar pengetahuan untuk tujuan pengamatan ekosistem terumbu karang bagi perlindungan dan konservasi. Kata kunci: keanekaragaman, terumbu karang, dekapoda, Indonesia, Karimunjawa. The Indonesian archipelago, with its higher number of Marine Protected Areas (MPA and National Parks, is a home to a high diversity of marine organisms. Karimunjawa is an Indonesian National Park that is well

Moral Foundations and Symbolic Pollution: What Do Midwives Say About Hospitalized Women?

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Zuzana Pešťanská

2016-12-01

Full Text Available The aim of this study is to describe how the work organization of midwives is related to their moral judgements concerning pregnant women. This analysis is based on material gathered during ethnographic research undertaken at a gynaecology and maternity ward at a hospital in Slovakia. The interpretations of the research findings are informed by the work of Mary Douglas and Moral Foundations Theory. Using the analytical tools of the grid-group, this article then shows that the working environment of midwives is a type of hierarchical group. Douglas predicted that such a type of social structure would be built on values such as subordination, respect for authority, and purity. An analysis of the material confirms this assertion: midwives’ narratives of pregnant women are in fact representations of moral values of authority and purity. Explicit statements of emotions of anger, contempt, disgust, and elevation serve as indicators of either the violation or observance of moral rules.

Sumber dan Kualitas Pakan Serta Produksi Kambing Peranakan Etawah Di Kotamadya Banda Aceh

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Al Qudri

2002-04-01

Full Text Available ABSTRACT. A study on source and quality of feed and production of Etawah goats was conducted from June to November, 1997. Nine respondents who raise Peranakan Etawah goats were interviewed. The goats were investigated and measured for body size. The respondents were live in three different villages, i.e, three from Ule Lheu, one from Lambung, two from Punge, one from Peulanggahan and two from Rukoh. The result showed that source of fed were obtained from grass in the back yart, native pasture, by product of banana, fruits, vegetables and palatable leaves. The quality of feed was relatively good due a relatively high content of protein. Ratio of male tp female was 1 : 1.65. Kid production was about 190 percent / yard. Body size were better than kids that are raised in villages in Aceh Barat regency.

Mother-to-child transmission of hepatitis B: extent of knowledge of physicians and midwives in Eastern region of Ghana

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Charles Ampong Adjei

2016-07-01

Full Text Available Abstract Background Mother -to -Child transmission of hepatitis B infection remains a major public health concern particularly in Africa. Adequate knowledge of physicians and midwives is crucial in averting most of the hepatitis B viral transmissions from mothers to their new-borns. However, there is a dearth of evidence on extent of knowledge of physicians and midwives in Ghana inspite of the increasing incidence of hepatitis B infection in the country. This study therefore assessed the knowledge level of physicians and midwives regarding Mother-to-Child transmission of hepatitis B in the Eastern region of Ghana. Methods A Cross sectional survey was conducted between August to November, 2015 using semi-structured self-administered questionnaire. Study participants were recruited from five health facilities and their level of awareness and knowledge about Mother-to-Child transmission of hepatitis B were assessed. The level of statistical significance was set at 0.05 alpha level. Results The findings showed that both physicians and midwives had good knowledge on Mother-to-Child transmission of hepatitis B infection. However, there were some knowledge gaps regarding effective hepatitis B prevention from mother to their newborns such as the use of hepatitis B vaccine and immunoglobulin. Additionally, 49.2 % (n = 62 of the participants had never attended any workshop on Mother-to-Child transmission of hepatitis B since completion of formal training. Conclusions Developing appropriate periodic training programmes on current issues of hepatitis B for physicians and midwives in Eastern region will further enhance their knowledge. It is recommended that, further study examine if the knowledge of the respondents is translated into practice.

Compassion for others, self-compassion, quality of life and mental well-being measures and their association with compassion fatigue and burnout in student midwives: A quantitative survey.

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Beaumont, Elaine; Durkin, Mark; Hollins Martin, Caroline J; Carson, Jerome

2016-03-01

compassion fatigue and burnout can impact on the performance of midwives, with this quantitative paper exploring the relationship between self-compassion, burnout, compassion fatigue, self-judgement, self-kindness, compassion for others, professional quality of life and well-being of student midwives. a quantitative survey measured relationships using questionnaires: (1) Professional Quality of Life Scale; (2) Self-Compassion Scale; (3) Short Warwick and Edinburgh Mental Well-being Scale; (4) Compassion For Others Scale. a purposive and convenience sample of student midwives (n=103) studying at university participated in the study. just over half of the sample reported above average scores for burnout. The results indicate that student midwives who report higher scores on the self-judgement sub-scale are less compassionate towards both themselves and others, have reduced well-being, and report greater burnout and compassion fatigue. Student midwives who report high on measures of self-compassion and well-being report less compassion fatigue and burnout. student midwives may find benefit from 'being kinder to self' in times of suffering, which could potentially help them to prepare for the emotional demands of practice and study. developing, creating and cultivating environments that foster compassionate care for self and others may play a significant role in helping midwives face the rigours of education and clinical practice during their degree programme. Copyright © 2015 Elsevier Ltd. All rights reserved.

Increasing the uptake of long-acting and permanent methods of family planning: A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia.

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Titaley, Christiana R; Wijayanti, Ratna U; Damayanti, Rita; Setiawan, Agus Dwi; Dadun; Dachlia, Dini; Siagian, Ferdinand; Suparno, Heru; Saputri, Dwi Astuti Yunita; Harlan, Sarah; Wahyuningrum, Yunita; Storey, Douglas

2017-10-01

this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. a qualitative study using in-depth interviews was conducted with 12 village midwives from 12 villages, to explore their perceptions and experiences in delivering family planning services. the study was carried out in May-June 2013, as part of the baseline assessment in the Improving Contraceptive Method Mix (ICMM) study. We interviewed 12 village midwives working in 12 villages in six study districts: Tuban, Kediri, and Lumajang Districts in East Java Province; and Lombok Barat, Lombok Timur, and Sumbawa Districts in NTB Province. an interview guideline was used in all interviews. It covered several topics, such as community perceptions of LAPMs, availability of contraception and related equipment, availability of human resources, and midwives' efforts to improve LAPM coverage. All interviews were recorded and transcribed. Content and thematic analyses were carried out by grouping and coding the information based on the identified themes and topics. according to village midwives interviewed in this study, community-level acceptance of LAPMs has increased over time; however, some still prefer using short-acting methods for a long period. The reasons include lack of awareness about the benefits and side effects of LAPMs, fear of surgical procedures, rumored consequences (for example, that LAPMs would limit women's ability to perform hard physical labor), and religious beliefs. There were several challenges reported by village midwives in delivering LAPM services, such as confusion about midwives' eligibility to provide LAPM services, lack of Contraceptive Technology Update (CTU) and counseling trainings, and shortage of supporting equipment (such as exam tables and IUD and implant insertion kits). There were several strategies implemented by village

Karakteristik Mutu Biji Kakao Aceh Hasil Fermentasi Dengan Berbagai Cara Dan Interval Waktu Pengadukan

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Heru Prono Widayat

2015-04-01

Full Text Available (Quality Characteristics Of Aceh Cacao Beans Resulted From Different Fermentation Methods ABSTRACT. Response of cocoa beans to any fermentation treatment may vary according to crop variety, farming conditions and practices, and fermentation methods; including type of beans stirring methods and stirring frequencies applied during fermentation period. The objective of this research is to study quality characteristics of Aceh fermented cocoa beans treated with different stirring methods and stirring frequencies. The cocoa beans of 40 cm mass depth were kept in 53x40x50 cm rattan buckets and were fermented for 5 days. Beans stirring during fermentation was conducted either by in-place stirring andreplace-stirring to other rattan bucket. Stirring period was set for each 12 hours, 24 hours, and 48 hours of fermentation time. Beans temperature, pH, and total sugar content for each stirring period along five days-fermentationtime were recorded. The fermented beans were sundried for moisture content of approximately 6%. The results showed that the beans temperature during fermentation increased up to 45.7-46.6oC on the third-day and then decreased to 37.9-40.4oC on the fifth-day. The highest temperature (46.6oC was recorded for in-place stirring with stirring period of 48 hours. The pH value of the beans decreased from 5.6-5.9 on the first-day to 3.2-3.4 on the fourth-day and then slightly increased to 3.4 in average on the fifth-day. The total sugar content decreased from 9.1-9.6% on the first-day to approximately 0.4% on the fifth-day. Quality analysis of the fermented beans showed that pH value varied 5.5-5.8 and fat content was 47.9-49.1%. The best quality of fermented beans was found for replace-stirring method with stirring period of 24 hours. This treatment resulted in fermented cocoa beans with 0.4% moldy, 17.5% partly purple, 3.0% slaty, and 76.7% fully fermented.

URGENSI PENDIDIKAN NILAI UNTUK ACEH DAMAI BERKELANJUTAN

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M. Jamil Yusuf

2017-02-01

Full Text Available Sustainable peace in Aceh should be started from the critical value of education and education based values are integrated in all subjects and can be taught at each level of development. The assumption is that the value of education is needed at each level of development and need to be implemented on all aspects of life. The Education curriculum should reflect the religious values, independence and entrepreneurship as cores value of education, as well as the values of excellence (excellence that should be achieved by everyone at all levels and types of education in its path. Both of these values must be built through the education system that is able to develop a good understanding, the courage to think, to act and be able to build the establishment of persistence. Educational value may be applied only in a democratic educational system, in which the learner to express his opinions in an atmosphere of mutual understanding. Learners need to be portrayed as subjects with individual excellence, which is reflected in the ability to build friendship, cooperation within the group, achieve higher performance, empathize with others, able to solve problems, resolve conflicts, have a sense of humor, self-motivated when faced with periods of tough and able to face tough times with confidence. With this advantage, they feel proud of their education and meaningful to the advancement of his career. As such, they have a place in the field of work and the opportunity of participation in any development process and not feel marginalized.

Evaluation of World Health Organization partograph implementation by midwives for maternity home birth in Medan, Indonesia.

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Fahdhy, Mohammad; Chongsuvivatwong, Virasakdi

2005-12-01

to assess the effectiveness of promoting the use of the World Health Organization (WHO) partograph by midwives for labour in a maternity home by comparing outcomes after birth. Medan city, North Sumatera Province, Indonesia. 20 midwives who regularly conducted births in maternity homes, randomly allocated into two equal groups. cluster randomised-control trial. under supervision from a team of obstetricians, midwives in the intervention group were introduced to the WHO partograph, trained in its use and instructed to use it in subsequent labours. there were 304 eligible women with vertex presentations among 358 labouring women in the intervention group and 322 among 363 in the control group. Among the intervention group, 304 (92.4%) partographs were correctly completed. From 71 women with the graph beyond the alert line, 42 (65%) were referred to hospital. Introducing the partograph significantly increased referral rate, and reduced the number of vaginal examinations, oxytocin use and obstructed labour. The proportions of caesarean sections and prolonged labour were not significantly reduced. Apgar scores of less than 7 at 1min was reduced significantly, whereas Apgar scores at 5mins and requirement for neonatal resuscitation were not significantly different. Fetal death and early neonatal death rates were too low to compare. a training programme with follow-up supervision and monitoring may be of use when introducing the WHO partograph in other similar settings, and the findings of this study suggest that the appropriate time of referral needs more emphasis in continuing education. the WHO partograph should be promoted for use by midwives who care for labouring women in a maternity home.

Analisa Kelayakan Finansial Pengembangan Cold Storage Plant di Pelabuhan Perikanan Lampulo Baru Banda Aceh

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Juanda Juanda

2014-02-01

Full Text Available The research aims to analyze financial feasibility of cold storage development in Lampulo Baru Fish Port Banda Aceh in accordance with discounted investment ctiteria; Net Present Value (NPV, Net Benefit Cost Ratio (NBCR, Gross Benefit Cost Ratio (GBCR and payback period (PBP. The research was conducted in Lampulo Baru Fish Port on November 2013 – January 2014. Data was mainly collected by using survei and interview/ focus group discussion techniques. Data were analyzed by using financial analysis with investment criteria. The result of research showed that the development of cold storage plant in Lampulo Baru Fish Port with capacity of 80 ton fishes is financially feasible, indicated by discounted investment criteria values; NPV = IDR. 1,463,819,997,-. NBCR = 2.33, GBCR = 1.03,  and PBP = 2.33 years.

Deciding to work during the Ebola outbreak: The voices and experiences of nurses and midwives in Liberia

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Erhuvwukorotu S. Kollie

Full Text Available In this study we explored the experiences of nurses and midwives, including the process involved in deciding whether or not to render care to patients during the Ebola outbreak in Liberia, West Africa. Data were collected from 30 registered nurses and registered midwives through face-to-face, semi-structured, tape-recorded interviews. We combined both Corbin and Strauss (2015 and Charmaz (2014 grounded theory methods of data collection and analysis. The result is a description of the experiences and a conceptual model that describes the social process involved in the work decisions made by the study participants. The core category identified in the data is “living in fear and terror.” The work decisions of nurses and midwives were primarily influenced by family responsibilities and demands. The findings of this study could be applied to education, research, and working policies when planning for future disease outbreaks in Liberia and other regions in the world. Keywords: Grounded theory, Health care, Work environment, Midwifery, Nursing

Influential Factors of Mother-Infant Skin-to-Skin Contact Based on the Precede-Proceed Model from the Perspective of Midwives in Torbat Heydariyeh Hospitals

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Mohadeseh Adeli

2016-07-01

Full Text Available Background & aim: Skin-to-skin contact immediately after birth plays a pivotal role in proper breastfeeding and mother-infant interaction. Despite numerous benefits of mother-infant skin-to-skin contact, this health behavior is not performed by many midwives. This study aimed to evaluate the influential factors for mother-infant skin-to-skin contact based on the Precede-Proceed model from the perspective of midwives in Torbat Heydariyeh hospitals. Methods:This cross-sectional study was conducted on 50 midwives working in hospitals of Torbat Heydariyeh, Iran in 2015. Demographic data of all participants were collected, and Mother-Newborn Skin-to-Skin Contact Questionnaire was also used based on the Precede-Proceed model. Data analysis was performed in SPSS V.16 using descriptive statistics, tables and graphs. Results: In this study, 88.1% of the midwives had positive attitudes towards skin-to-skin contact, and 90.5% had high perceived self-efficacy in performing the procedure. Major obstacles against establishing proper skin-to-skin contact were neonatal diseases and maternal fatigue (83.3% from the perspective of midwives. Moreover, 87.5% and 90.5% of the midwives emphasized the pivotal role of social support and motivation, respectively in implementing skin-to-skin contact. Also, more than 90% of the midwives considered training programs, service access and adequate facilities to be influential in the proper establishment of skin-to-skin contact. Conclusion: According to the results of this study, the majority of midwives believed that enabling and reinforcing factors had significant effects on the proper establishment of mother-infant skin-to-skin contact. Therefore, it is recommended thateducational interventions be planned for parents, their family members and health care personnel involved in processes of childbirth and infant care. Furthermore, organizational planning and executive procedures should be developed to study the

The Role of University Partners in the Innovation Adoption Process to Rice Seed Farmers in Aceh Province

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Setia Budi

2018-04-01

Full Text Available The role of university partners in the innovation adoption process in the implementation of agricultural extension is very necessary to get attention to realize the success of empowering rice seed farmers. The purpose of this research is (1 to know the role of universities in the process of adopting innovation in IPB 3S seedling in Aceh Province, (2 to know the perception of farmers toward the characteristics of the innovation of IPB 3S varieties, and (3 to know the role of universities in the implementation process of extension agriculture to rice seed farmers. This research uses qualitative descriptive approach with data measurement using Likert scale. The results showed that in general the universities play significant role in innovation adoption process to rice seed farmers. The role is arranged by sequence; (1 implementing cultivation skill (2 strengthening farmer institution, (3 liaison with the government (4 guidance of transfer of technology, and (5 liaison with production market. Farmers perception on the characteristics of innovation optimum production technology package (IPB-Prima IPB 3S (1 has a relative profitability, (2 easy to try, (3 conformity, (4 observable, and (5 innovation subtly level. The role of partners in the implementation of agricultural extension in sequence (1 conformity of extension materials, (2 intensity of extension, (3 appropriateness of extension method and (4 accuracy of media usage. The university should pay attention on the mechanism of facilitating technology transfer with the use of media and appropriate extension methods to rice seed farmers. The university also should build good communication with private organizations to help farmers in terms of seed price certainty produced by rice seed farmers in Aceh Province, Indonesia.

Granulometric analysis at Lampulo Fishing Port (LFP) substrate, Banda Aceh, Indonesia

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Purnawan, S.; Setiawan, I.; Haridhi, H. A.; Irham, M.

2018-01-01

The study of sediment granulometry was completed at Lampulo fishing port (LFP). The LFP is a main fishing port in Aceh Province, Indonesia, located at 5°34’35” N; 95°19’23” E. The purpose of the research is to study and construct the environment condition of the bottom substrate. The data was taken by incorporating coring method at 10 stations using purposive random sampling. The wet sieve method was used to analyze the grain size for geostatistical analysis. The geostatistical parameters analysis in this study is classified as mean, sorting, skewness and kurtosis. The result informs that the types of sediments are sand, sandy clay and clayey sand for all stations. Station 1, however, is found as the coarsest compares to the other stations. All of the sediment collected at each station displays moderately sorted to poor sorted, while kurtosis values may be categorized as very leptokurtic. The results of the sediment parameters indicate that the environment of harbor pool was in a stable state, related to a sheltered condition.

A story of scrutiny and fear: Australian midwives' experiences of an external review of obstetric services, being involved with litigation and the impact on clinical practice.

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Hood, Laraine; Fenwick, Jennifer; Butt, Janice

2010-06-01

to describe Australian midwives' experiences of an external review of obstetric services, involvement in legal proceedings and the impact on midwives' clinical practice and personal wellbeing. the external review process (commonly referred to as the 'Douglas Inquiry') was initiated by a state government and was in response to hospital staff and consumer complaints that focused on anomalies in client care and a significantly high rate of adverse outcomes and clinical errors. It took place within the context of a number of legal proceedings against medical practitioners. As a result, some midwives employed by the hospital were called to give evidence at a variety of legal forums. a qualitative study using an explorative descriptive design. Snowball sampling was used to invite 16 Australian midwives to participate in a tape-recorded interview. Thematic analysis and the techniques associated with constant comparison were used to analyse the data. Australian maternity tertiary referral centre. the analysis identified two overarching themes, 'A story of scrutiny' and 'A story of fear', each with a number of subthemes. 'A story of scrutiny' consists of three subthemes. 'A cloak and dagger affair' reflects the midwives' sense of being and feeling 'exposed' and 'vulnerable' whilst simultaneously being 'kept in the dark' and uninformed during the review process. The subtheme 'Being thrown to the wolves' describes the midwives' experiences of being involved, as witnesses, in medico-legal proceedings. The third subtheme, 'The Inquiry followed them home' outlines the effect on midwives' emotional wellbeing and personal relationships. The second major theme, 'A story of fear' again consists of a number of subthemes. 'Feeling unsafe at work: a culture of fear' describes the midwives' experiences of working within an environment they perceive as driven by the fear of litigation. In order to protect themselves and maintain a sense of control, the midwives adopted a number of