Developing a Mobile Application as a Learning Medium on Maternal Emergencies Related to Postpartum Hemorrhage 10.55131/jphd/2022/200104
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Abstract
Maternal mortality (MM) remains a problem in the world as 380 mothers die from complications related to pregnancy and childbirth worldwide. Postpartum hemorrhage is the world’s leading cause of maternal mortality. In Indonesia, there were 8,600 maternal mortality cases in 2017, while the target to be achieved by 2025 is 74 per 100,000 live births. The aim of this study was to develop a mobile application as a learning medium on maternal emergencies. A research and development (R&D) study was conducted on 56 midwifery students, who were selected by total sampling. The KGD (KeGawatDaruratan) Maternal application was developed by using the ADDIE (analyze, design, develop, implement, evaluate) instruction model and was validated by two experts, namely, midwifery and media experts. The KGD Maternal application was assessed by midwifery students using structured questionnaires named the Technology Acceptance Model (TAM) questionnaires, which covered perceived ease of use (PEOU) and perceived usefulness (PU). The results of this study revealed that the KGD Maternal application was considered valid by the material expert and very valid by the media expert. As many as 69.6% of the midwifery students rated the KGD Maternal application as useful in the learning process on maternal and neonatal emergencies, and 73.2% rated it as easy to use. This study also revealed that the KGD Maternal application could provide greater opportunities for midwifery students to access, and facilitate and enable them to understand, materials about maternal emergencies. Based on the findings in this study, institutions of midwifery and nursing education should design and develop learning media that can provide a more optimal learning process. Furthermore, a higher extent of mobile application development is needed to provide better learning media. Increased knowledge and competency will clearly result in decreased maternal mortality.
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References
Achadi EL. Kematian Maternal dan Neonatal di Indonesia [Internet]. FKM UI pada Rakernas. 2019. Available from: http://www.depkes.go.id/resources/ download/info-terkini/rakerkesnas-2019/SESI%20I/Kelompok%201/1-Kematian-Maternal-dan-Neonatal-di-Indonesia.pdf
World Health Organization. Trends in maternal mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. 2019 Available from: https://apps.who.int/iris/ bitstream/handle/10665/327595/9789241516488-eng.pdf
World Health Organization. Maternal mortality: evidence brief [Internet]. In Maternal mortality: evidence brief. 2019. Available from: https://apps. who.int/iris/handle/10665/329886
Nyfløt LT, Sandven I, Stray-Pedersen B, Pettersen S, Al-Zirqi I, Rosenberg M, Jacobsen AF, Vangen S. Risk Factors For Severe Postpartum Hemorrhage: a case-control study. BMC Pregnancy Childbirth. 2017;17(1):17. doi: https:// doi.org/10.1186/s12884-016-1217-0
De Cássia De Oliveira R, Barbosa Davim RM. Prevention And Treatment Of Post-Partum Hemorrhage. J Nurs UFPE. 2019;13(1). doi: 10.5205/1981-8963-v01i01a238415p236-248-2019
Bonnet MP, Benhamou D. Management of Postpartum Haemorrhage. F1000Research, 5 2016. doi: 10.12688/f1000research.7836.1
Ministry of Health Indonesia. Profil Kesehatan Indonesia 2015 [Internet]. 2015. Available from: https://pusdatin. kemkes.go.id/article/view/16091600001/profil-kesehatan-indonesia-tahun-2015.html
Ul-Ilmi A, Reka LM. Faktor Risiko Hemorrhage Pasca Post Partum. J Media Kesehat. 2018;11(1):012-019. doi: https://doi.org/10.33088/jmk.v11i1.351
Sulistyoningtyas S, Cahyawati FE. Karakteristik dan Penanganan Perdarahan pada Ibu Postpartum. JK. 2020;12(1):141-146.
Saifuddin AB. Kematian Ibu di Indonesia Dapatkah kita mencapai target MDGs 2015. INAJOG. 2016;30(1):3-9.
Bharj KK, Luyben A, Avery MD, Johnson PG, Barger MK, Bick D. An Agenda For Midwifery Education: Advancing The State Of The World׳S Midwifery. Midwifery. 2016;33:3-6. doi: 10.1016/j.midw.2016.01.004
Khoiriyah ES, Florentinus TS, Yuniastuti A. The Development of 3D Professional Pageflip-based Pregnancy Care E-Module. IJCET. 2020;9(2):78-86.
Purnamaningrum YE, Hernayanti MR. The Advanced Of Audiovisual Learning Media For Children Development Examination By Using Pre Screening Developmental Questionnaire For Midwifery Students. JKIA. 2018;12(1):7-17. doi: https:// doi.org/10.29238/kia.v12il.67
Bolan NE, Sthreshley L, Ngoy B, Ledy F, Ntayingi M, Makasy D, Mbuyi MC, Lowa G, Nemeth L, Newman S. mLearning in the Democratic Republic of the Congo: a mixed-methods feasibility and pilot cluster randomized trial using the safe delivery app. Glob Health Sci Pract. 2018;6(4):693-710. doi: https://doi.org/10.9745/GHSP-D-18-00275
Lund S, Boas IM, Bedesa T, Fekede W, Nielsen HS, Sørensen BL. Association between the safe delivery app and quality of care and perinatal survival in Ethiopia: a randomized clinical trial. JAMA Pediatr. 2016;170(8):765-71. doi:10.1001/jamapediatrics.2016.0687
Mildon A, Sellen D. Use of mobile phones for behavior change communication to improve maternal, newborn and child health: a scoping review. J Glob Health. 2019;9(2):1-29. doi: 10.7189/jogh.09.020425
Asiki G, Newton R, Kibirige L, Kamali A, Marions L, Smedman L. Feasibility of using smartphones by village health workers for pregnancy registration and effectiveness of mobile phone text messages on reduction of homebirths in rural Uganda. PloS one. 2018;13(6): e0198653. doi: https://doi.org/10.1371/ journal.pone.0198653
Al Thomairy N, Mummaneni M, Alsalamah S, Moussa N, Coustasse A. Use of smartphones in hospitals. Health Care Manag. 2015;34(4):297-307. doi: 10.1097/HCM.0000000000000080
Colaci D, Chaudhri S, Vasan A. mHealth interventions in low-income countries to address maternal health: a systematic review. Ann Glob Health. 2016;82(5):922-35. doi: http://dx.doi.org/ 10.1016/j.aogh.2016.09.001
Sondaal SF, Browne JL, Amoakoh-Coleman M, Borgstein A, Miltenburg AS, Verwijs M, Klipstein-Grobusch K. Assessing the effect of mHealth interventions in improving maternal and neonatal care in low-and middle-income countries: a systematic review. PloS one. 2016;11(5):e0154664. doi: 10.1371/journal.pone.0154664
Nasrudin A, Haeruddin, Budiman E. Sistem E-Learning Mata Kuliah Pada Akademi Kebiadan Mutiara Mahakam [Internet]. Proceedings of SAKTI (Seminar Ilmu Komputer dan Teknologi Informasi). Samarinda: Mulawarman University; 2017;2(1):325-329. Available from: http://e-journals.unmul. ac.id/index.php/SAKTI/article/view/280
Appiagyei M, Trump A, Danso E, Yeboah A, Searle S, Carr, C. Case Study: The Role of eLearning in Midwifery Pre-Service Education in Ghana. World Health Popul. 2015;16(2):54-61. doi: 10.12927/ whp.2016.24492
Lisa UF, Hernowo BS, Anwar R. Pengaruh Penggunaan Media Video pada Pembelajaran Praktikum terhadap Pengetahuan dan Keterampilan Mahasiswa dalam Penanganan Distosia Bahu di Universitas Ubudiyah Indonesia. J Healthcare Technol Med. 2019;2(1):46-58. doi: http://doi.org/ 10.33143/jhtm.v2il.348
Hadi SPI, Kuntjoro T, Sumarni S, Anwar MC, Widyawati MN, Pujiastuti RSE. The Development of E-Partograph Module As A Learning Platform For Midwifery Students: The ADDIE Model. Belitung Nurs J. 2017;3(2):148-156. doi: http://doi.org/10.33546/bnj.77
Yangoz ST. The use of e-learning program in nursing education. New Trends and Issues Proceedings on Humanities and Social Sciences. 2017;4(2):230-236. doi: https://doi.org/ 10.18844/prosoc.v4i2.2752
Davis FD. Perceived Usefulness, Perceived Ease Of Use, And User Acceptance Of Information Technology. MIS quarterly. 1989;319-340.
Grove S, Nancy B, Jennifer G. The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 7th ed. United States America: Saunders Elsevier Inc. 2012.
Davis AL. Using Instructional Design Principles To Develop Effective Information Literacy Innstruction The ADDIE Model. Coll Res Libr News. 2013;74(4):205-207. doi: 10.5860/ crln.74.4.8934
Cheung L. Using The ADDIE Model Of Instructional Design To Teach Chest Radiograph Interpretation. J Biomed Educ. 2016:1-6. doi: 10.1155/ 2016/9502572
Lu SC, Cheng YC, Chan PT. Using ADDIE Model to Develop a Nursing Information System Training Program for New Graduate Nurse. Nursing Informatics. 2016:969-970.
Markaki A, Wingo N, Watts P, Steadman L, Coles K, Rae T, Theus L, Ortega J. Building Capacity For Nursing And Midwifery Education Through An Asynchronous Online Course. J Nurs Educ. 2020;59(1):38-4. doi: https://doi.org/10.3928/01484834-20191223-09
Hariyanto H, Joyoatmojo S, Nurkamto J, Gunarhadi G. Developing Inquiry-Based Learning Materials To Promote Students’ Academic Achievement. Int J Learn Teach Educ Res. 2019;18(1):50-61. doi: https://doi.org/10.26803/ ijlter.18.1.4
Kumar A, Singh T, Bansal U, Singh J, Davie S, Malhotra A. Mobile Obstetric And Neonatal Simulation Based Skills Training In India. Midwifery. 2019;72:14-22. doi: https://doi.org/ 10.1016/j.midw.2019.02.006
Firoozehchian F, Ghasab SM, Atrkarroushan Z. (2019). The Effects of Video Podcast on Learning Among Midwifery Students: A Randomized Controlled Trial. Nurs Midwifery Stud. 2019;8(4):183-188. doi: 10.4103/nms.nms_96_18
Chipps J, Pimmer C, Brysiewicz P, Walters F, Linxen S, Ndebele T, Gröhbiel U. Using Mobile Phones And Social Media To Facilitate Education And Support For Rural-Based Midwives In South Africa. Curationis. 2015;38(2):1-8. doi: 10.4102/curationis.v38i2.1500
Anderson I. Identifying Different Learning Styles To Enhance The Learning Experience. Nurs Stand. 2016;31(7):53-63. doi:10.7748/ ns.2016.e10407
Kordi M, Rashidi FF, Khadivzadeh T, Mazloum SR, Akhlaghi F, Tara M. The Effect of Web-based and Simulation-based Education on Midwifery Students’ Self-Confidence in Postpartum Hemorrhage Management. J Midwifery Reproductive Health. 2015;3(1):262-268.
Arbour MW, Nypaver CF, Wika, JC. Innovative Uses Of Technology In Online Midwifery Education. J Midwifery Womens Health. 2015;60(3):278-282. doi: 10.1111/ jmwh.12291
Rahmati R, Mohebbi DZ, Kamali Z, Mohebbi DA. The Effect of Mobile-based and Lecture-Based Training Methods on Midwives’ Knowledge Regarding Management of Pre-Eclampsia/Eclampsia. J Midwifery Reproductive Health. 2018;6(4):1430-1436. doi: https://doi.org/ 10/22038/JMRH.2018.30107.1326
DeLeo A, Geraghty S. iMidwife: Midwifery Students’ Use Of Smartphone Technology As A Mediated Educational Tool In Clinical Environments. Contemp Nurse. 2018;54(4-5):522-531. doi: 10.1080/10376178.2017.1416305
Khoiriyah ES, Florentinus TS, Yuniastuti A. The Development of 3D Professional Pageflip-based Pregnancy Care E-Module. Innov J Curriculum Educ Technol. 2020;9(2):78-86.
Brown J, McCrorie P. The iPad: Tablet Technology to Support Nursing and Midwifery Student Learning: An Evaluation in Practice. CIN. 2015;33(3):93-98. doi: 10.1097/ CIN.0000000000000131
Baghcheghi N, Koohestani HR, Karimy M, Alizadeh S. Factors Affecting Mobile Learning Adoption in Healthcare Professional Students Based on Technology Acceptance Model. Acta Fac Medicae Naissensis. 2020;37(2): 191-200. doi: 10.5937/afmnai2002191B
Awodoyin A, Adetoro N, Osisanwo T. Self-Efficacy and New Technology Adoption And Use Among Trainee Mid-Wives In Ijebu-Ode, Nigeria. Educ Inf Technol. 2017;22(4):1911-1925. doi: 10.1007/s10639-016-9524-7
Azizi SM, Khatony A. (2019). Investigating Factors Affecting On Medical Sciences Students’ Intention To Adopt Mobile Learning. BMC Med Educ. 2019;19(1):381. doi: 10.1186/s 12909-019-1831-4