Kontakt 2020, 22(1):40-46 | DOI: 10.32725/kont.2020.007

Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitalsNursing - Original article

Makhfudli Makhfudli1, Ferry Efendi1,2,*, Anna Kurniati3, Retnayu Pradanie1, Susy Katikana Sebayang4
1 Universitas Airlangga, Faculty of Nursing, Research Group for Community Health, Family and Gerontic Nursing, Surabaya, Indonesia
2 La Trobe University, School of Nursing and Midwifery, Melbourne, Australia
3 Ministry of Health, BPPSDMK, Center for Planning and Management of Human Resources for Health, Indonesia
4 Universitas Airlangga, Faculty of Public Health, Department of Biostatistics and Population Studies, Research Group for Health and Wellbeing of Women and Children, Banyuwangi Campus, Indonesia

Aim: Staffing is believed to have a profound influence on the reduction of maternal mortality and severe maternal morbidity. Our research aims to examine the relationship between staffing characteristics and severe maternal outcomes.

Methods: We conducted a retrospective cross-sectional study analyzing the data of deliveries and staffing from the eleven maternity units at the tertiary hospitals in the Java region of Indonesia.

Results: The present study revealed that staffing characteristics were significantly associated with severe maternal outcomes. Maternity units with a higher nurse to birth ratio reduced the odds of severe maternal outcomes by 52% (OR = 0.476; 95% CI: 0.307-0.739). However, admission to units with a higher midwife to birth ratio increased the odds of experiencing severe maternal outcomes by 1.8 times (OR = 1.809; 95% CI: 1.070-3.059). The likelihood of severe maternal outcomes in maternity units is reduced by 52% for every additional year of nursing experience (OR = 0.476; 95% CI: 0.304-0.745), and by 69% for every additional year of midwifery experience (OR = 0.313; 95% CI: 0.200-0.491).

Conclusions: The findings signify the prominent role of healthcare workers in maternal healthcare at the tertiary level. A further study is recommended to provide more support for the evidence-based policy in relation to developing safe staffing standards within the maternal healthcare framework.

Keywords: Indonesia; Maternal mortality; Maternal near-miss; Staffing; Tertiary level

Received: November 2, 2019; Revised: January 24, 2020; Accepted: February 17, 2020; Prepublished online: February 24, 2020; Published: February 28, 2020  Show citation

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Makhfudli M, Efendi F, Kurniati A, Pradanie R, Sebayang SK. Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals. Kontakt. 2020;22(1):40-46. doi: 10.32725/kont.2020.007.
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