Beyond The Screen: Academic Benefits, Student Satisfaction, And The Quality Of Midwife-Patient Interaction After Digital Continuity Of Care (CoC) Learning
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Abstract
Background: Continuity of Care (CoC) is a cornerstone of quality midwifery services and a key strategy for reducing maternal and infant mortality. Integrating mobile Health (mHealth) technology into CoC-based midwifery curricula is intended to strengthen holistic patient monitoring while preserving humanistic, patient-centered communication.
Aim: This study evaluated midwifery students' perceived academic benefit and satisfaction after digital CoC learning, and examined the associated quality of midwife-patient interaction and patient satisfaction.
Methods: An observational analytic study with a quasi-experimental post-test design was conducted among 51 midwifery students of Poltekkes Kemenkes Tasikmalaya (Cirebon campus) and 51 patients receiving continuity care through the D Kia application across four partner hospitals in Cirebon and Indramayu. Data were collected using structured Likert-scale questionnaires and analyzed descriptively.
Results: Students reported very high perceived academic benefit (mean 4.46±0.62) and interaction satisfaction (mean 4.42), while patients rated communication quality (mean 4.52) and satisfaction with CoC (mean 4.50±0.63) as very high.
Conclusions: Digital CoC learning was perceived very positively by both students and patients without compromising humanistic communication.
Implication: Findings support wider integration of mHealth into midwifery curricula to prepare digitally competent, patient-centered future midwives.
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References
Asadzadeh, L., Jafari, E., Kharaghani, R., & Taremian, F. (2020). Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: A randomized controlled trial. BMC Pregnancy and Childbirth, 20, 1-9.
Aune, I., Tysland, T., & Amalie Vollheim, S. (2021). Norwegian midwives' experiences of relational continuity of midwifery care in the primary healthcare service: A qualitative descriptive study. Nordic Journal of Nursing Research, 41(1), 5-13.
Baghini, F. K., Iranifard, E., Roudsari, R. L., & Najmabadi, K. M. (2023). The role of midwives in women's empowerment: A narrative review. Journal of Midwifery and Reproductive Health, 11(3).
Carter, J., Dietsch, E., & Sidebotham, M. (2020). The impact of pre-registration education on the motivation and preparation of midwifery students to work in continuity of midwifery care: An integrative review. Nurse Education in Practice, 48, 102859.
Cooper, A. L., Brown, J. A., Eccles, S. P., Cooper, N., & Albrecht, M. A. (2021). Is nursing and midwifery clinical documentation a burden? An empirical study of perception versus reality. Journal of Clinical Nursing, 30(11-12), 1645-1652.
Gamble, J., Sidebotham, M., Gilkison, A., Davis, D., & Sweet, L. (2020). Acknowledging the primacy of continuity of care experiences in midwifery education. Women and Birth, 33(2), 111-118.
Hunter, B., Thomas, G., Wilhelmová, R., Trendafilova, P., Blaževičienė, A., Lynch, L., et al. (2022). Strengthening global midwifery education to improve quality maternity care: Co-designing the World Health Organization Midwifery Assessment Tool for Education (MATE). Nurse Education in Practice, 63, 103376.
Ige, W. B., & Ngcobo, W. B. (2024). A model to strengthen the quality of midwifery education: A grounded theory approach. International Medical Education, 3(4), 473-487.
Janke, T. M., Makarova, N., Schmittinger, J., Ebinghaus, M., Blome, C., & Zyriax, B. C. (2024). Women's needs and expectations in midwifery care: Results from the qualitative MiCa (midwifery care) study. Part 1: Preconception and pregnancy. Heliyon, 10(4).
Johnston, J., McKenna, L., Malik, G., & Reisenhofer, S. (2022). Reported outcomes of nursing or midwifery students participating in international educational programs in their pre-registration education: A narrative systematic review. Nurse Education Today, 111, 105320.
Kumar, A., Krishnamurthi, R., Bhatia, S., Kaushik, K., Ahuja, N. J., Nayyar, A., et al. (2021). Blended learning tools and practices: A comprehensive analysis. IEEE Access, 9, 85151-85197.
Muraraneza, C., & Mtshali, G. N. (2021). Planning reform to competency-based curricula in undergraduate nursing and midwifery education: A qualitative study. Nurse Education Today, 106, 105066.
Peacock, A., Slade, C., & Brown Wilson, C. (2022). Nursing and midwifery students' perspectives of using digital systems on placement: A qualitative study. Journal of Advanced Nursing, 78(4), 1128-1139.
Rinawan, F. R., Susanti, A. I., Amelia, I., Ardisasmita, M. N., Widarti, & Dewi, R. K., et al. (2021). Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: A 3-year hybrid action study to build "a bridge" from the community to the national scale. BMC Public Health, 21, 1-17.
Smith, R. M., Gray, J. E., & Homer, C. S. E. (2023). Common content, delivery modes and outcome measures for faculty development programs in nursing and midwifery: A scoping review. Nurse Education in Practice, 70, 103648.
Susanti, A. I., Ali, M., Hernawan, A. H., & Rinawan, F. R. (2022). The iPosyandu application for midwives as learning media in continuity midwifery care training curriculum. Journal of Educational Technology, 6(4), 607-616.
Tickle, M. N., Gamble, J., Creedy, D., & Carter, A. (2022). Clinical outcomes for women participating in continuity of care experiences with pre-registration midwifery students. Women and Birth, 35, 13.
Utami, F. S., & Putri, I. M. (2021). An analysis of women-centered care needs in midwifery care. In Proceedings of the 2nd Borobudur International Symposium on Humanities and Social Sciences (BIS-HSS 2020), Magelang, Indonesia.
Vermeulen, J., Buyl, R., Luyben, A., Fleming, V., & Fobelets, M. (2023). Key maternity care stakeholders' views on midwives' professional autonomy. Paper presented at Healthcare Conference.