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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Healthcare Nursing Journal
Faridah Mohd Said
Faculty of Nursing and Applied Sciences, Lincoln University College Malaysia, Malaysia
Health Professions Nursing Public Health

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Effects of Continuing Professional Development on Nurses’ Competence in Chronic Illness Care: A Systematic Review and Meta-Analysis Miming Oxyandi; Aris Citra Wisuda; Faridah Mohd Said; Rhipiduri Rivanica
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.25945

Abstract

Chronic illnesses, including diabetes mellitus, hypertension, cardiovascular disease, and cancer, represent major global health challenges requiring sustained nursing competence. Continuing Professional Development (CPD) is promoted to enhance nurses’ knowledge, skills, and professional attitudes; however, its effectiveness in chronic illness care remains inconsistent. This meta-analysis evaluated the impact of CPD on nursing competence in managing chronic illnesses. A systematic search of PubMed, Scopus, CINAHL, and Web of Science was conducted for studies published between January 2019 and January 2025. Eligible studies included randomized controlled trials, quasi-experimental, and cohort designs reporting competence-related outcomes following CPD interventions. Data were synthesized using a random-effects model, and heterogeneity was assessed using the I² statistic. Eleven studies involving 1,362 nurses from Asia, Europe, and the Americas met the inclusion criteria. CPD showed a significant positive effect on nursing competence in chronic illness care (Hedges’ g = 0.47; 95% CI: 0.31–0.63; p < 0.001). E-learning and blended learning approaches were more effective than traditional face-to-face methods, and programs lasting more than six months produced greater improvements. Moderate heterogeneity was observed (I² = 48%), with no evidence of publication bias. The findings indicate that CPD moderately improves nursing competence, particularly when delivered through technology-enhanced and sustained educational strategies. Variations in intervention duration and learning modality may explain differences in effect sizes across studies. CPD is an effective strategy to strengthen nursing competence in chronic illness care, especially when implemented through blended or e-learning formats and extended program duration Keywords: Continuing Professional Development, Nursing, Competence, Chronic Illness Care, Meta-Analysis
Mobile Learning-Based Clinical Education Management Information System (Cemis) And Its Effectiveness In Impro Miming Oxyandi; Santhna Letchmi Panduragan; Faridah Mohd Said; Aris Citra Wisuda; Rhipiduri Rivanica
HealthCare Nursing Journal Vol. 8 No. 1 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i1.7211

Abstract

The quality of clinical Education is greatly influenced by students' success in clinical practice areas in achieving learning outcomes, most of which are still conventional and not yet integrated. This study aims to evaluate the effectiveness of mobile learning as a medium to assess clinical learning in nursing students. This study uses Randomized Controlled Trial design. Place and Duration of Study in IKesT Muhammadiyah Palembang. From Sept 2022 to May 2023. The sample for this research consisted of nursing students from Group Experimental (n=40) and control group (n=40). The types of analysis used were the Wilcoxon Sign Rank Test and N-Gain Score Test. The use of mobile learning-based CEMIS is proven to be significant and effective in improving the learning outcomes of clinical learning of nursing students with the results of the Wilcoxon Sign Rank Test in the experimental group and the control group, namely cognitive ability (Sysmp Sig 0.002 vs 0.057), Ability Psychomotor (Sysmp Sig 0.002 VS 0.057), ability Affective (Sysmp Sig 0.002 VS 0.057). Whereas the results of the N-Gain Score Test show ability cognitive 80% (Effective), ability Psychomotor 78% (Effective), ability Affective 78% (Effective). CEMIS-based nursing clinical learning has been proven effective in improving student learning outcomes, making it a potential alternative to support clinical. learning in nursing education.
Co-Authors Aris Citra Wisuda Miming Oxyandi Miming Oxyandi Rhipiduri Rivanica Rhipiduri Rivanica Santhna Letchmi Panduragan