Belitung Nursing Journal
Vol. 12 No. 2 (2026): March - April

Integration of competency needs and continuity of care learning for midwifery students based on mobile applications in Indonesia: A mixed-methods study

Susanti, Ari Indra (Unknown)
Mandiri, Ariyati (Unknown)
Novitasari, Anis (Unknown)
Silmi, Harridhil (Unknown)
Didah (Unknown)
Adnani, Qorinah Estiningtyas Sakilah (Unknown)
McKenna, Lisa (Unknown)



Article Info

Publish Date
28 Apr 2026

Abstract

Background: Strengthening the quality of midwifery education is crucial to equip future midwives with the competencies required for contemporary practice. Continuity of Care (CoC) learning requires structured learning strategies, appropriate media, and effective evaluation mechanisms based on students’ needs. In this context, mobile applications can support CoC learning through flexible documentation and reporting systems. Objective: This study aimed to identify learning and competency needs for technology-enhanced CoC education among midwifery students. Methods: A convergent mixed-methods design was employed with midwifery students in the Bandung Metropolitan Raya region, West Java, Indonesia, in 2024. Purposive sampling was used to select 310 students for quantitative analysis using STATA 16.0. Qualitative data from online focus group discussions (FGDs) with 34 students were analyzed using NVivo 1.6.1. Results: Quantitative analysis identified learning strategy as the strongest predictor of CoC competency (r = 0.790, p < 0.001). Qualitative findings revealed two main themes: CoC Competencies (with subthemes of CoC Competency Objectives and CoC Core Competencies) and integrated CoC learning components (learning strategy, learning media, and learning evaluation). Conclusion: This study identified four essential components of mobile-based CoC learning, with learning strategies emerging as the strongest predictor of competency. These findings indicate that, although mobile technology enables efficient recording and reporting, it must be integrated with structured learning strategies to effectively strengthen midwifery competencies.

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Journal Info

Abbrev

bnj

Publisher

Subject

Nursing

Description

BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based ...