Learning Design Preferences of Midwifery Students Following Emergency Remote Learning: A Qualitative Content Analysis to Inform Blended Learning Development
DOI:
https://doi.org/10.55606/lencana.v4i4.7063Keywords:
Blended Learning, Emergency Remote Learning, Learning Design, Midwifery Education, Qualitative Content AnalysisAbstract
Blended learning is increasingly integrated into health professions education, yet its effectiveness hinges on aligning learning modalities with target competencies. This study aimed to explore midwifery students’ learning-design preferences following emergency remote learning and to identify their implications for competency-based blended learning development. A secondary qualitative content analysis was conducted using open-ended survey responses from midwifery students at Poltekkes Kemenkes Pangkalpinang. Out of 98 eligible respondents, 86 usable responses were included in the final analysis. Data were analyzed using conventional qualitative content analysis with research-team consensus. Four main themes emerged: (1) the continuing importance of face-to-face learning; (2) the purposeful integration of online theory and campus-based practical training; (3) the need for flexible organization of face-to-face learning; and (4) the demand for accessible, well-structured, and engaging digital learning. Students viewed online and face-to-face formats as complementary rather than competing modalities. These findings indicate that blended learning in midwifery education should be competency-driven, leveraging digital modalities for theoretical preparation and flexibility, while reserving face-to-face environments for hands-on skills, direct interaction, immediate feedback, and experiential learning
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Aruani, S., & Susanti, A. I. (2025). Adaptation of midwifery education curriculum in the fourth industrial revolution. Curricula: Journal of Curriculum Development, 4(1), 419–434. https://doi.org/10.17509/curricula.v4i1.83099
Ashraf, M. A., Tsegay, S. M., Gull, N., Saeed, M., & Dawood, H. (2024). The role of blended learning in improving medical students’ academic performance: evidence from Pakistan. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1425659
Brereton, S., Curtin, M., Greene, E., Hardie, P., Szafranska, M., & Kirwan, C. (2022). A blended learning perineal suturing programme for midwifery students: An evaluative descriptive study. Nurse Education in Practice, 64, 103453. https://doi.org/10.1016/J.NEPR.2022.103453
Gray, M., Vogel, K., Bernloehr, A., Downer, T., Welfare, M., & Bauer, N. H. (2026). Digital teaching in midwifery education since 2021: A literature review of trends, technological advancements and challenges. Nurse Education in Practice, 94, 104900. https://doi.org/10.1016/J.NEPR.2026.104900
Hays, R. B. (2024). Purposeful design in health professions’ curriculum development. Medical Teacher, 46(12), 1532–1538. https://doi.org/10.1080/0142159X.2024.2359974
ICM. (2023). Using the ICM Essential Competencies in a Midwifery Curriculum. https://internationalmidwives.org/resources/using-the-competencies-in-a-midwifery-curriculum/
ICM. (2024). ICM Essential Competencies for Midwifery Practice 2024 2 ICM Essential Competencies.
Iqbal, M., Dias, J. M., Sultan, A., Raza, H. A., & Zaman, L. uz. (2024). Effectiveness of blended pedagogy for radiographic interpretation skills in operative dentistry - a comparison of test scores and student experiences at an undergraduate dental school in Pakistan. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05062-5
Jones, R., Jackson, D., Rice, K., Fisher, M., Calleja, P., Hopkins, M., West, C., Irwin, P., McGough, S., Luck, L., Walker, F., Whiteing, N., & Usher, K. (2024). Nursing/midwifery students’ perceptions of caring pedagogy and online learning during the COVID-19 pandemic. Journal of Advanced Nursing, 80(11), 4712–4724. https://doi.org/10.1111/jan.16224
Li, M., Hong, Y., Wu, A., Ou, W., Yang, J., Lin, G., Ruan, Y., Chen, Z., Lin, C., & Liang, Y. (2025). The effectiveness of blended learning in nursing and medical education: An umbrella review. In Nurse Education in Practice (Vol. 86). Elsevier Ltd. https://doi.org/10.1016/j.nepr.2025.104421
Montgomery, K. M., Ardzejewska, K., Casey, A., & Hogan, R. (2025). The lived experience of women studying nursing online in regional, rural and remote areas: an integrative literature review. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-024-02638-w
Permata, T. R., Norisa, N., & Pinaremas, A. S. (2022). Kesehatan Mental dan Persepsi Mahasiswa Kebidanan terhadap E-learning Selama Pandemi Covid-19. Jurnal Ilmiah Obsgin, 14(4), 132–139. https://doi.org/https://doi.org/10.36089/job.v14i4.899
Seed Ahmed, M., Soltani, A., Zahra, D., Allouch, S., Al Saady, R. M., Nasr, A., Saleh, N., Saeed, A., Awad, K. A., Baraka, S. A., Ahmed, O., Babiker, R., Mohammed, E. E. A., & Ali, K. (2025). Remote online learning reimagined: perceptions and experiences of medical students in a post-pandemic world. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-06815-6
Shikuku, D. N., Mohammed, H., Mwanzia, L., Ladur, A. N., Nandikove, P., Uyara, A., Waigwe, C., Nyaga, L., Bashir, I., Ndirangu, E., Bedwell, C., Bar-Zeev, S., & Ameh, C. (2024). Evaluation of the feasibility of a midwifery educator continuous professional development (CPD) programme in Kenya and Nigeria: a mixed methods study. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05524-w
Silmi, H., Djalil Lukmanul Hakim, D., Indra Susanti, A., Sari, P., Sunjaya, D. K., Susiarno, H., Estiningtyas Sakilah Adnani, Q., & Novitasari, A. (2026). Mapping Digital Content Needs Among Midwifery Students in Indonesia. JTP-Jurnal Teknologi Pendidikan, 28(1), 150–160. https://doi.org/https://doi.org/10.21009/jtp.v28i1.63844
Susanti, A. I., Mandiri, A., Novitasari, A., Silmi, H., Didah, Adnani, Q. E. S., & McKenna, L. (2026). Integration of competency needs and continuity of care learning for midwifery students based on mobile applications in Indonesia: A mixed-methods study. Belitung Nursing Journal, 12(2), 250–260. https://doi.org/10.33546/bnj.4446
Wang, R., & Raman, A. (2025). Systematic literature review on the effects of blended learning in nursing education. In Nurse Education in Practice (Vol. 82). Elsevier Ltd. https://doi.org/10.1016/j.nepr.2024.104238
WHO. (2024). WHO Academy Strategy 2024-2026: Leading lifelong learning for a healthier world.
Zhao, L., Dai, X., & Chen, S. (2024). Effect of the case-based learning method combined with virtual reality simulation technology on midwifery laboratory courses: A quasi-experimental study. International Journal of Nursing Sciences, 11(1), 76–82. https://doi.org/10.1016/J.IJNSS.2023.12.009
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