Improving midwifery curriculum in Indonesia through evidence-based practice integration: Scoping review

Fatimah Azzahra, Ari Indra Susanti

Abstract


Midwifery education in Indonesia plays a crucial role in enhancing maternal and neonatal health outcomes. However, several structural challenges hinder its effectiveness. Integrating Evidence-Based Practice (EBP) into midwifery curricula is crucial for addressing these challenges, as it ensures that clinical decisions are grounded in the best available evidence, ultimately enhancing the quality of care provided to mothers and newborns. The study aims to identify challenges and opportunities in incorporating EBP into midwifery education, with a focus on clinical education gaps, institutional support, and resource limitations. This study used a systematic review methodology, conducting a comprehensive search through Google Scholar, PubMed, and ScienceDirect, and analyzing 11 relevant studies. The Findings emphasize the need for enhanced training of teachers and mentors in EBP, addressing competency gaps between theoretical knowledge and clinical practice, and incorporating digital technologies and simulation-based learning to improve EBP competencies among students. The review concludes that a more systematic integration of EBP into midwifery curricula is crucial for enhancing professional practice and achieving Indonesia’s Sustainable Development Goals (SDGs) for maternal health.

 

Abstrak

Pendidikan kebidanan di Indonesia memegang peranan penting dalam meningkatkan hasil kesehatan ibu dan neonatus, namun efektivitasnya terbatas oleh berbagai tantangan struktural. Integrasi Evidence-Based Practice (EBP) ke dalam kurikulum kebidanan sangat penting untuk mengatasi tantangan ini, karena memastikan bahwa keputusan klinis didasarkan pada bukti terbaik yang tersedia, yang pada akhirnya akan meningkatkan kualitas perawatan yang diberikan kepada ibu dan bayi baru lahir. Penelitian ini bertujuan untuk mengidentifikasi tantangan dan peluang dalam mengintegrasikan EBP ke dalam pendidikan kebidanan, dengan fokus pada kesenjangan pendidikan klinis, dukungan institusional, dan keterbatasan sumber daya. Penelitian ini menggunakan metodologi tinjauan sistematik, melakukan pencarian komprehensif melalui Google Scholar, PubMed, dan ScienceDirect, serta menganalisis 11 studi yang relevan. Temuan penelitian menekankan perlunya pelatihan yang lebih baik bagi pengajar dan mentor dalam EBP, mengatasi kesenjangan kompetensi antara pengetahuan teoretis dan praktik klinis, serta mengintegrasikan teknologi digital dan pembelajaran berbasis simulasi untuk meningkatkan kompetensi EBP di kalangan mahasiswa. Tinjauan ini menyimpulkan bahwa integrasi EBP yang lebih sistematis ke dalam kurikulum kebidanan sangat penting untuk meningkatkan praktik profesional dan mencapai SDGs Indonesia dalam kesehatan maternal.

Kata Kunci: kebidanan; kurikulum; praktik berbasis bukti


Keywords


curriculum; evidence-based practice; midwifery

References


Adnani, Q. E. S. (2021). Progress and challenges of midwifery education in Indonesia. European Journal of Midwifery, 5(11), 50-62.

Adnani, Q. E. S., Gilkison, A., & McAra-Couper, J. (2022a). Strengthening midwifery education through clinical experience: Findings from a qualitative study in Indonesia. Women and Birth, 35(1), 87-95.

Adnani, Q. E. S., Gilkison, A., & McAra-Couper, J. (2022b). The interplay of structural and external factors for strengthening midwifery education in Indonesia. Sexual and Reproductive Healthcare, 33(3), 1877-5756.

Aktaş Reyhan, F., Dağlı, E., & Yeşildere Sağlam, H. (2025). The place of evidence‐based practices in theoretical and clinical practice from the perspective of midwifery students: A qualitative study. Journal of Evaluation in Clinical Practice, 31(2), 1-8.

Alotabi, A. J. D., Alotaibi, M. B. M., Khawaji, G. A. A., Alhulayyil, A. A., Alanezi, S. A., Aldossary, G. I., Mahboob, F. M. H., Albahli, M. A., Alwrafi, A., Asiri, H. A., Alshahrani, F. M., Almotairi, N. A. R., Alanazi, D. A., & Alruwaili, H. M. (2024). Integrating evidence-based practice into nursing school curricula: Review of educational strategies for enhancing competencies in evidence-based care delivery. Journal of Ecohumanism, 3(8), 12860-12869.

Alqahtani, N., Oh, K. M., Kitsantas, P., & Rodan, M. (2020). Nurses’ evidence-based practice knowledge, attitudes, and implementation: A cross-sectional study. Journal of Clinical Nursing, 29(1), 274-283.

Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., Coutinho, V., Pinto, D., Ramis, M. A., Rodrigues, M. A., & Apóstolo, J. (2021). The effectiveness of an Evidence-Based Practice (EBP) educational program on undergraduate nursing students’ EBP knowledge and skills: A cluster randomized control trial. International Journal of Environmental Research and Public Health, 18(1), 1-11.

Chays‐Amania, A., Schwingrouber, J., & Colson, S. (2024). Using implementation science to implement evidence‐based practice: A discursive paper. Journal of Advanced Nursing, 1(1), 1-12.

Cleary‐Holdforth, J., O’Mathúna, D., & Fineout‐Overholt, E. (2021). Evidence‐based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the Republic of Ireland. Worldviews on Evidence‐Based Nursing, 18(6), 379-388.

Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa implementation for sustainability framework. Implementation Science, 17(1), 1-20.

Du, S., Jin, S., Zhang, H., Chen, L., & Zhang, Y. (2023). Incorporating evidence-based practice education in nursing research curriculum of undergraduate nursing students: A quasi-experimental study. Nurse Education in Practice, 70(3), 1471-5953.

Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-Based Practice Models and frameworks in the healthcare setting: A scoping review. BMJ Open, 13(5), 1-9.

Foster, W., Sweet, L., & Graham, K. (2021). Midwifery students experience of continuity of care: A mixed methods study. Midwifery, 98(1), 1-16.

Koota, E., Kääriäinen, M., Kyngäs, H., Lääperi, M., & Melender, H. L. (2021). Effectiveness of Evidence-Based Practice (EBP) education on emergency nurses’ EBP Attitudes, knowledge, self-efficacy, skills, and behavior: A randomized controlled trial. Worldviews on Evidence-Based Nursing, 18(1), 23-32.

Lanssens, D., Goemaes, R., Vrielinck, C., & Tency, I. (2022). Knowledge, attitudes and use of evidence-based practice among midwives in Belgium: A cross-sectional survey. European Journal of Midwifery, 6, 1-9.

Mak, S., & Thomas, A. (2022). Steps for conducting a scoping review. Journal of Graduate Medical Education, 14(5), 565-567.

Moller, A. B., Welsh, J., Ayebare, E., Chipeta, E., Gross, M. M., Houngbo, G., Hounkpatin, H., Kandeya, B., Mwilike, B., Nalwadda, G., Petzold, M., Sognonvi, A., & Hanson, C. (2022). Are midwives ready to provide quality evidence-based care after pre-service training? Curricula assessment in four countries—Benin, Malawi, Tanzania, and Uganda. PLOS Global Public Health, 2(9), 1-16.

Nielsen, L. D., Castano, F. M., Jørgensen, R. B., Ramachandran, A., Egebæk, H. K., & Noe, B. B. (2024). Teaching evidence-based practice to undergraduate healthcare students educators' knowledge, skills, attitudes, current practice, perceived barriers, and facilitators: A Danish cross-sectional study. Nurse Education Today, 133(1), 1-12.

Ningsih, R., & Amra, R. N. (2023). Persepsi bidan tentang penerapan asuhan kebidanan berbasis evidence-based practice. Majalah Ilmiah Methoda, 13(3), 365-369.

Nugraheny, E., Yanti, Y., & Joewono, H. T. (2022). Why we have to reform midwifery education?. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 11(3), 332-339.

Nurhayati, S., Bimantoro, S., & Ahsan, M. H. (2025). Digital technology in midwifery education and training: advancing competences and clinical practices. IJECA (International Journal of Education and Curriculum Application), 8(1), 115-128.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Medicine, 18(3), 1-15.

Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953-968.

Pollock, D., Evans, C., Menghao Jia, R., Alexander, L., Pieper, D., Brandão de Moraes, É., Peters, M. D. J., Tricco, A. C., Khalil, H., Godfrey, C. M., Saran, A., Campbell, F., & Munn, Z. (2024). “How-to”: Scoping review?. Journal of Clinical Epidemiology, 176(1), 1-7.

Pranata, G. K. A. W., & Wulandari, I. A. P. (2024). Gambaran pengetahuan, sikap dan kesiapan mahasiswa ilmu kesehatan dalam penerapan Evidence Based Practice (EBP). Jurnal Riset Kesehatan Nasional, 8(1), 75-82.

Pranata, L., Surani, V., Suryani, K., & Fari, A. I. (2023). Pemahaman Karya Ilmiah Akhir Ners (KIAN) berbasis evidence based practice in nursing. Jurnal Kesehatan dan Pembangunan, 13(26), 174-178.

Prastyoningsih, A., Rohmah, A. N., Prastika, D. A., Kanita, M. W., Pratiwi, A. M., Umarianti, T., & Andikatyas, Y. R. (2022). Continuing midwifery education: Midwifery encouragements of continuing professional education in profession stage in Indonesia: A qualitative study. Open Access Macedonian Journal of Medical Sciences, 10(1), 311-317.

Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020). Readiness, barriers and potential strenght of nursing in implementing evidence-based practice. International Journal of Caring Sciences, 13(2), 1203-1211.

Ryan, G., Callaghan, S., Rafferty, A., Murphy, J., Higgins, M., Barry, T., Mangina, E., Carroll, L., & McAuliffe, F. (2022). Virtual reality in midwifery education: A mixed methods study to assess learning and understanding. Nurse Education Today, 119(1), 1-13.

Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn’t. BMJ, 312(7023), 71-72.

Sun, Y., & Wu, L. (2025). Application of the ACE-star evidence-based nursing model combined with voice training in voice rehabilitation after Vocal cord polyp surgery. Journal of Biosciences and Medicines, 13(3), 183-192.

Susanti, A. I. (2021). Perbandingan kurikulum pendidikan bidan di Indonesia, New Zaeland, dan Australia. Inovasi Kurikulum, 18(2), 196-207.

Susanti, A. I., Ali, M., Hernawan, A. H., Rinawan, F. R., Purnama, W. G., Puspitasari, I. W., & Stellata, A. G. (2022). Midwifery continuity of care in Indonesia: Initiation of mobile health development integrating midwives’ competency and service needs. International Journal of Environmental Research and Public Health, 19(21), 1-17.

Taye, E. B., Muche, H. A., Haile, T. T., Addis, B., Awoke, M. K., Bekele, M. M., Abadi, M. B., & Taye, Z. W. (2024). Implementation of evidence-based practice in clinical decision-making among midwives working in Central and South Gondar Zone public Hospitals, Ethiopia. Clinical Epidemiology and Global Health, 26(1), 2213-3984.

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.




DOI: https://doi.org/10.17509/curricula.v4i1.82550

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