Analysis of Trends in Vocational Midwifery Competency Test Pass Rates as an Exit Exam in Indonesia: A Retrospective Study 2016-2023
Main Article Content
Abstract
Background:
The large number of midwifery schools, coupled with the suboptimal quality of midwifery education accreditation in Indonesia, underscores the need to implement midwife competency tests. This study aims to analyze the distribution of first takers and retakers in the National Midwifery Competency Examination based on the type of higher education institution before and after the implementation of the exit exam in 2020
Methods:
Data were obtained from diploma 3 KOM participants during the 2016-2023 period, covering akademi, institute, politeknik, poltekkes, sikes, and universitas.
Results:
The results show that akademi have the highest proportion (30%) of UKOM graduates, both as first takers and retakers. The implementation of the exit exam in 2020 caused a spike in the number of first takers in 2020, followed by a decline in 2022 and 2023. There was a drastic 91% decrease in the number of first takers from 19.748 participants in 2019 to 1.762 participants in 2020, due to the adjustment period and COVID-19 disruptions. In contrast, the number surged to 28.349 in 2021, indicating institutional adaptation and improved readiness.
Conclusion:
The implementation of the exit exam has a significant effect on the number of first takers and retakers of the National Midwifery Competency Test in Indonesia. After the implementation of the exit exam policy in 2020, there was an increase in the number of first takers and a decrease in the number of retakers, indicating that better preparation from educational institutions has improved the pass rate. In addition to the exit exam policy, the decrease in retakers was also influenced by the introduction of the composite scoring policy, which mandates that graduation is determined by a combination of Grade Point Average (GPA) and competency test scores.
Article Details
References
Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia Kesehatan (BPPSDMK). (2014). Peran Institusi Pendidikan dalam Meningkatkan Kualitas Lulusan yang Kompeten melalui Uji Kompetensi. Pusat Standarisasi, Sertifikasi dan Pendidikan Berkelanjutan SDM Kesehatan. 2014; 5-6
Fitria, R., & Ningsih, D. A. (2024). Faktor-faktor yang Berhubungan dengan Kelulusan Uji Kompetensi Nasional pada Mahasiswa DIII Kebidanan dan DIII Keperawatan. Jurnal Ners, 8(1): 279-285.
Fitria, R., Serudji, J., & Evareny, L. (2019). Persiapan Uji Kompetensi Bidan sebagai Exit Exam. Jurnal Ilmiah Universitas Batanghari Jambi, 19(1): 195-203.
Health Professional Education Quality Project (HPEQ). (2015). Implementation Completion and Results Report on a Loan to the Republic of Indonesia for a Health Professional Education Quality Project (HPEQ). East Asia and Pacific Region: HPEQ; 2015
Kementerian Riset Teknologi dan Pendidikan Tinggi (Kemenristedikti). (2016). Implementasi Uji Kompetensi Nasional bidang Kesehatan sebagai Langkah Konkrit Penjaminan Mutu Pendidikan Tinggi Kesehatan. 2016 (diunduh Juni 2024). Tersedia dari: https://ristekdikti.go.id/implementasi-ujikompetensi-nasional-bidang-kesehatansebagai-langkah-konkrit-penjaminanmutu-pendidikan-tinggi-kesehatan/
Kementerian Riset Teknologi dan Pendidikan Tinggi (Kemenristedikti). (2013). SE Dirjen Dikti No. 704 tentang Uji Kompetensi Bagi Calon Lulusan Pendidikan Tinggi Bidang Kebidanan dan Keperawatan. 2013. Dikti. Grafik Jumlah Program Studi. 2015 (diunduh Juni 2024). Tresedia dari: http://forlap.dikti.go.id/
Kementerian Riset Teknologi dan Pendidikan Tinggi (Kemenristedikti). (2018). Data Statistis Tingkat Kelulusan Uji Kompetensi Bidan. 2018 (diunduh Juni 2024). Tersedia dari: http://ukbidan.ristekdikti.go.id/pages/statist ik_lulus Republik Indonesia.
Kementerian Riset Teknologi dan Pendidikan Tinggi. (2016). Lampiran Peraturan Menteri Riset, Teknologi dan Pendidikan Tinggi Republik Indonesia Nomor 12 Tahun 2016 tentang Tata Cara Pelaksanaan Uji Kompetensi Mahasiswa Bidang Kesehatan: Panduan Pelaksanaan Uji Kompetensi bagi Mahasiswa Bidan Kesehatan.
Kementerian Riset Teknologi dan Pendidikan Tinggi. (2020). Lampiran Peraturan Menteri Riset, Teknologi dan Pendidikan Tinggi Republik Indonesia Nomor 2 tahun 2020 tentang Tata cara uji kompetensi mahasiswa bidang kesehatan: Kebijakan dan implementasi.
Kusumastuti, A., Achmad, T. H., Judstiani, T. D., Anwar, A. D. et al. (2015) . Hubungan Peringkat Akrediasi Institusi Pendidikan DIploma III Kebidanan dengan Hasil Uji Coba Uji Kompetensi Bidan Periode Juli 2013. IJEMC, 2(2): 42-50.
Lee, N. (2023). Pre-service education : preparing teachers for english language learners in the classroom.. https://doi.org/10.32920/ryerson.14657346
Lembaga Akreditasi Mandiri Pendidikan Tinggi Kesehatan (LAMPTKes). (2018). Akreditasi Institusi Pendidikan Kebidanan di Indonesia. 2018 (diunduh Juni 2024). Tersedia dari: http://lamptkes.org/akreditasi/pencarian/all
Malik, L., Khalid, T., & Ashar, A. (2023). Causal attributions of failure among post graduate medical residents in exit fellowship examination in pakistan: a qualitative study. Pakistan Journal of Medical Sciences, 39(4). https://doi.org/10.12669/pjms.39.4.7693
Marsidi, S. (2021). Identification of stress, anxiety, and depression levels of students in preparation for the exit exam competency test. Journal of Vocational Health Studies, 5(2), 87. https://doi.org/10.20473/jvhs.v5.i2.2021.87-93
McNeill, J., Doran, J., Lynn, F., Anderson, G., & Alderdice, F. (2012). Public health education for midwives and midwifery students: a mixed methods study. BMC Pregnancy and Childbirth, 12(1). https://doi.org/10.1186/1471-2393-12-142
Moore, L., Goldsberry, J., Fowler, C., & Handwerker, S. (2021). Academic and nonacademic predictors of bsn student success on the hesi exit exam. Cin Computers Informatics Nursing, 39(10), 570-577. https://doi.org/10.1097/cin.0000000000000741
Samidah, I. (2021). Knowledge, perception, motivation and expectations of nursing and midwifery students on exit exam in bengkulu city, indonesia. Indian Journal of Forensic Medicine & Toxicology, 15(3), 3502-3509. https://doi.org/10.37506/ijfmt.v15i3.15843
Shin, S., Kim, Y., Suh, S., Jung, D., Kim, Y., & Yim, M. (2017). Perception survey on the introduction of clinical performance examination as part of the national nursing licensing examination in korea. Journal of Educational Evaluation for Health Professions, 14, 26. https://doi.org/10.3352/jeehp.2017.14.26
Undang- Undang No. 12 Tahun 2012 tentang Pendidikan Tinggi. (2012). Lembaran Negara Republik Indonesia Tahun 2012 Nomor 158. Sekretariat Negara. Jakarta. 2012.
Werni, S., Rosita., Prihartini, N., & Despitasari, M. (2019) . Identifikasi Kompetensi Bidan: Data Riset Pendidikan Tenaga Kesehatan Tahun 2017. Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 3(3): 142-151.
Zani, A. (2017). The status of junior pediatric surgeons in europe: old challenges, new opportunities. European Journal of Pediatric Surgery, 27(03), 214-217. https://doi.org/10.1055/s-0037-1603085