Online continuing education for midwives in China: current trends, barriers, and future directions

Abstract Aim This study investigated the state of online continuing education for midwives in China via a web-based questionnaire, identified current trends, explored potential barriers, predicted future research directions, and provided insights into improving the effectiveness and quality. Backgro...

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Main Authors: Yao Zhang, Qinqi Deng, Xiaolong Zheng, Xinfen Xu, Fang Wang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07180-0
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author Yao Zhang
Qinqi Deng
Xiaolong Zheng
Xinfen Xu
Fang Wang
author_facet Yao Zhang
Qinqi Deng
Xiaolong Zheng
Xinfen Xu
Fang Wang
author_sort Yao Zhang
collection DOAJ
description Abstract Aim This study investigated the state of online continuing education for midwives in China via a web-based questionnaire, identified current trends, explored potential barriers, predicted future research directions, and provided insights into improving the effectiveness and quality. Background The COVID-19 pandemic necessitated the shift from in-person to long-distance online education, significantly modifying continuing education for midwives. Online continuing education is crucial in improving midwifery skills and has been widely adopted in China. Design A cross-sectional design was used. Methods This study used a cross-sectional design with convenience sampling. Data were collected from midwives working in Level I to Level III hospitals across 31 provinces of mainland China through an online questionnaire platform called WenjuanXing from October 2021 to April 2022. Results A total of 12,122 midwives participated, of which 10,102 (83.34%) had previously attended online courses, primarily using DingTalk (52.79%), Tencent Meeting (48.75%), and WeChat (44.4%) for online learning. More than half of the participants had experienced blended learning (59.74%) rather than only online learning (31.54%). Most participants (10,541, 84.38%) had limited knowledge of online continuing education. Flexible scheduling (94.76%) was the top reason for participation, whereas clinical work pressure (85.9%) was the main barrier. 10,315 (85.09%) participants preferred more interactive online learning methods. Ordered logistic regression analysis revealed that geographic location, demographic factors, employment characteristics, and hospital attributes significantly influenced healthcare professionals' willingness to use online resources. Midwives in Central regions, unmarried, elderly, highly educated, non-formally employed, working in obstetrics wards, and lower-tier hospitals showed a higher inclination for online continuing education. Conclusion With rapid technological advancements, online continuing education offers a valuable way for clinical midwives to obtain up-to-date information and knowledge. However, it remains in the early stages and requires further development.
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spelling doaj-art-71b05803fbda413ca75f25b1761afb7d2025-08-20T02:30:18ZengBMCBMC Medical Education1472-69202025-04-0125111110.1186/s12909-025-07180-0Online continuing education for midwives in China: current trends, barriers, and future directionsYao Zhang0Qinqi Deng1Xiaolong Zheng2Xinfen Xu3Fang Wang4Department of Nursing, Hangzhou Normal UniversitySchool of Nursing, Zhejiang Chinese Medical UniversityDepartment of Nursing, Women’s Hospital, School of Medicine, Zhejiang UniversityDepartment of Nursing, Women’s Hospital, School of Medicine, Zhejiang UniversityDepartment of Nursing, Women’s Hospital, School of Medicine, Zhejiang UniversityAbstract Aim This study investigated the state of online continuing education for midwives in China via a web-based questionnaire, identified current trends, explored potential barriers, predicted future research directions, and provided insights into improving the effectiveness and quality. Background The COVID-19 pandemic necessitated the shift from in-person to long-distance online education, significantly modifying continuing education for midwives. Online continuing education is crucial in improving midwifery skills and has been widely adopted in China. Design A cross-sectional design was used. Methods This study used a cross-sectional design with convenience sampling. Data were collected from midwives working in Level I to Level III hospitals across 31 provinces of mainland China through an online questionnaire platform called WenjuanXing from October 2021 to April 2022. Results A total of 12,122 midwives participated, of which 10,102 (83.34%) had previously attended online courses, primarily using DingTalk (52.79%), Tencent Meeting (48.75%), and WeChat (44.4%) for online learning. More than half of the participants had experienced blended learning (59.74%) rather than only online learning (31.54%). Most participants (10,541, 84.38%) had limited knowledge of online continuing education. Flexible scheduling (94.76%) was the top reason for participation, whereas clinical work pressure (85.9%) was the main barrier. 10,315 (85.09%) participants preferred more interactive online learning methods. Ordered logistic regression analysis revealed that geographic location, demographic factors, employment characteristics, and hospital attributes significantly influenced healthcare professionals' willingness to use online resources. Midwives in Central regions, unmarried, elderly, highly educated, non-formally employed, working in obstetrics wards, and lower-tier hospitals showed a higher inclination for online continuing education. Conclusion With rapid technological advancements, online continuing education offers a valuable way for clinical midwives to obtain up-to-date information and knowledge. However, it remains in the early stages and requires further development.https://doi.org/10.1186/s12909-025-07180-0Web-based questionnaireBlended learningOnline continuing educationChinese midwives
spellingShingle Yao Zhang
Qinqi Deng
Xiaolong Zheng
Xinfen Xu
Fang Wang
Online continuing education for midwives in China: current trends, barriers, and future directions
BMC Medical Education
Web-based questionnaire
Blended learning
Online continuing education
Chinese midwives
title Online continuing education for midwives in China: current trends, barriers, and future directions
title_full Online continuing education for midwives in China: current trends, barriers, and future directions
title_fullStr Online continuing education for midwives in China: current trends, barriers, and future directions
title_full_unstemmed Online continuing education for midwives in China: current trends, barriers, and future directions
title_short Online continuing education for midwives in China: current trends, barriers, and future directions
title_sort online continuing education for midwives in china current trends barriers and future directions
topic Web-based questionnaire
Blended learning
Online continuing education
Chinese midwives
url https://doi.org/10.1186/s12909-025-07180-0
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AT xiaolongzheng onlinecontinuingeducationformidwivesinchinacurrenttrendsbarriersandfuturedirections
AT xinfenxu onlinecontinuingeducationformidwivesinchinacurrenttrendsbarriersandfuturedirections
AT fangwang onlinecontinuingeducationformidwivesinchinacurrenttrendsbarriersandfuturedirections