IMPACT OF A NON-COMMUNICABLE DISEASE NURSING EDUCATION MODULE ON CLINICAL OUTCOMES IN HIGH-RISK PREGNANT WOMEN: A SYSTEMATIC REVIEW Fredrika Nancy Losu1*, Tinneke A.Tololiu2, Joice Mermy Laoh3
Department of Midwifery, Poltekkes Kemenkes Manado
Abstract
High-risk pregnancy is often associated with adverse maternal and neonatal outcomes. Integrating a non-communicable disease (NCD) nursing education module into clinical practice may enhance the knowledge and skills of nurses to improve these outcomes. This research objective is to review the impact of NDC nursing education module on clinical outcomes in high-risk pregnant women. The PRISMA guidelines was used from four databases (Google Scholar, Research Gate, Scopus, Pub Med). The inclusion criteria were articles from reputable journals in English or Indonesian published in 2019-2024. The exclusion criteria were non-Indonesian or English articles, published more than five years ago. The data selection involved title/abstract screening (n=377), full-text review (n=88), and final inclusion of 18 studies. The data analysis used risk of bias (Cochrane RoB 2.0/ROBINS-I), PICOT, and NVivo thematic analysis. The study showed that nurse-led interventions demonstrated significant effectiveness, with in-person counseling improving clinical outcomes (44% of studies, p<0.05) and digital education enhancing self-efficacy (33%, p=0.003), though 39% of studies had high bias risk due to non-randomized designs. Thematic analysis revealed consistent benefits across gestational diabetes (33%) and hypertensive disorders (28%), while bias assessment highlighted the need for Randomized Controlled Trials. The study concluded that NCD nursing education module could significantly help improve clinical outcomes in high-risk pregnant women, particularly for gestational diabetes and hypertension. Yet, calls for multicenter randomized trials to standardize the module and address implementation barriers in diverse healthcare settings
