Designing an English for midwifery learning model through integration of case-based learning and information literacy: A needs analysis
The increasing demands of healthcare practice require midwifery students to develop not only clinical competence but also the ability to communicate effectively in English within professional contexts. However, English instruction in many midwifery programs still focuses on general language skills, with limited attention to the communicative and informational demands of clinical settings. As a result, students often face difficulties applying their knowledge in real-world interactions. This study investigates the integration of Case-Based Learning (CBL) and Information Literacy (IL) into English instruction for midwifery students, aiming to close the gap between conventional academic English education and the communicative demands of clinical practice. The research was grounded in a comprehensive needs analysis involving structured questionnaires, semi-structured interviews, and focus group discussions with ninety midwifery students, four midwifery English lecturers, and professional stakeholders, including representatives from the Indonesian Midwives Association. Thematic analysis of qualitative material and descriptive plus targeted inferential analysis of survey data were used to triangulate findings. The findings reveal that the existing teacher-centered and grammar-heavy curriculum falls short in supporting students’ development of field-specific vocabulary, critical thinking, and the ability to engage with medical texts and digital information. Drawing from current literature, the study highlights the importance of aligning English for Specific Purposes (ESP) instruction with real-world professional contexts. Through a qualitative and participatory methodology, the results affirm widespread support for a revised model that embeds CBL and information literacy to encourage active learning, communication practice, and research literacy. Participants emphasized the relevance of case-based tasks that mirror real midwifery cases and information-handling skills in preparing students for interdisciplinary collaboration and evidence-based care. Ultimately, this study proposes a contextualized English learning model designed to foster not only English language skills but also professional readiness in today’s global and information-rich healthcare environments.