Background: Public knowledge regarding health services has been increasing significantly in the recent years and it has an effect on increasing community demands for quality health services. Therefore, health workers with good skills, intelligent, and communicative are needed. Good competence is also needed in carrying out their roles and functions according to the code of ethics The competencies of health worker graduates are different in every regions in Indonesia. The majority of health workers perceive that their current competencies are not in accordance with their expectations. To ensure that health workers produced by educational institutions have the same competence, all health worker graduates are required to take a competency test as a requirement for obtaining a registration certificate. Exit exam is a competency test that is conducted as a requirement for graduation. This study aims to provide an overview of the relationship between the knowledge, perceptions, motivation and expectations of nursing and midwifery students on the competency test as a graduation requirement. Methods: This is a mix-method study (A quantitative and qualitative methods were used). The quantitative method used was non-experimental, with a crosssectional approach, and qualitative methods to find out information about the perceptions, motivations and expectations of respondents about the implementation of the competency exam as a passing requirement. The number of samples in this study were 246 respondents, consisting of DIII midwifery, Nursing DIII and nurses (82 respondents for each colleges). Results: The results of the study based on the path analysis showed that education had no influence on knowledge, respondents' perceptions and expectations of the competency test, but had an influence on motivation (P = < 0.01). Knowledge does not affect on perception, motivation or expectation, while for perception variable affects on motivation (P = 0.026) and expectation (P= <0.01).
Conclusion:Respondents' expectations will be directly influenced by motivation and perception.