References

Ashforth K, Kitson-Reynolds E. Fairy tale midwifery 10 years on: re-evaluating the lived experiences of newly qualified midwives. Br J Midwif. 2019; 27 https://doi.org/10.12968/bjom.2019.27.10.649

Bakon S, Craft J, Wirihana L, Christensen M, Barr J, Tsai L. An integrative review of graduate transition programmes: Developmental considerations for nursing management. Nurse Education in Practice. 2018; 28:80-85 https://doi.org/10.1016/j.nepr.2017.10.009

Begley C. ‘Great fleas have little fleas’: Irish student midwives' views of the hierarchy in midwifery. J Adv Nurs. 2002; 38:310-317 https://doi.org/10.1046/j.1365-2648.2002.02181.x

Benner P. From novice to expert: excellence and power in clinical nursing practice.Menlo Park, CA: Addison-Wesley; 1984

Central Statistics Office. Vital Statistics Annual Report. 2018. https://bit.ly/3p9zzdP (accessed 15 February 2022)

Cowman T, Fleming J, Greene L. Back to the future: midwives' experiences of undertaking a return to midwifery practice programme. Br J Midwif. 2020; 28:234-241 https://doi.org/10.12968/bjom.2020.28.4.234

Clements V, Davis D, Fenwick J. Continuity of care: supporting new graduates to grow into confident practitioners. Int J Childbirth. 2013; 3:3-12 https://doi.org/10.1891/2156-5287.3.1.3

Cummins A, Denney-Wilson E, Homer C. The experiences of new graduate midwives working in midwifery continuity of care models in Australia. Midwifery. 2015; 31:438-444 https://doi.org/10.1016/j.midw.2014.12.013

Darra S, Clark N. Midwifery lecturers' views of shortened midwifery programmes in the UK. Evidence Based Midwifery. 2017; 15:(3)76-82

Dixon L, Calvert S, Tumilty E Supporting New Zealand graduate midwives to stay in the profession: an evaluation of the midwifery first year of practice programme. Midwifery. 2015; https://doi.org/10.1016/j.midw.2015.02.010

Duchscher J. Transition shock: the initial stage of role adaptation for newly graduated Registered Nurses. J Adv Nurs. 2009; 65:1103-1113 https://doi.org/10.1111/j.1365-2648.2008.04898.x

Department Of Health. Creating a better future together National Maternity Strategy 2016-2026. 2016. https://bit.ly/3JLOQcu (accessed 7 February 2022)

Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Studies. 2015; 52:1254-1268 https://doi.org/10.1016/j.ijnurstu.2015.03.007

Fenwick J, Hammond A, Raymond J Surviving, not thriving: a qualitative study of newly qualified midwives' experience of their transition to practice. J Clin Nurs. 2012; 21:2054-2063 https://doi.org/10.1111/j.1365-2702.2012.04090.x

Gerrish K. Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse. J Adv Nurs. 2000; 32:473-480 https://doi.org/10.1046/j.1365-2648.2000.01498.x

Gray M, Malott A, Davis B, Sandor C. A scoping review of how new midwifery practitioners transition to practice in Australia, New Zealand, Canada, United Kingdom and The Netherlands. Midwifery. 2016; 42:74-79 https://doi.org/10.1016/j.midw.2016.09.018

Gray M, Kitson-Reynolds E, Cummins A. Starting life as a midwife, an international review of transition from student to practitioner.New York City: Springer International Publishing; 2019

Griffiths M, Fenwick J, Carter A, Sidebotham M, Gamble J. Midwives transition to practice: expectations and experiences. Nurse Education in Practice. 2019; 41 https://doi.org/10.1016/j.nepr.2019.102641

Hobbs J. Newly qualified midwives' transition to qualified status and role: assimilating the ‘habitus’ or reshaping it?. Midwifery. 2012; 28:391-399 https://doi.org/10.1016/j.midw.2011.04.007

Hunter B, Fenwick J, Sidebotham M, Henley D. Midwives in the United Kingdom: Levels of burnout, depression, anxiety and stress and associated predictors. Midwifery. 2019; https://doi.org/10.1016/j.midw.2019.08.008

Hughes A, Fraser D. ‘SINK or SWIM’: The experience of newly qualified midwives in England. Midwifery. 2011; 27:382-386 https://doi.org/10.1016/j.midw.2011.03.012

Kitson-Reynolds E, Cluett E, Le-May A. Fairy tale midwifery—fact or fiction: The lived experiences of newly qualified midwives. Br J Midwife. 2014; 22:660-668 https://doi.org/10.12968/bjom.2014.22.9.660

Kramer M. Reality shock: why nurses leave nursing.Saint Louis London: Mosby Distributed by Kimpton; 1974

Kramer M, Brewer B, Maguire P. Impact of healthy work environments on new graduate nurses' environmental reality shock. Western Journal of Nursing Research. 2013; 35:348-383 https://doi.org/10.1177/0193945911403939

Moore A. Nurse and midwife safety must be made a priority. World of Irish Nursing. 2020; 28:24-25

Netshisaulu K, Maputle M. Expected clinical competence from midwifery graduates during community service placement in Limpopo province, South Africa. Health SA. 2018; 23 https://doi.org/10.4102/hsag.v23i0.1166

Nursing and Midwifery Board of Ireland. Nursing and Midwifery Board of Ireland annual report 2019. 2021. https://bit.ly/3LXef51 (accessed 7 February 2022)

Nursing and Midwifery Board of Ireland. Midwife Registration Programme Standards and Requirements. 2016. https://bit.ly/35nQqCg (accessed 7 February 2022)

Nursing Midwifery Council. Principles for preceptorship. 2020. https://bit.ly/3vbssFx (accessed 28 December 2021)

Pairman S, Dixon L, Tumilty E The midwifery first year of practice programme: supporting New Zealand midwifery graduates in their transition to practice. NZ Coll Midwives J. 2016; 52:12-19 https://doi.org/10.12784/nzcomjnl52.2016.2.12-19

Rees C. Introduction to research for midwives.London, United Kingdom: Churchill Livingstone; 2011

Shatto B, Lutz L. Transition from education to practice for new nursing graduates: a literature review. Creative Nursing. 2017; 23:248-254 https://doi.org/10.1891/1078-4535.23.4.248

Van der Putten D. The lived experience of newly qualified midwives: a qualitative study. Br J Midwifery. 2008; 16:348-358 https://doi.org/10.12968/bjom.2008.16.6.29592

Watson H, Brown D. Experiences of newly qualified midwives working in clinical practice during their transition period. Br J Midwifery. 2021; 29 https://doi.org/10.12968/bjom.2021.29.9.524

World Health Organization. Nursing and Midwifery. 2020. https://bit.ly/3t10IAL (accessed 23 December 2021)

An exploration of midwives' experiences of the transition to practice in the Republic of Ireland

02 March 2022
15 min read
Volume 30 · Issue 3
 Studies reviewed suggested that, as time in labour increases, rates of spontaneous vaginal delivery also increase
Studies reviewed suggested that, as time in labour increases, rates of spontaneous vaginal delivery also increase

Abstract

Background

Many studies worldwide describe midwives' experiences during their transition from student midwife to qualified midwife. However, research on midwives' experience of transition to practice in the Republic of Ireland has not been published since 2008. This study aimed to explore midwives' experiences of their transition to practice in the Republic of Ireland.

Methods

A qualitative descriptive study using semi-structured interviews was conducted with seven midwives, who commenced their post-registration clinical practice between December 2018 and September 2019.

Results

Midwives described transition to practice as a time when they felt challenged because of increased responsibility and accountability. It was a period of growth because of ‘learning by doing’, where a supportive working environment was paramount.

Conclusions

Newly qualified midwives have considerable need for support yet it appears they do not always receive this support.

Midwifery recruitment and retention in Ireland is a major challenge (Moore, 2020) as it is globally (World Health Organization, 2020). Graduating from being a student to a registered midwife is a particularly difficult time for some, who may experience stress, strain, low self-confidence and poor job satisfaction (Shatto and Lutz, 2017; Hunter et al, 2019), leading to a high turnover of staff (Bakon et al, 2018). It is reported that most newly qualified midwives experience anxiety because of increased responsibility, professional accountability and clinical decision-making (Fenwick et al, 2012; Clements et al, 2013; Kitson Reynolds et al, 2014). Staff shortages and busy workloads result in an emphasis on task completion, rather than focusing on women-centred care, which increases this anxiety (Fenwick et al, 2012; Hobbs, 2012; Kitson Reynolds et al, 2014).

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