Exploring transition to practice for newly qualified midwives

Abstract

Abstract Background: It can be overwhelming for newly qualified midwives to begin to work independently due to added responsibility and isolation. A support program was introduced in Ontario, Canada in July 2022 to provide educational resources, peer support and opportunities for reflection on clinical decision-making. This study assesses the extent to which the program assists transition through the first year of practice for new midwives. Methods: We conducted qualitative semi-structured interviews and focus groups with newly qualified midwives and their mentors following a Grounded Theory Methodology for data collection and analysis. Findings: Data collection from nine participants from July 1, 2022-June 1, 2023, produced four main themes: (1) peer support, (2) building relationships, (3) continuum of autonomous practice, and (4) value of resources which generated a theory explaining how participation in a community of practice (CoP) promotes confidence and enhances transition to autonomous practice for new midwives. Conclusion: Support is critical for newly qualified midwives to build confidence, reduce isolation and promote adjustment socially and in practice. A CoP is an effective and valued approach to facilitating this process.