New graduate midwives' transition to practice: A scoping review

Midwifery. 2022 Aug:111:103337. doi: 10.1016/j.midw.2022.103337. Epub 2022 Apr 11.

Abstract

Objective: To map and synthesise the literature underpinning the transition to practice for new graduate midwives internationally, with a focus on continuity of care and traditional transition to practice models.

Design: Scoping review of the literature METHODS: Relevant databases were searched to identify primary research studies. Key words, Boolean terms, and an inclusion/exclusion criterion were used to extrapolate key pieces of research. All study types and methods published in English between 2008 - May 2021 that met the inclusion criteria were considered.

Findings: 20 studies met inclusion criteria. These were conducted in Australia, the United Kingdom, and New Zealand. New graduate midwives' value structured rotations and feel very supported in continuity models, where strong mentorship and support are offered. Within this context confidence was promoted as a new practitioner. Upholding woman-centred care in busy hospital environments was a key challenge.

Key conclusions: Emerging literature indicates new graduate midwives' transition optimally within a continuity model, however more research is needed.

Implications for practice: Transitioning midwives into practice within continuity of care midwifery models may address workforce attrition and enhance early career midwife confidence.

Keywords: Continuity of care; Midwife; New graduate; Transition to practice; Workforce.

Publication types

  • Review

MeSH terms

  • Australia
  • Continuity of Patient Care
  • Female
  • Humans
  • Midwifery* / methods
  • Nurse Midwives*
  • Pregnancy
  • Qualitative Research
  • United Kingdom
  • Workforce