Professor of Social Contexts of Health and Head of SchoolResearch Fellow - RetiredEmeritus Professor of Midwifery, Faculty of Medicine and Health Sciences, School of Nursing Midwifery and Physiotherapy, Queen's Medical Centre, University of Nottingham, Nottingham, UK.
J Nurs Manag. 2013 Nov;21(8):1061-71. doi: 10.1111/j.1365-2834.2012.01455.x. Epub 2012 Sep 4.
Transition experiences of newly qualified midwives were examined in depth during the third phase of a UK evaluation study of midwifery education.
The fitness to practise and the retention of newly qualified nursing and midwifery graduates are pressing concerns for health care managers. The advantages of preceptorship are reported in the literature but the content and timing of schemes remain unclear.
A semi-structured diary was kept for up to 6 months by 35 newly qualified midwives in 18 work sites covering all countries in the UK. The preceptor and supervisor of midwives for each newly qualified midwife completed short questionnaires about their preceptee's performance, and a further sub-sample of newly qualified midwives and preceptors participated in a semi-structured interview. Data were analysed to elicit aspects of newly qualified midwives transition experiences.
Findings confirm that structured preceptorship schemes are not widely available. Newly qualified midwives primarily obtained transition support from members of the midwifery team.
Although perceived as competent, there is no demarcation point in becoming confident to practise as a registered practitioner. Implications for managers include the importance of a supportive culture within clinical teams for successful transition and the introduction of structured preceptorship schemes facilitated by appropriate rotation patterns.
在英国助产教育评估研究的第三阶段，深入研究了新合格助产士的过渡经历。
护理和助产毕业生的执业能力和保留率是医疗保健管理者关注的紧迫问题。文献中报道了导师制的优势，但计划的内容和时间安排仍不清楚。
在英国所有国家的 18 个工作场所，35 名新合格的助产士在长达 6 个月的时间里使用半结构化日记记录。每位新合格助产士的助产士导师和主管都完成了简短的问卷，了解他们的受训者的表现，还有一部分新合格的助产士和导师参加了半结构化访谈。对数据进行了分析，以引出新合格助产士过渡经历的各个方面。
研究结果证实，结构化的导师制计划并不广泛。新合格的助产士主要从助产团队成员那里获得过渡支持。
尽管被认为有能力，但成为有信心的注册从业者并没有明确的界限。这对管理人员的影响包括在临床团队中建立支持性文化对于成功过渡的重要性，以及通过适当的轮转模式引入结构化导师制计划的重要性。
