University of South Australia, School of Nursing and Midwifery, Division of Health Sciences, 108 North Terrace, Adelaide, South Australia 5000 Australia.
Women Birth. 2020 May;33(3):e234-e244. doi: 10.1016/j.wombi.2019.05.002. Epub 2019 May 28.
Internationally qualified midwives comprise approximately 13% of the Australian midwifery workforce. Despite their central role in the Australian midwifery system, understanding of their transitional experiences is limited.
To explore the transitional experiences of internationally qualified midwives practising in Australia.
A descriptive qualitative study was undertaken, as the second phase of a larger mixed methods study. In this paper we present in-depth insights from 11 internationally qualified midwives practising in Australia. Individual semi-structured interviews were conducted between May-August 2018, digitally recorded and then transcribed. Transcriptions were analysed using a thematic analysis approach.
Participants in this study identified that the different culture of the work environment, differences in midwifery practice, lack of autonomy in their practice and perceived discrimination influenced their transition into Australian midwifery practice. Four themes were identified: 'Differences in midwifery practice', 'Cultural incongruence', 'Discrimination' and 'Mixed emotions'.
Success during the complex transition process depends on the migrant midwives' ability to build a sense of belonging, and to develop and adopt strategies that assist in dealing with new workplaces and an unfamiliar workforce.
A structured transition program prior to commencing practice, as well as an evidence-based workplace mentorship program with a focus on Australian midwifery care and culture, may be effective strategies to facilitate their transition. To promote awareness of multiculturalism within the work environment, this study recommends actively encouraging host staff to further develop perspectives that enable them to create positive relationships with staff from other cultures.
在澳大利亚的助产士队伍中，国际认证的助产士约占 13%。尽管他们在澳大利亚的助产士体系中发挥着核心作用，但对他们过渡经历的理解却很有限。
探讨在澳大利亚执业的国际认证助产士的过渡经历。
这是一项描述性的定性研究，是一项更大的混合方法研究的第二阶段。在本文中，我们展示了 11 名在澳大利亚执业的国际认证助产士的深入见解。2018 年 5 月至 8 月期间，我们对这些参与者进行了单独的半结构化访谈，进行了数字记录，然后进行了转录。使用主题分析方法对转录进行了分析。
本研究的参与者认为工作环境的文化差异、助产实践的差异、实践中缺乏自主权以及感知到的歧视影响了他们向澳大利亚助产实践的过渡。确定了四个主题：“助产实践的差异”、“文化不和谐”、“歧视”和“复杂情绪”。
在复杂的过渡过程中取得成功取决于移民助产士建立归属感的能力，以及制定和采用有助于处理新工作场所和不熟悉的劳动力的策略。
在开始执业之前，制定一个结构化的过渡计划，以及一个以澳大利亚助产护理和文化为重点的基于证据的工作场所指导计划，可能是促进他们过渡的有效策略。为了在工作环境中促进对多元文化主义的认识，本研究建议积极鼓励东道主工作人员进一步发展观点，使他们能够与来自其他文化的工作人员建立积极的关系。
