Kool Liesbeth, Schellevis François G, Bax Irma, Jaarsma Debbie A D C, Feijen-de Jong Esther I
Department of Midwifery Science, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands; Department of General Practice & Elderly Medicine, University of Groningen, University Medical Centre Groningen, The Netherlands; AVAG (Midwifery Academy Amsterdam Groningen), Dirk Huizingastraat 3-5, 9713 GL Groningen, The Netherlands.
Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, location VUmc, Amsterdam, The Netherlands; NIVEL (Netherlands Institute for Health Services Research), Otterstraat 118, 3513 CR Utrecht, The Netherlands.
Women Birth. 2023 Feb;36(1):63-71. doi: 10.1016/j.wombi.2022.03.001. Epub 2022 Mar 21.
Newly qualified midwives in the Netherlands perceive the adaptation to new responsibilities as difficult due to the autonomous nature of- and required accountability for the work they face in practice.
All Dutch newly qualified midwives are accountable for their work from the moment of registration while usually working solistically.
This paper explores the perceptions of experienced midwives regarding: (1) the performance- and transition into practice of newly qualified midwives, and (2) their supporting role in this transition.
The design of this study is qualitative with focus groups. Experienced midwives' perceptions were explored by means of seven semi-structured focus groups (N = 46 participants) with two meetings for each focus group.
Community-based and hospital-based midwives perceived newly qualified midwives as colleagues who did not oversee all their tasks and responsibilities. They perceived newly qualified midwives as less committed to the practice organisation. Support in community-based practices was informally organised with a lack of orientation. In the hospital-based setting, midwives offered an introduction period in a practical setting, which was formally organised with tasks and responsibilities. Experienced midwives recognised the need to support newly qualified midwives; however, in practice, they faced barriers.
The differences in experienced midwives' expectations of newly qualified midwives and reality seemed to depend on the newly qualified midwives' temporary working contracts and -context, rather than the generational differences that experienced midwives mentioned. Dutch midwives prioritised their work with pregnant individuals and the organisation of their practice above supporting newly qualified midwives.
荷兰新获得资格的助产士认为，由于她们在实际工作中面临的工作具有自主性且需要承担责任，因此适应新职责很困难。
所有荷兰新获得资格的助产士从注册之时起就需对自己的工作负责，而她们通常独立工作。
本文探讨经验丰富的助产士对以下方面的看法：（1）新获得资格的助产士的工作表现及向实际工作的过渡，以及（2）她们在这一过渡过程中的支持作用。
本研究采用焦点小组的定性设计。通过七个半结构化焦点小组（N = 46名参与者）来探讨经验丰富的助产士的看法，每个焦点小组进行两次会议。
社区助产士和医院助产士都认为新获得资格的助产士是同事，但她们并未全面履行所有任务和职责。她们认为新获得资格的助产士对执业机构的投入较少。社区实践中的支持是通过非正式组织的，缺乏入职培训。在医院环境中，助产士会在实际工作环境中提供一个试用期，这是通过正式组织并明确任务和职责来进行的。经验丰富的助产士认识到需要支持新获得资格的助产士；然而，在实际中，她们面临着障碍。
经验丰富的助产士对新获得资格的助产士的期望与现实之间的差异似乎取决于新获得资格的助产士的临时工作合同和工作环境，而不是经验丰富的助产士所提到的代际差异。荷兰助产士将与孕妇的工作以及她们执业机构的组织安排置于支持新获得资格的助产士之上。
