Gold Coast University Hospital, GCHHS, 1 Hospital Boulevard, Southport, QLD 4215, Australia.
School of Nursing and Midwifery, Faculty of Health, Centre for Midwifery, Child and Family Health, University of Technology Sydney, Jones Street, Ultimo, NSW 2007, Australia.
Nurse Educ Today. 2022 Nov;118:105497. doi: 10.1016/j.nedt.2022.105497. Epub 2022 Aug 1.
The aim of this review was to identify strategies that facilitate newly qualified midwives to transition successfully from midwifery student to confident, competent practitioner.
Integrative literature review.
The following databases were accessed: CINAHL complete, Medline complete, APA PsycINFO, Cochrane Library, Joanna Briggs Institute (JBI), Scopus and Google Scholar.
A systematic search of key terms across all data sources for the period January 1990 to September 2021 identified 316 papers whose titles/abstracts were screened against our inclusion/exclusion criteria. Thirty-six full texts were screened for eligibility and three papers were identified through ancestral searching. Ten papers were included in our final review.
Mentorship or preceptorship for newly qualified midwives by experienced midwives appears to enhance experiences, either as a standalone strategy, or component of structured programs of transition support. Supernumerary time, designated study days and planned rotations are also valued, particularly when rotating through clinical areas. Smaller teams providing continuity of midwifery care, or organisations that fund mentorship programs appear more able to facilitate support. Mechanisms of online support and learning may also enhance early transition but similarly, require organisational investment to aid success. Whilst most programs were described as helpful none of the studies used validated measures to assess this.
Whilst elements of tailored support programs and mentoring/preceptorship from experienced colleagues appear to offer valuable support to transitioning practitioners, it is important to note that the structure of maternity care appears fundamental to the success of many of these strategies. Consequently, maternity care reform which focuses on the adoption of sustainable models of midwifery continuity, alongside urgent investment in midwives, are likely the most promising, over-arching strategies required to support student to midwife transition.
本综述旨在确定有助于新合格的助产士从助产学生成功过渡到自信、有能力的从业者的策略。
综合文献综述。
访问了以下数据库：CINAHL 完整、Medline 完整、APA PsycINFO、Cochrane 图书馆、乔安娜布里格斯研究所 (JBI)、Scopus 和谷歌学术。
对所有数据源中的关键词进行系统搜索，以确定 1990 年 1 月至 2021 年 9 月期间的 316 篇论文，其标题/摘要根据我们的纳入/排除标准进行了筛选。筛选了 36 篇全文以确定其是否符合条件，并通过追溯搜索确定了 3 篇论文。最终综述纳入了 10 篇论文。
有经验的助产士为新合格的助产士提供指导或实习，似乎可以增强经验，无论是作为独立的策略，还是结构化过渡支持计划的组成部分。额外的时间、指定的学习日和计划的轮班也很有价值，特别是在轮转临床科室时。提供连续助产护理的较小团队，或资助指导计划的组织，似乎更能够提供支持。在线支持和学习机制也可能有助于早期过渡，但同样需要组织投资来帮助成功。虽然大多数计划被描述为有帮助，但没有一项研究使用经过验证的措施来评估这一点。
虽然量身定制的支持计划和有经验同事的指导/实习的要素似乎为过渡从业者提供了有价值的支持，但重要的是要注意，产妇护理的结构对于许多这些策略的成功至关重要。因此，产妇护理改革侧重于采用可持续的助产连续性模式，同时紧急投资于助产士，可能是支持学生到助产士过渡的最有前途、最全面的策略。
