University of Groningen, University Medical Center Groningen, Department of Primary and Long-term Care, PO Box 196, 9700 AD Groningen, The Netherlands; Midwifery Academy Amsterdam Groningen, InHolland, Groningen, The Netherlands; Amsterdam UMC location Vrije Universiteit Amsterdam, Midwifery Science, De Boelelaan 1117, Amsterdam, The Netherlands.
Amsterdam UMC location Vrije Universiteit Amsterdam, Midwifery Science, De Boelelaan 1117, Amsterdam, The Netherlands; Amsterdam Public Health, Quality of Care, Amsterdam, The Netherlands; NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
Sex Reprod Healthc. 2023 Dec;38:100921. doi: 10.1016/j.srhc.2023.100921. Epub 2023 Oct 12.
In the Netherlands, newly qualified midwives start work as registered midwives without any formal transition support. Research shows that newly qualified midwives do not feel sufficiently confident and competent in their work during the period following graduation. This could impact the quality of care provided by newly registered midwives. The aim of this study is to seek consensus with stakeholders concerning viable components of support for newly qualified midwives working in midwifery care in the Netherlands.
A Delphi study was conducted among maternity care stakeholders in the Netherlands. During two rounds, sixteen statements derived from a theoretical framework of organizational socialization theory and previous studies were assessed (round 1, n = 56; round 2, n = 52). Stakeholders (N = 61) were invited and completed an online questionnaire that included spaces for opinions and remarks.
Stakeholders agreed about an introductory support period for newly qualified midwives, involving performance feedback and regional-level backup from fellow midwives during shifts. They further agreed on the responsibilities of established professionals that they should support newcomers in practice and provide mentoring or group coaching, although they face organizational barriers for supporting newcomers.
Stakeholders found consensus upon several components of support at the workplace. In addition, a stable work environment seemed less important in their opinion while previous research suggests otherwise. Practice organisations need to improve the employment conditions and support for newly qualified midwives to ensure the quality of midwifery care is guaranteed.
在荷兰，新获得资格的助产士在没有任何正式过渡支持的情况下开始作为注册助产士工作。研究表明，新获得资格的助产士在毕业后的一段时间内对自己的工作没有足够的信心和能力。这可能会影响新注册助产士提供的护理质量。本研究旨在就荷兰助产护理中新获得资格的助产士的支持的可行组成部分与利益相关者达成共识。
在荷兰的产妇保健利益相关者中进行了一项德尔菲研究。在两轮中，评估了来自组织社会化理论和先前研究的理论框架的 16 个陈述（第 1 轮，n=56；第 2 轮，n=52）。邀请了利益相关者（N=61）并完成了一份在线问卷，其中包括意见和评论的空间。
利益相关者同意为新获得资格的助产士提供介绍性支持期，包括工作中的绩效反馈和来自同行助产士的区域级支持。他们还同意，资深专业人员应在实践中支持新人，并提供指导或小组辅导，尽管他们在支持新人方面面临组织障碍。
利益相关者在工作场所的几个支持组成部分上达成了共识。此外，他们认为稳定的工作环境并不那么重要，而之前的研究表明并非如此。实践组织需要改善新获得资格的助产士的就业条件和支持，以确保助产护理的质量得到保证。
