An exploration into the experiences of newly qualified midwives during their transition to practice in the UK: A systematic review.

AIM

The aim of this systematic review was to explore the experiences of newly qualified midwives (NQMs) during their transition to practice in the UK.

BACKGROUND

It has been recognised that the transition from student to NQM is a time of significant change that has implications for staff recruitment and retention. Thus, the rationale for this review was that understanding the experiences of NQMs at this crucial time in their career is essential for developing systems of support to improve maternity care and no previous reviews were found on this topic based in the UK.

METHODS

A systematic search was conducted using the SPIDER - sample, phenomenon of interest, design, evaluation, research type - search strategy. Studies were critically appraised using the Consolidated Criteria for Reporting Qualitative Research Checklist and the Critical Appraisal Skills Programme Qualitative Studies Checklist. Relevant findings were extracted using thematic analysis in which text was coded, descriptive themes developed, and analytical themes generated.

RESULTS

The search returned eleven qualifying qualitative studies and findings were synthesised into four analytical themes - a journey of confidence; in at the deep end: varying support; the rollercoaster of transition; and the disparity between expectations and reality.

CONCLUSION

NQMs experienced various challenges during the transition to practice such as lack of supernumerary time and unstructured rotations which were exacerbated by poor staffing and a heavy workload. A lack of support from colleagues and experiences of bullying increased stress and anxiety. However, structured preceptorship and support from midwifery colleagues facilitated a more positive experience.