Core elements of transition support programs: The experiences of newly qualified Australian midwives

Clements, Vanessa; Fenwick, Jennifer; Davis, Deborah

doi:10.1016/j.srhc.2012.08.001

Cited by 37 publications

(34 citation statements)

References 25 publications

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“…Understanding the transition process and the impact this may have on the experiences of nurses moving to new work environments has led to the development of transitioning theories to explain the stages of transition (Kramer 1974, Holt 2008, Boychuk Duchscher & Cowin 2006, Clements et al 2012. Theorists claim that when a change occurs, there will be a period of time associated with stress and dislocation as well as the need for additional skills acquisition (Holt 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Theorists claim that when a change occurs, there will be a period of time associated with stress and dislocation as well as the need for additional skills acquisition (Holt 2008). Much of the recent role transition research in the nursing literature focuses on the experiences of new graduates transitioning to the workplace (Clare & van Loon 2003, Clements et al 2012, and builds on Kramer's (1974) sentinel work in which the term 'transition shock' was first used. Boychuk Duchscher and Cowin's (2009) model identifies the transition process of new graduates as occurring through three phasesdoing, being and knowing with each phase being marked by increasing confidence.…”

Section: Introductionmentioning

confidence: 99%

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Transitioning from acute to primary health care nursing: an integrative review of the literature

Ashley

Halcomb

Brown

2016

Journal of Clinical Nursing

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Aims and objectives This paper seeks to explore the transition experiences of acute care nurses entering employment in primary health care settings. Background Internationally the provision of care in primary health care settings is increasing. Nurses are moving from acute care settings to meet the growing demand for a primary health care workforce. While there is significant research relating to new graduate transition experiences, little is known about the transition experience from acute care into primary health care employment. Design An integrative review, guided by Whittemore and Knafl's (2005) approach, was undertaken. Following a systematic literature search eight studies met the inclusion criteria. Methods Papers which met the study criteria were identified and assessed against the inclusion and exclusion criteria. Papers were then subjected to methodological quality appraisal. Thematic analysis was undertaken to identify key themes within the data. Results Eight papers met the selection criteria. All described nurses transitioning to either community or home nursing settings. Three themes were identified: (1) a conceptual understanding of transition, (2) role losses and gains and (3) barriers and enablers. Conclusion There is a lack of research specifically exploring the transitioning of acute care nurses to primary health care settings. To better understand this process, and to support the growth of the primary health care workforce there is an urgent need for further well-designed research. Relevance to clinical practice There is an increasing demand for the employment of nurses in primary health care settings. To recruit experienced nurses it is logical that many nurses will transition into primary health care from employment in the acute sector. To optimise retention and enhance the transition experience of these nurses it is important to understand the transition experience. Conflict of Interest Nil conflicts FundingCA is a fulltime PhD candidate supported by an Australian Postgraduate Award scholarship. ABSTRACTAims and objectives. This paper seeks to explore the transition experiences of acute care nurses entering employment in primary health care settings.Background. Internationally the provision of care in primary health care settings is

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transitioning from acute to primary health care nursing: an integrative review of the literature

Ashley

Halcomb

Brown

2016

Journal of Clinical Nursing

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“…Fears have been raised that new graduate midwives lack confidence or experience to work in midwifery continuity of care models without completing the transition to practice program or without several years of experience ( 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 Managers of maternity units have demanding and stressful roles and often the needs of new graduates may not always be a priority (Clements, Fenwick & Davis 2012). Having a good understanding of midwifery continuity of care models can also be very important for managers as it helps support the models more generally (Kay 2010 ;Menke et al 2014).…”

Section: Essential Component 3: Prepare Graduates To Work In Midwifermentioning

confidence: 99%

“…Given new graduate midwives often want to work in midwifery continuity of care models, facilitating their transition directly from student to midwife in a continuity of care model could help to address staffing issues. Previous research in Australia has suggested that new graduate midwives could be employed in midwifery continuity of care models to increase their confidence rather than working in a transition to profession practice program (Clements, Fenwick & Davis 2012;Davis et al 2011).…”

Section: Introductionmentioning

confidence: 99%

“…A study of new graduate midwives' experiences of the transition program showed that this may not be the best way for a new graduate midwife to transition, particularly when they desire to work in a midwifery continuity of care model (Clements, Fenwick & Davis 2012) and have been educated for this model (Gray, Taylor & Newton 2016 We drew on our previous studies that were undertaken to understand the experiences of new graduate midwives working in midwifery continuity of care models and the challenges to employing them. Initially, newly graduated midwives were interviewed and the findings showed that they felt well prepared to provide continuity of care in a small group practice.…”

Section: Introductionmentioning

confidence: 99%

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Extending the boundaries – Enabling new graduate midwives to work in midwifery continuity of care models in Australia

Cummins

2017

Women and Birth

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Background: High-level evidence demonstrates midwifery continuity of care is beneficial for women and babies. Women have limited access to midwifery continuity of care models in Australia. One of the factors limiting women's access is recruiting enough midwives to work in continuity (Dawson et al. 2016;Hartz et al. 2012). Our research found that newly graduated midwives felt well prepared to work in midwifery led continuity of care models, were well supported to work in the models and the main driver to employing them was a need to staff the models (Cummins, Denney-Wilson & Homer 2015. However limited opportunities exist for new graduate midwives to work in midwifery continuity of care. Aim: The aim of this paper therefore is to describe a conceptual model developed to enable new graduate midwives to work in midwifery continuity of care models. Method: The development of a conceptual model that enables new graduate midwives to work in midwifery continuity of care. Findings: The model contains the essential elements to enable new graduate midwives to work in midwifery continuity of care models. Discussion: Each of the essential elements are discussed to assist midwifery, managers, educators and new graduates to facilitate the organisational changes required to accommodate new graduates. Conclusion: The conceptual model is useful to show maternity services how to enable new graduate midwives to work in midwifery continuity of care models.

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‘Birth of a Midwife: The Transitional Journey from Student to Practitioner’

Cummins

Gray

2019

Starting Life as a Midwife

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Australia has a mixed private and public health service. The majority of childbearing women will access maternity services through the public health system. The majority of midwives will work as part of the public health system. Most births occur in hospitals attended by a midwife, less than a third of all births occur in a private hospital with an obstetrician, a small proportion occur in a birth centre and <1% occur at home with a privately practising midwife. Midwives are employed to work on a roster in a public or private hospital. Some will work in small group practices providing care to a caseload of women known as midwiferyled continuity of care, usually in the hospital or birth centre setting. An even smaller proportion will provide homebirth as part of the public system or as a privately practising midwife in their own business. Pathways to becoming a midwife include a direct entry undergraduate degree, a direct entry double degree in nursing and midwifery and a postgraduate degree designed for registered nurses. Midwifery is regulated by the Nursing and Midwifery Board of Australia, and all midwives need to be registered with the Australian Health Practitioners Regulation Authority. Newly graduated midwives have traditionally completed a transition to practice program that involves working for a specified period of time in each area of the maternity service. More recently new graduate midwives have been employed directly into midwifery-led continuity of care models. This chapter will provide an overview of the transitional journey from midwifery student to newly graduated midwife in the Australian context.

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Core elements of transition support programs: The experiences of newly qualified Australian midwives

Cited by 37 publications

References 25 publications

Transitioning from acute to primary health care nursing: an integrative review of the literature

Transitioning from acute to primary health care nursing: an integrative review of the literature

Extending the boundaries – Enabling new graduate midwives to work in midwifery continuity of care models in Australia

‘Birth of a Midwife: The Transitional Journey from Student to Practitioner’

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