Supporting New Zealand graduate midwives to stay in the profession: An evaluation of the Midwifery First Year of Practice programme

Dixon, Lesley; Calvert, Susan; Tumilty, Emma; Kensington, Mary; Gray, Elaine; Lennox, Sue; Campbell, Norma; Pairman, Sally

doi:10.1016/j.midw.2015.02.010

Cited by 38 publications

(37 citation statements)

References 13 publications

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“…The MFYP programme commenced in 2007 as a fully funded national scheme, aimed at providing a structured yet individualised programme of support to meet the needs of the graduate, wherever they chose to work. Although participation was encouraged, it was not made compulsory until 2015 (Dixon et al, 2015).…”

Section: The New Zealand Midwifery First Year Of Practice Programmementioning

confidence: 99%

“…The transition from being an undergraduate student to a confident midwife can be challenging. Adapting to new environments, changing dynamics in existing professional relationships and differing expectations within their role can cause insecurity, fear and stress (Dixon et al, 2015;Wain, 2017). Choosing the work setting that suits graduates' individual circumstances is an important part of consolidating and developing midwifery practice (Pairman et al, 2016).…”

Section: Element One: Consolidating Midwifery Clinical Practicementioning

confidence: 99%

“…Both parties are engaged in the process which resonates with the partnership model of midwifery care in New Zealand. Pairman et al (2016) and Dixon et al (2015), in their evaluations of the MFYP programme, both concluded that finding the right mentor was vital to a successful mentoring relationship and supportive of a positive transition.…”

Section: My Experiencementioning

confidence: 99%

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Developing confidence in competence: My experience of the Midwifery First Year of Practice programme

Chapman¹

2018

nzcomjnl

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Competence comes in various forms and is identified as a core component of professional clinicians (Hodges & Lingard, 2012), with maintaining competence identified as a vital characteristic of the professional midwife (Calvert, Smythe, & McKenzie-Green, 2017). The Midwifery Council of New Zealand (2005) defines competence as, "the ongoing capacity to integrate knowledge, skills, understanding, attitudes, and values within the professional framework of the Midwifery Scope of Practice" (p.6). Within midwifery there is an expectation that midwives can work competently in all areas at all times (Edwards et al., 2016); however, the need and motivation to maintain overall competence depends on the midwife (Calvert et al., 2017). Confidence is often related to competence; however, they do not always co-exist. Confidence is defined as a feeling of self-assurance arising from an appreciation of a person's own abilities or qualities (Oxford Dictionary of English, 2010). The concept of confidence is an essential part of the transition from undergraduate student to midwife, through gaining confidence in their demonstrated competence. Factors such as the influence of colleagues, perceived autonomy and a sense of familiarity can contribute to enhancing confidence (Bedwell, McGowan, & Lavender, 2015).

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Section: The New Zealand Midwifery First Year Of Practice Programmementioning

confidence: 99%

Section: Element One: Consolidating Midwifery Clinical Practicementioning

confidence: 99%

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Developing confidence in competence: My experience of the Midwifery First Year of Practice programme

Chapman¹

2018

nzcomjnl

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“…Each element of the programme is flexible and meets the needs of the graduate, wherever they work. There was a need to explore whether the programme contributed to both retention of graduates (Dixon et al, 2015) and which elements contributed to the development of professional confidence. The aim of this research was to explore the graduate midwife's perspective on participation in the MFYP programme and to identify which elements were important and supported them most in their transition to become a confident practitioner.…”

Section: Introductionmentioning

confidence: 99%

New Zealand's midwifery profession: Embracing graduate midwives' transition to practice

Kensington¹,

Campbell²,

Gray³

et al. 2016

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This research explored the midwifery graduate's perspective of the MFYP programme to identify which elements were important and supported them in their transition to confident practitioner. Method: Survey methodology was used to explore the views of the MFYP programme participants for the years 2007 to 2010. This paper provides the qualitative analysis of the open text responses in the survey and explores the support needs of graduate midwives during their first year of practice. Findings: A total of 180 midwives responded to the survey, with the majority also providing text responses to enable more in-depth understanding of their views. Graduate midwife participants were supported to consolidate practice skills and decision making, and to develop networks within the midwifery and wider health communities. An unexpected finding was that this support was provided by the whole midwifery community for all graduates, whether they were employed or self-employed. The mentoring relationship was also considered an important source of support. Conclusion: Graduate midwives are gaining wrap-around support from the whole midwifery community. This research, unlike any previous international or national research, demonstrates that midwives in New Zealand have taken on collective responsibility for supporting graduates. This suggests that this national programme has successfully fostered a culture of nurturing midwife graduates into their professional role.

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“…New graduate midwives find both types of support valuable.In some settings, formal mentoring programs have been established for new graduates, especially in continuity of care models. For example, in New Zealand, the 'First Year Midwifery Experience Program' is a structured program consisting of a named mentor, the ability to be released from work to attend ongoing education and professional activities(Dixon et al 2015). This program enables the new graduate midwife to transition directly into midwifery continuity of care models, and…”

mentioning

confidence: 99%

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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Supporting New Zealand graduate midwives to stay in the profession: An evaluation of the Midwifery First Year of Practice programme

Cited by 38 publications

References 13 publications

Developing confidence in competence: My experience of the Midwifery First Year of Practice programme

Developing confidence in competence: My experience of the Midwifery First Year of Practice programme

New Zealand's midwifery profession: Embracing graduate midwives' transition to practice

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

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