Student to midwife transition: Newly qualified midwives’ experiences in Limpopo province

Simane-Netshisaulu, Khathutshelo G.

doi:10.4102/hsag.v27i0.1992

Cited by 6 publications

(10 citation statements)

References 22 publications

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“…The unfriendly ones give bad and demotivating remarks when we seek for assistance. It’s bad” ( 19 ). “…fter you have had handover and they are like, ‘Oh fine, do not worry.’ Then they go to the desk and they are like: ‘I do not want to come on to work after her, she leaves everything for the night staff” ( 23 ).…”

Section: Resultsmentioning

confidence: 99%

Experiences of newly qualified midwives during their transition to practice: a systematic review of qualitative research

Shi,

Li,

et al. 2023

Front. Med.

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ObjectiveTo summarize and evaluate the experiences and expectations of newly qualified midwives (NQMs) during their transition from school to clinical practice. One of the main objectives was to provide references for the development of midwifery professional teaching and provide a basis for hospital administrators and instructors of midwifery to develop guidelines and strategies.MethodsA systemic review of qualitative research using meta-aggregation was conducted. We collected studies from 12 databases between inception and February 2023. All qualitative studies published in English and Chinese that reported on the experiences of NQMs during their transition to practice were included. Two independent reviewers assessed the study quality and the credibility of study findings by using the JBI Qualitative Assessment and Review Instrument. The process of searching followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations.ResultsA total of 14 studies were included, and 84 findings were extracted. The results were grouped into 8 new categories and synthesized into 3 main themes: multi-dimensional challenges, physical and emotional responses, and demands and expectations. The included studies were identified to be of good quality and the results of the methodological quality appraisal were all B grade or higher.ConclusionThe transition period is a critical career development for NQMs. However, they faced various stress during the period, which had a negative impact on their physical and mental health. Therefore, it’s important to deeply understand their challenges and needs. And effective management strategies should be implemented, such as in-depth cooperation between hospitals and schools, improvement of the clinical transition support system, enhancement of continuing education, and standardization of the management system. This may be beneficial to improve the quality of clinical midwifery and maintain the stability and sustainable development of the midwifery team.

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Section: Resultsmentioning

confidence: 99%

Experiences of newly qualified midwives during their transition to practice: a systematic review of qualitative research

Shi,

Li,

et al. 2023

Front. Med.

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“…In addition, patients disclosed that midwives insult and physically assault them, which explains the violation of their human rights. A study conducted in South African maternity settings reported that, globally, women experience ill-treatment in a pattern of physical abuse, verbal abuse, procedures without consent, neglect, non-confidential care and abandonment of care [ 26 ]. Similarly, a study conducted in Durban, South Africa, revealed that women described ill-treatment as verbal abuse from midwives, lack of privacy and midwives refusing to provide care [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Mahada,

Tshitangano,

Mudau

2023

Nursing Reports

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The maternal death rate remains high in South Africa despite the availability of many existing strategies to improve the quality of service. A 30% increase in the maternal mortality rate was reported between 2020 and 2021, with Limpopo ranking fourth highest out of nine provinces. The Vhembe district maintained its position as the third-ranked area with a notably elevated maternal mortality rate. This study aimed to explore the strategies used to reduce the maternal death rate and improve the provision of quality maternal healthcare services based on participant experiences in selected hospitals of the Vhembe district, Limpopo Province. One hospital was purposively sampled from every four municipalities. A qualitative approach using a phenomenological design was employed. Twenty-eight participants were sampled using a convenience sampling method. The semi-structured interview guide was used to collect data, complemented by the use of an audio recorder, continuing until data saturation was reached. Data saturation was reached at the 20th participant; however, the researcher continued until 28 sampled participants were interviewed. An interpretative phenomenological analysis was used following the analytical stages of interpretative data analysis. The study proposal was ethically cleared by the University of Venda Ethics Committee (FHS/22/PH/08/3108). The results indicate that, despite implementing strategies to improve maternal healthcare services and reduce the maternal death rate, several factors, such as the lack of material resources, shortage of staff, incompetent staff and poor infection control, affect the quality of maternal health services in the Vhembe district. The Limpopo Department of Health and hospital management should ensure that hospitals have all the necessary resources and support healthcare professionals through in-service training to ensure the functionality of existing strategies.

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Section: Sub-theme 12: Training and Orientating The Novice Midwifementioning

confidence: 99%

“…Another study reported that the time experienced midwives took to orientate the new midwife increased workload, and patient care was also neglected (32). Furthermore, the orientation of the novice midwife directly affected the novice midwife as they felt unsupported, and this affected their con dence level in taking care of pregnant and labouring women (32). These ndings are supported by Simane-Netshisaulu (33), who added that due to increased workload, midwives developed tension and a negative attitude towards the novice midwives, contributing to the unhealthy work environment.…”

Section: Sub-theme 12: Training and Orientating The Novice Midwifementioning

confidence: 99%

Midwives’ perceptions regarding clinical support by nursing managers in a Tshwane hospital

Jantjies,

Zenani,

Serapelwane

2024

Preprint

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Background Despite the benefits of support on the quality of maternal care, there is a general lack of support, which proved to have a less desired effect on the level of quality care within maternal units. To ensure the midwives operate to a high standard to ensure quality and patient safety in maternal care, support from the nursing managers creates a positive psychological environment to cope and manage themselves in the complex nature of the maternity unit. The study aimed to explore and describe midwives' perceptions regarding clinical support by nursing managers in a Tshwane hospital. The study described recommendations regarding the kind of clinical support required by midwives from the nursing managers in rendering maternal care. Methods The study used Qualitative, explorative, descriptive, and contextual research design to achieve the aim and objectives. The study used purposive sampling to select participants with insight and experience on the phenomenon. Before conducting the research, the researcher sought ethical permission from the NuMIQ research focus area and the North-West University Health Research Ethics Committee. Unstructured, in-depth individual interviews were conducted to collect data. Data was analysed using thematic analysis. Results Four themes emerged from the findings of this study, namely challenges related to lack of resources, emotional distress, lack of support, and recommended measures for support. Conclusion Quality and patient safety in maternity care is dependent on comprehensive clinical support for the midwives. Therefore, clinical support from the nursing managers enables the midwives to mitigate the challenges experienced in maternity units. Moreover, clinical support from nursing managers limits emotional distress and physical burnout that contributes to poor mental health and lack of job satisfaction in midwives. Those factors predispose the attrition rate of midwives and lead to the occurrence of adverse events in maternal care, which affects the well-being of patients in the maternity units. Therefore, there is a need for midwives to receive clinical support from nursing managers.

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Student to midwife transition: Newly qualified midwives’ experiences in Limpopo province

Cited by 6 publications

References 22 publications

Experiences of newly qualified midwives during their transition to practice: a systematic review of qualitative research

Experiences of newly qualified midwives during their transition to practice: a systematic review of qualitative research

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Midwives’ perceptions regarding clinical support by nursing managers in a Tshwane hospital

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