Transition experiences of internationally qualified midwives practising midwifery in Australia

Javanmard, Mitra; Steen, Mary; Vernon, Rachael; Cooper, Megan

doi:10.1016/j.wombi.2019.05.002

Cited by 15 publications

(34 citation statements)

References 28 publications

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“…Four of the 10 studies (Catling & Rossiter, 2020 ; Harvie et al, 2019 ; McIver, 2002 ; Welfare, 2018 ) described managers (in one case ‘senior managers’) (Catling & Rossiter, 2020 ) as complicit or enacting acts of vertical violence towards junior midwives or students. Two studies identified doctors as perpetrators (Catling et al, 2017 ; Javanmard et al, 2020 ). A consistent characteristic of the perpetrators of WPV was seniority within the workplace.…”

Section: Resultsmentioning

confidence: 99%

Workplace violence in the Australian and New Zealand midwifery workforce: A scoping review

Capper

Thorn

Muurlink

2022

J Nursing Management

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Aim The aim of the study is to identify and map what is known about workplace violence involving midwives in Australia and New Zealand. Background Research from the United Kingdom demonstrates that workplace violence within maternity services is a pervasive issue with significant and wide‐ranging clinical, individual and organisational consequences. To date, little is known about this issue within Australian and New Zealand maternity services. Evaluation A scoping review, guided by Arksey and O′Malley's framework, was conducted. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews checklist. Just one identified study aimed to explore midwives' experiences of workplace violence. A further nine arrived at related results or themes. Key issues Workplace violence is present in a variety of forms across maternity services in Australia and New Zealand. Its prevalence is, however, yet to be understood. Workplace violence causes physical and mental health issues for midwives, premature workforce attrition, and jeopardizes the quality and safety of maternity care. Conclusions Workplace violence has been acknowledged as one of the key contributing factors towards premature attrition from the midwifery profession, with new graduate midwives most likely to leave. With the midwifery workforce ageing and evidence of serious clinical implications emerging, workplace violence needs urgent research and organisational attention. Implications for nursing management Workplace violence is a key contributing factor towards recruitment and retention challenges for managers. To help tackle this, managers have a key role to play in identifying and effectively addressing workplace violence by acting as positive role models, taking a zero‐tolerance approach and fostering collegial relationships. Managers, holding key clinical leadership positions, are pivotal to ensuring all complaints raised are handled with transparency and consistency regardless of one's position within the clinical hierarchy and organisational structure.

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Section: Resultsmentioning

confidence: 99%

Workplace violence in the Australian and New Zealand midwifery workforce: A scoping review

Capper

Thorn

Muurlink

2022

J Nursing Management

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“…This was because graduates felt unwelcomed leading to a feeling of unworthiness and low self-esteem, which negatively affected their confidence. Griffiths et al ( 2019 ) shared the same sentiments when they reported that newly qualified midwives experienced rejection and isolation as they were ignored when seeking help, which caused distress especially in front of the patients and graduates interpreted the behaviour as being disrespectful (Javanmard et al 2019 ; Kensington et al 2016 ). Provision of positive support by experienced midwives made newly qualified midwives to feel valued when treated positively as part of the team and having responsibility for practice, which contributed greatly to learning and boosted their confidence, thus, improving their performance (Bradshaw, Tighe & Doody 2018 ; Simane-Netshisaulu & Maputle 2021 ).…”

Section: Discussionmentioning

confidence: 97%

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

Simane-Netshisaulu

2022

Health SA Gesondheid

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Background: Regardless of educational pathway, the transition from student to the registered midwife is a topic of increasing interest within the profession as this is likely to have implications for retention and attrition. Newly qualified midwives have reported that the reality of putting knowledge into practice in the midwifery field is often challenging and stressful.Aim: To explore and describe the experiences of newly qualified midwives with regard to the provision of midwifery services during transition from students to qualified midwives, in the Limpopo province, South Africa.Setting: The study was conducted in the maternity units of each of the five selected public hospitals in the Limpopo province.Methods: The researcher employed a qualitative approach with explorative and descriptive design. The population comprised all midwifery graduates working in the Limpopo province and have undergone a comprehensive nursing programme regulated by R425 of 19 February 1985, as amended. Five newly qualified midwifery graduates were sampled from each of the five selected hospital, using a non-probability purposive sampling method, resulting in a sample size of 25 participants. Data collection was carried out through unstructured individual interviews and was conducted until participants were no longer bringing new information.Results: Graduates reported excessive workload, which resulted in physical exhaustion. Challenges related to the roles and responsibilities of a new position as a qualified midwife were expressed. Negative collegial relationship displayed by experienced qualified midwives, negatively affected graduates’ midwifery performance.Conclusion: Effective, transition from student to qualified midwife is a stressful and exhausting process because of unfavourable working conditions in the labour ward, administrative roles as well as negative collegial relationship and disrespect displayed by experienced midwives.Contribution: Strategies to effectively support newly qualified midwives may be developed, which may consequently help in improving newly qualified midwives’ performance.

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“…Migrating to a new country with differences in midwifery and nursing practices, different workplace cultures, and the presence of bullying and discrimination may be confronting for IQMs and IQNs. This could create further challenges during the process of their integration into a foreign midwifery and nursing clinical workforce [21]. Different educational backgrounds, different ways of undertaking clinical procedures, and different guidelines and policies may negatively influence the adjustment of IQMs and IQNs into a new health care workforce [16].…”

Section: Discussionmentioning

confidence: 99%

“…The literature highlights that IQNs face cultural impositions and multidimensional discrimination in some health care systems of their host countries [11,15,56] and, markedly, that bullying may stem from racism towards IQNs and IQMs [21]. Racial discrimination may give rise to intimidation, social exclusion, and public humiliation, resulting in IQMs and IQNs experiencing a loss of professional authority [6,15,19,57].…”

Section: Discussionmentioning

confidence: 99%

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Transitional Experiences of Internationally Qualified Midwives Practicing in Australia: Protocol for a Mixed Methods Study

Javanmard¹,

Steen²,

Vernon³

et al. 2019

JMIR Res Protoc

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Background Approximately 13% of the total Australian midwifery workforce is internationally qualified. Although the internationally qualified midwives (IQMs) play a significant role in the Australian midwifery system, there is limited understanding of their transitional experiences. Objective The objective of this study protocol is to explore the transitional experiences and views of IQMs practicing in Australia, through the investigation of demographic profiles and key challenges that influence a smooth transition. Methods This paper presents an explanatory sequential mixed methods study protocol. This protocol incorporates an e-survey and individual interviews. The e-survey in the first phase will be distributed to IQMs in Australia via the website e-bulletins of the Australian Nursing and Midwifery Federation and the Australian College of Midwives. Additionally, potential respondents will be recruited via social media (ie, Twitter and Facebook) and associated snowball sampling. Data from the e-survey will be statistically analyzed. At the end of the e-survey, respondents will be asked whether they are willing to take part in an interview. The results of the e-survey and relevant literature review will help to develop a guideline for interview questions for the second phase. In phase two, a purposeful sample of participants will be recruited using the same selection criteria as for the e-survey. Semistructured interviews will provide a deeper insight into the transitional experiences of IQMs. Data from the interviews will then be thematically analyzed. Results An integration of the e-survey results (phase one) and interview findings (phase two) will be synthesized to explore and better understand the transitional experiences of this group of midwives. It is anticipated that data collection and analysis will be completed by June 2019 and results will be disseminated through peer-reviewed publications in late 2019. Conclusions This research protocol may generate new knowledge about the transition of IQMs in Australia. These findings could be used to formulate recommendations to inform the transition of future IQMs in Australia. International Registered Report Identifier (IRRID) DERR1-10.2196/13406

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Transition experiences of internationally qualified midwives practising midwifery in Australia

Cited by 15 publications

References 28 publications

Workplace violence in the Australian and New Zealand midwifery workforce: A scoping review

Workplace violence in the Australian and New Zealand midwifery workforce: A scoping review

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

Transitional Experiences of Internationally Qualified Midwives Practicing in Australia: Protocol for a Mixed Methods Study

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