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Surviving, not thriving

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Surviving, not thriving : a qualitative study of newly qualified midwives' experience of their transition to practice. / Fenwick, Jennifer; Hammond, Athena; Raymond, Jane; Smith, Rachel; Gray, Joanne; Foureur, Maralyn; Homer, Caroline; Symon, Andrew.

In: Journal of Clinical Nursing, Vol. 21, No. 13-14, 2012, p. 2054-2063.

Research output: Contribution to journalArticle

Harvard

Fenwick, J, Hammond, A, Raymond, J, Smith, R, Gray, J, Foureur, M, Homer, C & Symon, A 2012, 'Surviving, not thriving: a qualitative study of newly qualified midwives' experience of their transition to practice' Journal of Clinical Nursing, vol 21, no. 13-14, pp. 2054-2063.

APA

Fenwick, J., Hammond, A., Raymond, J., Smith, R., Gray, J., Foureur, M., Homer, C., & Symon, A. (2012). Surviving, not thriving: a qualitative study of newly qualified midwives' experience of their transition to practice. Journal of Clinical Nursing, 21(13-14), 2054-2063doi: 10.1111/j.1365-2702.2012.04090.x

Vancouver

Fenwick J, Hammond A, Raymond J, Smith R, Gray J, Foureur M et al. Surviving, not thriving: a qualitative study of newly qualified midwives' experience of their transition to practice. Journal of Clinical Nursing. 2012;21(13-14):2054-2063.

Author

Fenwick, Jennifer; Hammond, Athena; Raymond, Jane; Smith, Rachel; Gray, Joanne; Foureur, Maralyn; Homer, Caroline; Symon, Andrew / Surviving, not thriving : a qualitative study of newly qualified midwives' experience of their transition to practice.

In: Journal of Clinical Nursing, Vol. 21, No. 13-14, 2012, p. 2054-2063.

Research output: Contribution to journalArticle

Bibtex - Download

@article{209a1f8964cc4939baa3a321c170a494,
title = "Surviving, not thriving",
author = "Jennifer Fenwick and Athena Hammond and Jane Raymond and Rachel Smith and Joanne Gray and Maralyn Foureur and Caroline Homer and Andrew Symon",
year = "2012",
volume = "21",
number = "13-14",
pages = "2054--2063",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Surviving, not thriving

T2 - a qualitative study of newly qualified midwives' experience of their transition to practice

A1 - Fenwick,Jennifer

A1 - Hammond,Athena

A1 - Raymond,Jane

A1 - Smith,Rachel

A1 - Gray,Joanne

A1 - Foureur,Maralyn

A1 - Homer,Caroline

A1 - Symon,Andrew

AU - Fenwick,Jennifer

AU - Hammond,Athena

AU - Raymond,Jane

AU - Smith,Rachel

AU - Gray,Joanne

AU - Foureur,Maralyn

AU - Homer,Caroline

AU - Symon,Andrew

PY - 2012

Y1 - 2012

N2 - Aim and objectives. The study explored the experiences of newly qualified midwives and described the factors that facilitated or constrained their development during the transition from student to registered midwife. Background. Knowledge of the transition to midwifery practice remains limited. Design and Method. A qualitative descriptive approach was used. Sixteen graduates from one Australian University participated in a tape-recorded interview. Thematic analysis was used to analyse the data set. Results. The metaphor of 'The Pond', an environment that consists of layers of life and can be both clear and peaceful or murky and infested, was used to describe new midwives perceptions of the context and culture of hospital-based maternity care. For some, 'The Pond' was a harsh environment that often became toxic. The 'Life-raft' metaphor was used to describe the importance of midwife-to-midwife relationships. The theme of 'Swimming' captured the consequence of positive interactions with colleagues and a supportive environment, whilst 'Sinking' described the consequence of poor relationships with midwives and a difficult working environment. Conclusion. The study highlights the importance of positive midwife-to-midwife relationships on the transition from student to registered midwife. There was also evidence that continuity with women and midwifery colleagues enhanced confidence and restored faith in normal birth. At the same time, it was clear that the midwifery culture of some institutions remains highly contested with midwives struggling to provide woman-centred care and often challenged by the risk-averse nature of maternity care. Relevance to Clinical Practice. Whilst further work is required, the findings provide a deeper understanding of individual midwives' transition period. The importance of forming longitudinal relationships not only with women but with midwifery colleagues is highlighted. Developing continuity models that adequately support graduates and student's needs are likely to assist in addressing practices issues in both the academic and clinical setting. © 2012 Blackwell Publishing Ltd.

AB - Aim and objectives. The study explored the experiences of newly qualified midwives and described the factors that facilitated or constrained their development during the transition from student to registered midwife. Background. Knowledge of the transition to midwifery practice remains limited. Design and Method. A qualitative descriptive approach was used. Sixteen graduates from one Australian University participated in a tape-recorded interview. Thematic analysis was used to analyse the data set. Results. The metaphor of 'The Pond', an environment that consists of layers of life and can be both clear and peaceful or murky and infested, was used to describe new midwives perceptions of the context and culture of hospital-based maternity care. For some, 'The Pond' was a harsh environment that often became toxic. The 'Life-raft' metaphor was used to describe the importance of midwife-to-midwife relationships. The theme of 'Swimming' captured the consequence of positive interactions with colleagues and a supportive environment, whilst 'Sinking' described the consequence of poor relationships with midwives and a difficult working environment. Conclusion. The study highlights the importance of positive midwife-to-midwife relationships on the transition from student to registered midwife. There was also evidence that continuity with women and midwifery colleagues enhanced confidence and restored faith in normal birth. At the same time, it was clear that the midwifery culture of some institutions remains highly contested with midwives struggling to provide woman-centred care and often challenged by the risk-averse nature of maternity care. Relevance to Clinical Practice. Whilst further work is required, the findings provide a deeper understanding of individual midwives' transition period. The importance of forming longitudinal relationships not only with women but with midwifery colleagues is highlighted. Developing continuity models that adequately support graduates and student's needs are likely to assist in addressing practices issues in both the academic and clinical setting. © 2012 Blackwell Publishing Ltd.

UR - http://www.scopus.com/inward/record.url?partnerID=yv4JPVwI&eid=2-s2.0-84862198447&md5=e039b3ed7e05f2ed2c580f348707123d

U2 - 10.1111/j.1365-2702.2012.04090.x

DO - 10.1111/j.1365-2702.2012.04090.x

M1 - Article

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 13-14

VL - 21

SP - 2054

EP - 2063

ER -

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