“I felt not prepared to provide care to patients on my own” Challenges experienced by newly qualified nurse-midwives transitioning to practise in selected midwifery settings in northern Malawi
Résumé
Abstract Background: Literature shows that newly qualified nurse-midwives face challenges integrating into the workforce during their transition period from training to practice. However, little is known about the needs and challenges of Malawian nurse-midwives during their transition from training to practice. The aim of the study was to explore the transition experiences of newly qualified nurse-midwives working in selected midwifery units in Northern Malawi.Methodology: A qualitative descriptive approach was used. Data were collected through in-depth interviews using a semi-structured interview guide from a purposive sample of 19 participants (13 newly qualified nurse-midwives and 6 key informants). Participants were from three selected hospitals from the Northern part of Malawi that have maternity units. Data were analysed manually using thematic analysis. Findings: Five themes related to challenges faced by newly qualified nurse-midwives during their transition to practice in midwifery units emerged from the thematic analysis of the data. These included (1) Theory - practice gap, (2) Lack of confidence and skills, (3) Inadequate resources, (4) Transition support system, and (5) Workplace conflict. Conclusion: Newly qualified nurse-midwives in Malawi encounter many challenges while transitioning from training to practice. The study findings underscore the need to develop a national framework support system that could not only help newly qualified midwives adjust positively to their new role but also create more opportunities for learning and developing and strengthening a collaborative partnership between colleges and hospitals.
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