An exploration into the experiences of newly qualified midwives during their transition to practice in the UK: A systematic review

Scott, Rachel G.B.; Poat, Angela

Abstract

Aim: The aim of this systematic review was to explore the experiences of newly qualified midwives (NQMs) during their transition to practice in the UK. Background: It has been recognised that the transition from student to NQM is a time of significant change that has implications for staff recruitment and retention. Thus, the rationale for this review was that understanding the experiences of NQMs at this crucial time in their career is essential for developing systems of support to improve maternity care and no previous reviews were found on this topic based in the UK. Methods: A systematic search was conducted using the SPIDER – sample, phenomenon of interest, design, evaluation, research type – search strategy. Studies were critically appraised using the Consolidated Criteria for Reporting Qualitative Research Checklist and the Critical Appraisal Skills Programme Qualitative Studies Checklist. Relevant findings were extracted using thematic analysis in which text was coded, descriptive themes developed, and analytical themes generated. Results: The search returned eleven qualifying qualitative studies and findings were synthesised into four analytical themes – a journey of confidence; in at the deep end: varying support; the rollercoaster of transition; and the disparity between expectations and reality. Conclusion: NQMs experienced various challenges during the transition to practice such as lack of supernumerary time and unstructured rotations which were exacerbated by poor staffing and a heavy workload. A lack of support from colleagues and experiences of bullying increased stress and anxiety. However, structured preceptorship and support from midwifery colleagues facilitated a more positive experience.

Citation

Scott, R. G., & Poat, A. (2025). An exploration into the experiences of newly qualified midwives during their transition to practice in the UK: A systematic review. Midwifery, 143, Article 104307. https://doi.org/10.1016/j.midw.2025.104307

• Journal Article Type: Review
• Acceptance Date: Jan 21, 2025
• Online Publication Date: Jan 22, 2025
• Publication Date: Apr 1, 2025
• Deposit Date: Feb 20, 2025
• Journal: Midwifery
• Print ISSN: 0266-6138
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 143
• Article Number: 104307
• DOI: https://doi.org/10.1016/j.midw.2025.104307
• Keywords: Midwifery; Health workforce; Systematic review; Nursing research; United Kingdom
• Public URL: https://hull-repository.worktribe.com/output/5038984