Liesbeth Kool

150 | Chapter 7 ABSTRACT Problem: Research shows that newly qualified midwives do not feel sufficiently confident and competent in their work during the period following graduation. This could impact the quality of care provided by newly registered midwives. Background: In the Netherlands, newly qualified midwives start work as registered midwives without any formal transition support. The aim of this study is to seek consensus with stakeholders concerning viable components of support for newly qualified midwives working in midwifery care in the Netherlands. Methods: A Delphi study was conducted among maternity care stakeholders in the Netherlands. Sixteen statements derived from previous studies were assessed in the course of two rounds. These stakeholders (N = 61) completed an online questionnaire that included spaces for opinions and remarks. Findings: There should be an introductory support period for newly qualified midwives, involving performance feedback and backup from fellow midwives during shifts. Novice midwives should be mentored or given group coaching by internal or external midwives. Such support should be tailored to the newly qualified midwifes’ needs. Discussion: Stakeholders agreed about the responsibilities of the professional group on supporting newcomers in practice, and on the importance of providing proper orientation periods in professional practice. The importance of a stable work environment did not found consensus, while previous research suggested otherwise. This study highlighted the importance of socialisation support at the workplace, however implementation of this support is hindered by organisational barriers. Improving employment conditions and support for newly qualified midwives in policymaking could help them to achieve their midwifery quality targets.

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