How to improve newly qualified midwives’ wellbeing in practice. A Delphi study | 177 APPENDIX III Findings round 1 Delphi Study Of the 61 participants who agreed to participate in this Delphi study, 56 eventually completed it in full (91.8%). For each statement, we calculated whether there was consensus on the importance and feasibility. We have reported this for each statement below. If the text box per statement is green, consensus was reached. The results then go to the final results. If the text box is blue, then there is still no consensus or the comments add something so that the proposition is qualified and included in round 2. If the text box of the proposition is red, then the proposition was not considered important and the proposition from round 1 was rejected. For that, a new proposition is included in round 2. Statements 1. Every newly qualified midwife should be introduced to professional practice in the workplace, regardless of their employment contract (e.g. temporary contract or locum). Participants agreed on the importance of familiarisation. There is consensus on that. In contrast, in the comments, several participants made exceptions for front-line observers in terms of feasibility. They see obstacles to implementation there: because of funding (financial) and the independent position expected of a locum. Conclusion: nuance statement: Every newly qualified midwife should be introduced to professional practice in the workplace, regardless of their employment contract. If the midwife is a locum or is self-employed, their time spent on this must be compensated. 2. Every workplace should provide newly qualified midwives with clarity on tasks and responsibilities. Applicable was supplemented in the comments by the importance of making or having manuals and scripts available in practice. Conclusion: Consensus reached, to results 3. A newly qualified midwife must be treated as a full team member because this contributes to their involvement in the workplace and to their self-confidence. Comments provide nuance to the statement. People see starters as full team members, but not equal because there is difference in tasks and responsibilities. Conclusion: consensus, 4. To create a stable work environment, every newly qualified midwife should work in a salaried job at a workplace for their first year. Importance of this is low in participants' results. Comments show diversity. Wage employment for all starters offers development opportunities in a workplace and stability on the one hand. On the other hand, it also limits development opportunities by being so fixed. Feasibility is scored low, because of the risk to the practice (financial)1 and freedom of choice of workplace for the starter. Conclusion: statement rejected, new proposition
RkJQdWJsaXNoZXIy MTk4NDMw