How to improve newly qualified midwives’ wellbeing in practice. A Delphi study | 179 Conclusion: no consensus, proposition rejected. New proposition: In the first year after newly qualified midwives graduate, they are entitled to guidance (through supervision, a mentor, a buddy, or another form of guidance) to be able to spar about all sorts of work situations. 11. During newly qualified midwives’ first year in practice, they all have a guiding peer support group to ensure that they will continue to learn and develop. The comments show that this is potentially important for all midwives and is also the starter's own responsibility. Conclusion: consensus reached, towards results 12. Newly qualified midwives all have a mentor outside their own workplace, who can support, coach, and advise them in work matters Comments: On usefulness and necessity of mentoring separate from the workplace, there are conflicting responses, such as important for personal development to not needed, unnecessary luxury. Conclusion: no consensus on importance, nuance statement: If desired, newly qualified midwives should have access to a mentor outside their own workplace, with whom they can discuss work matters. 13. Mentors of newly qualified midwives are trained in advance, for which they are compensated (either with quality register points or with financial reimbursement). Comments: importance of facilities for this and that for the incumbent profession this is simply part of a midwife's remit. Conclusion: consensus on importance and feasibility, by results 14.The university of applied sciences (HBO) Bachelor’s programme in midwifery is responsible for well preparing all VIOs (verloskundigen in opleiding; midwives in training) for them to start as professionals in birth care. Comments are about responsibility of the placement practice to prepare students for practice and that not all tasks are already visible during training, such as being self-employed and being a partnership member. This needs to be experienced in practice. Shared responsibility between training and practice. Conclusion: consensus reached, towards results 15 The university of applied sciences (HBO) Bachelor’s programme in midwifery is partly responsible for guiding newly qualified midwives in their first year after graduation.. Comments on responsibility of the field for mentoring start-up professionals and lack of existing facilities and their desirability for every start-up. Conclusion: no consensus on importance and feasibility, so rejected. New statement: The profession field of midwives is responsible for guiding newly qualified midwives in their first year after graduation. 16. The second half of the university of applied sciences (HBO) Bachelor’s programme in midwifery is offered in dual form, whereby the student partly follows an educational programme and partly works as a midwife in training (VIO, verloskundige in opleiding). Comments on feasibility (financial and organisational) but also on its importance. People see four years of training as sufficient to prepare for the profession. Conclusion: consensus just not reached, nuancing statement: In the last two years of the university of applied sciences (HBO) Bachelor’s programme in midwifery, the emphasis lies more on gaining practical experience than on theoretical education
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