Chapter 9 | 207 for the work they face in practice. This paper explores the perceptions of experienced midwives regarding: (1) the performance- and transition into practice of newly qualified midwives, and (2) their supporting role in this transition. The research design was a qualitative study with focus groups. Experienced midwives’ perceptions were explored by means of seven semi-structured focus groups (N=46 participants). Midwives perceived NQMs as colleagues who could not handle all their tasks and responsibilities. They perceived NQMs as less committed to the practice organisation. Support in community-based practices was informally organised with a lack of orientation. In the hospital-based setting, midwives offered an introduction period in a practical setting, which was formally organised with tasks and responsibilities. Experienced midwives recognised the need to support NQMs; however, in practice, they faced barriers. The differences in experienced midwives’ expectations of NQMs and reality seemed to depend on the NQMs’ temporary working contracts and -context, rather than the generational differences that experienced midwives mentioned. Dutch midwives prioritised their work with pregnant individuals and the organisation of their practice above supporting NQMs. Chapter 7 describes the main findings of a Delphi study among maternity care stakeholders. Research shows that NQMs do not feel sufficiently confident and competent in their work during the period following graduation. NQMs start work as registered midwives without any formal transition support. This could impact the quality of care they provide. The aim of this study is to seek consensus with stakeholders concerning viable components of support for Dutch NQMs. A Delphi study was conducted among maternity care stakeholders. 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. They agreed that there should be an introductory support period for NQMs, involving performance feedback and backup from fellow midwives during shifts. NQMs should be mentored or given group coaching by internal or external midwives. Such support should be tailored to the NQMs’ needs. Stakeholders agreed about the responsibilities of the professional group on supporting NQMs in practice, and on the importance of providing proper orientation periods. The importance of a stable work environment did not find consensus, while previous research suggested otherwise. This study highlighted the importance of transition support at the workplace; however, implementation of this support is hindered by organisational barriers. Improving employment conditions and support for NQMs in policymaking could help them to achieve their midwifery quality targets.
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