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Navigating the transition: Graduate midwives' experiences with the implementation of a formal practice assessment
Sandra Johnston1, Natasha Steel2, Leah Ebert2
1School of Nursing, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland 4059, Australia.
Midwifery
|April 9, 2025
Summary
A new practice assessment tool helps graduate midwives improve their skills. It provides objective feedback and encourages reflection, addressing issues of stress and lack of support in their first year.
Area of Science:
- Nursing Education
- Midwifery Practice
- Professional Development
Background:
- New graduate midwives experience dissatisfaction and stress due to inadequate structured support and personalized learning.
- Currently, no practice assessment tool exists to benchmark clinical performance for midwives in their graduate year in Australia.
- Performance appraisal tools can facilitate discussions and critical reflection on practice for new graduates.
Purpose of the Study:
- To explore the experiences of graduate midwives regarding the implementation of a practice assessment tool.
- To understand the impact of a new assessment tool on the professional development of early-career midwives.
Main Methods:
- A descriptive qualitative design was employed.
- Twelve graduate midwives participated in focus group interviews at an Australian hospital.
- Data were analyzed using an inductive approach.
Main Results:
- Three key themes emerged: the influence of the sociopolitical environment on professional development, a paradox of stability amidst uncertainty, and the tool acting as a catalyst for practice improvement.
- Graduate midwives' experiences highlighted the need for structured support and clear assessment processes.
Conclusions:
- The practice assessment tool, when implemented appropriately with familiar assessors and transparent schedules, provides objective feedback and prompts reflective practice.
- Addressing organizational factors is crucial for supporting optimal graduate midwife development.
- Improvements include assessor familiarity, adaptation time for new clinical areas, and transparent assessment schedules.
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