Exploring the Experiences of Midwifery Preceptors Using the Differentiated Job Demands-Resources Model

To explore midwives' experiences of precepting in relation to the demands of clinical practice.

Secondary, supplementary qualitative data analysis.

Virtual interviews.

A total of 18 midwives (16 certified nurse-midwives and 2 certified midwives) who practiced in New Jersey.

We used data from a primary study of in-depth, semistructured interviews conducted from June 2023 to February 2024. We used qualitative description methodology and analyzed data using content analysis. We organized relevant codes using the major categories of the differentiated job demands-resources model, in which job demands are classified as hindrances or challenges and resources that can mitigate strain are identified.

We found that precepting had a paradoxical effect on respondents' well-being. In the absence of adequate resources, precepting exacerbated exhaustion and in some cases led respondents to reduce or withdraw from teaching responsibilities. Conversely, when supported by collegial collaboration, shared responsibility, and personal agency in accepting students, precepting was a meaningful source of professional purpose and renewal.

Although precepting can foster professional engagement and renewal, it may also increase strain and contribute to burnout, particularly within health systems already facing staffing shortages and high turnover. The dual nature of precepting in midwifery underscores the role of system-level support in sustaining the midwifery workforce and clinical education.