New graduate midwives' experiences of social supports during the transition period of practice: a qualitative systematic review
2017-03-02T04:05:17Z (GMT) by
BACKGROUND Graduate midwives require substantial support during their first year of midwifery practice to develop their confidence. Midwives are autonomous professionals who require a high-level skill of clinical decision-making. Social supports protect individuals from the stress of a critical event and consist of four components (appraisal, tangible, belonging, self-esteem). The new midwives’ experience of social supports during the first year of midwifery practice plays a crucial role to increase new midwives’ levels of confidence during this transition period. AIM This qualitative systematic review aims to synthesis the new graduate midwives’ experiences of social supports during the transition period of midwifery practice. The objectives of this systematic review are to: describe the transition period experiences of new graduate midwives and examine what constitute social supports during transition period. METHOD This systematic review followed the method for qualitative synthesis from Joanna Briggs Institute. Search of published studies was undertaken of four databases without time restriction. Studies that met inclusion criteria were then appraised using JBI Qualitative Assessment and Review Instrument. RESULT Eight published studies were included in this systematic review. From these eight studies, 52 findings were extracted, eight categories were formed and three synthesized findings were generated. The heading of three synthesized findings of new midwives’ transition period experience are: ‘personalised support programs’, ‘relationship with others and self’, and ‘previous experience of learning and practice and gap between expectation and reality’. Components of social support such as appraisal and tangible support appeared in personalized support programs and relationship with others and self. While belonging and self esteem support emerged in relationship with others and self and previous experience of learning and practice and gap between expectation and reality. CONCLUSION This review identifies the experiences of new graduate midwives during transition period of midwifery practice. Social support components are integrated in the three elements of new midwives’ transition period experience. Social support during new midwives’ transition period underpins their confidence, which in turn improves their performance to carry midwifery care.