Becoming a midwife in Malta : a single case study

Abstract

The initial transition, whereby a student midwife becomes a midwife, a process of initiation from a novice to an advance practitioner, has been explored. The aim was to provide an insight in on how Maltese midwives go through the journey from being a student to becoming a practicing midwife. The research questions focused on how Maltese midwives enter such transition, what needs do they encounter during such period, what kind of support is deemed necessary, and in what way the midwifery training programme help in this transition. A single case study approach was used to develop an understanding of the transition from student to midwife, of a cohort of eight Maltese newly qualified midwives, within their three months of initial employment, in the Obstetric and Gynaecology Department of the local university hospital. An individual single interview was conducted as a method of gathering qualitative data. Data was analysed using thematic analysis. Having prepared for several years to become the midwife they aspired to be, the newly graduates entered the working environment with elation and enthusiasm. These feelings soon faded as they found a different reality that awaited them, hence feeling unprepared and inadequate to perform in the new role. Being already accustomed to the routine, these graduates felt unprepared for the newness of their new role. Increase in responsibility, accountability and new skills led to stressful moments of fear, uncertainty, and insecurity. The support of other staff members was seen as imperative for the new graduates in the integration within the clinical team. Feeling and accepted as part of a team was identified as major issues both as students and staff members. Although being theoretically prepared, clinical practice was a pivotal factor in the building of trust and confidence, which was needed in the initiation of developing a professional and social identity. Working along with other staff midwives contributed in the transition of becoming independent workers. Individual formal support, both as students and especially the initial period of newly graduates, is recommended to ease this initial transition from student to qualified midwife, ideally tailored to each individual's needs.