How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature

Journal article

Capper, Tanya S., Haynes, Kelly and Williamson, Moira. (2023). How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature. Nurse Education in Practice. 70, p. Article 103689. https://doi.org/10.1016/j.nepr.2023.103689
AuthorsCapper, Tanya S., Haynes, Kelly and Williamson, Moira
Abstract

Aim
To explore how the early workforce experiences of new midwives influence their career plans.

Background
Each year, thousands of new midwives graduate from entry-to-practice midwifery courses, gain professional registration, and enter the workforce. Despite this, the world continues to face a shortage of midwives. The first five years of clinical practice, commonly referred to as the early career period, can be highly stressful for new midwives, contributing to early attrition from the profession. Supporting the transition from midwifery student to registered midwife is vital if we are to grow the workforce. Whilst the early career experiences of new midwives have been more broadly explored; little is currently understood about how these can influence their career plans.

Methods
Following Whittemore and Knafl’s (2005) five-stage process, an integrative review was conducted. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Nineteen studies met the criteria for inclusion. Thematic analysis was undertaken to organise and present the findings.

Findings
Thematic analysis, guided by the review question led to the identification of three overarching themes: ‘the need for support’, ‘sustaining health and wellbeing’, and ‘being able to provide safe and effective midwifery care’.

Conclusion
Very little research to date has specifically explored how the early career experiences of new midwives influence their career plans, particularly within the Australian context. Further research is required to better understand how the early workforce experiences of new midwives can either strengthen their commitment to the profession or contribute to the decision to leave midwifery prematurely. This knowledge would provide a basis for the development of appropriate strategies to minimise early attrition from the midwifery profession and promote career longevity.

Keywordsmidwives; graduates; early career; experiences; workforce sustainability; integrative review
Year2023
JournalNurse Education in Practice
Journal citation70, p. Article 103689
PublisherElsevier Ltd
ISSN1471-5953
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nepr.2023.103689
PubMed ID37393687
Scopus EID2-s2.0-85163882572
Open accessPublished as ‘gold’ (paid) open access
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online29 Jun 2023
Publication process dates
Accepted12 Jun 2023
Deposited08 Nov 2023
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