"I believe…" - graduating midwifery students’ midwifery philosophies and intentions for their graduate year : A longitudinal descriptive study

Journal article

Dawson, Kate, Wallace, Heather and Bayes, Sara. (2023). "I believe…" - graduating midwifery students’ midwifery philosophies and intentions for their graduate year : A longitudinal descriptive study. Midwifery. 125, p. Article 103807. https://doi.org/10.1016/j.midw.2023.103807
AuthorsDawson, Kate, Wallace, Heather and Bayes, Sara
Abstract

Objective
Midwifery graduates may experience transition shock that makes them question their fit for their workplace and the profession and in extreme cases, may lead to them leaving. Understanding graduate midwives’ worldviews, job intentions and work experiences is important to inform retention strategies. Factors such as having a strong professional identity and experiencing strong job satisfaction are important for midwife retention. Conversely, stress, trauma and work-life imbalances are examples of factors that lead to attrition from midwifery. Transition shock experienced by some graduates can exacerbate these factors if not managed effectively. This study aimed to identify causes and impact of any changes in graduate and early career midwives’ philosophy, practice, and intention to stay in the profession.

Design, setting and participants
We invited the 2021 and 2022 cohorts of graduating midwifery students from all educational pathways in Victoria, Australia to participate in a longitudinal descriptive study using a questionnaire with both closed and open -ended questions. This paper reports the findings from 16 participants that completed the first survey of a five-year longitudinal descriptive study.

Findings
The sixteen participants predominantly held a woman centred philosophy and ideally wanted to work in a midwife-led model of care. Although excited about moving into practice, they also disclosed a sense of needing to ‘survive’ in a maternity care system that their beliefs were not fully in alignment with.

Key conclusions
The hopes, expectations and concerns of midwifery students who are anticipating moving into practice in this study resonate with those previously reported and demonstrate the need to consider personality-job fit in supporting this vulnerable group to transition.

Implications for practice
This study provides insights into graduating midwives’ hopes for, expectations of, and concerns about transitioning into practice that may inform the design of transition programs and support expansion of midwifery led models of care.

Keywordsmidwifery students; philosophy for practice; work preferences; transition to practice; career goals
Year2023
JournalMidwifery
Journal citation125, p. Article 103807
PublisherElsevier Ltd
ISSN0266-6138
Digital Object Identifier (DOI)https://doi.org/10.1016/j.midw.2023.103807
PubMed ID37660539
Scopus EID2-s2.0-85170056090
Open accessPublished as ‘gold’ (paid) open access
Page range1-8
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Sep 2023
Publication process dates
Accepted28 Aug 2023
Deposited17 Apr 2025
Additional information

© 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Wang, Carol Chunfeng, Whitehead, Lisa and Bayes, Sara. (2017). The real ‘cost’ of study in Australia and the ramifications for China, Australia, and the Chinese nursing students: what do these three players want? A narrative review. Globalization, Societies and Education. 15(5), pp. 590-606. https://doi.org/10.1080/14767724.2016.1195727
Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data
Bayes, Sara and Ewens, Beverley. (2017). Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data. Journal of Clinical Nursing. 26(5-6), pp. 599-608. https://doi.org/10.1111/jocn.13524
Ghanaian fathers' experiences of caring for preterm infants ; journey of exclusion
Adama, Esther Abena, Sundin, Deborah and Bayes, Sara. (2017). Ghanaian fathers' experiences of caring for preterm infants ; journey of exclusion. Journal of Neonatal Nursing. 23(6), pp. 275-281. https://doi.org/10.1016/j.jnn.2017.05.003
Examples of health practitioners’ approaches to planning and evaluating CPD
Bayes, Sarah, Devey, Lisa, Bidgood, Síobhán, Gilbert-Hunt, Sue, Acker, Joe and Gleadhill, Kearney. (2017). Examples of health practitioners’ approaches to planning and evaluating CPD. In In Andre, Kate, Heartfield, Marie and Cusack, Lynette (Ed.). Portfolios for health professionals pp. 98-123 Elsevier Australia.
Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review
Beaudart, Charlotte, Dawson, A., Shaw, S. C., Harvey, Nicholas C., Kanis, John, Binkley, Neil, Reginster, Jean Yves, Chapurlat, R., Chan, D. C., Bruyère, O., Rizzoli, Rene, Cooper, Cyrus and Dennison, Elaine M.. (2017). Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review. Osteoporosis International. 28(6), pp. 1817 - 1833. https://doi.org/10.1007/s00198-017-3980-9
The benefits of optimal cord clamping
Busellato, Lisa and Bayes, Sara. (2016). The benefits of optimal cord clamping. Practising Midwife. 19(1), pp. 10-12.
Mindfulness-based childbirth education : Incorporating adult and experiential learning with mindfulness-based stress reduction in childbirth education
Hauck, Yvonne, Fisher, Colleen, Byrne, Jean and Bayes, Sara. (2016). Mindfulness-based childbirth education : Incorporating adult and experiential learning with mindfulness-based stress reduction in childbirth education. The Journal of Perinatal Education. 25(3), pp. 162-173. https://doi.org/10.1891/1058-1243.25.3.162
Nursing education in China : Meeting the global demand for quality healthcare
Wang, Carol Chunfeng, Whitehead, Lisa and Bayes, Sara. (2016). Nursing education in China : Meeting the global demand for quality healthcare. International Journal of Nursing Studies. 3(1), pp. 131-136. https://doi.org/10.1016/j.ijnss.2016.02.009
Implementing caseload midwifery : Exploring the views of maternity managers in Australia - A national cross-sectional survey
Dawson, Kate, McLachlan, Helen, Newton, Michelle and Forster, Della. (2016). Implementing caseload midwifery : Exploring the views of maternity managers in Australia - A national cross-sectional survey. Australian Midwifery. 29(3), pp. 214-222. https://doi.org/10.1016/j.wombi.2015.10.010
Readiness for practice change : Evaluation of a tool for the Australian midwifery context
Bayes, Sara, Fenwick, Jennifer and Jennings, David. (2016). Readiness for practice change : Evaluation of a tool for the Australian midwifery context. Women and Birth. 29(3), pp. 240-244. https://doi.org/10.1016/j.wombi.2015.11.001
Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature
Adama, Esther Abena, Bayes, Sara and Sundin, Deborah. (2016). Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature. Journal of Neonatal Nursing. 22(1), pp. 27-51.
Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study
Nicholls, Sarah, Hauck, Yvonne L., Bayes, Sara and Butt, Janice. (2016). Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study. Midwifery. 33, pp. 73-81. https://doi.org/10.1016/j.midw.2015.10.010
The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia
Davison, Clare, Hauck, Yvonne L., Bayes, Sara J., Kuliukas, Lesley J. and Wood, Jennifer. (2015). The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia. Midwifery. 31(8), pp. 772-778. https://doi.org/10.1016/j.midw.2015.04.012
Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia
Dawson, Kate, Newton, Michelle, Forster, Della and McLachlan, Helen. (2015). Exploring midwifery students' views and experiences of caseload midwifery : A cross-sectional survey conducted in Victoria, Australia. Midwifery. 31(2), pp. e7-e15. https://doi.org/10.1016/j.midw.2014.09.007
Australian midwifery students’ views about profession-specific peer mentoring
Bayes, Sara Jayne, Collyer, Doreen, Dobbs, Kirsten and Walsh, Laura. (2014). Australian midwifery students’ views about profession-specific peer mentoring. Eculture. 7, pp. 1-10.
Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth
Byrne, Jean, Hauck, Yvonne, Fisher, Colleen, Bayes, Sara and Schutze, Robert. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Womens Health. 59(2), pp. 192-197. https://doi.org/10.1111/jmwh.12075
Intracellular cytokine production and cognition in healthy older adults
Simpson, Ellen, Hodkinson, Claire, Maylor, Elizabeth, McCormack, Jacqueline, Rae, Gordon, Strain, Sean, Alexander, H and Wallace, Julie. (2013). Intracellular cytokine production and cognition in healthy older adults. Psychoneuroendocrinology. https://doi.org/10.1016/j.psyneuen.2013.04.007