The lived experiences of newly qualified midwives in supporting women during labor and birth: A hermeneutic phenomenological study in Malta.

Abstract

Introduction: The well-being of midwives impacts the quality of care provided during labor and birth, influencing maternal and neonatal outcomes. It is crucial that newly qualified midwives (NQMs) feel confident in managing labor and childbirth, to foster positive experiences for both mother and child. This study aims to explore and understand the lived experiences of NQMs caring for women during labor and birth.

Methods: A Heideggerian hermeneutic phenomenological approach was used to explore the experiences of ten NQMs within two years post-qualification, working in the Central Delivery Suite (CDS) of Malta's main public hospital. Purposive sampling identified participants, and data were collected through one-time, semi-structured, in-depth interviews conducted in private settings with the first author (JG) between December 2021 and January 2022. The interviews followed a self-designed schedule in English (JG, RPP) and were audio-recorded. Reflective journaling was maintained throughout. Analysis was guided by van Manen's six-step method, with hermeneutic philosophy and Willian Bridges' transition model informing the interpretation.

Results: Two main themes emerged: 1) 'Baptism of fire' and 2) 'Containing the fire'. 'Baptism of fire' encapsulates the initial challenges NQMs faced, including feelings of being overwhelmed and unprepared. 'Containing the fire' highlights how NQMs developed strategies to adapt, growing more confident and effective in their roles. These experiences were shaped by their training exposure to CDS and the level of support from colleagues during their transition.

Conclusions: The findings highlight the need for supportive environments, extended CDS placements and structured guidance through preceptorship. Enhancing NQMs' transition to practice has implications for midwifery education, policy, and practice.