How traumatic internship experiences shape midwifery students' motivation and career expectations: Findings from a qualitative study.

Abstract

Introduction: Traumatic events experienced during midwifery internships can have a significant impact on students, leading to emotional distress and doubts about continuing their studies. The aim of this study was to explore whether the experience of traumatic events influences motivation to continue studying and affects the professional expectations associated with the role of the midwife.

Methods: A qualitative descriptive phenomenological approach was used, focusing on the lived experiences of midwifery students in Italy. Data were collected through open-ended questionnaires administered to 36 third-year students from a midwifery Bachelor's degree program during the 2023-2024 academic year. Thematic analysis, following the Braun and Clarke six-step framework, was used to identify and interpret patterns in the data.

Results: The analysis revealed 21 codes, eight subthemes, and three main themes: 'Discovering the elements that shape the perception of the event', 'Suffer the consequences of the event', and 'Engage in a dynamic process to acquire the professional dimension'. Students described the factors that shape their perception of events, such as inadequate preparation, emergencies, and negative professional behaviors. Emotional consequences included fear, frustration, and doubts about their professional abilities. Despite these challenges, students showed resilience, often seeking support from mentors and external resources, ultimately reaffirming their commitment to the profession of midwifery.

Conclusions: Traumatic events during internships significantly impact the experiences of midwifery students. Effective clinical tutoring and emotional support are crucial to mitigate negative effects and foster professional growth. Understanding these dynamics can help educators better prepare students for the emotional demands of the profession.