CONFERENCE PROCEEDING
The transition from student to midwife: Uncovering the meaning of early practice experiences
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Department of Midwifery, Faculty of Health Sciences, University of Malta, Msida, Malta
Publication date: 2025-10-24
Corresponding author
Jeanette Gauci
Department of Midwifery, Faculty of Health Sciences, University of Malta, Msida, Malta
Eur J Midwifery 2025;9(Supplement 1):A62
ABSTRACT
Abstract Οverview:
The transition from a student to newly qualified midwife (NQM) is a formative and often challenging period that significantly influences professional development and care quality. Experiences in high-intensity environments such as the Central Delivery Suite (CDS) play a key role in shaping the new midwife’s confidence, competence, and identity.
Aims and Objectives:
This study aimed to explore the lived experiences of NQMs caring for women during labour
and birth. The study objectives included understanding the meaning of these experiences,
identifying challenges NQMs faced, and highlighting the support systems valued during this
transition period.
Method:
The study adopted a Heideggerian hermeneutic phenomenological approach. Ten NQMs,
within two years post-qualification and working in the CDS at Malta’s main public hospital,
were purposively selected. Data were collected through one-time, semi-structured audio-
recorded interviews conducted in private settings. The research process followed van
Manen’s six-step method, with analysis informed by hermeneutic philosophy and William
Bridges’ transition model.
Results:
Two main themes emerged from the data: Baptism of Fire and Containing the Fire. The first
theme described feelings of being overwhelmed, underprepared, and emotionally stretched.
The second theme reflected the gradual development of coping strategies, increased
confidence, and growing professional identity. Participants emphasized the value of prior
CDS exposure during training and strong collegial support during their transition. Unique
findings revealed that working in the CDS gave NQMs a sense of fulfilment and a belief that
they were becoming “true midwives.”
Conclusions:
This study highlights the importance of structured support systems, including extended CDS
placements during midwifery training and mentorship of NQMs by senior midwives,
qualification. Supporting NQMs through this critical period has implications for improving
midwifery education, practice environments, and workforce retention.