title: The self reported confidence of newly graduated midwives before and after their first year of practice in Sydney, Australia.
abstract: BACKGROUND
  Graduates from a new, 3-year Bachelor of Midwifery program joined those educated through the 1 year, postgraduate route (for those already qualified as nurses) for the first time in New South Wales (NSW) Australia in 2007. Many hospitals offer transition support programs for new graduates during their first year of practice though there is little evidence available to inform these programs.
  
  
  OBJECTIVE
  To establish the new midwife's confidence in working to the 14 "National Competency Standards for the Midwife"(1) and the International Confederation of Midwives (ICM) Definition of a Midwife and to explore whether the new midwife's confidence changed over the new graduate year. In particular the study set out to determine whether there were any differences in the confidence of new graduates from undergraduate or postgraduate programs.
  
  
  METHODS
  Pre and post survey with comparisons longitudinally and within undergraduate and postgraduate cohorts.
  
  
  METHODS
  Three Area Health Services in Sydney and surrounding areas, Australia.
  
  
  METHODS
  A convenience sample of all new graduate midwives employed in the three Area Health Services in the early months of 2008.
  
  
  METHODS
  New graduate midwives rated their level of confidence (1-10) in working to the 14 National Competency Standards for the Midwife and the ICM Definition of a Midwife during their first weeks of employment and after the completion of their first year of practice.
  
  
  RESULTS
  Midwives prepared through the undergraduate and postgraduate routes commenced their first year of practice with similar levels of confidence. The confidence of these midwives increased modestly over the first year of practice. Those from postgraduate programs were significantly more confident than those from undergraduate programs on four competencies after the first year of practice. Participant's self reported confidence in working to the ICM Definition of a Midwife was low.
  
  
  CONCLUSIONS
  Our profession and community need strong, confident midwives and it is in all our interests to look to ways we can best achieve this. While the findings of this study should be treated with caution, this study suggests that there is room for improvement in the way we support newly graduated midwives to build their confidence over their first year of practice. Further research is needed to identify the needs of newly graduated midwives and how best we can support them to develop as strong and confident practitioners through their first year of practice.
authors.affiliation: University of Technology, Sydney, Australia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Davis
authors.forename: Maralyn
authors.initials: M
authors.lastname: Foureur
authors.forename: Vanessa
authors.initials: V
authors.lastname: Clements
authors.forename: Patricia
authors.initials: P
authors.lastname: Brodie
authors.forename: Peter
authors.initials: P
authors.lastname: Herbison
mesh_terms: D000328:Adult; D001315:Australia; D002983:Clinical Competence / Q000592:standards*; D015331:Cohort Studies; D004506:Education, Nursing / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008880:Midwifery / Q000193:education* / Q000592:standards; D009721:Nurse Midwives; D017410:Practice Guidelines as Topic / Q000592:standards; D057566:Self Report; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult