title: Newly-graduated midwives transcending barriers: mechanisms for putting plans into actions.
abstract: OBJECTIVE
  the aim of this qualitative study was to develop theory regarding how newly-graduated midwives deal with applying a midwifery philosophy of care in their first six months of practice.
  
  
  METHODS
  the research aim signifies the study of social processes. Hence Grounded Theory methodology was employed. Data were generated from semi-structured interviews and participant and interviewer journals.
  
  
  METHODS
  the study was conducted in Perth, Western Australia, with graduate midwives working in private and public, secondary and tertiary maternity hospital settings.
  
  
  METHODS
  11 female midwives who were previously nurses and had recently graduated from a 12 month post graduate university-based midwifery course participated.
  the substantive theory of transcending barriers was generated. It has three stages: 'Addressing personal attributes', 'Understanding the 'bigger picture'', and 'Evaluating, planning and acting' to provide woman-centred care. An overview of the theory was presented in a previous paper. The mechanisms where 'plans are moved into action' which form the final sub-stage of the stage 'Evaluating, planning and acting' are presented in this paper.
  
  
  CONCLUSIONS
  the theory of transcending barriers provides a new perspective on how newly-graduated midwives 'deal with' applying the philosophy of midwifery in their first six months of practice. The final sub-stage of the theoretical model highlights four mechanisms that newly-graduated midwives implement in their endeavours to provide woman-centred care, increase autonomy and develop their personal philosophy of midwifery.
  
  
  CONCLUSIONS
  understanding the four mechanisms can assist health care providers to facilitate the transition of newly-graduated midwives into clinical practice.
authors: The University of Western Australia, Faculty of Education, Graduate School of Education, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia; Curtin University, Faculty of Health Sciences, School of Nursing and Midwifery, Building 405, Kent Street, Bentley, Perth, Western Australia 6102, Australia. Electronic address: m.barry@curtin.edu.au.
authors: Michele J
authors: MJ
authors: Barry
authors: Curtin University, Faculty of Health Sciences, School of Nursing and Midwifery, Building 405, Kent Street, Bentley, Perth, Western Australia 6102, Australia. Electronic address: y.hauck@curtin.edu.au.
authors: Yvonne L
authors: YL
authors: Hauck
authors: The University of Western Australia, Faculty of Education, Graduate School of Education, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia. Electronic address: tom.odonoghue@uwa.edu.au.
authors: Thomas
authors: T
authors: O'Donoghue
authors: The University of Western Australia, Faculty of Education, Graduate School of Education, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia. Electronic address: simon.clarke@uwa.edu.au.
authors: Simon
authors: S
authors: Clarke
mesh_terms: D004511:Education, Nursing, Graduate; D005260:Female; D017144:Focus Groups; D066296:Grounded Theory; D006801:Humans; D008880:Midwifery / Q000193:education / Q000379:methods*; D024802:Nurse's Role; D010687:Philosophy, Nursing; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014904:Western Australia
keywords: Graduate; Grounded Theory; Midwifery; Philosophy