title: Supporting New Zealand graduate midwives to stay in the profession: An evaluation of the Midwifery First Year of Practice programme.
abstract: BACKGROUND
  the transition from undergraduate midwifery student to working as a confident midwife can be challenging for many newly qualified midwives. Supporting a smooth transition may have a positive impact on the confidence and retention of the new graduates within the workforce. In New Zealand the Midwifery First Year of Practice programme (MFYP) was introduced in 2007 as a structured programme of support for new graduate midwives for the whole of their first year of practice. The main components of the programme include support during clinical practice, provision of a funded mentor midwife chosen by the new graduate midwife, financial assistance for education and a requirement to undertake a quality assessment and reflection process at the end of the first year.
  
  
  OBJECTIVE
  the aim of this study was to explore the retention of new graduates in midwifery practice following participation in the Midwifery First Year of Practice programme.
  
  
  METHODS
  data was obtained from the register of MFYP participants between the years 2007 and 2010. This data was cross referenced with the Midwifery Council of New Zealand register and workforce data for 2012.
  
  
  RESULTS
  between the years 2007 and 2010 there were 441 midwives who graduated from a midwifery pre-registration education programme in New Zealand. Of these 415 participated in the MFYP programme. The majority were of New Zealand European ethnicity with 10% identifying as Māori. The mean age of participants reduced from 36.4 (SD 7.3) in 2007 to 33.4 (SD 8.1) in 2010. The overall retention rate for new graduate midwives who had participated in the MFYP programme was 86.3%, with 358 midwives still practising in 2012.
  
  
  CONCLUSIONS
  there is good retention of new graduate midwives within New Zealand and the MFYP programme would appear to support retention.
authors.affiliation: New Zealand College of Midwives, PO Box 21-106, Christchurch 8143, New Zealand. Electronic address: practice@nzcom.org.nz.
authors.forename: Lesley
authors.initials: L
authors.lastname: Dixon
authors.affiliation: Midwifery Council of New Zealand, PO Box 24448, Wellington 6142, New Zealand. Electronic address: suecalvert@midwiferycouncil.health.nz.
authors.forename: Susan
authors.initials: S
authors.lastname: Calvert
authors.affiliation: University of Otago, New Zealand; Open and Online Education, Learning and Teaching, Otago Polytechnic, Te Kura Matatini ki Otago, Forth Street, Private Bag 1910, Dunedin 9054, New Zealand. Electronic address: Emma.Tumilty@op.ac.nz.
authors.forename: Emma
authors.initials: E
authors.lastname: Tumilty
authors.affiliation: School of Midwifery, Department of Applied Science & Allied Health, Christchurch Polytechnic Institute of Technology (CPIT), PO Box 540, Christchurch 8140, New Zealand. Electronic address: mary.kensington@cpit.ac.nz.
authors.forename: Mary
authors.initials: M
authors.lastname: Kensington
authors.affiliation: New Zealand College of Midwives, PO Box 21-106, Christchurch 8143, New Zealand. Electronic address: education@nzcom.org.nz.
authors.forename: Elaine
authors.initials: E
authors.lastname: Gray
authors.affiliation: Sky Blue House Ltd., Wellington, New Zealand. Electronic address: http://www.skybluehouse.co.nz.
authors.forename: Sue
authors.initials: S
authors.lastname: Lennox
authors.affiliation: New Zealand College of Midwives, PO Box 21-106, Christchurch 8143, New Zealand. Electronic address: midwifery.advisor@nzcom.org.nz.
authors.forename: Norma
authors.initials: N
authors.lastname: Campbell
authors.affiliation: Learning and Teaching Otago Polytechnic, Te Kura Matatini ki Otago, Forth Street, Private Bag 1910, Dunedin 9054, New Zealand. Electronic address: Sally.Pairman@op.ac.nz.
authors.forename: Sally
authors.initials: S
authors.lastname: Pairman
mesh_terms: D000328:Adult; D004500:Education, Graduate / Q000639:trends; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008880:Midwifery / Q000193:education* / Q000639:trends; D020380:Needs Assessment; D009520:New Zealand; D009726:Nurses / Q000523:psychology*; D011247:Pregnancy; D020377:Self Efficacy; D000078329:Workforce
keywords: Education; Graduate midwife; Mentor; Reflection; Retention; Transition