Abstract:
Background: Community service nurses are placed in a hospital within the first year after
qualifying to obtain clinical experience under the supervision of experienced professional
nurses. When placed in clinical environments, new midwifery graduates are expected to be job
ready, demonstrate competence in the provision of evidence-based care, practise independently
and assume accountability and responsibility for their own actions.
Aim: The study aimed at exploring the expectations of experienced midwives of clinical
competence of newly graduated midwives during transition.
Setting: The study was conducted at the training hospitals of the five districts in Limpopo
province.
Method: The researcher used a qualitative approach which is explorative and descriptive in
nature. The population comprised all the professional midwives with experience of 5 years
and above working at the selected hospitals in Vhembe, Mopani, Capricorn, Waterberg and
Sekhukhune districts of Limpopo province, South Africa. From each selected hospital, five
experienced midwives were selected using non-probability, purposive sampling method. An
in-depth individual face-to-face interview was used to collect data from the participants, until
saturation was reached. The open-coding, Tesch’s eight-step process was used to analyse data.
Results: Results revealed that newly graduated midwives failed to meet the perceived
expectations by experienced midwives; this was reflected in sub-themes: limited sense of
independence, limited participation in task sharing and commitment and competence versus
incompetence to patient care.
Conclusion: The experienced midwives expected newly graduated midwives to function as
professionals; unfortunately, they expressed disappointment as graduates did not meet their
expectations. Newly graduated midwives lacked sense of independence, commitment to
patient care and did not display ability in task sharing.
