Exploring the Experiences of Newly Certified Midwives and Women's Health Nurse Practitioners in Medically Underserved Populations

INTRODUCTION: Maternal health care disparities persist in the Southern areas of the United States because of limited perinatal providers and scarce resources. Certified nurse-midwives (CNMs), certified midwives (CMs), and women's health nurse practitioners (WHNPs) can improve outcomes in these settings and the experiences of newly graduated clinicians as they transition into practice need further exploration. METHODS: This qualitative study used a phenomenological approach to explore the lived experiences of 9 newly graduated CNMs and WHNPs practicing in medically underserved communities in the Southern United States. Participants were recruited and interviewed using a semistructured guide. Interviews were transcribed, coded, and thematically analyzed by a team of researchers. Field notes and reflexive journaling were used to enhance interpretive depth and rigor. RESULTS: Four themes emerged: community ties, lack of resources, tailoring communication to patient context, and challenges transitioning from novice to competent practice characterized by limited mentorship and professional isolation. DISCUSSION: Newly graduated CNMs and WHNPs bring unique strengths to medically underserved practices, including cultural familiarity and a commitment to community care. However, resource constraints, insufficient support, and restrictive practice environments hinder their ability to thrive. Structured mentorship, comprehensive orientation, full practice authority, and education about the new role are essential strategies to improve retention, provider satisfaction, and, ultimately, patient outcomes in underserved regions.