What impact do master's degree programs have on career trajectories and professional development in nursing and midwifery? An explanatory mixed-methods study

Background: Master's programs in nursing and midwifery enhance professional skills and disciplinary content, though their impact on clinical application, career progression, and skill utilization remains underexplored. Purpose: This study investigates graduates' motivations, perceptions of program quality, and professional outcomes after a master's in nursing and midwifery sciences. Methods: Using an explanatory sequential mixed-methods design, we surveyed 110 graduates (50% response rate) from 2018 to 2023, followed by semistructured interviews with 17 participants. Discussion: Graduates reported high satisfaction with program quality, especially in research, management, and education, but noted limited clinical use of research and management skills. Career progression was achieved, though without corresponding professional recognition or financial reward. Six themes emerged from interviews, highlighting both program strengths and professional challenges. Conclusion: The program effectively builds advanced skills, yet structural barriers limit practical application. Aligning program objectives with workplace needs could enhance the impact of advanced nursing and midwifery degrees.