Introduction:
Midwifery students work and are assessed under direct supervision of the Registered Midwife or preceptor in clinical placement. This learning and teaching partnership aims to enable the transfer of knowledge, skills, and behavior, i.e., competence, while providing the opportunity for students to develop self-efficacy and become socialized into the midwifery practice culture. Self-efficacy is the belief in one’s ability to master challenges, which is described as a component in learning theories. Qualitative systematic research was conducted to explore the significant factors that enhance midwifery students’ learning experiences and development of self-efficacy in clinical placement.

Material and Methods:
• Database search, • Primary peer reviewed qualitative literature published between 2000 and 2021 • Result 354 studies: 22 studies met the inclusion criteria • A systematic review, thematically analyze according to Thomas Harden 2008

Results:
Results was described in two descriptive teams as ‘A nurturing relationship’ and ‘Predictability in the learning process, contextual factors, and one analytic theme – ‘Gaining access to and belonging in an enabling educational and working culture”.

Conclusions:
The relationship with the preceptor is a prerequisite for midwife students learning process and achievement of self-efficacy. A learning culture appears to be the fertile ground in which midwife students thrive and where they develop the self-efficacy needed to meet the demands of clinical placement.