Enhancing Decision-making Assessment in Midwifery (EDAM) Measure

Please tick the box that represents the level to which you agree/disagree with the following statements in relation to the following clinical vignette.

Clinical Reasoning

Clinical reasoning process
1. Cue acquisition-appears to be comprehensive
2. Cue clustering-appears to be comprehensive
3. Focused cue acquisition-if needed and relevant to hypothesis
4. Focused cue acquisition-if needed and relevant to hypothesis
5. Ruling in and Ruling out hypothesis-if relevant

Integration and intervention
6. Evaluates treatment options relevant to the diagnosis-if relevant
7. Prescribes and/or implements planned care
8. Evaluates outcomes
9. Uses intuition to aid decision-making

Midwifery Practice

Women's relationship with midwife
10. Stays in the room with the woman in labour
11. Shares a common, known goal with the woman
12. Trusts the woman and her body

General midwifery practice
13. Honest and complete information sharing with woman/partner
14. Accountability for own professional behaviour in accordance with professional frameworks
15. Skills in negotiating with medical staff or senior midwifery staff
16. Assumes appropriate responsibility for woman/baby's well-being in labour
17. Shows reflexive practice
18. When the woman and midwife disagree about care takes appropriate action (documentation and consultation)
19. The woman is the final decision-maker

Response Options:
Strongly agree - 1
Agree - 2
Neither Agree nor Disagree - 3
Disagree - 4
Strongly Disagree - 5

*20. Based on the above, we would now like you to tick one box below to indicate whether you think the midwife's action/s in this story represents...

Response Options:
Good decision-making and Good midwifery practice (optimal decision-making)
Good decision-making and Poor midwifery practice
Poor decision-making and Good midwifery practice
Poor decision-making and Poor midwifery practice

*Item was not used in psychometric analysis

Means are calculated for the Clinical Reasoning and Midwifery Practice sub-scales,

PRIMARY CITATION:

Jefford, E., Jomeen, J., & Martin, C. R. (2016). Determining the psychometric properties of the Enhancing Decision-making Assessment in Midwifery (EDAM) measure in a cross cultural context. BMC Pregnancy Childbirth, 16, 95. https://doi.org/10.1186/s12884-016-0882-3