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Enhancing Decision-making Assessment in Midwifery (EDAM) Measure

Enhancing Decision-making Assessment in Midwifery (EDAM) is a 20-item vignette-based measure that intends to capture decision-making by midwifes working with women in labor. The measure contains two sub-scales: Clinical Reasoning and Midwifery Practice.

Categories

Geographies Tested: Australia,United Kingdom

Populations Included:

Age Range:

Items:

Please tick the box that represents the level to which you agreedisagree 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 andor 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 womanpartner
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 womanbaby'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 actions 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

Scoring Procedures

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

Original 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

Psychometric Score

Citation Frequency

Ease of Use Score

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

Ease of Use

Readability

Scoring Clarity

Length

KEY