Table 2 Ranking of items as most difficult to easiest to endorse by students and preceptors where 1 = most difficult to 25 = easiest
Item No | CACTiM Student items | CACTiM Preceptor items | Difficulty ranking student | Difficulty ranking preceptor |
|---|---|---|---|---|
1 | I explore the woman's preferences of care and plan care accordingly | Explores the woman's preferences of care and plan care accordingly | 21 | 20 |
2 | I sequence care and education to meet the individual needs of the woman | Sequences care and education to meet the individual needs of the woman | 17 | 21 |
3 | I choose relevant literature and education strategies to facilitate the woman's decision making | Suggests relevant literature and education strategies to facilitate the woman's decision making | 8 | 1 |
4 | I share relevant evidence and clinical guidelines related to the woman’s individual circumstances | Shares relevant evidence and clinical guidelines related to the woman’s individual circumstances | 9 | 10 |
5 | I use evidence to plan care according to the woman’s individual circumstances | Uses evidence to plan care according to the woman’s individual circumstances | 14 | 7 |
6 | I often instinctively know what type of care is right for the woman | Demonstrates insight in providing individualised care to the woman | 2 | 24 |
7 | I liaise and negotiate with colleagues at different levels about processes to optimise outcomes for the woman | Liaises and negotiate with colleagues at different levels about processes to optimise outcomes for the woman | 10 | 3 |
8 | I consult resources (e.g. literature, guidelines, etc.) to improve care for the woman | Consults and utilises resources (e.g. literature, guidelines, etc.) to improve care for the woman | 12 | 11 |
9 | If problems arise when caring for the woman I try to seek the root cause | Seeks the root cause if problems arise whilst caring for the woman | 13 | 9 |
10 | I explore multiple solutions to a given situation | Effectively explores multiple solutions to a given situation | 7 | 13 |
11 | I seek clarification about clinical procedures or practice that appears inappropriate or unnecessary | Seeks clarification about interventions that appear inappropriate or unnecessary | 15 | 19 |
12 | Where needed, I negotiate a collaborative intervention plan with relevant health care providers | Where needed, negotiates a collaborative intervention plan with relevant health care providers | 6 | 4 |
13 | I can provide the rationale for following (or departing from) established guidelines and policies | Demonstrates an understanding of the rationale for following (or departing from) established guidelines and policies | 5 | 17 |
14 | I can recognise non-evidence based or non-woman centred practice by self and others | Recognises non-evidence based or non-woman centred practice by self and others | 16 | 6 |
15 | I voice my concerns about non-evidence based or non-woman centred practices by self and others | Voices concerns about non-evidence based or non-woman centred practices by self and others | 3 | 8 |
16 | I identify organisational/service improvement opportunities | Identifies organisational/service improvement opportunities | 1 | 5 |
17 | I question the ‘unwritten rules’ in midwifery practice that are not evidence-based | Questions the ‘unwritten rules’ in midwifery practice that are not evidence-based | 4 | 2 |
18 | I continually analyse my own strengths and limitations in skills, knowledge and experience | Analyses own strengths and limitations in skills, knowledge and experience | 24 | 16 |
19 | I address my limitations in skills, knowledge and experience | Addresses own limitations in skills, knowledge and experience | 19 | 18 |
20 | I initiate professional dialogue around midwifery practice | Initiates professional dialogue around midwifery practice | 11 | 14 |
21 | I evaluate my practice and its effect on the woman and others | Evaluates own practice and its effect on the woman and others | 18 | 15 |
22 | I adjust my practice based on feedback from the woman and others | Adjusts own practice based on feedback from the woman and others | 25 | 22 |
23 | I recognise my attitudes, biases and values and their potential impact on practice | Recognises own attitudes, biases and values and their potential impact on practice | 20 | 12 |
24 | I debrief with a professional colleague following complex situations to improve my future practice | Debriefs with a professional colleague following complex situations to improve my future practice | 23 | 23 |
25 | I apply knowledge from past experiences to present situations | - | 22 |