Measurement of Self-Perception of Intuitiveness

Miller, Virginia

doi:10.1177/019394599301500506

Cited by 34 publications

(27 citation statements)

References 12 publications

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“…This search only yielded some extensive questionnaires examining the meaning of intuition in the field of nursing [25,26,28-30,42] retrospectively exploring not only the use of intuition and the extent of acknowledgment of intuition, but also other phenomena like physical sensations, premonitions, and reading of cues, cognitive behaviors, experience, skills and clinical thinking. In contrast, our gut feelings questionnaire only aims to determine the presence of a sense of reassurance and a sense of alarm in actual family physicians’ diagnostic reasoning, in observational as well in experimental research designs [24].…”

Section: Discussionmentioning

confidence: 99%

“…In nursing, some questionnaires have been developed to explore retrospectively the significance of gut feelings in diagnostic reasoning. These questionnaires, however, do not determine the presence or absence of gut feelings in actual clinical reasoning in real practice and have only been applied in research into nursing [25-30]. Moreover, they are not practicable in a general practice setting due to their extensiveness.…”

Section: Introductionmentioning

confidence: 99%

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Family physicians’ diagnostic gut feelings are measurable: construct validation of a questionnaire

et al. 2013

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BackgroundFamily physicians perceive that gut feelings, i.e. a ‘sense of reassurance’ or a ‘sense of alarm’, play a substantial role in diagnostic reasoning. A measuring instrument is desirable for further research. Our objective is to validate a questionnaire measuring the presence of gut feelings in diagnostic reasoning.MethodsWe constructed 16 case vignettes from real practice situations and used the accompanying ‘sense of reassurance’ or the ‘sense of alarm’ as reference labels. Based on the results of an initial study (26 family physicians), we divided the case vignettes into a group involving a clear role for the sense of reassurance or the sense of alarm and a group involving an ambiguous role. 49 experienced family physicians evaluated each 10 vignettes using the questionnaire. Construct validity was assessed by testing hypotheses and an internal consistency procedure was performed.ResultsAs hypothesized we found that the correlations between the reference labels and corresponding items were high for the clear-case vignettes (0.59 – 0.72) and low for the ambiguous-case vignettes (0.08 – 0.23). The agreement between the classification in clear sense of reassurance, clear sense of alarm and ambiguous case vignettes as derived from the initial study and the study population’s judgments was substantial (Kappa = 0.62). Factor analysis showed one factor with opposites for sense of reassurance and sense of alarm items. The questionnaire’s internal consistency was high (0.91). We provided a linguistic validated English-language text of the questionnaire.ConclusionsThe questionnaire appears to be valid. It enables quantitative research into the role of gut feelings and their diagnostic value in family physicians’ diagnostic reasoning.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Family physicians’ diagnostic gut feelings are measurable: construct validation of a questionnaire

et al. 2013

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“…Educators and practitioners may want to align themselves with the thinking of other nursing theorists such as Carper (1978), Miller (1993), Pyles and Stern (1983), and Rew (1987), who propose that nurses use intuition in all phases of their practice. One must also consider that the concept of novice may not be accurate for many new nurses.…”

Section: Discussion and Implications For Adult Educationmentioning

confidence: 99%

The Meaning and Use of Intuition in Novice Nurses: a phenomenological study

Ruth-Sahd

Tisdell

2007

Adult Education Quarterly

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The purpose of this qualitative, phenomenological study was to determine the meaning and use of intuition in novice nurses with an above-average self-perception of intuitiveness in their 1st year of practice. Sixteen novice nurses from a variety of hospitals and specialty areas were interviewed to discover the meaning of intuitive knowing and to explore how intuitive knowing is manifested in their practice. Data interpretation revealed three dimensions. First, prior experiences were influencers to novice nurses; second, connections were central to making meaning through intuition; and third, dimensions of time, space, and touch proved to be significant in facilitating intuition. Based on the findings that emerged, implications for nursing education and practice and the wider field of adult education are presented.

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“…1 The concept was considered a gestalt experience of awareness, without a logical explanation, 2 and was defined as a feeling of knowing that something terrible is happening, 3 an immediate unconsciousness perception, 4 a direct understanding a truth without the analytical process, 5 a non-linear process of knowing through physical awareness, emotional awareness and making connections between them, 6 and an irrational unconsciousness approach of knowing. Intuition in nursing is comprehended as a gut feeling and many negative senses such as having a very bad feeling, feeling uncomfortable, feeling there was something terribly wrong, something missing or there was something they had not done.…”

Section: Introductionmentioning

confidence: 99%

The intuitive nurse in critical care practice: a phenomenological study

et al. 2016

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Intuition in clinical practice is the ability to experience the elements of a clinical situation as a whole, and to solve a problem or reach a decision with limited concrete information. Benner theorized that the expert nurse acts on intuition, but that he/she also deals with some ambiguities. However, there is a lack of studies about intuitive nursing in the critical care arena, where more critically ill patients are admitted. So, this study was conducted to explore the features of the intuitive nurse in critical care practice. In a descriptive-phenomenological study, twelve nurses employed in critical care units of the hospitals affiliated to Kermanshah University of Medical Sciences were recruited to the study, as purposive, a semi-structured interview was administered to them, then written down verbatim. The data was managed by MAXQDA 10 software (VERBI GmbH, Berlin, Germany) and analyzed as qualitative through the seven-stage approach of Colaizzi. Of the 12 nurses who participated in the study, seven (58.3%) were female and married, 88.3% (10 people) had a Bachelor of Nursing and the mean and standard deviations of the participants' age, job experience and critical care experience were 36.66±7.01, 13.75±6.82 and 7.66±3.36 years, respectively. From the qualitative analysis of the data, we extracted three main themes, including proficiency, connection and benevolence, and ten sub-themes. The intuitive nurses were substantially proficient in terms of knowledge, skill and experience, and relationships to patients. They desired to help the patients based on their consciences.

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Measurement of Self-Perception of Intuitiveness

Cited by 34 publications

References 12 publications

Family physicians’ diagnostic gut feelings are measurable: construct validation of a questionnaire

Family physicians’ diagnostic gut feelings are measurable: construct validation of a questionnaire

The Meaning and Use of Intuition in Novice Nurses: a phenomenological study

The intuitive nurse in critical care practice: a phenomenological study

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