China
Africa
Explore chapters and articles related to this topic
The role of decisions and judgements as part of the assessment process
Published in Helen Taylor, Ian Stuart-Hamilton, Assessing the Nursing and Care Needs of Older Adults, 2021
‘Intuition’ is defined by Benner et al9 as ‘a judgement without rationale, a direct apprehension and response to calculative rationality’ (p. 8). They suggest that intuition is a skill developed through experience and that it plays a significant role in the practice of expert nurses. Thompson and Dowding6 explored the concept of intuition and found vagaries in the way in which it was perceived and described by nurse theorists. Common themes were that intuition is an unexplained, spontaneous and irrational process of thinking born of expertise. also asserted the difficulties that nurses experience in the articulation of intuitive models of thinking.6 This difficulty could account for Marks-Maran’s17 suggestion that the role of intuition as a means of explaining the way in which nurses make decisions has traditionally been underplayed.
Evidence-based practice
Published in Jeremy Jolley, Introducing Research and Evidence-Based Practice for Nursing and Healthcare Professionals, 2020
Intuition is a skill that is based on our past knowledge and is used where we have insufficient knowledge of the current situation that faces us. In this way, intuition is similar to experience but here experience is being applied to something new. People will always use intuition, but we should use data about the current situation (e.g. a patient) as soon as we are able to do so. We should not take the easy route and ‘rely’ on intuition, for our intuition will ultimately fail us. This is because new situations are, well, new, and are not necessarily the same as the situations we have seen before. Rather, we should collect as much information as we can before making a decision. In urgent situations, we may have to rely on at least some intuition, at least until specific information about the patient is available.
Communication skills
Published in Alison Brodrick, Emma Williamson, Listening to Women After Childbirth, 2020
Alison Brodrick, Emma Williamson
Strickley (2011) explains that while there are no universal guidelines for how a professional may use their intuition in every situation, a clinician will learn to trust their intuition as they grow in professional confidence. He argues that all of the above components of SURETY should be implemented by using intuition, which itself is dependent on individual culture and life experience.
Making Structural Discrimination Visible: A Call for Intersectional Bioethics
Published in The American Journal of Bioethics, 2022
In her article Russell refers to powerful stereotypes and “racial myths” (13) creating a “category of the undeserving poor” (14) when it comes to health care. These stereotypes such as the “Black welfare mother” (13) or the “Mexicans or welfare queens” (14) are not only racialized but gendered at the same time and are thus best captured in taking an intersectional perspective. The concept of intersectionality points to the importance of looking at the overlap and interaction between categories such as race, sex, gender, or class, for example, in the reproduction of stereotypes. It is important to highlight that biases might be unconsciously present in everyday work, for example, of health care workers and other professionals, but also manifest in actual discriminatory behavior. Intersectionality shows that the convergence of multiple social dimensions shapes actual lived experiences (Crenshaw 1989). In referring to Ikemoto, Russell underlines that for health care personnel the need to make decisions in time-pressured situations with high stress levels increases the impact of stereotypes. Also in less time-critical encounters, intuition and noncognitive treatment biases play a major role in clinicians’ judgment and decision making (Salloch et al. 2018). An intersectional perspective stresses the need for self-reflection of health care providers, which makes intersectionality “a powerful tool for examining how health care can be delivered in a manner that is more inclusive and empowering” (Cheema, Meagher, and Sharp 2019, 1).
Engagement, Responsibility, Collaboration, and Abandonment: Nurses’ Experiences of Assessing Suicide Risk in Psychiatric Inpatient Care
Published in Issues in Mental Health Nursing, 2021
Katharina Derblom, Britt-Marie Lindgren, Anna Johansson, Jenny Molin
Nurses in our study relied on their intuition in their assessments, and it could sometimes be decisive in their decisions. Intuition was considered something that emerged over time or became more dependable with experience. This is also described in a study by Jansson and Graneheim (2018), where some nurses questioned the reliability of their intuition while others described it as the tool they had the most confidence in. According to Aflague and Ferszt (2010), specialist nurses often used their intuition and could know that something was not right even if they could not specify what that ‘something’ was. This was also found in our study, with intuition described as an undefined feeling of unease or an ineffable sense that something was not right. Welsh and Lyons (2001) reported that a combination of tacit and formal knowledge as well as intuition contributed to the nurse’s skills in assessments. Tacit knowledge was gained after years of experience and based on formal knowledge augmented by variations and nuances gained through clinical experience. Relying on intuition without connecting it to knowledge was considered uncertain and unprofessional.
Values and beliefs on trainee selection: What counts in the eye of the selector? A qualitative study exploring the program director’s perspective
Published in Medical Teacher, 2020
K. Dijkhuizen, J. Bustraan, M. E. D. van den Bogaard, S. I. Velthuis, J. M. M. van Lith, E. W. Driessen, A. J. de Beaufort
Trainee selection is a high stakes process in which personal values and beliefs of the selector influence the decision who to admit. These values and beliefs vary between PDs and often remain implicit. Intuition plays an important role in judgement and decision-making. Selectors’ judgemental biases may influence reliability, validity, transparency and fairness of the procedure. Tension occurs when selectors negotiate between values relating to different selection principles. Efforts to improve the selection process should not only focus on selection methods and psychometrics but should also acknowledge the significance of selectors’ personal values and beliefs. We believe that recruitment of the future workforce will profit from ‘making the implicit explicit’ by: (1) increasing awareness regarding the potential influence of selectors’ personal values, beliefs and biases, (2) acknowledging the pros and cons of intuitive versus analytical decision-making and (3) structuring the interview by having selectors define which key competencies to assess.