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PubMedDate not supplied

[Intuitive ability in nursing care].

This study aimed to understand the intuitive ability of nursing professionals in caring. The study method was qualitative, adopting a descriptive exploratory approach. Sampling involved 87 female nursing professionals, being 31 nurses, 29 nursing technicians and 18 nursing auxiliaries. The result showed different levels of intuitive abilities, related to novice, standard, and veteran. The relation between the three levels of intuitive abilities and the corresponding figures in years, observed in a North American study, was not identified. The factors described as affecting the intuitive experience were both environmental and intra-interpersonal (personological). The experiences of the professionals portrayed the importance of intuition in nursing care, mainly in doubtful and conflicting situations and, in this sense, its vital function was decision-making towards better quality of nursing care.

Humans↗
PubMed1999

[Can intuition in surgery by learned?].

Intuition, even at the end of the 20th century, has decisive significance in the field of medicine. Intuition within the medical field is understood to be a type of thinking based on experience, but without conscious recourse to its situations and thought processes; rather, it represents an act without reflection and one determining our medical actions to some extent. It is a cognitive process, an intuitive gain in recognition on the basis of experiential values called up from memory. Intuition is a combination of knowledge, ability, endurance, intellectual abilities, and discoursive methods of recognition, in short, the abilities of an expert. To become an expert, one must go through the stations of surgical training. In these the knowledge is imparted, which leads via decision-making to diagnosis and therapy. Intuition in the sense of the definition as experiential thinking cannot be learnt, but it can be schooled. The prerequisites for this are analytic thinking, expert knowledge, and metacognitive knowledge.

Clinical Competence↗
PubMed1996

Antenatal fetal heart rate and "maternal intuition" as predictors of fetal sex.

OBJECTIVE: To determine if the antenatal fetal heart rate is a reliable predictor of fetal sex, if there is any correlation between "maternal intuition" and fetal gender, and if maternal intuition favors one sex over the other. STUDY DESIGN: Two hundred twelve consecutive maternity patients with singleton gestations underwent a total of 2,261 antepartum visits. Fetal heart rate assessment was carried out between 14 and 41 weeks of gestation. At 32 weeks, participants were asked if they had a strong intuitive feeling regarding the fetal gender. Following birth, data on the infant were recorded, and the information was analyzed. RESULTS: There was no significant difference in the baseline fetal heart rate between male and female fetuses at any recorded gestational age. One hundred ten patients (51.9%) in the sample indicated a strong belief about the sex of their fetuses, with the majority (63.6%) predicting a male. The accuracy of maternal intuition, however, was not significantly different from that of random guessing. CONCLUSION: In the current era of declining family size, an increased focus on absolute reproductive choice and proliferating reproductive technological services, prenatal sex determination and sex selection will continue to provoke increasing attention. Fetal heart rate determination and maternal intuition, however, are not valid predictors of fetal gender.

Adolescent↗
PubMed2002

Rethinking the probative value of evidence: base rates, intuitive profiling, and the "postdiction" of behavior.

It is argued that American courts may be routinely admitting evidence with little to no probative value and great potential for prejudicial impact. This may be particularly likely with regard to what is essentially "intuitive profiling" or "stereotype" related evidence, defined herein as evidence suggesting that the defendant (or other party), or his (her) behavior, fits intuitive "profiles" (or stereotypes) of the type of person likely to commit the crime or behavior in question. In other words, "intuitive profiling" evidence is admitted to "postdict" behavior Formal empirically based "profiling" evidence (testimony regarding the fit of a defendants characteristics or behaviors to formal or scientific profiles of the typical perpetrator of the crime in question) for use to prove guilt is inadmissible in American courts. However, we suggest that everyday use of informal intuitive profiles underlies both judicial determinations of probative value (diagnosticity), and thus admissibility, of evidence, and jurors' use of the evidence in determining guilt. Demonstrations of the use of base rate information to evaluate the probative value of such intuitive profiling evidence both as evidence of guilt and as evidence of innocence are provided. Demonstrations of both how to evaluate the actual probative value of evidence (when all necessary values are known), and the theoretical limit of its probative value (in circumstances where some values are not known) are provided. It is argued that such evaluations may provide the basis for (1) support of motions to either admit or to exclude evidence, (2) testimony to the jury to help them weigh or interpret evidence, (3) exculpatory profiling (profiling evidence of innocence), (4) pretrial research to establish probative versus prejudicial value of evidence, and (5) sufficiency analyses to determine maximum likelihood of guilt, given multiple items of evidence. Among these, the first two are considered most important, as it can be demonstrated that many "profiling" characteristics currently admitted in trial (such as evidence of battery to support a murder charge) are not probative of guilt.

Decision Support Techniques↗
PubMed1985

Intuition, cognitive style, and hemispheric processing.

200 undergraduate volunteers were administered Westcott's Test of Intuitive Ability, Witkin's Group Embedded Figures Test, Paivio's Revised Individual Differences Questionnaire, and visual and aural dominance measures using a three-field tachistoscope and dichotic listening device, respectively. Field dependence was consistently related to poorer intuitive performance. No sex-related differences were found on intuition, embedded figures, Paivio's questionnaire, or dominance scores although the amount of intuition explained by cognitive style and dominance differed by hand and gender. Visual-verbal style was not associated with dominance while the relation of field dependence-independence and dominance was inconsistent. Neither dominance nor visual-verbal style was consistently related to intuition although complicated associations were indicated by hand and sex, suggesting differences in cognitive organization.

Adult↗
PubMed2004

Intuitive eating and the nutrition transition in Asia.

Current models of the nutrition transition focus on demographic changes and economic development. A further influence may be the adoption of western-based perceptions of beauty that lead to potentially harmful eating behaviours which contribute to overweight, obesity, and eating disorders. This paper proposes a comprehensive model of the nutrition transition that includes western influences on perceived attractiveness and subsequent eating styles. An exploratory test of this model for Asian countries explores differences in intuitive eating as a function of economic development and the adoption of western standards of beauty. The intuitive eating scale (IES), a measure of food consumption that is primarily characterized by the satisfaction of physical hunger, was used to evaluate agreement with intuitive eating principles in the US and four Asian countries (Japan, Thailand, the Philippines, and China). Although intuitive eating scores in the US and Thailand failed to follow predicted patterns on two of the four IES subscales, scores for the other two IES subscales and the total IES score followed predicted patterns for Asian countries. Intuitive eating appears to be a valid, measurable concept that is correlated with economic development and levels of western influence in Asian countries. The tentative findings of this exploratory study support further evaluation of cultural influences as an important component of the nutrition transition.

Adult↗
PubMed1994

Intuition and consciousness.

Intuition represents an unconscious cognitive activity, the results of which become conscious at some point. Some recent nonpsychoanalytic explorations of cognition and consciousness are examined to illuminate our understanding of these processes and their relation to the psychoanalytic process. Our thesis is that intuition may be most usefully viewed as a form of unconscious pattern-matching cognition, which becomes conscious under certain conditions and which is only loosely related to primary process. A clinical example is given of the analyst's intuition to illustrate the initial ostensibly theory-free nature of the raw intuition and the subsequent theory-bound explorations of the intuitive conclusion. Implications for teaching and learning psychoanalysis are noted.

Adult↗
PubMed2006

Decomposing intuitive components in a conceptual problem solving task.

Research into intuitive problem solving has shown that objective closeness of participants' hypotheses were closer to the accurate solution than their subjective ratings of closeness. After separating conceptually intuitive problem solving from the solutions of rational incremental tasks and of sudden insight tasks, we replicated this finding by using more precise measures in a conceptual problem-solving task. In a second study, we distinguished performance level, processing style, implicit knowledge and subjective feeling of closeness to the solution within the problem-solving task and examined the relationships of these different components with measures of intelligence and personality. Verbal intelligence correlated with performance level in problem solving, but not with processing style and implicit knowledge. Faith in intuition, openness to experience, and conscientiousness correlated with processing style, but not with implicit knowledge. These findings suggest that one needs to decompose processing style and intuitive components in problem solving to make predictions on effects of intelligence and personality measures.

Adult↗
PubMed2024

Leveraging clinical intuition to improve accuracy of phenotype-driven prioritization.

PURPOSE: Clinical intuition is commonly incorporated into the differential diagnosis as an assessment of the likelihood of candidate diagnoses based either on the patient population being seen in a specific clinic or on the signs and symptoms of the initial presentation. Algorithms to support diagnostic sequencing in individuals with a suspected rare genetic disease do not yet incorporate intuition and instead assume that each Mendelian disease has an equal pretest probability. METHODS: The LIkelihood Ratio Interpretation of Clinical AbnormaLities (LIRICAL) algorithm calculates the likelihood ratio of clinical manifestations represented by Human Phenotype Ontology terms to rank candidate diagnoses. The initial version of LIRICAL assumed an equal pretest probability for each disease in its calculation of the posttest probability (where the test is diagnostic exome or genome sequencing). We introduce Clinical Intuition for Likelihood Ratios (ClintLR), an extension of the LIRICAL algorithm that boosts the pretest probability of groups of related diseases deemed to be more likely. RESULTS: The average rank of the correct diagnosis in simulations using ClintLR showed a statistically significant improvement over a range of adjustment factors. CONCLUSION: ClintLR successfully encodes clinical intuition to improve ranking of rare diseases in diagnostic sequencing. ClintLR is freely available at https://github.com/TheJacksonLaboratory/ClintLR.

Humans↗
PubMed2004

How do homeopaths make decisions? An exploratory study of inter-rater reliability and intuition in the decision making process.

The validity of clinical decision making in homeopathy is largely unexplored and little is understood about the process or its reliability. This exploratory study investigated, in the context of a questionnaire based re-proving of Belladonna 30c, the extent to which decisions are based on clinical facts or intuition and how reliable decisions are. Three experienced, independent homeopathic clinicians/proving researchers rated the symptom diaries of the 206 subjects taking part. They reported their proving decision (ie positive proving response, no proving response or undecided) based on the total symptom profiles and rated (on a scale of 0-10) their use of clinical facts or intuition. Keynote symptoms and overall confidence scores were also reported. The level of agreement between raters was generally poor (weighted kappa 0.349-0.064). All raters used both facts and intuition. The rater's reliance on the facts was significantly associated with classifying those subjects who had no proving response [rater 1, P<0.001; rater 2, P<0.001]. Raters used significantly higher intuition scores when classifying a prover [rater 2, P= 0.001; rater 3, P= 0.012]. Issues regarding the education and practice of homeopathy are discussed.

Adult↗
PubMedDate not supplied

Fostering intuition: a role of the trauma nurse mentor.

Intuitive knowledge is a relative component of the critical thinking process. Intuition is discussed along with examples of how nurses have demonstrated intuitive thinking in the trauma setting. Recommendations are offered for how the mentor trauma nurse can foster an awareness and the development of intuition in the novice practitioner.

Clinical Competence↗
PubMed2004

Evidence-based and intuition-based self-knowledge: an FMRI study.

Behavioral and neuropsychological studies have suggested multiple self-knowledge systems may exist (i.e., evidence-based and intuition-based self-knowledge); however, little is known about the nature of intuition-based self-knowledge. In a functional magnetic resonance imaging study, the neural correlates of intuition-based and evidence-based self-knowledge were investigated. Participants with high and low experience in different domains (soccer and acting) made self-descriptiveness judgments about words from each domain while being scanned. High-experience domain judgments produced activation in a network of neural structures called the X-system, involved in automatic social cognition, whereas low-experience domain judgments produced activations in a network called the C-system, involved in effortful social cognition and propositional thought. The affective and slow-changing nature of intuition-based self-knowledge is discussed.

Adult↗
PubMed2004

Getting a grip on your feelings: effects of action orientation and external demands on intuitive affect regulation.

The authors propose that volitional action is supported by intuitive affect regulation, defined as flexible, efficient, and nonrepressive control of own affective states. Intuitive affect regulation should be most apparent among action-oriented individuals under demanding conditions. Consistent with this, a demanding context led action-oriented individuals to down-regulate negative affect in self-reports (Study 1), in an affective Simon task (Study 2), and in a face discrimination task (Study 3). In line with the idea that intuitive affect regulation is guided by top-down self-regulation processes, intuitive affect regulation in a face discrimination task was mediated by increases in self-accessibility (Study 3). No parallel effects emerged among action-oriented participants in a nondemanding context or among state-oriented participants.

Adult↗
PubMed1999

The importance of intuition in the occupational medicine clinical consultation.

Clinical consultation involves unspoken elements which flow between doctor and patient. They are vital ingredients of successful patient management but are not easily measured, objective or evidence-based. These elements include empathy and intuition for what the patient is experiencing and trying to express, or indeed suppressing. Time is needed to explore the instinctive feeling for what is important, particularly in present day society which increasingly recognizes the worth of psychosocial factors. This time should be available in the occupational health consultation. In this paper the importance of intuition and its essential value in the clinical interview are traced through history. Differences between intuition and empathy are explored and the use of intuition as a clinical tool is examined.

Attitude of Health Personnel↗
PubMed2003

Emotion and intuition.

We investigated effects of emotional states on the ability to make intuitive judgments about the semantic coherence of word triads. Participants were presented word triads, consisting of three clue words that either were weakly associated with a common fourth concept (coherent triads) or had no common associate (incoherent triads). In Experiment 1, participants in a neutral mood discriminated coherent and incoherent triads reliably better than chance level even if they did not consciously retrieve the solution word. In Experiment 2, the induction of a positive mood reliably improved intuitive coherence judgments, whereas participants in a negative mood performed at chance level. We conclude that positive mood potentiates spread of activation to weak or remote associates in memory, thereby improving intuitive coherence judgments. By contrast, negative mood appears to restrict spread of activation to close associates and dominant word meanings, thus impairing intuitive coherence judgments.

Adult↗
PubMed2006

Towards an empirically based validation of intuitive diagnostic: Rümke's 'praecox feeling' across the schizophrenia spectrum: preliminary results.

BACKGROUND: The early identification of schizophrenia is important in establishing an adequate therapeutic intervention, especially in emergency situations. Intuitive reasoning is often necessary because a standardized classification according to ICD-10 or DSM-IV criteria is not suitable in these complex, and often changing, settings. The process of recognizing the specific schizophrenic structure in an intuitive way by an experienced psychiatrist was named 'praecox feeling' by the Dutch psychiatrist Rümke in 1941. SAMPLING AND METHODS: To evaluate the diagnostic quality of this kind of intuitive clinical approach we investigated 67 previously unknown patients. All patients displayed acute psychotic symptoms like paranoid delusions and hallucinations belonging to the schizophrenic spectrum. The first interview by an experienced psychiatrist included only the present state psychopathology. Data referring to the course of the illness or medication or family history of schizophrenia were explored later by other independent staff members who were blind to the aim of the investigation. The intensity of the 'praecox feeling' was rated in four degrees: not present--mild--moderate--high. At the end of the inpatient period a standardized diagnostic classification according to ICD-10 and DSM-IV classification was carried out by independent raters. RESULTS: Compared to the standardized diagnostic classification the precision of the intuitive reasoning was remarkably high with a sensitivity of about 0.85, a specificity of about 0.80, a positive predictive power of about 0.90, and a negative predictive power of about 0.65 depending on the standardized system used. Cognitive impairment, affective disturbances, disturbed self-perception, and reduced communication skills all correlated with intensity of 'praecox feeling'. The single variable 'affective disturbances' had the highest impact on the intensity of 'praecox feeling' in an ordinal regression analysis. Furthermore a high intensity of 'praecox feeling' strongly correlated with a hereditary predisposition to schizophrenia. Neither the severity of the mental illness nor extrapyramidal side effects of the medication correlated with the intensity of 'praecox feeling'. CONCLUSION: Our work can possibly help in contributing to reflection on our diagnostic practices and help to make the various factors involved in establishing diagnoses apparent.

Adolescent↗
PubMedDate not supplied

[Intuitive knowledge in nursing care].

This is a qualitative study in a descriptive exploratory approach with the purpose to characterize the intuitive knowledge in nursing care. The qualitative data were generated through semi-structured interviews with 87 nursing professionals. The analysis of the data was done using QSR Vivo and interpreted through a framework based on studies of the North-American nursing literature. Intuition emerged as a feeling, as a type of knowledge, and as both. Further analysis showed three defining attributes: 1) knowledge of a fact or the truth, as a whole; 2) immediate possession of knowledge; 3) knowledge independent from linear reasoning process, as well as three types of intuition: cognitive inference, gestalt intuition, and precognitive function. The result of this study shows a parallel with the others found in North-American nursing literature.

Adult↗
PubMed1999

[Medical-surgical intuition and professional policy].

Many decisions in business and policy are made intuitively. According to scientific studies intuitive persons do not belong to a certain social group; they are unconventional, self-confident and self-reliant. In professional policy facts established by documentary evidence and legally guaranteed are the basis for decisions. Facts are dealing with the past. In order to consider the future and to react in situations of immediate interest intuitive abilities are just as important. (The appropriate argument at the right time at the right place). Beside the "Leitlinien" in surgical therapy the "Methodenfreiheit", which is connected to intuitive thinking, must be lasting.

General Surgery↗