Intuition: an important tool in the practice of nursing

McCutcheon, Helen; Pincombe, Jan

doi:10.1046/j.1365-2648.2001.01882.x

Cited by 106 publications

(114 citation statements)

References 26 publications

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“…A number of studies have established that intuition in nursing is a genuine phenomenon (e.g., Benner, 1984;Benner et al, 1992;McCormack, 1993;McCutcheon & Pincombe, 2001;Polge, 1995). These studies have used methods such as group interviews, personal history interviews, surveys, and detailed observation, and have often been carried out within the frameworks of grounded theory and phenomenology.…”

Section: Intuition In Nursing Practicementioning

confidence: 99%

“…While this last characteristic has sometimes led critics to doubt the psychological reality of intuition, there is currently good evidence that this phenomenon is genuine. Indeed, empirical support comes from several domains including games (De Groot, 1965), sciences (Simon, 1995), the military (Klein, 2003), business (Prietula & Simon, 1989), and nursing (e.g., Benner, 1984;Benner, Tanner, & Chesla, 1992;McCormack, 1993;McCutcheon & Pincombe, 2001;Polge, 1995). Given the pervasiveness of the phenomenon, not the least in fields where intuitive decisions may be a matter of life or death, it is crucial to understand the mechanisms underpinning it.…”

Section: Introductionmentioning

confidence: 99%

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Towards an alternative to Benner's theory of expert intuition in nursing: A discussion paper

Gobet

Chassy

2008

International Journal of Nursing Studies

115

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Several authors have highlighted the role of intuition in expertise. In particular, a large amount of data has been collected about intuition in expert nursing, and intuition plays an important role in the influential theory of nursing expertise developed by Benner (1984). We discuss this theory, and highlight both data that support it and data that challenge it. Based on this assessment, we propose a new theory of nursing expertise and intuition, which emphasizes how perception and conscious problem solving are intimately related. In the discussion, we propose that this theory opens new avenues of enquiry for research into nursing expertise. KeywordsCare, decision-making, expertise, intuition, memory, nursing, pattern recognition Expert Intuition in Nursing 3 Towards an alternative to Benner's theory of expert intuition in nursing:A discussion paper What is already known about the topic?• While the role of intuition in nursing has been the topic of considerable debate, studies have established that this is a genuine phenomenon.• Definitions of experts' intuition emphasize five features: rapid perception, lack of awareness of the processes engaged, presence of emotions, holistic understanding of the situation, and overall good quality of the proposed solutions.• The literature often refers to Patricia Benner's theory of nursing expertise, which proposes that the road to expertise encompasses five stages. What this paper adds• A detailed discussion of Benner's theory, which leads to the conclusion that the theory is too simple to account for the complex pattern of phenomena that recent research on expert intuition has uncovered.• A new theory of expert intuition in nursing, which provides mechanisms for explaining how intuitive, perceptual decision making is linked to more analytical problem solving.• The suggestion that standard research on expertise (mostly based on the natural sciences) and that on nursing expertise (often based on phenomenology) should start a constructive dialogue. Expert Intuition in Nursing

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Section: Intuition In Nursing Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Towards an alternative to Benner's theory of expert intuition in nursing: A discussion paper

Gobet

Chassy

2008

International Journal of Nursing Studies

115

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“…Intuition is a component of the critical thinking process 44 and is considered to be knowledge that is not acquired through analytical reasoning, but rather through an immediate interaction of the clinician's wisdom, experience, and personality with surroundings, context, and patient response 16,45 . Clinicians appear to be increasingly capable of using intuition or a gut-feeling that can guide clinical decision-making as their clinical 45,46 . However, it is surprising that OMPT educators were undecided about this factor, as it may serve clinicians in the decision-making processes that are incorporated in OMPT examination and management of patients.…”

Section: Intrinsic and Extrinsic Factors Important To Manual Therapy mentioning

confidence: 99%

Intrinsic and Extrinsic Factors Important to Manual Therapy Competency Development: A Delphi Investigation

Sizer

Sawyer²,

Felstehausen³

et al. 2008

Journal of Manual & Manipulative Therapy

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A learner's development of orthopaedic manual physical therapy (OMPT) psychomotor skills may be influenced by selected intrinsic and extrinsic factors. The purposes of this study were to identify the factors that influence learners' development of manual physical therapy competencies and to define each factor as intrinsic or extrinsic. A 3-round Delphi method survey and a retrospective review of the data were used to develop composite scores and rankings. Eighty manual physical therapy educators participated in the 3 rounds. Thirty-six factor descriptor statements associated with manual physical therapy competency were established and further categorized as intrinsic (19 total), extrinsic (10 total), or conceptual outliers (7 total). Cognitive Processing ranked as the most important factor influencing manual physical therapy competency development. Adaptation ranked second, followed by Science Knowledge. This study is the first to establish manual physical therapy educational factors associated with attainment of competency. The majority of the factors distill into the theory of extrinsic and intrinsic factors identified by Schmidt and Lee. The outcomes of this study identify the factors to which OMPT educators should give particular attention when developing and executing the learning experiences for their learners. Keywords:Competency-Based Education, Curriculum, Delphi Technique, Factors, Motor Learning, Musculoskeletal Manipulations, Psychomotor Performance. S pecific manual and/or movement-based competencies are emphasized by physical therapy educators during learners' development of psychomotor skills. Psychomotor skill acquisition is a product of psychomotor learning, which is a set of processes associated with practice or experience leading to relatively permanent changes in the capability for responding to stimuli 1 . As a consequence of psychomotor learning, individuals gain greater movement efficiency, develop more complex movement control strategies, optimize movement behaviors, and develop movement expertise 2 . Schmidt and Lee identified five extrinsic and four intrinsic factors that influence psychomotor learning factors are 1) practice, 2) feedback, 3) task classification, 4) instruction format, and 5) movement context. Factors such as practice, which involves cognitive processing 3,4 , accentuate learned abilities through the processing of sensory information 5 . The use of quantitative feedback and concurrent feedback in manual physical therapy learning has provided both favorable [6][7][8] and unfavorable results 9 . Visual instructional formats incorporate observation to facilitate psychomotor skill acquisition 10 , while kinesthetic instruction uses the learner's sensory system by physically moving the learner through the task 11 . Finally, movement context appears to influence psychomotor skill acquisition 12 . The intrinsic factors include 1) attention, 2) memory, 3) motivation, and 4) psychomotor learning stage 13 . These factors are less tangible and more difficult to measure t...

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“…Learning is best conceived as a process based on reflection upon earlier experiences to be integrated into a new, deeper understanding whereby knowledge and problem solving are created through the transformation of experience (McCutcheon & Pincombe, 2001). The theoretical framework for this study is the experiential learning theory (ELT) based on the "learning by doing" concept.…”

Section: Theoretical Perspective On Learningmentioning

confidence: 99%

Overcoming Reluctance towards High Fidelity Simulation - A Mutual Challenge for Nursing Students’ and Faculty Teachers

Häggström¹,

Bäckström²,

Vestling³

et al. 2017

GJHS

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Background: One strategy to develop nursing students' clinical judgment are the use of high-fidelity patient simulation (HFS). The aim of the study was twofold. Firstly, the aim of this study was to describe the nursing students' experiences while participating in HFS, and secondly to describe faculty teachers' reflections about nursing students' need in HFS and the related teaching challenges.Method: Data was collected in focus group discussions and individual interviews, analyzed using thematic qualitative content analysis. Findings:The nursing students' experienced HFS as being thrown into an uncertain, exposure situation. This were for some, reason for reluctance. The teachers challenge was motivating and coaching the students throughout a demanding teaching situation.Discussion: Students' ability to perform in HFS is influenced by self-perceived efficacy, own attitudes and responsibility for one's learning, which are a challenge for the teachers. Conclusion:HFS methodology can be useful to identify gaps and strengths in students' professional transition towards becoming registered nurses. Overcoming reluctance towards HFS is a mutual challenge for faculty teachers and nursing students. By entering the scenario with a positive mindset, nursing students can improve their ability to perform clinical judgments.

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Intuition: an important tool in the practice of nursing

Abstract: Intuition is not some mystical power that appears from nowhere, with no rational explanation or basis. The findings from this study show that it is a product of the synergy that occurs as a result of the interaction of a number of factors.

Cited by 106 publications

References 26 publications

Towards an alternative to Benner's theory of expert intuition in nursing: A discussion paper

Towards an alternative to Benner's theory of expert intuition in nursing: A discussion paper

Intrinsic and Extrinsic Factors Important to Manual Therapy Competency Development: A Delphi Investigation

Overcoming Reluctance towards High Fidelity Simulation - A Mutual Challenge for Nursing Students’ and Faculty Teachers

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