Intuition in Clinical Decision Making: Differences Among Practicing Nurses

Purpose: To examine the relationships and differences in the use of intuition among three categories of practicing nurses from various clinical units at a medical center in the Midwest. Design: Descriptive, correlational, cross-sectional, prospective design. Method: Three categories of nurses were b...

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Bibliographic Details
Published in:Journal of holistic nursing 2018-12, Vol.36 (4), p.318-329
Main Authors: Miller, Elizabeth M., Hill, Pamela D.
Format: Article
Language:English
Subjects:
Adult
Clinical Decision-Making
Clinical experience
Clinical medicine
Clinical nursing
Clinical outcomes
Competence
Critical care
Cross-Sectional Studies
Decision making
Email
Female
Holistic Nursing
Humans
Intuition
Male
Nurse tutors
Nurses
Nursing
Nursing Process
Prospective Studies
Surveys and Questionnaires
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Summary:Purpose: To examine the relationships and differences in the use of intuition among three categories of practicing nurses from various clinical units at a medical center in the Midwest. Design: Descriptive, correlational, cross-sectional, prospective design. Method: Three categories of nurses were based on the clinical unit: medical/surgical nurses (n = 42), step-down/progressive care nurses (n = 32), and critical care nurses (n = 24). Participants were e-mailed the Rew Intuitive Judgment Scale (RIJS) via their employee e-mail to measure intuition in clinical practice. Participants were also asked to rate themselves according to Benner’s (novice to expert) proficiency levels. Findings: Nurses practicing at higher self-reported proficiency levels, as defined by Benner, scored higher on the RIJS. More years of clinical experience were associated with higher self-reported levels of nursing proficiency and higher scores on the RIJS. There were no differences in intuition scores among the three categories of nurses. Conclusion: Nurses have many options, such as the nursing process, evidence-based clinical decision-making pathways, protocols, and intuition to aid them in the clinical decision-making process. Nurse educators and development professionals have a responsibility to recognize and embrace the multiple thought processes used by the nurse to better the nursing profession and positively affect patient outcomes.
ISSN:0898-0101
1552-5724
DOI:10.1177/0898010117725428