Abstract：
AIMS:To assess the reliance on intuitive and analytical approaches during clinical decision-making among novice clinicians and whether that reliance is associated with accurate decision-making. BACKGROUND:Nurse educators and managers tend to emphasize analysis over intuition during clinical decision-making though nurses typically report some reliance on intuition in their practice. We hypothesized that under certain conditions, reliance on intuition would support accurate decision-making, even among novices. DESIGN:This study utilized an experimental design with clinical complication (familiar vs. novel) and decision phase (cue acquisition, diagnosis and action) as within-subjects' factors, and simulation role (observer, family, auxiliary nurse and primary nurse) as between-subjects' factor. METHODS:We examined clinical decision-making accuracy among final semester pre-licensure nursing students in a simulation experience. Students recorded their reasoning about emerging clinical complications with their patient during two distinct points in the simulation; one point involved a familiar complication and the other a relatively novel complication. All data were collected during Spring 2015. RESULTS:Although most participants relied more heavily on analysis than on intuition, use of intuition during the familiar complication was associated with more accurate decision-making, particularly in guiding attention to relevant cues. With the novel complication, use of intuition appeared to hamper decision-making, particularly for those in an observer role. CONCLUSION:Novice clinicians should be supported by educators and nurse managers to note when their intuitions are likely to be valid. Our findings emphasize the integrated nature of intuition and analysis in clinical decision-making.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Price A,Zulkosky K,White K,Pretz Jdoi
10.1111/jan.13202subject
Has Abstractpub_date
2017-05-01 00:00:00pages
1147-1157issue
5eissn
0309-2402issn
1365-2648journal_volume
73pub_type
杂志文章abstract：AIM:This paper is a report of an evaluation of the psychometric properties of the Health Beliefs Related to Cardiovascular Disease Scale designed to measure beliefs related to cardiovascular disease risk and diet and exercise in adults with diabetes. BACKGROUND:Heart attack and stroke are 2-4 times more common among a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05443.x
更新日期：2010-12-01 00:00:00
abstract：:Although fatigue has been identified as a major problem for individuals with chronic obstructive pulmonary disease and with asthma, no research was found in which the symptom was directly studied in persons with these conditions. From studies carried out on various patient populations, it appears that fatigue has some...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01102.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13832
更新日期：2019-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1982.tb03277.x
更新日期：1982-01-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1995-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：1997-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1985.tb00518.x
更新日期：1985-05-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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更新日期：2012-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.1995.tb03117.x
更新日期：1995-12-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1365-2648.2001.01810.x
更新日期：2001-06-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06104.x
更新日期：2013-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2007.04418.x
更新日期：2007-11-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2016-08-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01197.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2017-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2016-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2008.04839.x
更新日期：2009-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.03871.x
更新日期：2006-06-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00497.x
更新日期：1998-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00560.x
更新日期：1998-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1996.25921.x
更新日期：1996-10-01 00:00:00
