INTUITION
Second method of how healthcare workers such as nurses make judgments and decisions has been known as Intuition. Intuition is defined by Shaban (2005) as “understanding without a rationale or an immediate knowing of something without the conscious use of reason, or a knowledge of a fact or truth, as a whole, with immediate possession of knowledge and an independence from linear reasoning process. There is no definite definition of intuition but the common contextual meaning of it is that the judgment and reasoning process just happens, cannot be explained and is not rational.” Based on a series of ingenious experiments, some cognitive scientists have posited that much of our intelligence and problem-solving capacities are not conscious
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This theory is illustrated by Tomlin (2016) as a model of human judgment and decision making aimed at orienting decision-making process. Another definition given by Shaban (2005) is that it is a combination of information processing theory stages and intuition in relevant to clinical reasoning practices. In one study of Tomlin, intuitive and analytic decision making are believed to be a principal factor of cognitive continuum theory. Most of decision making researchers are normally centered around the strengths and limitations of intuitive versus analytical approaches especially in nursing. Intuitive theory is generally coming within a context of human judgment or adaptability (Tomlin 2016). For instance, clinical judgment modification is needed when a sudden response is essential during client interactions. The reaction depends on the environment and social changes and the time needed to make the decision. The most appropriate model of decision making in this kind of situation is intuition in which there is plenty of information available but the task is poorly structured and the time for decision making is limited. On the other hand, analytical approach is appropriate if the information cues are limited but the task is largely structured and time available for judgment and decision making are considerably …show more content…
As an example, patient with a pressure ulcer wound requires an analytic approach. It is a well-structured task which a nurse needs time to make a care plan for the wound. To have a positive outcome of this task, the nurse will decide which type of dressing is appropriate for the wound and monitor each day for the result. On the contrary, an example of poor structured task which intuition is the common approach, when a nurse needs to give an oxygen to a patient who has difficulty of breathing. It is a task that requires immediate action and impossible to break it into subtask. As can be seen, cognitive continuum theory can be used in clinical practice whereas nurses constantly take decisions to assist patients. Basically, CCT can help nurses in assisting to make an accurate decision-making process. According to Hamm’s study in 1988 (cited in Cader et al. 2005) “adjusting modes of cognition to correspond to judgment tasks leads to accuracy in decision
The Cognitive Continuum Theory (Hammond 1988) is a descriptive theory that illustrates how judgement situations or tasks relate to cognition. The theory has six broad modes of decision-making based on two continua: cognition and judgement task structure (figure 1). This theory focuses exclusively on judgment and decision-making and ranges from intuition to analysis (Harbison, 2001). Judgment refers to the process of weighting or estimating the possibilities and a decision is defined as the outcome that leads to an action or a conclusion not to act (Cader et al, 2005).
Eagleman talks about unconscious learning, and explores how much of what we do daily is learned and directed by the unconscious mind. The first example is changing lanes: when we’re driving, we do it without thinking. However, when asked to describe how they change lanes, many people are flummoxed. Changing lanes is so automatic that when the conscious mind tries to take control, it confuses our brains and our gears become out of sync. The second example is chicken sexers: people who can sort chick hatching even though male and female chicks look exactly alike. The third example is plane spotters: people who could distinguish between enemy and ally planes thousands of feet in the air. In both cases, the people just knew! They couldn’t explain how they knew. Rather, after trial and error, their unconscious picked up on the slight cues that allowed to them tell the difference. The conscious mind, on the other hand, was unaware of this
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treat fever, etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determine the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated, list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision-making systems.
Carper’s (1978) pivotal work of identifying nursing’s ways of knowing was a seminal work that laid the foundation for further analysis. Her ways of knowing have identified methods that have allowed the nursing discipline to further its own knowledge as well as the profession. Two other ways of knowing have emerged, Munall’s (1993) “unknowing” pattern; and also sociopolitical knowing by Zander (2011, p. 9) or emancipatory pattern (Chinn & Kramer, 2011, p. 5). Here these patterns are discussed through experiences in my personal practice.
For instances, in one study, volunteers were required to stare at a computer screen as different phrases quickly appeared and disappeared without their knowledge. These phrases such as “violent” and “elderly” influenced their minds when they complete different types of tasks, such as writing or walking. Their behaviors changed according to the flashing words because the unconscious mind was affected by it, even though they were unaware of these influences. Since their conscious minds were not able to pick up the words on the screen, they created reasoning with the knowledge they did have. As Daniel Gilbert stated, “ their brains quickly considered the facts they are aware and draw out the same kinds of plausible but mistaken inferences about themselves that an observer would probably draw about them” (131). Daniel Gilbert proves that the unconscious mind takes the knowledge one is aware of and creates a logical reasoning behind it, even if it is not true. When Daniel Gilbert says "mistaken inferences" he means that the person is unaware of the factors that influence one's behavior, thus creating a false sense of understanding. The volunteers believed their false reasoning, thus affecting the truth behind their
412-3). Intuition has been found to be an important skill for knowledge development in nursing practice; it enables an individual to unconsciously establish information quickly to make connections and hypothesises to an event through past experiences (Chilcote 2017, p. 63). In another sense intuition is “a feeling that guides a person to act a certain way without fully understanding why” (Robert, Tilley & Petersen 2014, p. 343). In nursing practice, the theory of intuition plays a great part on patient care, especially during assessments as intuition can lead to clinical interventions through a nurse’s perception to a patient’s condition (Robert, Tilley & Petersen 2014, p. 344). Intuition is a theory that is slowly shifting focus to be replaced by evidence-based practice where all decisions made by healthcare professionals are backed by evidential factors and evidence but still has its part in current practice (Hassani, Parkhide, Abdi & Jalali 2016, p.
Pragmatic reasoning takes into account the environment, such as the amount of space and the materials available to perform therapeutic activities, time constraints, organizational structure,
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal Of Nursing Terminologies & Classifications,21(2), 82-88. doi:10.1111/j.1744-618X.2010.01150.x
Nurses participate in the collaboration of teamwork that provides care and trusting relationships to individuals of all ages. By adapting to boundless environmental settings given in any situation, along with critical thinking skills for diagnosis, treatment of human response, evaluation of outcome, and interventions, nurses are advocates for individuals to effectively provide for their healthcare needs. Nursing methods such as visual thinking strategies contribute to “communicative and relational skills, the achievement of decision making and problem-solving skills, and the ability to observe and interpret sign and symptoms” (De Santis, Giuliani, Staffoli,
Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used
The Intuitive Psychology is linked to the greater capacity exhibited by some people regarding their desires, motives, and beliefs of others, moreover being able to more accurately anticipate reactions as well as behaviours, an intuitive person is a person who has feelings or seemingly acquires knowledge about events, circumstances, or other information, mainly without ordinary sensory input or previous training.
Emotional Intelligence and Reflective Practice are integral components of building a Therapeutic Relationship in Nursing
His contributions towards human growth and development include detailed studies on cognition among children, coming up with a theory of child cognitive development, as well as the series of tests he developed that reveal the various cognitive abilities of children (Boeree, 2006a). A good understanding of a patient’s cognition is important as it allows the nurse to constantly organize and reorganize the tasks of care and the priorities in order to accommodate the fluctuating status of a patient. This is especially so because the hospital environment may be characterized by numerous distractions may affect the cognition of a
The two terms I selected in Chapter 9 are decision making and intuitive thinking. Decision making is the process of choosing a course of action to deal with a problem or opportunity (p190). The five steps in the decision making process are recognize, identify, choose, implement, and evaluate are variables utilize to try and reach the best possible solution with rationale depending on the circumstance (p190-191). Intuitive thinking is approaching problems in a flexible and spontaneous way, meaning a person in this stage tends to deal with many aspects of a problem at once, search for the big picture, jumps quickly from one issue to another, and act on hunches from experiences or on spontaneous ideas (p198).