Science and intuition: do both have a place in clinical decision making?

Science and intuition: do both have a place in clinical decision making?
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科学和直觉:两者在临床决策中都占有一席之地吗?

DOI:
10.12968/bjon.2013.22.4.212
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发表时间:
2013
影响因子:
--
通讯作者:
H. Pearson
H. Pearson
中科院分区:
--
文献类型:
--
作者:
H. Pearson

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直觉被广泛用于临床决策,但与科学决策方法相比,它的使用被低估了。信息处理用于科学决策,是有条理的和分析性的,而直觉更多地依赖于从业者的感知。直觉是一种无意识的过程,可以被称为“第六感”,“预感”或“直觉”。它没有得到有效和可靠措施的支持。专业的卫生专业人员使用快速,自动的过程来立即识别熟悉的问题。因此,直觉可能涉及模式识别,专家利用经验,因此可以被视为一种认知技能,而不是感知或不知道如何知道。NHS非常重视循证实践,但直觉似乎正在成为临床决策中可接受的思维和认知方式。认识到护理作为一门艺术,可以使用直觉和环境或情况进行解释,以帮助通知决策。直觉可以与循证实践结合使用,并取得良好的结果,值得在临床实践中得到承认。
Intuition is widely used in clinical decision making yet its use is underestimated compared to scientific decision-making methods. Information processing is used within scientific decision making and is methodical and analytical, whereas intuition relies more on a practitioner's perception. Intuition is an unconscious process and may be referred to as a 'sixth sense', 'hunch' or 'gut feeling'. It is not underpinned by valid and reliable measures. Expert health professionals use a rapid, automatic process to recognise familiar problems instantly. Intuition could therefore involve pattern recognition, where experts draw on experiences, so could be perceived as a cognitive skill rather than a perception or knowing without knowing how. The NHS places great importance on evidence-based practice but intuition is seemingly becoming an acceptable way of thinking and knowing in clinical decision making. Recognising nursing as an art allows intuition to be used and the environment or situation to be interpreted to help inform decision making. Intuition can be used in conjunction with evidence-based practice and to achieve good outcomes and deserves to be acknowledged within clinical practice.
走向本纳护理专家直觉理论的替代方案:讨论文件。
DOI: 10.1016/j.ijnurstu.2007.01.005
发表时间: 2008
影响因子: 8.1
作者:
Gobet F
通讯作者: Gobet F