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Acknowledging intuition in clinical decision making.

L Rew1

  • 1School of Nursing, University of Texas at Austin, USA.

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association
|February 19, 2002
PubMed
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This study developed and validated a scale to measure nurses' acknowledgment of intuition in clinical decision-making. The final seven-item scale reliably measures this important aspect of nursing practice.

Area of Science:

  • Nursing
  • Clinical Decision Making
  • Psychological Measurement

Background:

  • Intuition is a critical component of clinical decision-making in nursing.
  • A validated tool is needed to quantify nurses' acknowledgment of intuitive processes.
  • Existing measures may not adequately capture the nuances of intuitive acknowledgment in clinical practice.

Purpose of the Study:

  • To develop and validate a reliable and valid scale for measuring nurses' acknowledgment of intuition in clinical decision-making.
  • To provide a quantitative instrument for research on nursing intuition.
  • To enhance understanding of the role of intuition in nursing.

Main Methods:

  • Scale development involved literature review and expert panel review (Content Validity Index = .96).

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  • Pilot testing was conducted with 106 psychiatric mental health nurses.
  • Final validation involved 112 nurses in continuing education programs, using factor analysis and construct validity assessments.

    • Main Results:

    • A unidimensional scale with seven items was finalized, explaining 40.6% of the variance in scores.
    • The scale demonstrated strong construct validity, differentiating between groups with varying levels of intuition.
    • The final scale is a reliable measure of nurses' acknowledgment of intuition.

    Conclusions:

    • The developed scale is a valid and reliable instrument for assessing nurses' acknowledgment of intuition in clinical decision-making.
    • This tool can facilitate further research into the nature and impact of nursing intuition.
    • Findings support the integration of intuitive acknowledgment assessment in nursing education and practice.