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When protocols are not enough. Intuitive decision making by novice nurse practitioners
Margaret M Kosowski1, Vanice W Roberts
1Kennesaw State University, USA.
Summary
Novice nurse practitioners utilize intuition in clinical decision-making, facing challenges in maintaining a holistic approach. This study explores their experiences to inform nurse practitioner education and practice.
Area of Science:
- Nursing
- Healthcare Education
- Clinical Decision Making
Background:
- Increasing demand for cost-effective, high-quality healthcare necessitates reforms.
- Rising demand for primary care nurse practitioners (NPs) has led to increased NP program enrollment.
- Expanded nursing roles present challenges for NPs in maintaining holistic care.
Purpose of the Study:
- To discover, describe, and analyze the experiences of novice nurse practitioners using intuition in clinical decision-making.
- To explore the shared meanings and common practices of these NPs.
- To identify implications for NP education and practice.
Main Methods:
- Interpretive phenomenological study.
- Analysis of the stories of 10 novice nurse practitioners.
- Utilized a critical social consciousness and postmodern perspective.
Main Results:
- Six emergent themes and a constitutive process were identified.
- The study captured the lived experiences of novice NPs using intuition.
- Common practices and shared meanings related to intuitive decision-making were described.
Conclusions:
- Intuition is a key component of clinical decision-making for novice nurse practitioners.
- Findings offer insights into supporting NPs in integrating intuition while providing holistic care.
- Implications for enhancing NP education and practice are discussed.