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Related Experiment Video

Updated: Jun 20, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Consensus on gut feelings in general practice.

Erik Stolper¹, Paul Van Royen, Margje Van de Wiel

¹School for Public Health and Primary Care (CAPHRI), Department of General Practice, Maastricht University, Maastricht, The Netherlands. praktijk@stolper.nl

BMC Family Practice

|September 19, 2009

Summary

This summary is machine-generated.

General practitioners can now rely on defined "gut feelings." Research established clear descriptions for "sense of alarm" and "sense of reassurance," aiding clinical decision-making and future studies.

Related Experiment Videos

Last Updated: Jun 20, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Area of Science:

Medical Education
Clinical Decision-Making
Qualitative Research

Background:

General practitioners (GPs) sometimes rely on intuition, or
for clinical decisions.
Limited evidence exists on the diagnostic and prognostic value of these intuitive feelings in daily practice.
Validated descriptions of gut feelings are needed for reliable measurement in research.

Purpose of the Study:

To achieve consensus on descriptive definitions for two types of gut feelings experienced by GPs.
Specifically, to define a "sense of alarm" and a "sense of reassurance" within general practice.

Main Methods:

A qualitative research approach was employed, utilizing a Delphi consensus procedure.
The study involved a diverse group of 27 Dutch and Belgian general practitioners (GPs) or former GPs.
Participants were actively engaged in academic, educational, or research programs.

Main Results:

Consensus (≥70% agreement) was reached on seven out of eleven proposed statements after four Delphi rounds.
A "sense of alarm" was defined as a GP's uneasy feeling about a potential adverse outcome, even without specific indicators, prompting diagnostic investigation.
A "sense of reassurance" was defined as a GP's secure feeling regarding patient management and problem progression, irrespective of diagnostic certainty.

Conclusions:

The concepts of "sense of alarm" and "sense of reassurance" have been clearly defined through consensus.
These validated descriptions provide a foundation for operationalizing the concept of gut feelings in future research.
This research facilitates a more objective study of intuitive diagnostic and prognostic tools in general practice.