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Related Experiment Video

Updated: Feb 24, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Intuition in Clinical Decision Making: Differences Among Practicing Nurses.

Elizabeth M Miller1, Pamela D Hill2

  • 1Nebraska Methodist Hospital.

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association
|August 24, 2017
PubMed
Summary
This summary is machine-generated.

This study found that higher nursing proficiency and more clinical experience correlate with greater intuition. No significant differences in intuition were observed across different nursing units.

Keywords:
Benner’s modelclinical decision makingintuition

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Area of Science:

  • Nursing Science
  • Clinical Psychology

Background:

  • Intuition is a critical component of clinical decision-making in nursing.
  • Understanding factors influencing nurses' intuition is essential for professional development and patient care.
  • Existing research has explored intuition, but comparisons across different nursing specialties are limited.

Purpose of the Study:

  • To investigate the relationship between nursing proficiency, clinical experience, and intuition.
  • To identify differences in the use of intuition among medical/surgical, step-down/progressive care, and critical care nurses.
  • To explore how self-reported proficiency levels (Benner's model) relate to intuitive judgment in nursing practice.

Main Methods:

  • A descriptive, correlational, cross-sectional, prospective study design was employed.
  • Participants included 98 nurses from three clinical units: medical/surgical (n=42), step-down/progressive care (n=32), and critical care (n=24).
  • The Rew Intuitive Judgment Scale (RIJS) and self-reported proficiency levels based on Benner's novice to expert model were used.

Main Results:

  • Nurses reporting higher proficiency levels, as defined by Benner's model, demonstrated higher scores on the RIJS.
  • Increased years of clinical experience were associated with both higher self-reported nursing proficiency and higher RIJS scores.
  • No statistically significant differences in intuition scores were found among the three nursing categories (medical/surgical, step-down/progressive care, critical care).

Conclusions:

  • Nurses utilize a range of cognitive processes, including intuition, evidence-based practice, and protocols, for clinical decision-making.
  • Nurse educators and leaders should acknowledge and support the diverse thought processes nurses employ.
  • Recognizing and integrating intuition into nursing education and practice can enhance the profession and improve patient outcomes.