%0 Journal Article
%T Intuition in Clinical Decision Making: Differences Among Practicing Nurses
%A Elizabeth M. Miller
%A Pamela D. Hill
%J Journal of Holistic Nursing
%@ 1552-5724
%D 2018
%R 10.1177/0898010117725428
%X Purpose: To examine the relationships and differences in the use of intuition among three categories of practicing nurses from various clinical units at a medical center in the Midwest. Design: Descriptive, correlational, cross-sectional, prospective design. Method: Three categories of nurses were based on the clinical unit: medical/surgical nurses (n = 42), step-down/progressive care nurses (n = 32), and critical care nurses (n = 24). Participants were e-mailed the Rew Intuitive Judgment Scale (RIJS) via their employee e-mail to measure intuition in clinical practice. Participants were also asked to rate themselves according to Benner¡¯s (novice to expert) proficiency levels. Findings: Nurses practicing at higher self-reported proficiency levels, as defined by Benner, scored higher on the RIJS. More years of clinical experience were associated with higher self-reported levels of nursing proficiency and higher scores on the RIJS. There were no differences in intuition scores among the three categories of nurses. Conclusion: Nurses have many options, such as the nursing process, evidence-based clinical decision-making pathways, protocols, and intuition to aid them in the clinical decision-making process. Nurse educators and development professionals have a responsibility to recognize and embrace the multiple thought processes used by the nurse to better the nursing profession and positively affect patient outcomes
%K intuition
%K clinical decision making
%K Benner¡¯s model
%U https://journals.sagepub.com/doi/full/10.1177/0898010117725428