Hassani Parkhide, Abdi Alireza, Jalali Rostam, Salari Nader
Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Adv Med Educ Pract. 2016 Feb 10;7:65-71. doi: 10.2147/AMEP.S100324. eCollection 2016.
Intuition is defined as an irrational unconscious type of knowing. This concept was incorporated into nursing discipline for 3 decades, but nowadays its application is uncertain and ignored by educational institutions. Therefore, this study aimed to explore critical care nurses' understanding of the use of intuition in clinical practice.
In a descriptive phenomenological study, 12 nurses employed in critical care units of the hospitals affiliated with Kermanshah University of Medical Sciences, were recruited to a study using purposive, semistructured interviews, which were then written down verbatim. The data were managed by MaxQDA 10 software and analyzed as qualitative, with Colaizzi's seven-stage approach.
Of the 12 nurses who participated in the study, seven (58.3%) were female and married, 88.3% (ten) had a Bachelor of Nursing (BSc) degree, and the means ± SD of age, job experience, and critical care experience were 36.66±7.01, 13.75±6.82, and 7.66±3.36 years, respectively. We extracted three main themes, namely "patient conditions", "nurse readiness", and "outcome", and seven subthemes - including "clinical signs", "patient behaviors", "prognosis", "being sensitive", "desire to act", "prediction", and "satisfaction" - integral to understanding the use of intuition in clinical practice by critical care nurses.
The findings showed that some nurses were attracted by the patients' conditions and were more intuitive about them, and following their intuition prepared the nurses to under-take more appropriate measures. The positive results that the majority of the nurses experienced convinced them to follow their intuitions more often.
直觉被定义为一种非理性的无意识认知类型。这一概念已融入护理学科三十年，但如今其应用尚不确定且被教育机构忽视。因此，本研究旨在探讨重症监护护士对临床实践中直觉运用的理解。
在一项描述性现象学研究中，通过目的抽样、半结构化访谈，招募了克尔曼沙赫医科大学附属医院重症监护病房的12名护士参与研究，访谈内容逐字记录。数据由MaxQDA 10软件管理，并采用科莱齐的七阶段方法进行定性分析。
参与研究的12名护士中，7名（58.3%）为已婚女性，88.3%（10名）拥有护理学学士学位（BSc），年龄、工作经验和重症监护经验的均值±标准差分别为36.66±7.01岁、13.75±6.82年和7.66±3.36年。我们提取了三个主要主题，即“患者状况”“护士准备情况”和“结果”，以及七个子主题——包括“临床体征”“患者行为”“预后”“敏感”“行动意愿”“预测”和“满意度”——这些对于理解重症监护护士在临床实践中直觉的运用不可或缺。
研究结果表明，一些护士被患者状况所吸引，对其更具直觉，遵循直觉使护士能够采取更恰当的措施。大多数护士所经历的积极结果使他们更愿意经常遵循直觉。
