Department of Nursing Sciences, Mid Sweden University, Östersund, Sweden.
Region Jämtland Härjedalen, Östersund, Sweden.
J Clin Nurs. 2017 Dec;26(23-24):3936-3949. doi: 10.1111/jocn.13814. Epub 2017 Jun 22.
To review what is characteristic of registered nurses' intuition in clinical settings, in relationships and in the nursing process.
Intuition is a controversial concept and nurses believe that there are difficulties in how they should explain their nursing actions or decisions based on intuition. Much of the evidence from the body of research indicates that nurses value their intuition in a variety of clinical settings. More information on how nurses integrate intuition as a core element in daily clinical work would contribute to an improved understanding on how they go about this. Intuition deserves a place in evidence-based activities, where intuition is an important component associated with the nursing process.
An integrative review strengthened with a mixed-studies review.
Literature searches were conducted in the databases CINAHL, PubMed and PsycINFO, and literature published 1985-2016 were included. The findings in the studies were analysed with content analysis, and the synthesis process entailed a reasoning between the authors.
After a quality assessment, 16 studies were included. The analysis and synthesis resulted in three categories. The characteristics of intuition in the nurse's daily clinical activities include application, assertiveness and experiences; in the relationships with patients' intuition include unique connections, mental and bodily responses, and personal qualities; and in the nursing process include support and guidance, component and clues in decision-making, and validating decisions.
Intuition is more than simply a "gut feeling," and it is a process based on knowledge and care experience and has a place beside research-based evidence. Nurses integrate both analysis and synthesis of intuition alongside objective data when making decisions. They should rely on their intuition and use this knowledge in clinical practice as a support in decision-making, which increases the quality and safety of patient care.
We find that intuition plays a key role in more or less all of the steps in the nursing process as a base for decision-making that supports safe patient care, and is a validated component of nursing clinical care expertise.
回顾注册护士在临床环境、人际关系和护理过程中直觉的特点。
直觉是一个有争议的概念，护士认为，基于直觉解释他们的护理行为或决策存在困难。大量研究证据表明，护士在各种临床环境中重视他们的直觉。更多关于护士如何将直觉作为日常临床工作的核心要素进行整合的信息，将有助于更好地理解他们的工作方式。直觉在基于证据的活动中应该占有一席之地，在这些活动中，直觉是与护理过程相关的重要组成部分。
通过混合研究综述加强的综合审查。
在 CINAHL、PubMed 和 PsycINFO 数据库中进行文献检索，并纳入 1985 年至 2016 年发表的文献。对研究中的发现进行内容分析，综合过程涉及作者之间的推理。
经过质量评估，纳入了 16 项研究。分析和综合得出了三个类别。护士日常临床活动中直觉的特征包括应用、果断和经验；与患者直觉的关系包括独特的联系、心理和身体反应以及个人品质；护理过程中的直觉包括支持和指导、决策中的组成部分和线索以及验证决策。
直觉不仅仅是一种“本能感觉”，它是一个基于知识和护理经验的过程，与基于研究的证据并存。护士在做出决策时，将直觉的分析和综合与客观数据结合在一起。他们应该依靠自己的直觉，并将这种知识应用于临床实践，作为决策的支持，从而提高患者护理的质量和安全性。
我们发现，直觉在护理过程的几乎所有步骤中都起着关键作用，是支持安全患者护理的决策基础，是护理临床护理专业知识的有效组成部分。
