CAPHRI School for Public Health and Primary Care, University of Maastricht, Maastricht, the Netherlands; Faculty of Medicine and Health Sciences, Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
CAPHRI School for Public Health and Primary Care, University of Maastricht, Maastricht, the Netherlands.
Br J Gen Pract. 2023 Aug 31;73(734):e677-e686. doi: 10.3399/BJGP.2022.0427. Print 2023 Sep.
GPs consider their gut feelings a valuable tool in clinical reasoning. Research suggests patients' gut feelings may be a useful contribution to that process. Describing these feelings more precisely could improve primary care professionals' (PCPs) recognition of patients' gut feelings and insight into the underlying reasons. These descriptions would also enable a thorough examination of the validity of patients' gut feelings and their contribution to professionals' clinical reasoning.
To gather the words and phrases that patients or their relatives use to share their gut feelings with primary care professionals and what they convey and imply.
Qualitative study of Dutch and Belgian patients visiting an out-of-hours GP service or a GP's office.
Face-to-face semi-structured interviews were carried out with 47 patients. Interviews were coded using a descriptive content analysis in an iterative process until data sufficiency.
Patients or their relatives expressed their gut feelings by using words relating to trusting or not trusting the situation, or to changes in normal patterns. Their gut feelings are most often felt as a sense of alarm. In general, patients experiencing a sense of alarm, particularly mothers of sick children, were convinced that something was wrong and had often learned to trust their gut feeling. A gut feeling was the main reason to contact a PCP. Patients generally felt that their gut feelings were taken seriously.
The findings of this study provide an insight into how patients and relatives may express their gut feelings about their own or their relative's health and how they share these feelings with healthcare professionals. This may help clinicians improve their recognition of patients' gut feelings, being particularly alert to a patient or relative using phrases that relate to feelings of not trusting a situation, things seeming wrong or different from normal, and experiencing a sense of alarm. Further research should be carried out into the validity of patients' gut feelings.
全科医生认为自己的直觉是临床推理中的宝贵工具。研究表明，患者的直觉可能是对这一过程的有益贡献。更准确地描述这些感觉可以提高初级保健专业人员（PCP）对患者直觉的认识，并深入了解其背后的原因。这些描述还将使我们能够彻底检查患者直觉的有效性及其对专业人员临床推理的贡献。
收集患者或其亲属用来与初级保健专业人员分享他们的直觉的词语和短语，以及他们所传达和暗示的内容。
荷兰和比利时的患者在非工作时间的全科医生服务或全科医生办公室就诊的定性研究。
对 47 名患者进行面对面的半结构化访谈。访谈使用描述性内容分析进行编码，并在迭代过程中进行，直到数据充足为止。
患者或其亲属通过使用与信任或不信任情况或正常模式变化相关的词语来表达他们的直觉。他们的直觉通常是一种警报感。一般来说，感到警报的患者，特别是生病孩子的母亲，确信有问题，并且经常学会相信自己的直觉。直觉是联系 PCP 的主要原因。患者普遍认为他们的直觉受到重视。
这项研究的结果深入了解了患者和亲属如何表达自己或亲属健康状况的直觉，以及他们如何与医疗保健专业人员分享这些感觉。这可能有助于临床医生提高对患者直觉的认识，特别注意患者或亲属使用与不信任情况、事情看起来不对劲或与正常情况不同以及感到警报相关的短语。应进一步研究患者直觉的有效性。
