The purpose of this study was to develop and validate a scale to measure nurses’ acknowledgment of using intuition in clinical decision making. Development and validation of the scale was carried out in three phases. In Phase 1, scale items were generated from the published literature in nursing and management and a Content Validity Index (CVI) of .96 was computed on responses from a panel of five experts. In Phase 2, the scale was pilot-tested on a random sample of 106 psychiatric mental health nurses. In Phase 3, the revised scale was presented to a convenience sample of 112 nurses attending continuing education programs. Seven items were found to explain 40.6% of the variance in scores and were retained as the final unidimensional scale. Construct validity was supported by a difference in means of two groups that also differed on another measure of intuition.
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References
1.
Adler, M. J.
(1983). How to speak, how to listen. New York: MacMillan.
2.
Agan, R. D.
(1987). Intuitive knowing as a dimension of nursing. Advances in Nursing Science, 10(1), 63-70.
3.
Agor, W. H.
(1983, April). Brain skills development in management training. Training and Development Journal, 78-83.
4.
Agor, W. H.
(1986). The logic of intuitive decision making. New York: Quorum Books.
5.
Agor, W. H.
(Ed.) (1989). Intuition in organizations. Newbury Park, CA: Sage.
6.
Arrindell, W. A.
, & van der Ende, J. (1985). An empirical test of the utility of the observations-to-variables ratio in factor and components analysis. Applied Psychological Measurement, 9, 165-178.
7.
Assagioli, R.
(1976). The act of will. New York: Penguin.
8.
Bastick, T.
(1982). Intuition: How we think and act. New York: Wiley.
9.
Baumann, A.
, & Deber, R. (1989). The limits of decision analysis for rapid decision making in ICU nursing. Image: Journal of Nursing Scholarship, 21, 69-71.
10.
Benner, P.
(1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
11.
Benner, P.
, & Tanner, C. (1987). Clinical judgment: How expert nurses use intuition. American Journal of Nursing, 87, 23-31.
12.
Benner, P.
, Tanner, C., & Chesla, C. (1992). From beginner to expert: Gaining a differentiated clinical world in critical care nursing. Advances in Nursing Science, 14(3), 13-28.
13.
Carper, B. A.
(1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
14.
Chinn, P. L.
, & Kramer, M. K. (1991). Theory and nursing: A systematic approach (3rd ed.) St. Louis: Mosby.
15.
Corcoran, S. A.
(1986a). Decision analysis: A step-by-step guide for making clinical decisions. Nursing & Health Care, 7, 149-154.
16.
Corcoran, S. A.
(1986b). Task complexity and nursing expertise as factors in decision making. Nursing Research, 35(2), 107-112.
17.
Crandall, B.
, & Getchell-Reiter, K. (1993). Critical decision method: A technique for eliciting concrete assessment indicators from the intuition of NICU nurses. Advances in Nursing Science, 16(1), 42-51.
18.
Eyres, S. J.
, Loustau, A., & Ersek, M. (1992). Ways of knowing among beginning students in nursing. Journal of Nursing Education, 31, 175-180.
19.
Fonteyn, M. E.
, Kuipers, B., & Grobe, S. J. (1993). A description of think aloud method and protocol analysis. Qualitative Health Research, 3, 430-441.
20.
Hamm, R. M.
(1988). Clinical intuition and clinical analysis: Expertise and the cognitive continuum. In J. Dowie& A. Elstein, (Eds.), Professional judgment: A reader in clinical decision making (pp. 78-105). Cambridge: Cambridge University Press.
21.
Hammond, K. R.
(1964). An approach to the study of clinical inference in nursing, part II. Clinical inference in nursing: A methodological approach. Nursing Research, 13, 315-319.
22.
Hammond, K. R.
, Kelly, K. J., Schneider, R. J., & Vancini, M. (1967). Clinical inference in nursing: Revising judgments. Nursing Research, 16(1), 38-45.
23.
Harris, R. J.
(1985). A primer of multivariate statistics (2nd ed.). New York: Academic Press.
24.
Henry, S. B.
, LeBreck, D. B., & Holzemer, W. L. (1989). The effect of verbalization of cognitive processes on clinical decision making. Research in Nursing & Health, 12, 187-193.
25.
Hughes, K. K.
, & Young, W. B. (1992). Decision making stability of clinical decisions. Nurse Educator, 17(3), 12-16.
26.
Jacavone, J.
, & Dostal, M. (1992). A descriptive study of nursing judgment in the assessment and management of cardiac pain. Advances in Nursing Science, 15(1), 54-63.
27.
Jenny, J.
, & Logan, J. (1992). Knowing the patient: One aspect of clinical knowledge. Image: Journal of Nursing Scholarship, 24, 254-258.
28.
Kelly, K. J.
(1964). An approach to the study of clinical inference in nursing, Part I. Introduction to the study of clinical inference in nursing. Nursing Research, 13, 314-315.
29.
Kleinmuntz, B.
(1990). Why we still use our heads instead of formulas: Toward an integrative approach. Psychological Bulletin, 107, 296-310.
30.
Lynn, M.
(1986). Determination and quantification of content validity. Nursing Research, 35, 382-385.
31.
Masters, M. L.
, & Masters, R. J. (1989). Risk-taking propensity of nurses: ADN and BSN. Journal of Nursing Education, 28(1), 12-17.
32.
McCain, R. F.
(1965). Nursing by assessment—not intuition. American Journal of Nursing, 65, 82-84.
33.
McLaughlin, F. E.
, & Marascuilo, L. A. (1990). Advanced nursing and health care research. Philadelphia: W. B. Saunders.
34.
Mendell, J. S.
, Palkon, D. S., & Popejoy, M. W. (1991). Health managers’ attitudes toward robotics and artificial computer intelligence: An empirical investigation. Journal of Medical Systems, 15, 197-204.
35.
Miller, M. A.
, & Malcolm, N. S. (1990). Critical thinking in the nursing curriculum. Nursing & Health Care, 11(2), 67-73.
36.
Noddings, N.
, & Shore, P. J. (1984). Awakening the inner eye. New York: Teachers College Press.
37.
Pierson, M. G.
, & Funk, M. (1989). Technology versus clinical evaluation for fluid management decisions in CABG patients. Image: Journal of Nursing Scholarship, 21(4,) 192-195.
38.
Pyles, S. H.
, & Stern, P. N. (1983). Discovery of nursing gestalt in critical care nursing: The importance of the gray gorilla syndrome. Image: Journal of Nursing Scholarship, 15(2), 51-58.
39.
Radwin, L. E.
(1990). Research on diagnostic reasoning in nursing. Nursing Diagnosis, 1(2), 70-77.
40.
Regan-Kubinski, M. J.
(1991). A model of clinical judgment process in psychiatric nursing. Archives of Psychiatric Nursing, 5, 262-270.
41.
Rew, L.
(1986). Intuition: Concept analysis of a group phenomenon. Advances in Nursing Science, 8(2), 21-28.
42.
Rew, L.
(1988). Intuition in decision making. Image: The Journal of Nursing Scholarship, 20, 150-154.
43.
Rew, L.
(1990). Intuition in critical care nursing practice. Dimensions of Critical Care Nursing, 9(1), 30-37.
44.
Rew, L.
(1991). Intuition in psychiatric-mental health nursing. Journal of Child and Adolescent Psychiatric and Mental Health Nursing, 4, 110-115.
45.
Rew, L.
(1997). Self-reflection. In B. M. Dossey (Ed.), Core curriculum for holistic nursing (pp. 176-180). Gaithersburg, MD: Aspen.
46.
Rowan, R.
(1986). The intuitive manager. New York: Berkley Books.
47.
Schraeder, B. D.
, & Fischer, D. K. (1986). Using intuitive knowledge to make clinical decisions. Journal of Maternal-Child Nursing, 11, 161-162.
48.
Schraeder, B. D.
, & Fischer, D. K. (1987). Using intuitive knowledge in the neonatal intensive care nursery. Holistic Nursing Practice, 1, 45-51.
49.
Smoyak, S. A.
(1982). Clinical practice: Intuitive or based on research?Journal of Psychosocial Nursing and Mental Health Services, 20(4), 9-13.
50.
Tanner, C. A.
, Padrick, K. P., Westfall, U. E., & Putzier, D. J. (1987). Diagnostic reasoning strategies of nurses and nursing students. Nursing Research, 36, 358-363.
51.
Verran, J. A.
, & Reid, P. J. (1987). Replicated testing of the Nursing Technology Model. Nursing Research, 36, 190-194.
52.
Young, C. E.
(1987). Intuition and nursing process. Holistic Nursing Practice, 1(3), 52-62.
