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What neuroscience can tell about intuitive processes in the context of perceptual discovery.

According to the Oxford English Dictionary, intuition is "the ability to understand or know something immediately, without conscious reasoning." Most people would agree that intuitive responses appear as ideas or feelings that subsequently guide our thoughts and behaviors. It is proposed that people continuously, without conscious attention, recognize patterns in the stream of sensations that impinge upon them. What exactly is being recognized is not clear yet, but we assume that people detect potential content based on only a few aspects of the input (i.e., the gist). The result is a vague perception of coherence which is not explicitly describable but instead embodied in a "gut feeling" or an initial guess, which subsequently biases thought and inquiry. To approach the nature of intuitive processes, we used functional magnetic resonance imaging when participants were working at a modified version of the Waterloo Gestalt Closure Task. Starting from our conceptualization that intuition involves an informed judgment in the context of discovery, we expected activation within the median orbito-frontal cortex (OFC), as this area receives input from all sensory modalities and has been shown to be crucially involved in emotionally driven decisions. Results from a direct contrast between intuitive and nonintuitive judgments, as well as from a parametric analysis, revealed the median OFC, the lateral portion of the amygdala, anterior insula, and ventral occipito-temporal regions to be activated. Based on these findings, we suggest our definition of intuition to be promising and a good starting point for future research on intuitive processes.

Adult↗

Predictors of novice nurses' use of intuition to guide patient care decisions.

Nurses routinely report using intuition to guide decisions about patient care, although they use it covertly because of difficulty explaining the sources of their intuitions to colleagues. To help nurse educators guide students toward open discussion and appropriate use of intuition, this study compared personal, interpersonal, and professional experiences suggested by past research for their association with the use of intuition by nurses. A questionnaire completed by 323 novice nurses measured use of intuition with an 18-item subscale identified by Miller from the Miller Intuitiveness Instrument. Measures of personal experience included age, gender, hospitalizations, self-esteem, and religiosity. Interpersonal experience included parenthood and social support from family and friends. Professional experience included grade point average and months of on-the-job experience. Multiple regression revealed that novice nurses use intuition more to guide patient care if they are older, have had more hospitalizations, and experience more social support.

Adult↗

Intuition and nursing practice implications for nurse educators: a review of the literature.

Intuitive knowledge is an essential component of the art of nursing and of the nursing process. This article provides an analysis and review of the literature on intuition. The author addresses the use of intuition in nursing science, characteristics of intuitive nurses, receptivity of intuitive knowledge, and the importance of expanding nursing's utilization of the intuitive process. Strategies are provided for promoting intuitive skills in continuing education/staff development settings.

Clinical Competence↗

Heuristics, servants to intuition, in clinical decision-making.

This paper explores intuitive judgements of nurses in clinical decision-making situations. The qualities of intuition are presented from both theoretical and practical perspectives and attitudes towards intuition from both nurses themselves and other health professionals are identified. An heuristic framework from cognitive psychology is applied to intuitive aspects of the clinical judgements that nurses have made. This interpretation is proposed as a partial explanation of intuition, and its use in advancing the understanding of intuition is recommended.

Clinical Competence↗

Intuitions, principles and consequences.

Some approaches to the assessment of moral intuitions are discussed. The controlled ethical trial isolates a moral issue from confounding factors and thereby clarifies what a person's intuition actually is. Casuistic reasoning from situations, where intuitions are clear, suggests or modifies principles, which can then help to make decisions in situations where intuitions are unclear. When intuitions are defended by a supporting principle, that principle can be tested by finding extreme cases, in which it is counterintuitive to follow the principle. An approach to the resolution of conflict between valid moral principles, specifically the utilitarian and justice principles, is considered. It is argued that even those who justify intuitions by a priori principles are often obliged to modify or support their principles by resort to the consideration of consequences.

Deception↗

At-one-ment, intuition and 'suchness'.

Many senses exist for perceiving sensory experience; there are in turn others which make it possible to perceive emotional experience: intuition is one of these. The author, using W. R. Bion's work, studies intuition psychoanalytically, considering it to be a powerful 'sense' in clinical work. He describes the metapsychology of intuition, and proposes models that make it possible to think--from different perspectives--about how to make use of it in an analysis. To this end, he examines a series of useful processes and concepts: growth, tolerance, 'suchness', suffering and courage. The author defi nes the intuitive mechanism as a derivation of the renunciation of memory, desire and understanding; such a renunciation, learning from the experience of suffering the pain of facing the Truth in at-one-ment, makes it possible to tolerate the frustrations associated with observing the analysand 'such-as-he-is'. Finally, once immersed in the intelligence of intuition, the author considers ways in which intuition might be linked with concepts, with a view to interpreting the facts that must be transformed in the analysis.

Humans↗

A psychometric approach to intuitive physics.

The literature on intuitive physics shows that many people exhibit systematic errors when predicting the behavior of simple physical events. Most previous research has attributed these errors to factors specific to a certain class of tasks. In the present study, we investigated the possibility that intuitive physics performance may be related to general measures of cognitive ability. Two hundred four adults (ages, 20-91 years) were presented with five pairs of intuitive physics questions. It was found that performance on the intuitive physics items was moderately intercorrelated, suggesting that they were tapping into a unitary construct. Despite the correlation with factors that decline with advancing age, intuitive physics performance was not correlated with age (r = .00). The findings are discussed in the context of research on intuitive physics, as well as research on cognitive aging.

Adult↗

[Intuition in medicine and surgery. Prerequisites and limits].

Intuition as a philosophical category is commonly acknowledged, but certainly not undisputed. In medicine being a practical science and partly characterized by irrational decisions, intuitive thinking in diagnosis and therapy seems to be an essential part of successful medical activity. Preconditions for an intuitive comprehension of the patient in its whole as well as an unusual process in clinical life are know-how, experience and profound knowledge of the normal and pathological findings. Besides, the physician's and surgeon's moral integrity setting limits to the acceptance of intuition has to be rated as an aid to decision-making. Increase of technics, standards and rules narrow the intuitive scope in a high degree. Loss of intuition as a tool of medical thinking and acting may lead to a spiritual impoverishment of our profession and to a technocratic medicine.

Diagnosis↗

[Intuition and research].

The manuscript defines the role of intuition in the surgical research (representability, accessability, "anchoreffect"). Sudden changes of direction in research can be caused by intuition (e.g. Polymerase chain reaction or Angiogenesis). Intuition leads to success when the basic idea is followed with externe diligence, consequence and perseverance. Evidence based medicine resulted from intuitive clinimetry. In the end research and intuition are tied together: continued work and commitment on one side and intuition as source of energy for perseverance and stamina.

Evidence-Based Medicine↗

Learning intuition--less college and more kindergarten: the leader's challenge.

Learning to think instinctually and to depend on our intuition means, for many of us, going back to kindergarten and focusing more on our instinctual side to balance the linear approach that we've learned in many college and business school courses. It also means building time into our lives for reflection and allowing our brains the time to reorganize the events of our lives into patterns that we will recognize in the future. The process of the incubating experience and data in our minds over time will build the intuition and instincts that will help us all to learn how to be great leaders (Gardner, 1995). We can learn much from the training of clinicians in pattern recognition and intuitive analysis of clinical situations. Many of us who were clinicians first understand the intuitive side of clinical practice and of administrative practice because we were educated in both worlds. We have the advantage of knowing the concepts of intuitive thinking and must remember to apply those concepts daily to our practices in leadership. Toffler said "You can use all the quantitative data you can get, but you still have to distrust it and use your own intelligence and judgment" (Boone, 1999, p. 80). As we acquire more experience and wisdom, we learn to trust our own intelligence and judgment. What we came to know in kindergarten is as valuable as the analytical knowledge we have since acquired. In leadership, we will do well to remember our clinical roots and to continually hone our skills in intuition and thinking with our gut.

Education↗

Learning intuition--less college and more kindergarten: the leader's challenge.

Learning to think instinctually and to depend on our intuition means, for many of us, going back to kindergarten and focusing more on our instinctual side to balance the linear approach that we've learned in many college and business school courses. It also means building time into our lives for reflection and allowing our brains the time to reorganize the events of our lives into patterns that we will recognize in the future. The process of the incubating experience and data in our minds over time will build the intuition and instincts that will help us all to learn how to be great leaders (Gardner, 1995). We can learn much from the training of clinicians in pattern recognition and intuitive analysis of clinical situations. Many of us who were clinicians first understand the intuitive side of clinical practice and of administrative practice because we were educated in both worlds. We have the advantage of knowing the concepts of intuitive thinking and must remember to apply those concepts daily to our practices in leadership. Toffler said "You can use all the quantitative data you can get, but you still have to distrust it and use your own intelligence and judgment" (Boone, 1999, p. 80). As we acquire more experience and wisdom, we learn to trust our own intelligence and judgment. What we came to know in kindergarten is as valuable as the analytical knowledge we have since acquired. In leadership, we will do well to remember our clinical roots and to continually hone our skills in intuition and thinking with our gut.

Humans↗

Implicit, intuitive, and explicit knowledge of abstract regularities in a sound sequence: an event-related brain potential study.

Implicit knowledge has been proposed to be the substrate of intuition because intuitive judgments resemble implicit processes. We investigated whether the automatically elicited mismatch negativity (MMN) component of the auditory event-related potentials (ERPs) can reflect implicit knowledge and whether this knowledge can be utilized for intuitive sound discrimination. We also determined the sensitivity of the attention-and task-dependent P3 component to intuitive versus explicit knowledge. We recorded the ERPs elicited in an "abstract" oddball paradigm. Tone pairs roving over different frequencies but with a constant ascending inter-pair interval, were presented as frequent standard events. The standards were occasionally replaced by deviating, descending tone pairs. The ERPs were recorded under both ignore and attend conditions. Subjects were interviewed and classified on the basis of whether or not they could datect the deviants. The deviants elicited an MMN even in subjects who subsequent to the MMN recording did not express awareness of the deviants. This suggests that these subjects possessed implicit knowledge of the sound-sequence structure. Some of these subjects learned, in an associative training session, to detect the deviants intuitively, that is, they could detect the deviants but did not give a correct description of how the deviants differed from the standards. Intuitive deviant detection was not accompanied by P3 elicitation whereas subjects who developed explicit knowledge of the sound sequence during the training did show a P3 to the detected deviants.

Acoustic Stimulation↗

Intuition: a critical review of the research and rhetoric.

This paper will explore the concept of intuition in nursing from an acute care and community nursing perspective. It will consider definitions of intuition and examine the research which can inform our understanding of this important component of decision making. In the current health service climate, which demands measurable research-based evidence, the involvement of intuition as an element of judgement is often denigrated. The result is that many nurses are being forced to be covert in their use of this crucial aspect of judgement and focus solely on the conscious elements of decision-making. However, research evidence would suggest that intuition occurs in response to knowledge, is a trigger for action and/or reflection and thus has a direct bearing on analytical processes in patient/client care. The authors therefore argue that the essential nature of intuition cannot be ignored in the practice, management, education and research of nursing.

Clinical Competence↗

A gut feeling? Intuition and critical care nursing.

As nurses, we are knowledgeable about nursing and able, immediately and intuitively, to identify the needs and demands of a given situation. Experienced nurses practise intuitively by virtue of having developed, through critical thought, a deeply grounded knowledge base that can be applied in daily practice. Each gains knowledge about nursing practice in such a way that every clinical experience becomes a lesson which informs the next experience. There is continued debate over the domain of nursing knowledge, where it originates and to whom it belongs. Much of nursing knowledge has emerged from the practice of other professions. There now appears to be an increasing focus within today's modern healthcare environment on the importance of measurable outcomes and the need to predict the consequences of all interventions. The strength of our intuition often urges us to do something more for the patient. When we as nurses report our intuitions, subjective feelings are often at odds with the objective signs and symptoms. Nurses have made great strides in recognizing, analysing and teaching concepts related to logical, rational decision-making. It is imperative, however, also to recognize and teach the concepts related to the intuitive and precognitive components of making decisions in clinical practice.

Attitude of Health Personnel↗

Continued psychometric evaluation of an intuition instrument for nursing students.

PURPOSE: The purpose of this study was to evaluate the psychometric properties of a revised intuition instrument developed for nursing students. METHOD: Principal component factor analysis was used to establish construct validity, and the Cronbach's alpha was used to examine reliability. FINDINGS: Statistical analysis resulted in a 26-item intuition instrument with 6 factors accounting for 62% of the variance. The factors were labeled as Feelings That Reassure (27.7%), Spiritual Connections (10.9%), Feelings That Alert (8.4%), Feelings That Forewarn (5.8%), Physical Sensations That Alert (4.7%), and Reading Physical Cues (4.2%). Eigenvalues ranged from 1.100 to 7.225, and factor loadings ranged from .572 to .848. The overall Cronbach's alpha was .89 with a range of .73 to .85 for each factor. CONCLUSIONS: The 26-item intuition instrument showed evidence of construct validity and reliability. IMPLICATIONS: The intuition instrument can serve as a stimulus to foster students' intuitive abilities.

Adult↗

Intuitive psychology and physics among children with autism and typically developing children.

Many studies have documented poor understanding of intuitive psychology among children with autism; however, few have investigated claims of superior understanding of intuitive physics said to be evident in this group. This study aimed to investigate the reported differential preference of intuitive psychology and intuitive physics among children with autism by employing three tasks each with a psychological and a physical condition. In order to gain a detailed developmental picture the study compared children with autism, an age matched comparison group, and typically developing preschoolers, 7-year-olds and 10-year-olds. Results demonstrated that children with autism preferred to employ physical causality when reasoning about novel physical and psychological events. Furthermore, their performance on a multiple-choice task confirmed their impairment in intuitive psychology whilst highlighting a superior ability to reason about physical phenomena in relation to all other comparison groups. The theoretical implications of this potential cognitive strength are discussed.

Autistic Disorder↗

Common sense, intuition, and theory in personality and social psychology.

Theoretical work in personality and social psychology benefits from a well-developed understanding of the prior empirical and theoretical work on a problem and from informed intuitions. Intuitions develop about a subject matter through years of study, investigation, and problem solving, just as chess masters develop a sophisticated set of cognitive structures that change the very appearance of the chess board. In part because the subject matter is so personal, students new to personality and social psychology arrive with many intuitions, prior beliefs, and naive theories about social processes and behavior based on unsystematic experiences and observations. These intuitions can hinder or foster theoretical progress. The role of mentors, critiques, and empirical tests in minimizing the deleterious effects of these entry biases is discussed. Refined scientific intuitions are also subject to error, however, so means of minimizing these errors are also discussed.

Cognition↗

Intuition in nursing relationships: the result of 'skills' or 'qualities'?

Maintaining the scientific orientation of health and nursing care systems has resulted in a lack of focus on nurses' intuitive knowledge base. Consequently, confusion exists as to whether intuition in nursing is the result of acquired skills, or is dependent upon the inherent qualities of the individual. In deconstructing the apparently intuitive process of building rapport, neuro-linguistic programming (NLP) can offer insight, suggesting that rapport building depends on learnt skills that have moved into unconscious competence. The examination of nurses' intuitive knowledge, in order to identify underlying skills, needs to be just as rigorous as the acquisition of scientific knowledge. Examining intuitive knowledge can be achieved within a framework of reflective practice to counter the inherent dangers of an increasingly scientific approach operating within a caring profession.

Clinical Competence↗