Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making.
clinical decision making
decision making
expertise
health professionals
interpretative phenomenological analysis
intuition
methodological inquiry
qualitative
Journal
Journal of research in nursing : JRN
ISSN: 1744-988X
Titre abrégé: J Res Nurs
Pays: England
ID NLM: 101234311
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
entrez:
16
8
2021
pubmed:
1
3
2019
medline:
1
3
2019
Statut:
ppublish
Résumé
Clinical decision making is a complex, but important, research area. Decision-making theories have evolved to recognise that, although heuristics and biases can lead to error, expert clinician decision makers can also use intuition to good effect. More research is needed to understand how nurses and other clinicians make sense of complexity and uncertainty. This paper discusses the utility of interpretative phenomenological analysis to elucidate clinical decision making, expertise and intuition. A narrative review of published interpretative phenomenological analysis studies exploring clinical decision-making, and discussion of an exemplar study. A limited number of interpretative phenomenological analysis studies have been published in this area. By seeking out descriptions of real-world decision making, interpretative phenomenological analysis research provides ecologically valid insights into what it is like to make time-critical, high-stakes decisions with limited information. Contributing to the study of complex clinical decision making in combination with other research approaches, interpretative phenomenological analysis research has significant unrealised potential to inform education, assessment and support interventions and the development of clinical guidelines. Future applications could enhance understanding of multi-disciplinary decision-making and the development of expertise and intuition, over time.
Sections du résumé
BACKGROUND
BACKGROUND
Clinical decision making is a complex, but important, research area. Decision-making theories have evolved to recognise that, although heuristics and biases can lead to error, expert clinician decision makers can also use intuition to good effect. More research is needed to understand how nurses and other clinicians make sense of complexity and uncertainty.
AIM
OBJECTIVE
This paper discusses the utility of interpretative phenomenological analysis to elucidate clinical decision making, expertise and intuition.
METHODS
METHODS
A narrative review of published interpretative phenomenological analysis studies exploring clinical decision-making, and discussion of an exemplar study.
RESULTS
RESULTS
A limited number of interpretative phenomenological analysis studies have been published in this area. By seeking out descriptions of real-world decision making, interpretative phenomenological analysis research provides ecologically valid insights into what it is like to make time-critical, high-stakes decisions with limited information.
CONCLUSION
CONCLUSIONS
Contributing to the study of complex clinical decision making in combination with other research approaches, interpretative phenomenological analysis research has significant unrealised potential to inform education, assessment and support interventions and the development of clinical guidelines. Future applications could enhance understanding of multi-disciplinary decision-making and the development of expertise and intuition, over time.
Identifiants
pubmed: 34394511
doi: 10.1177/1744987118809528
pii: 10.1177_1744987118809528
pmc: PMC7932448
doi:
Types de publication
Journal Article
Langues
eng
Pagination
88-101Informations de copyright
© The Author(s) 2019.
Déclaration de conflit d'intérêts
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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