Corazonadas en Medicina de Familia (Gut feelings in general practice)
Key points: The characteristics of Primary Health Care make it necessary to know and use the different reasoning and decision-making systems in a dynamic way. Family physicians have two types of gut feelings: alarm and reassurance. Family physicians often have gut feelings in their practice and tend to act accordingly, asking for more tests and information… read more
Paseo por las corazonadas en Medicina de Familia y cáncer: una revisión narrativa. A walk through gut feelings in family medicine and cancer: a narrative review
Abstract The moment when a family physician suspects a possible diagnosis of cancer is one of the most uncertain moments they face on a daily basis with their patients. Among the strategies used to make decisions in this situation are gut feelings. In the form of a narrative review, this paper reviews the published literature… read more
Combining the Nurse Intuition Patient Deterioration Scale with the National Early Warning Score provides more Net Benefit in predicting serious adverse events: A prospective cohort study in medical, surgical, and geriatric wards
Abstract Objectives:Â This prospective cohort study aimed to assess the predictive value of the Nurse Intuition Patient Deterioration Scale (NIPDS) combined with the National Early Warning Score (NEWS) for identifying serious adverse events in patients admitted to diverse hospital wards. Research methodology/design:Â Data was collected between December 2020 and February 2021 in a 350-bed acute hospital near… read more
Predicting patient deterioration by nurse intuition: The development and validation of the nurse intuition patient deterioration scale
Abstract Introduction Early warning scores based on vital signs are used in hospitals to estimate patient deterioration and to initiate an adequate and timely response when necessary. These scores show acceptable performance in predicting patient outcomes. However, they tend to generate many false positives leading to an increased workload in clinical practice. Additionally, nurses feel… read more
The linguistic validation of the gut feelings questionnaire in Turkish
Abstract Background ‘Gut feelings’ are frequently used by general practitioners in the clinical decision-making process, especially in situations of uncertainty. The Gut Feelings Questionnaire (GFQ) has been developed in the Netherlands and is now available in English, French, German, Polish, Spanish, and Catalan, enabling cross-border studies on the subject. However, a Turkish version of the… read more
How do patients voice their gut feelings? A Dutch word cloud.
The Dutch Journal of Medicine published a word cloud describing the expressions and phrases patients in the Netherlands and Belgium use to voice their gut feelings. See
A BJGP podcast about the patients’ gut feelings research
‘In this episode, we talk to Margje van de Wiel from the Department of Work and Social Psychology, at Maastricht University in The Netherlands’. Title of paper: ‘How do patients in general practice voice their gut feelings and value them?’ Please listen to Margje van de Wiel.
How patients in general practice voice and value their gut feelings about health
Abstract Background 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… read more
‘In the medical world, intuition is essential for the diagnostic process’
Interview with Margje van de Wiel by Ianthe Sahadat The English translation of the Dutch interview by Cis van Heertum was published in the magazine accompanying the exhibition ‘Imagine Intuition’, which was held in museum ‘de Lakenhal’ in Leiden from 14 October 2022 to 15 January 2023. Read the interview in Volkskrant – Intuition in… read more
How general practitioners detect, act upon, and report suspicions of child abuse: an inventory of barriers and opportunities for improvement
Abstract General practitioners (GPs) are crucial in detecting and reporting child abuse and neglect. However, GPs tend to underreport their suspicions of child abuse. This qualitative study aimed to examine how GPs detect potential child abuse, how they act upon their suspicions, which barriers they encounter and how the detection and reporting of child abuse… read more