Stoeten, J. (Janieke) (2014) Hoe ervaren ziekenhuisspecialisten het pluis/niet-pluisgevoel? thesis, Medicine.
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Abstract
Much is known about the diagnostic process of physicians. Physicians use analytic processes to come to a diagnosis, but also pattern recognition and intuition. Analytic reasoning can be divided in to two types of interacting processes: type 1 and type 2. Type 1 processes are rapid, automatic and almost completely subconscious. Type 2 processes require significant cognitive effort and are time and resource intensive are mainly conscious. The gut feeling is part of non-analytic reasoning and can be divided in to two types: ‘a sense of alarm’ and ‘a sense of reassurance’. General practitioners recognize this feeling and use is as guiding compass in diagnostic uncertain situations. A sense of alarm means that the general practitioner has an uneasy feeling and is concerned about a possible outcome though there are no objective indications for that feeling; ‘something is wrong’. A sense of reassurance means that a general practitioner feels secure about the further management and course of a patient’s problem, even though he/she may not be certain about the diagnosis; everything fits in. The purpose of this study was to explore the gut feeling for the first time among specialists who work in a hospital. To explore this gut feeling we designed a qualitative study by organizing a focus group composed out of six gatekeeping specialists. The conversation was videotaped and led by an independent moderator without professional medical knowledge. The conversation was transcribed verbatim and analyzed using a grounded theory approach. All present specialists recognized the gut feeling. Some had a positive attitude, others underline the need to find an explanation. Most participants felt that having a gut feeling wasn’t sufficient, they wanted to explain it. Most specialists seemed to accept the gut feeling of the general practitioner. Experience and pattern recognition were considered to be important components to develop and trust a gut feeling.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Brand, Prof Dr P.L.P. |
| Supervisor name: | Stolper, Dr C.F. and Isala, Zwolle |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:05 |
| Last Modified: | 25 Jun 2020 11:05 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2488 |
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