Intuition and Care
Shahnaz Anwar
*1
, Ayesha Abdul Razzak
2
1
Midwifery Program Coordinator & Senior Instructor, Aga Khan University School of Nursing and Midwifery, Pakistan
2
Ayesha Memorial Hospital, Pakistan
*
Corresponding author: Shahnaz Anwar, Midwifery Program Coordinator & Senior Instructor, Aga Khan University School of Nursing and Midwifery, Pakistan, Tel:
021349335470; E-mail: shahnaz.shahid@aku.edu
Rec date: Sep 22, 2015, Acc date: Nov 09, 2015, Pub date: Nov 17, 2015
Copyright: © 2015 Shahnaz Anwar, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Intuition is defines as knowledge acquisition often without interpretation or the use of logical reasoning [1]. It is
also termed as gut feeling, sixth sense, clues, experience, rational thinking, autonomous decision making and inner
self. Intuition is a very individualized feeling about a particular person, or a situation; and, as health care providers
being midwives and nurses, we most of the time use intuition to plan interventions. Surprisingly, most of the time we
are correct; one of the reason behind may be years of experience practicing in a similar situation. As midwives and
nurses move along from the novice to expert level, use of intuition builds up from analytical approach to a more of a
deliberative rationalization. Hence, intuition can be learnt and strengthened as an ongoing process.
Keywords: Intuition; Childbirth; Midwife’s Role; Care
What Is Intuition?
Intuition is the ability to acquire knowledge without interpretation
or the use of reason [1]. Many scholars also name it as gut feeling, sixth
sense, clues, experience, rational thinking, autonomous decision
making and inner self. Young in 1987 defnes clinical intuition as a
process in which the health care provider midwife or nurse knows
something about a patient that cannot be verbalized, or verbalized with
difculty as the source of knowledge may not be determined [2].
According to Flora in 2007, intuition is divided in two main types
including:
• Expert Intuition: Tis develops on the basis of having years of
experience. An expert thinks intuitively and knows how to react,
without having an analytical thought in a slightly diferent
situation.
• Entrepreneurial Intuition: Tis is practiced in an entirely new
situation. Our personal years of experience play an important role
to make the right brain search for similar patterns that help to
make decisions intuitively.
Can Midwives Use Intuition While Caring For Women
During Childbirth?
My sister was in labor and I was with her, I had an intuition that she
will have a normal childbirth. My sister’s labor was progressing
gradually and both mother and baby were vitally stable. Finally, the
time came and the baby was delivered normally. Ten, I sat back and
refected that what led me to generate the feeling regarding my sister to
have a normal childbirth. I thought was it my knowledge and skills
only or my experience or intuition? I realized that it was a combination
of knowledge, skills, experience that led me to trust my intuition.
Midwives can confdently her use intuitive skills to promote normality
during childbirth.
While providing maternity care, midwives use intuition as a basis of
authoritative knowledge and skill. Midwives' fnd their inner self
physically, psychologically, emotionally and spiritually closely
connected to the laboring woman and the baby. Terefore, this
connectedness makes intuition more powerful leading to credible
decision making [3]. Benner in 2001 asserts that at an expert level,
health care providers not only rely on systematic situational analysis
but they also incorporate intuitive abilities to identify strategies
required to solve the problem [4]. Tus, when they move from novice
to an expert level, their intuitive capabilities strengthen their
professional role [5]. Nurses also practice in a similar manner while
providing quality care.
Benner's Stages of Clinical Competence [4]
In the acquisition and development of a skill, a health care provider
either a midwife or a nurse pass through the following fve stages;
simultaneously, at every stage intuition is also used.
Stages of Benner Use of Intuition
Novice
Rigid adherence to taught rules
Little situational perception
Analytical approach
Advanced Beginner
Situational perception limited
Pattern recognition and similarity recognition
Anwar et al., J Nurs Care 2015, S1
DOI: 10.4172/2167-1168.S1-002
Mini Review Open Access
J Nurs Care Nursing Knowledge Development and Clinical
Practice
ISSN:2167-1168 JNC, an open access journal
J
o
u
r
n
a
l
o
f
N
u
r
s
i
n
g
&
C
a
r
e
ISSN: 2167-1168
Journal of Nursing and Care