A prescriptive model approach in decision making could help achieve better diagnostic accuracy in clinical practice through methods that are less reliant on probabilistic assessments. Various prescriptive measures aimed at regulating factors that influence heuristics and clinical reasoning could support clinical decision-making process. Clinicians could avoid time-consuming decision-making methods that require probabilistic calculations. Intuitively, they could rely on heuristics to obtain an accurate diagnosis in a given clinical setting. An extensive literature review of cognitive psychology and medical decision-making theory was performed to illustrate how heuristics could be effectively utilized in daily practice. Since physicians often rely on heuristics in realistic situations, probabilistic estimation might not be a useful tool in everyday clinical practice. Improvements in the descriptive model of decision making (heuristics) may allow for greater diagnostic accuracy.
Clinical Decision-Making ; Decision Making ; Diagnosis ; Heuristics ; Problem Solving ; Psychology ; Thinking*

PURPOSE: The present study was designed to understand the conceptual definition and attributes of the clinical critical thinking ability(CCTA) in nursing and to grasp the characteristics of clinical critical thinking abilities. METHODS: The data were analyzed using the Hybrid model of Schwartz-Barcott and Kim(2000). RESULTS: Having the skills and dispositions to think critically, CCTA refers to something that implies the cognizant ability to interpret contextual meanings, analyze the relationships between materials or circumstances, draw out the best conclusions, predict things using relevant information and evaluate the reliability of information and the strength of inference on the one hand and the emphatic disposition to be curious, open-minded, intellectually integral, systematic and creative and to reflect on things in contextual terms on the other. CONCLUSION: CCTA is characterized by clinical circumstances, such as guessing the reasons for facts, predicting things, connecting theory to practice and approaching individual situation in total terms as well as by the Korean circumstances, such as taking another person's perspective. Hence, this study proposes developing the tools to measure the clinical critical thinking ability and the strategies to improve the clinical critical thinking ability and seeking to verify their validity, on the basis of the findings.
Chimera ; Clinical Competence ; Concept Formation ; Hand ; Hand Strength ; Problem Solving ; Thinking

PURPOSE: The purpose of this study was to identify the images of men as nurses held by high school boys, and to provide basic data about the desirability of nursing as a career choice for them. METHODS: Q-methodology which provides a method of analyzing the subjectivity of each item was used: The 35 high school boys classified 31 selected Q-statements into a normal distribution using a 9-point scale. The collected data was analyzed by the pc-QUNAL program. RESULTS: Among the high school boys, three types of images of men as nurses were identified. Type I; A promising occupation for men through active way of thinking, Type II; Men working in a woman oriented field of work, Type III; A promising profession without any gender stereotype. CONCLUSION: The results of this study suggest that specific strategies should be developed to promote the choice of nursing among high school boys.
Career Choice ; Female ; Humans ; Male ; Occupations ; Thinking

PURPOSE: This article is a comprehensive review for concept clarification of critical thinking, clinical reasoning, and clinical judgment, which still lack a consensus and are of mixed use. METHODS: Norris's method of concept clarification was used to review concepts that have no clear definition or conceptualization yet. RESULTS: This review summarized literature from various disciplines, classified each concept based on similarities and differences, and provided hypothetic conceptual schema. CONCLUSION: Clinical reasoning and clinical judgment are clinical situation specific concepts, while critical thinking is a concept applied in general situations. Critical thinking is a broader concept and serves as a foundation for clinical reasoning and clinical judgment. Clinical reasoning precedes clinical judgment. Clinical judgement implies the end point or conclusion of clinical reasoning. Each of critical thinking, clinical reasoning, and clinical judgment is a cognitive and affective process not a psychomotor process. The concept of clinical competency involves action taken after the cognitive processes of clinical reasoning and clinical judgment.
Clinical Competence ; Consensus ; Education, Nursing ; Judgment ; Methods ; Nursing ; Thinking

In order to evaluate whether Wisconsin Card Sorting Test(WCST) could be used to detect the vulnerability markers of schizophrenia, three groups such as offsprings of schizophrenic patients(n=28), offsprings of alcoholic patients(n=18), and offsprings of psychiatrically normal persons(n=41) were examined for their concept formation and abstract thinking by means of WCST.The results were as follows; 1) No significant differences were noted in all variables of the WCST such as number of totol administered trials, total correct response %,total error response $,perseverative response %,perseverative error response %,nonperseverative error response %,conceptual level response %,number of completed category,number of trials to complete 1st category,number of failure to maintain a set,and learning to learn among three groups. 2) There was no difference in the number of cases with extreme low WCST total correct % of lower 10% of the normal controls among three groups. These results suggest that Wcst could be an ineffective instrument for using to detect the vulnerability markers of schizophrenia.
Alcoholics ; Concept Formation ; Humans ; Learning ; Schizophrenia ; Thinking ; Wisconsin*

The purpose of this study was to improve work performance conducted at an actual clinical site by determining the relationship among critical thinking disposition, problem solving ability, and work performance. In this study, 335 dental hygienists completed self-administered survey. Final analysis was conducted with a total of 331 responses, excluding 4 questionnaire with unreliable responses and non-responses. The results indicated that as the age, educational background, and work experience of the subjects increased, their critical thinking disposition and problem solving ability scores increased and were statistically significant. For work performance, average total score was high for age, educational background and work experience, but only age and work experience were statistically significant. Critical thinking disposition, problem solving ability and work performance of the subject were relevant, and all of them were significant. Work performance was also influenced indirectly by mediating problem solving ability in critical thinking disposition. In other words, both direct and indirect effects were significant, and the existence of partial moderating effect was verified. Thus, in order to improve work performance of dental hygienists, a multilevel educational process that can simultaneously improve critical thinking disposition and problem solving ability of dental hygienists needs to be developed. Therefore, it is expected that the new dental hygiene company will be able to perform without any sense of disparity in the clinical field; this will solve the gap between dental hygiene education and practical skills.
Dental Hygienists* ; Education ; Humans ; Negotiating ; Oral Hygiene ; Problem Solving* ; Thinking* ; Work Performance*

No abstract available.
Thinking*

No abstract available.
Thinking*

OBJECTIVE: We attempted to investigate the relation between naturally occurring hypnotic experiences and hypnotizability. We examined the correlations among hypnotic induction profile scores, natural hypnotic scores, induction scores and MBTI personality types. METHODS: Sixty-three medical students completed NHQ(natural hypnotic questionnaire) developed from a list of naturally occurring hypnotic-like experiences and MBTI(Myers-Briggs Type Inventory), HIF(Hypnotic Induction Profile) was also administered to all the subjects. HIF score and IND(induction score) were obtained. RESULTS: 1) The NHS(natural hypnotic score) was significantly correlated with IND in all the subjects. The IND also showed significant correlation with HIF score. 2) There was no significant correlation between NHS and HIP scores. 3) HIF scores were positively correlated with induction scores in all types of MBTI. 4) Natural hypnotic scores were positively correlated with HIF scores and induction scores in introvert and thinking types. 5) There were positive correlations between natural hypnotic scores and induction scores in intuition and judgment types. CONCLUSION: The natural hypnotic scores were correlated with induction scores. It is suggested that the more the naturally-occurring hypnotic experience is experienced, the better the hypnotic induction is induced In introvert and thinking types of MBTI personality types.
Hip ; Humans ; Intuition ; Judgment ; Students, Medical* ; Thinking

Clinical reasoning is considered a crucial concept in reaching medical decisions. This paper reviews the reasoning processes involved in clinical reasoning from the perspective of cognitive psychology. To properly use clinical reasoning, one requires not only domain knowledge but also structural knowledge, such as critical thinking skills. In this paper, two types of reasoning process required for critical thinking are discussed: inductive and deductive. Inductive and deductive reasoning processes have different features and are generally appropriate for different types of tasks. Numerous studies have suggested that experts tend to use inductive reasoning while novices tend to use deductive reasoning. However, even experts sometimes use deductive reasoning when facing challenging and unfamiliar problems. In clinical reasoning, expert physicians generally use inductive reasoning with a holistic viewpoint based on a full understanding of content knowledge in most cases. Such a problem-solving process appears as a type of recognition-primed decision making only in experienced physicians' clinical reasoning. However, they also use deductive reasoning when distinct patterns of illness are not recognized. Therefore, medical schools should pursue problem-based learning by providing students with various opportunities to develop the critical thinking skills required for problem solving in a holistic manner.
Decision Making ; Humans ; Problem Solving ; Problem-Based Learning ; Psychology ; Schools, Medical ; Thinking