Intuitive Decision Research Articles

Relationship Between Clinical Decision-Making and Moral Distress in Neonatal Intensive Care Unit Nurses: A Multicenter Cross-Sectional Correlational Descriptive Study.

In the neonatal intensive care unit (NICU), nurses care for premature and critically ill neonates, interact with parents, and make clinical decisions regarding the treatment of neonates in life-threatening conditions. The challenges of managing unstable conditions and resuscitation decisions can cause moral distress in nurses. This study aims to determine the relationship between clinical decision-making and moral distress in NICU nurses. This cross-sectional, multicenter, descriptive correlational study involved 190 nurses working in 7 NICUs across hospitals in Khorramabad and Semnan in 2023. Data were collected using demographic questionnaires, the Clinical Decision-Making Laurie Scale (2001), and the Moral Distress Scale-Revised (MDS-R). All nurses in these NICUs were female. No significant correlation was found between clinical decision-making and moral distress (r=-0.03, P =.684). The moral distress score was low. In decision-making, 57.9% of nurses exhibited intuitive analysis (understanding without a rationale). Multiple linear regression analysis revealed that age, education level, and job position were significantly related to clinical decision-making; and being married and having children were inversely correlated with moral distress. 20% of nurses exhibited interpretive intuitive clinical decision-making, which involves care complexities, cognitive understanding, and task-based decisions. Nursing managers should focus on refining these decision-making strategies for NICU nurses. Given the importance of clinical decision-making in the NICU, future research should use quantitative and qualitative methods to explore the decision-making processes and moral distress in NICU nurses.

A Self-Regulatory Model of Entrepreneurs’ Variability in Decision-Making and Taking Charge Behavior

I introduce variability in decision-making (VDM) as a construct that covers the extent to which entrepreneurs switch between analytic and intuitive decision-making over time. Drawing from self-regulation theories, I developed a model that explains how VDM is negatively related to taking charge behavior (TCB) and is driven by entrepreneurs’ regulatory focus strategies. This model is tested using a dataset covering 438 daily observations from 53 entrepreneurs and matched data from non-entrepreneurs. The results show that VDM leads to decreased TCB via decreased self-efficacy and optimism. Prevention but not promotion focus predicted VDM. These associations emerged for entrepreneurs but not for non-entrepreneurs.

Healing Through Purpose: Using Founder Mode Entrepreneurial Experience (FMEE) as Exposure Therapy for Moral Scrupulosity OCD with a Transpersonal Psychology Perspective

The paper introduces the "Founder Mode Entrepreneurial Experience" (FMEE), a novel therapeutic framework rooted in transpersonal psychology that reimagines entrepreneurial engagement as exposure therapy for individuals with Moral Scrupulosity Obsessive-Compulsive Disorder (OCD). FMEE emphasizes confronting ethical dilemmas, embracing imperfection, and navigating moral ambiguities through mission-driven entrepreneurial activities. This approach not only facilitates desensitization to scrupulosity-related triggers but also fosters resilience, self-efficacy, and a purpose-driven mindset. Integrating transpersonal practices such as mindfulness, altruism, and intuitive decision-making, FMEE bridges personal healing with meaningful social impact. The manuscript underscores FMEE's transformative potential as a practical and spiritually grounded intervention for reducing moral rigidity and fostering holistic well-being. Implications for OCD therapy, transpersonal psychology, and social entrepreneurship are discussed, along with future research directions at the intersection of psychology and mission-driven innovation.

Rational and Intuitive Decision-making Styles, Critical Thinking Dispositions and Associated Factors of Nurses

Rational and Intuitive Decision-making Styles, Critical Thinking Dispositions and Associated Factors of Nurses

Competencies of Social Workers at the Sentra Terpadu Pangudi Luhur Bekasi Following the Multi-Service System Transformation

The transformation of social service centers into integrated service centers within the Ministry of Social Affairs of the Republic of Indonesia has brought significant changes to the management and practice of social services. This transformation demands that social workers adapt from providing specific services to multi-service approaches for various beneficiary groups. The policy aims to optimize the function of Technical Implementation Units (UPT) as extensions of the Ministry of Social Affairs in regional areas. This study focuses on the Sentra Terpadu Pangudi Luhur in Bekasi, one of the largest centers in Indonesia, to explore the competencies of social workers in addressing these challenges. Using a qualitative approach, data were collected through interviews and observations involving social workers and the center's management. The results indicate that several dimensions of social worker competencies at the Sentra Terpadu Pangudi Luhur Bekasi do not fully meet the standards set out in Ministerial Regulation No. 12 of 2017 on Social Worker Competency Standards. These underdeveloped competency dimensions include Knowledge, General Skills, Specialized Skills, and Attitude. Social workers without an educational background in social welfare/social work tend to rely on practical experience, while those with such an educational background are more capable of integrating theory into practice. The study identifies competency gaps affecting service quality, with social workers from non-social work backgrounds often making intuitive decisions. Furthermore, challenges in the "inpassing" process highlight the need for a deeper understanding of the diverse needs of beneficiaries. These findings highlight the importance of continuous competency development and adaptive education for social workers to meet the increasingly complex demands of services and to respond effectively to the needs of society.

Paramedic perceptions of decision-making when managing mental health-related presentations: a qualitative study.

Mental health presentations account for a considerable proportion of paramedic workload; however, the decision-making involved in managing these cases is poorly understood. This study aimed to explore how paramedics perceive their clinical decision-making when managing mental health presentations. A qualitative descriptive study design was employed. Overall, 73 paramedics participated in semi structured interviews, and data were analyzed from transcribed interviews in NVivo. Four themes emerged that reflected participants' perceptions: the assessment process, experience, the use of documents and standard procedures, and consultation with other healthcare providers. There were conflicting perceptions about the clinical decision-making process, with perception of role having a potential impact. The dual process theory of clinical decision-making, which includes both analytical and intuitive approaches, was evident in the decision-making process. Incorporating dual process theory into education and training, which highlights the strengths and weaknesses of analytical and intuitive decision-making, may reduce clinical errors made by cognitive bias. To further support clinical decision-making, additional education and training are warranted to promote critical thinking and clarify the scope of practice and roles when attending to mental health-related presentations.

The role of deliberation in intuitive decision-making in sports

ABSTRACT In sports, athletes are frequently challenged to make decisions under time constraints. The ability of skilled athletes to make successful and seemingly effortless decisions in these situations is often referred to as intuition. However, how athletes develop intuition remains to be elucidated. A key issue highly debated between proponents of opposing theoretical views is whether the development of intuitive decision-making benefits from the involvement of deliberate cognitive processes (explicit vs. implicit). In this perspective paper, we critically assess theoretical arguments and empirical evidence for these contradictory views. Moreover, by delving into cognitive psychological assumptions rooted in dual-process theory, we elucidate the proposed processes underlying the development of intuitive decision-making. While the use of implicit approaches seems to be increasingly questioned in this domain, a promising recent theoretical proposal argues that intuition is formed through repeated practice of deliberative processes. We argue in favor of this approach and present suggestions for empirical research to test the proposal for the development of intuitive decision-making in sport. Finally, we illustrate suggestions for future research and critically discuss the potential and limitations of such an approach.

The effect of physiological activation on intuitive decision-making performance in basketball players at various level of athleticism

ABSTRACT This study seeks to explore the effects of physiological activation intensity on basketball intuitive decision-making performance at various levels of athleticism by means of image framing method. A total of 68 subjects were recruited and categorised into an expert group and a novice group. An active intervention on the physiological activation intensity when engaging in intuitive decision-making was performed by means of a visual information stimulus for two groups of subjects. Moreover, the accuracy (ACC) and reaction time (RT) of intuitive decision-making were tested under various conditions of physiological activation intensity and different groups. Analysis of reaction time (RT) as the dependent variable revealed that physiological activation intensity significantly affected RT, which decreased with increasing physiological activation intensity. When analyzing accuracy (ACC) as the dependent variable, a significant interaction effect with the level of athleticism was identified. In the expert group, ACC at high physiological activation intensity was significantly higher than at low physiological activation intensity. Conversely, the novice group showed no significant difference in ACC between high and low physiological activation intensities. Additionally, across both low and high physiological activation intensities, the expert group's ACC was significantly higher than that of the novice group. The intensity of physiological activation has a significant impact on the intuitive decision-making ability of basketball players, and psychological skill training should be integrated into daily training to assist basketball players in better understanding their physiological activation levels.

Go with your gut! The beneficial mood effects of intuitive decisions.

People make countless decisions every day. We explored the self-regulatory function of decisions and assumed that the very act of making a decision in everyday life enhances people's mood. We expected that this decision-related mood change would be more pronounced for intuitive decisions than for analytical ones. The ease of making a decision and the feeling of rightness were expected to mediate the effect of intuitive (vs. analytical) decisions on participants' mood. In a preregistered experimental experience sampling study, participants from the general population were asked to report when they were about to make an everyday decision over the course of 14 days (N = 256 participants, 6,779 decisions). For each decision, participants were randomly instructed to decide either based on their intuition or based on careful analysis. We assessed several variables before and immediately after the decision. Participants also reported retrospectively on their choices in voluntary follow-up assessments. Making a decision per se immediately enhanced participants' mood. This mood enhancement was stronger for intuitive compared to analytic decisions and persisted until follow-up. Ease of decision, but not feeling of rightness, mediated this effect. Intuitive decisions compared to analytic decisions were more likely to be implemented and led to greater satisfaction and pleasantness of the chosen option. Having more options for a particular decision led to generally higher mood improvement and satisfaction. This is the first empirical demonstration showing that using one's gut has beneficial effects in everyday life. Study limitations and implications for theory and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Cognitive Reflection Test and Investment Decision

The Cognitive Reflection Test (CRT), a measure of cognitive reflection, assesses people's capacity and, accordingly, investors' ability to override immediate, reflexive responses in favour of rational answers and decisions. The test is significant in behavioural finance as its questions reveal biases and heuristics, which affect rational investment decisions and choices. The present research employs a sample of Accounting and Finance students, who represent potential future investors and participants in financial markets, to examine the extent to which the respondents engage in rational thinking when answering the test questions. CRT approach aims to evaluate their ability to avoid impulsive actions and rely less on intuitive decision-making (System 1).

Thermal optimization of alloy additive manufacturing process and visual design of metal process products based on edge computing

Alloy additive manufacturing technology has been widely used in aerospace, medical equipment and automobile manufacturing. The purpose of this study is to explore the thermal energy optimization scheme in the process of alloy additive manufacturing based on edge computing technology, and to display the metal process products in an all-round way through visual design, so as to promote the knowledge and practice of thermal energy management in the industry. In this paper, the edge computing platform is used to monitor the heat energy data generated in additive manufacturing process in real time, and the heat energy distribution is analyzed with machine learning algorithm. By establishing thermal energy optimization model, adjusting manufacturing parameters to reduce energy consumption, improve material utilization and product quality. At the same time, using visual design technology, the optimization process and results are graphically represented, which provides intuitive decision basis for engineers. The experimental results show that the thermal energy optimization scheme based on edge computing significantly improves the thermal energy efficiency of the alloy additive manufacturing process, and significantly reduces the thermal energy loss. Through the visual design, relevant personnel can understand the thermal energy distribution and process changes more clearly, and promote the collaboration between multiple departments. This study reveals the application potential of edge computing in alloy additive manufacturing and provides an effective thermal optimization strategy.

GastricAITool: A Clinical Decision Support Tool for the Diagnosis and Prognosis of Gastric Cancer.

Gastric cancer (GC) is a complex disease representing a significant global health concern. Advanced tools for the early diagnosis and prediction of adverse outcomes are crucial. In this context, artificial intelligence (AI) plays a fundamental role. The aim of this work was to develop a diagnostic and prognostic tool for GC, providing support to clinicians in critical decision-making and enabling personalised strategies. Different machine learning and deep learning techniques were explored to build diagnostic and prognostic models, ensuring model interpretability and transparency through explainable AI methods. These models were developed and cross-validated using data from 590 Spanish Caucasian patients with primary GC and 633 cancer-free individuals. Up to 261 variables were analysed, including demographic, environmental, clinical, tumoral, and genetic data. Variables such as Helicobacter pylori infection, tobacco use, family history of GC, TNM staging, metastasis, tumour location, treatment received, gender, age, and genetic factors (single nucleotide polymorphisms) were selected as inputs due to their association with the risk and progression of the disease. The XGBoost algorithm (version 1.7.4) achieved the best performance for diagnosis, with an AUC value of 0.68 using 5-fold cross-validation. As for prognosis, the Random Survival Forest algorithm achieved a C-index of 0.77. Of interest, the incorporation of genetic data into the clinical-demographics models significantly increased discriminatory ability in both diagnostic and prognostic models. This article presents GastricAITool, a simple and intuitive decision support tool for the diagnosis and prognosis of GC.

Security awareness, decision style, knowledge, and phishing email detection: Moderated mediation analyses

This study examines whether the negative relationship between email information security awareness and phishing email susceptibility is mediated by less intuitive decision-making when assessing emails, and whether this relationship is moderated by phishing email knowledge. Participants (N = 291) completed an online email sorting task, a measure of email use information security awareness, a measure of preference for intuitive decision-making with emails, and a measure of phishing email knowledge. Moderated mediation analyses indicated that information security awareness predicted positive behavioural intentions directly and indirectly through lower preference for intuitive decision-making, and these relationships were stronger when phishing email knowledge was lower. Further, both the direct and indirect relationships between information security awareness and sensitivity through intuitive decision styles were moderated by phishing email knowledge, with information security awareness positively predicting ability to discriminate phishing from genuine emails when phishing knowledge was average or high but not low. These findings suggest that in the absence of phishing knowledge, information security awareness and less intuitive decision styles reduce susceptibility to phishing attacks through increased caution. Further, the findings provide strong support for the proposition that some level of phishing knowledge is required before email security behaviours and decision-making processes aid in the detection of phishing emails. From an applied perspective, the outcomes suggest that focusing on a combination of awareness, knowledge, and decision-making processes could increase the effectiveness of anti-phishing and cybersecurity training programs.

Voices of experience: what Dutch parents teach us about values and intuition in periviable decisions

ObjectiveWhen extremely premature birth at the limits of viability is imminent, shared decision-making with parents regarding the infant’s treatment is widely recommended. Aligning decisions with parental values can be challenging....

The role of Nutri-Score and NutrInform Battery in guiding the food choices of consumers with specific nutritional needs: A controlled study

Background and aimsThere is a significant knowledge gap regarding the effectiveness of front-of-pack labeling (FoPL) systems in helping food choices that meet specific nutritional requirements. This study sought to compare the effectiveness of the Nutri-Score (NS) and NutrInform Battery (NIB) labels in assisting consumers to select food products with low sodium or low saturated fat. Methods and resultsUtilizing a controlled experimental design, a sample of 1512 participants (aged 18–70, 50.8% females) was exposed to scenarios through computer-assisted web interviewing, where they selected food products suitable for people with suboptimal blood pressure or plasma cholesterol levels, labeled with either NS, NIB, or no label (blind). The NIB proved significantly more efficacious than NS in guiding participants towards making selections in better agreement with nutritional needs, for blood pressure or cholesterol control. Furthermore, the NIB was generally viewed more favorably, with participants rating it as more trustworthy, informative, and useful for the required task. Notably, younger participants, those with higher nutritional knowledge, and those less inclined towards intuitive or spontaneous decision-making demonstrated a greater propensity for making health-congruent food choices when using the NIB. ConclusionThe findings suggest that the informative FoPL system, NIB, may offer greater advantages in addressing specific dietary requirements. This underscores the important role of FoPL systems in promoting public health and meeting diverse and specific consumer needs. Further research is needed to confirm these results in broader contexts and for additional health conditions.

Faster, more accurate, more confident? An exploratory experiment on soccer referees' yellow card decision-making.

This study aimed to examine how soccer referees make decisions about issuing yellow cards for fouls. The research involved 60 male participants, divided into expert (n=30) and novice (n=30) groups based on their experience and qualifications as referees. They took part in a 2×2×2 mixed-design experiment. The study looked at Decision-Making Style (DMS: Analytical Decision-Making [ADM] vs. Intuitive Decision-Making [IDM]), Video Type (yellow card foul vs. non-yellow card foul), and Referee Level (expert vs. novice) as independent variables. The dependent variables were accuracy rate (ACC), discrimination index (D), self-confidence index (C), and overconfidence index (OC). The findings showed that Analytical Decision-Making (ADM) led to higher accuracy compared to Intuitive Decision-Making (IDM). Expert referees demonstrated better accuracy than novice referees. There was also an interaction between Decision-Making Style and Referee Level, showing differences in the effectiveness of ADM and IDM between expert and novice referees. Additionally, the study revealed that both expert and novice referees showed overconfidence, with experts demonstrating significantly higher overconfidence, particularly during IDM. In conclusion, the research highlighted the complexity of referees' decision-making in high-pressure situations and emphasized the potential benefits of employing Analytical Decision-Making strategies. The study contributed to understanding cognitive biases in sports officiating and suggested the need for targeted training programs to help referees improve their performance and reduce overconfidence in challenging situations.

Enhancing construction organizations’ performance through strategic decision-making: unveiling the mediating role of quality of information

Purpose Formulating strategic decisions poses a significant challenge for construction organizations, profoundly impacting their overarching strategic management. The success of an organization’s strategy relies on how information is managed and decisions are executed. However, the literature has a limited understanding of the connection between information quality and strategic decision-making, particularly in construction business performance. This study aims to bridge this gap by exploring how information quality mediates the relationship between strategic decision-making and the performance of construction businesses in New Zealand. Design/methodology/approach This quantitative study aims to fill this gap by assessing how information quality shapes strategic decision-making practices, impacting construction organizations’ performance. Analysing 102 viable responses through partial least squares structural equation modeling structural equation modelling offers partial support to the research framework. Findings The study used statistical analysis to gauge the impact of adopting strategic management practices on construction business performance, considering the mediation of the quality of information within New Zealand’s context. It affirmed a positive correlation between strategic decision-making management and construction business performance, underpinned by the mediation of quality of information. Practical implications This study underscores the critical role of information quality in evaluating strategic decisions for bolstering construction business performance. In essence, it affirms that enhancing the performance of construction organizations via strategic decision-making is intrinsically linked to the quality of information. Originality/value This study makes a noteworthy contribution by establishing connections between decision importance, process effectiveness, information quality, intuition in decision-making and model development, providing valuable insights to the field.

Think fast and slow in the cognitive process for decision making in medicine

Being a doctor requires making quick and accurate decisions, whether it is diagnosis or therapy, and has implications for patient safety. Several theories have been proposed to explain how clinicians make their reasoning, pointing out differences between skilled and inexperienced clinicians. Our brain has two systems of thought: fast and slow. Fast is associated with intuitive and automatic decisions, requires little energy or attention, allows decisions to be made with little information. Slow cognitive processing involves deeper, more analytical cognitive processing, requires effort, and can be strenuous. Recent research indicates that quick thinking is used in most medical decisions. This form of intuitive thinking is part of the process is very effective, but it is also vulnerable to cognitive errors. The dual theory of reasoning, reflecting the great importance of intuition in most decisions, allows us to better understand how we doctors think in our daily practice. Medical schools should use new didactic spaces in which problem-based learning is greatly facilitated, in subjects such as integrated workshops, medical practice, or integrative sessions, with similar methodology, that provide our students with opportunities to obtain knowledge and critical thinking skills to solve medical problems in a holistic way, in any context, with both systems of thought. More years in the classroom, continuing medical education, certification by advice do not solve the problem, there are those who invoke to eliminate cognitive errors in medical practice, that it must be redesigned and reinvented.

The power of intuition in decision-making under operational stress

The decision-making process represents one of the most interesting subjects in the field of cognitive sciences, as it is a concept that requires a complex multi- and interdisciplinary approach. Modern warfare involves operations in environments characterized by a high degree of uncertainty, presenting multiple challenges, and radical and unexpected changes in the situation, which require a sound knowledge of how human thinking works and how we can develop the cognitive processes involved in formulating a decision. The article proposes a brief analysis of the decision-making process by military leaders in situations that involve significant stressors and demand quick and intuitive decisions. For this purpose, the main theoretical and practical aspects discussed in the specialized literature are presented, with an emphasis on applications in the military field. Additionally, the concept of expert intuition is introduced. Although there have been attempts to study this concept since antiquity, the systematic study of this revolutionary concept began in the middle of the 20th century and continues to arouse lively interest even today, remaining the subject of lively academic disputes.

Semantic versus perceptual priming: dissecting their impact on intuitive judgments of semantic coherence.

This research explores the mechanisms underlying the intuitive processing of semantic coherence, focusing on the effects of semantic and perceptual priming on semantic coherence detection. Two studies examined how these priming types influence individuals' abilities to discern semantic incoherence. In Study 1, we used solutions to semantically coherent triads as primes, finding that such priming significantly improves participants' accuracy and confidence in identifying incoherent elements within word tetrads. These results corroborate the hypothesis that intuitive judgments in linguistic tasks are closely tied to the processing fluency elicited by semantic connections. In Study 2, we show that perceptual priming does not significantly enhance accuracy, albeit it does increase the confidence with which individuals make their judgments. Distinct effects of semantic and perceptual priming on intuitive judgments highlight the complex interplay between processing fluency and affect in shaping intuitive judgments of semantic coherence. We discuss the nuanced roles of semantic and perceptual factors in influencing the accuracy and confidence of intuitive decisions.