Literature DB >> 20184496

The 'sense of alarm' ('gut feeling') in clinical practice. A survey among European general practitioners on recognition and expression.

Erik Stolper1, Paul van Royen, Geert Jan Dinant.   

Abstract

OBJECTIVE: Most general practitioners in the Netherlands and Flanders (Belgium) are familiar with that special feeling during certain consultations: 'There's something wrong here, though I have no specific indications yet'. This 'sense of alarm' alerts the doctor, activates the diagnostic process and induces him to initiate specific management to prevent serious health problems. We wanted to know whether this sense of alarm is a typical phenomenon among Dutch-speaking GPs or is also recognized by GPs elsewhere in Europe.
METHODS: A short questionnaire survey was held among 128 GPs in 28 countries included in the European General Practitioners Research Network (EGPRN). GPs were asked if they recognized our description of the 'sense of alarm' and if they used a typical phrase in their language to express this uneasy feeling.
RESULTS: We received 30 replies from GPs in 16 European countries, plus Israel and South-Africa. They all recognized our description and 25 GPs reported typical expressions in their own language. The GPs' uneasy feeling was sometimes perceived as a bodily sensation.
CONCLUSION: The 'sense of alarm' is a familiar phenomenon in general practices in Europe. We propose to use the English phrase 'gut feelings' in further research reports.

Mesh:

Year:  2010        PMID: 20184496     DOI: 10.3109/13814781003653424

Source DB:  PubMed          Journal:  Eur J Gen Pract        ISSN: 1381-4788            Impact factor:   1.904


  17 in total

1.  Dealing with low-incidence serious diseases in general practice.

Authors:  Frank Buntinx; David Mant; Ann Van den Bruel; Norbert Donner-Banzhof; Geert-Jan Dinant
Journal:  Br J Gen Pract       Date:  2011-01       Impact factor: 5.386

2.  Assessing the appropriateness of information on childhood fever in thermometer package leaflets: a systematic audit of thermometers available in the UK.

Authors:  Jose Hernandez; Brian D Nicholson; Matthew Thompson
Journal:  Br J Gen Pract       Date:  2015-06       Impact factor: 5.386

3.  Antibiotic prescribing for acute respiratory tract infections in primary care: an updated and expanded meta-ethnography.

Authors:  Evi Germeni; Julia Frost; Ruth Garside; Morwenna Rogers; Jose M Valderas; Nicky Britten
Journal:  Br J Gen Pract       Date:  2018-06-18       Impact factor: 5.386

Review 4.  Solving the Diagnostic Challenge: A Patient-Centered Approach.

Authors:  Norbert Donner-Banzhoff
Journal:  Ann Fam Med       Date:  2018-07       Impact factor: 5.166

5.  Nursing Home Clinicians' Decision to Prescribe Antibiotics for a Suspected Urinary Tract Infection: Findings From a Discrete Choice Experiment.

Authors:  Christine E Kistler; Anna S Beeber; Sheryl Zimmerman; Kimberly Ward; Claire E Farel; Keith Chrzan; Christopher J Wretman; Marcella H Boynton; Michael Pignone; Philip D Sloane
Journal:  J Am Med Dir Assoc       Date:  2020-01-20       Impact factor: 4.669

6.  The Danish cancer pathway for patients with serious non-specific symptoms and signs of cancer-a cross-sectional study of patient characteristics and cancer probability.

Authors:  Mads Lind Ingeman; Morten Bondo Christensen; Flemming Bro; Søren T Knudsen; Peter Vedsted
Journal:  BMC Cancer       Date:  2015-05-20       Impact factor: 4.430

7.  How do gut feelings feature in tutorial dialogues on diagnostic reasoning in GP traineeship?

Authors:  C F Stolper; M W J Van de Wiel; R H M Hendriks; P Van Royen; M A Van Bokhoven; T Van der Weijden; G J Dinant
Journal:  Adv Health Sci Educ Theory Pract       Date:  2014-09-04       Impact factor: 3.853

8.  Clinicians' gut feeling about serious infections in children: observational study.

Authors:  Ann Van den Bruel; Matthew Thompson; Frank Buntinx; David Mant
Journal:  BMJ       Date:  2012-09-25

9.  Determinants of general practitioner's cancer-related gut feelings-a prospective cohort study.

Authors:  Gé A Donker; Eva Wiersma; Lucas van der Hoek; Marianne Heins
Journal:  BMJ Open       Date:  2016-09-13       Impact factor: 2.692

10.  Gut feelings in the diagnostic process of Spanish GPs: a focus group study.

Authors:  Bernardino Oliva; Sebastià March; Cristina Gadea; Erik Stolper; Magdalena Esteva
Journal:  BMJ Open       Date:  2016-12-09       Impact factor: 2.692

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.