ArticleBMC family practice2013
Family physicians' diagnostic gut feelings are measurable: construct validation of a questionnaire.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gut feeling for the diagnosis of cancer in general practice: a diagnostic accuracy review.BMJ open · 2023Pooled it
- Tailoring treatment: dog breed status influences pain assessment and treatment in emergency veterinary care.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Unclear Trajectory and Uncertain Benefit: Creating a Lexicon for Clinical Uncertainty in Patients with Critical or Advanced Illness Using a Delphi Consensus Process.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- The linguistic validation of the gut feelings questionnaire in Turkish.The European journal of general practice · 2023Article
- How patients in general practice voice and value their gut feelings about health: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Article
- Prospective Observational Study on the Prevalence and Diagnostic Value of General Practitioners' Gut Feelings for Cancer and Serious Diseases.Journal of general internal medicine · 2022Observational
- Integrating Clinical Signs at Presentation and Clinician's Non-analytical Reasoning in Prediction Models for Serious Bacterial Infection in Febrile Children Presenting to Emergency Department.Frontiers in pediatrics · 2022Article
- Vital signs, clinical rules, and gut feeling: an observational study among patients with fever.BJGP open · 2021Article
- Navigating complexity of child abuse through intuition and evidence-based guidelines: a mix-methods study among child and youth healthcare practitioners.BMC family practice · 2020Article
- Observational
- Observational
- Value of parental concern and clinician's gut feeling in recognition of serious bacterial infections: a prospective observational study.BMC pediatrics · 2019Observational
- Cross-cultural translation and validation of the 'gut feelings' questionnaire into Spanish and Catalan.The European journal of general practice · 2019Article
- Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries.BMJ open · 2018Article
- Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners.BMJ open · 2018Article
- The linguistic validation of the gut feelings questionnaire in three European languages.BMC family practice · 2017Article
- Article
- Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Observational
Corrections and comments
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFamily physicians perceive that gut feelings, i.e. a 'sense of reassurance' or a 'sense of alarm', play a substantial role in diagnostic reasoning. A measuring instrument is desirable for further research. Our objective is to validate a questionnaire measuring the presence of gut feelings in diagnostic reasoning.
methodsWe constructed 16 case vignettes from real practice situations and used the accompanying 'sense of reassurance' or the 'sense of alarm' as reference labels. Based on the results of an initial study (26 family physicians), we divided the case vignettes into a group involving a clear role for the sense of reassurance or the sense of alarm and a group involving an ambiguous role. 49 experienced family physicians evaluated each 10 vignettes using the questionnaire. Construct validity was assessed by testing hypotheses and an internal consistency procedure was performed.
resultsAs hypothesized we found that the correlations between the reference labels and corresponding items were high for the clear-case vignettes (0.59 - 0.72) and low for the ambiguous-case vignettes (0.08 - 0.23). The agreement between the classification in clear sense of reassurance, clear sense of alarm and ambiguous case vignettes as derived from the initial study and the study population's judgments was substantial (Kappa = 0.62). Factor analysis showed one factor with opposites for sense of reassurance and sense of alarm items. The questionnaire's internal consistency was high (0.91). We provided a linguistic validated English-language text of the questionnaire.
conclusionsThe questionnaire appears to be valid. It enables quantitative research into the role of gut feelings and their diagnostic value in family physicians' diagnostic reasoning.
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