Abstract Objectives: This prospective cohort study aimed to assess the predictive value of the Nurse Intuition Patient Deterioration Scale (NIPDS) combined with the National Early Warning Score (NEWS) for identifying serious adverse events in patients admitted to diverse hospital wards. Research methodology/design: Data was collected between December 2020 and February 2021 in a 350-bed acute hospital near… read more

Abstract Introduction Early warning scores based on vital signs are used in hospitals to estimate patient deterioration and to initiate an adequate and timely response when necessary. These scores show acceptable performance in predicting patient outcomes. However, they tend to generate many false positives leading to an increased workload in clinical practice. Additionally, nurses feel… read more

Abstract Background ‘Gut feelings’ are frequently used by general practitioners in the clinical decision-making process, especially in situations of uncertainty. The Gut Feelings Questionnaire (GFQ) has been developed in the Netherlands and is now available in English, French, German, Polish, Spanish, and Catalan, enabling cross-border studies on the subject. However, a Turkish version of the… read more

The Dutch Journal of Medicine published a word cloud describing the expressions and phrases patients in the Netherlands and Belgium use to voice their gut feelings. See

Abstract Background GPs consider their gut feelings a valuable tool in clinical reasoning. Research suggests patients’ gut feelings may be a useful contribution to that process. Describing these feelings more precisely could improve primary care professionals’ (PCPs) recognition of patients’ gut feelings and insight into the underlying reasons. These descriptions would also enable a thorough examination… read more

Interview with Margje van de Wiel by Ianthe Sahadat The English translation of the Dutch interview by Cis van Heertum was published in the magazine accompanying the exhibition ‘Imagine Intuition’, which was held in museum ‘de Lakenhal’ in Leiden from 14 October 2022 to 15 January 2023. Read the interview in Volkskrant – Intuition in… read more

Abstract General practitioners (GPs) are crucial in detecting and reporting child abuse and neglect. However, GPs tend to underreport their suspicions of child abuse. This qualitative study aimed to examine how GPs detect potential child abuse, how they act upon their suspicions, which barriers they encounter and how the detection and reporting of child abuse… read more

An interview in the Volkskrant with Margje van de Wiel focussed on the cognitive-psychological aspects of gut feelings in general practice. https://www.volkskrant.nl/nieuws-achtergrond/de-huisarts-moet-zijn-nietpluisgevoel-volgen-in-de-medische-wereld-is-intuitie-fundamenteel~be464027/

Abstract Background Family physicians’ diagnostic gut feelings have proved to be valuable. But what about patients’ gut feelings? Research has shown that patients’ gut feelings may contribute to their physicians’ clinical reasoning. Dutch medical tribunals consider patients’ worry useful for doctors’ diagnostic process. However, how general practitioners and other primary care professionals recognize gut feelings… read more