Abstract
This contribution describes an empirical study on the role of emergency physicians’ individual error orientation in the context of intuitive and competent behaviour. It is a special characteristic of the domain of emergency medicine in which physicians have to competently deal with an emergency situation. If they approach an accident, it is usually not possible to oversee the entire situation, nor is it possible to deeply analyse patients’ history. It is instead necessary that physicians cope with an accident intuitively in the sense that they just do the appropriate things without deliberatively reflecting and balancing options. One major advantage of intuitive acting in contrast to the rational consideration of a situation is shaped by the rapidity of intuitive behaviour, which is enabled by the absence of conscious thoughts (Hogarth, Educating Intuition. The University of Chicago Press, Chicago/London, 2001) and an extensive use of implicit knowledge acquired through practical experience (Myers, Intuition. Its powers and perils. Yale University Press, New Haven, 2002; Dreyfus & Dreyfus, Mind over machine. Macmillan, Free Press, New York, 1986). This study explores whether error orientation as individual attitude towards errors influences emergency physicians’ intuitive behaviour and the quality of their casework on simulated emergency situations.
The performance of N = 30 physicians with varying working experience was gathered in a simulation experiment using computer controlled patient mannequins. Stimulated recall interviews revealed the number of decisions during the casework. Error orientation was measured by using the error orientation questionnaire (EOQ). The role of error orientation was investigated on the basis of simple and multiple regression analyses.
The results show that the extent to which the emergency physicians show intuitive and competent behaviour depends on their work experience. These dependencies are influenced significantly through the moderator variable, which is the emotional handling of errors. Emergency physicians with less anxious orientation towards errors are more likely to make intuitive decisions during the medication of an emergency case and to perform better.
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References
Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage Publications.
Baron, R. M., & Kenney, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
Biederman, I., & Shiffar, M. M. (1987). Sexing day-old chicks. Journal of Experimental Psychology. Learning, Memory, and Cognition, 13, 640–645.
Bloom, B. (1954). The thought process of students in discussion. In S. J. French (Ed.), Accent on teaching: Experiments in general education (pp. 23–46). New York: Harper.
Boshuizen, H. P. A., Bromme, R., & Gruber, H. (2004). Professional learning: Gaps and transitions on the way from novice to expert. Dordrecht, the Netherlands: Kluwer Academic Publishing.
Cannon, M. D., & Edmondson, A. C. (2005). Failing to learn and learning to fail (intelligently). How great organisations put failure to work to improve and innovate. Long Range Planning, 38, 299–319.
Chase, W. G., & Simon, H. A. (1973). Perception in chess. Cognitive Psychology, 4, 55–81.
Csikszentmihalyi, M. (1990). Flow. The psychology of optimal experience. New York: Harper and Row.
Dreyfus, H. L. (1997). Intuitive, deliberative, and calculative models of expert performance. In C. E. Zsambok & G. Klein (Eds.), Naturalistic decision making (pp. 17–28). Mahwah, NJ: Lawrence Erlbaum Associates.
Dreyfus, H. L., & Dreyfus, S. E. (1986). Mind over machine. New York: Macmillan, Free Press.
Easen, P., & Wilcockson, J. (1996). Intuition and rational decision-making in professional thinking: A false dichotomy? Journal of Advanced Nursing, 24, 667–673.
Ericsson, K. A. (1985). Memory skill. Canadian Journal of Psychology, 39, 188–231.
Ericsson, K. A. (2006). The influence of experience and deliberate practice on the development of superior expert performance. In K. A. Ericsson, N. Charness, P. J. Feltovich, & R. R. Hofman (Eds.), The Cambridge handbook of expertise and expert performance (pp. 683–703). Cambridge, UK: Cambridge University Press.
Gigerenzer, G. (2007). Gut feelings, the intelligence of the unconscious and the power of intuition. New York: Viking.
Greenhalgh, T. (2002). Intuition and evidence – Uneasy bedfellows? British Journal of General Practice, 52, 395–400.
Gruber, H., & Rehrl, M. (2003). Bedingungen zur Stimulation von Kompetenzentwicklung [Conditions for stimulating competence development]. In Bundesinstitut für Berufsbildung (Ed.), Berufsbildung für eine globale Gesellschaft. Perspektiven im 21. Jahrhundert, Dokumentation 4. BIBB-Fachkongress 2002 (pp. 1–12). Berlin: Bundesinstitut für Berufsbildung.
Gruber, H., & Renkl, A. (2000). Die Kluft zwischen Wissen und Handeln. Das Problem des trägen Wissens [The gap between knowing and acting. The problem of inert knowledge]. In G. H. Neuweg (Ed.), Wissen – Können – Reflexion. Ausgewählte Verhältnisbestimmungen (pp. 155–174). Innsbruck, Austria: Studienverlag.
Harteis, C., Koch, T., & Morgenthaler, B. (2008). How intuition contributes to high performance: An educational perspective. US-China Education Review, 5(1), 68–80.
Hogarth, R. M. (2001). Educating intuition. Chicago/London: The University of Chicago Press.
Keith, N., & Frese, M. (2005). Self-regulation in error management training: Emotion control and metacognition as mediators of performance effects. Journal of Applied Psychology, 90, 677–691.
Kipfmüller, S., Gartmeier, M., Heid, H., & Gruber, H. (2007). Reflection on mistakes in the workplace. Conference paper presented at the annual meeting of the American Educational Research Association (AERA), Chicago, IL.
Klein, G. (2003). Intuition at work. Why developing your gut instincts will make you better at what you do. New York: Doubleday.
Kolodner, J. (1993). Case-based reasoning. San Mateo, CA: Kaufmann.
Mannebach, H. (2001). Reflexionen über den “Guten Arzt” [Reflections on the good physician]. Zeitschrift für Gesundheitswissenschaften, 9(1), 85–94.
McGrath, R. G. (1999). Falling forward: Real options reasoning and entrepreneurial failure. Academy of Management Review, 24(1), 13–30.
Myers, D. G. (2002). Intuition. Its powers and perils. New Haven, CT: Yale University Press.
Oser, F. (1999). Fehlerwelten: vom Fehlermachen und Lernen aus Fehlern [Error-worlds: About making errors and learning from errors]. Leverkusen, Germany: Leske+Budrich.
Patel, V. L., Arocha, J. F., & Kaufman, D. R. (1999). Expertise and tacit knowledge in medicine. In R. J. Sternberg & J. A. Horvath (Eds.), Tacit knowledge in professional practice – Researcher and practitioner perspectives (pp. 75–99). London: Lawrence Erlbaum Associates.
Politis, D., & Gabrielsson, J. (2007). Entrepreneurs’ attitudes towards failure – An experiential learning approach. Frontiers of Entrepreneurship Research 2007. Wellesley, MA: Babson College.
Quirk, M. (2006). Intuition and metacognition in medical education: Keys to developing expertise. New York: Springer.
Rybowiak, V., Garst, H., Frese, M., & Batinic, B. (1999). Error orientation questionnaire (EOQ): Reliability, validity, and different language equivalence. Journal of Organisational Behavior, 20, 527–547.
Sayegh, L., Anthony, W. P., & Perrewé, P. L. (2004). Managerial decision-making under crisis: The role of emotion in an intuitive decision process. Human Resource Management Review, 14(2), 179–199.
Schmidt, H. G., Norman, G. R., & Boshuizen, H. P. A. (1990). A cognitive perspective on medical expertise: Theory and implications. Academic Medicine, 65, 611–621.
Sloman, S. A. (2002). Two systems of reasoning. In T. Gilovich, D. Griffin, & D. Kahneman (Eds.), Heuristics and biases (pp. 379–396). Cambridge, UK: Cambridge University Press.
Urban, D., & Mayerl, J. (2008). Regressionsanalyse: Theorie, Technik und Anwendung [Regression analysis: Theory, technique and application]. Wiesbaden, Germany: Verlag für Sozialwissenschaften.
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Harteis, C., Frost, F. (2012). Error Orientation in the Context of Intuitive and Competent Behaviour: Results of an Exploratory Study in the Domain of Emergency Medicine. In: Bauer, J., Harteis, C. (eds) Human Fallibility. Professional and Practice-based Learning, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3941-5_9
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