Poster De Conférence Année : 2022
Background: Clinical reasoning, which refers to the application of critical thinking in themedical field, is currently extensively studied in order to find out how to make properdiagnoses. Literature indicates that Intolerance of uncertainty (IU) may have a strong impacton clinical reasoning, and this review aims at summarizing the various consequences of IUon clinical reasoning.Methods: A systematic review was conducted using relevant keywords to search databases(i.e., Google Scholar, Medline, PsycINFO, PBSC) from September to November 2021.Complementary research included relevant articles and articles retrieved through GoogleScholar's alert system.Findings: Our initial search yielded 1853 articles, of which 8 were included in our finalsample. Two behavior categories were affected: investigative and prescriptive behaviors.Regarding the investigation process, mismanagement of uncertainty appeared to lead toreasoning bias, potentially resulting in diagnostic errors. IU was associated with withholdinginformation, more referrals to peers and less use of new medical interventions. Regardingprescription behaviors, IU among health professionals could lead to overprescribingunnecessary or dangerous tests. IU was also associated with more antibiotic prescriptionsfor conditions where antibiotics are to be used carefully. IU could also influence abortionrecommendation.Discussion: Few studies have yet addressed the impact of IU on clinical reasoning. IU'sinfluence is primarily observed on investigative and prescribing behaviors. More studies arestill needed to fully understand the impact of IU on clinical reasoning itself, and not only onpractical consequences.
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halshs-03843560 , version 1 (08-11-2022)
- HAL Id : halshs-03843560 , version 1
Clémence Brun, Oulmann Zerhouni, Alexis Akinyemi, Laurène Houtin, Richard Monvoisin, et al.. Impact of uncertainty intolerance on clinical reasoning: a systematic review of the 21st century literature. 36th Annual European Health Psychology Society Conference 2022, Aug 2022, Bratislava, Slovakia. . ⟨halshs-03843560⟩