Author Question: Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to heal ... (Read 46 times)

ENagel · **on:** Jul 8, 2018

Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow to heal and which now poses a threat of osteomyelitis.

The wound care nurse who has
been working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and
has proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds
the suggestion repugnant and adamantly opposes this treatment despite the sizable body of
evidence supporting it. How should the nurse reconcile Mrs. Mayes' views with the principles
of EBP?

A) The nurse should explain that reliable and valid research evidence overrides the patient's
opinion.
B) The nurse should explain the evidence to the patient in greater detail.
C) The nurse should integrate the patient's preferences into the plan of care.
D) The nurse should involve the patient's family members in the decision-making process.

Question 2

A nurse leader is attempting to increase the awareness of evidence-based practice (EBP) among the nurses on a unit. A nurse who is implementing EBP integrates which of the following? (Select all that apply.)

A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise

asdfasdf · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
Patient preferences should be integrated into EBP and considered alongside
research evidence and the nurse's clinical expertise; evidence does not trump the patient's
preferences. The family should be involved, but this is not an explicit dimension of EBP.
Similarly, explaining the evidence in more detail is not a demonstration of EBP.

Answer to Question 2

Ans: C, D, E
Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problemsolving
approach to the delivery of healthcare that integrates the best evidence from studies and
patient care data with clinician expertise and patient preferences and values.