A nurse is providing care for a 73-year-old female patient whose balance is compromised by a vestibular disorder.
The nurse has advocated for the installation of balance bars and handholds throughout the patient's home, but the patient is reluctant, saying, Those are for old people. Which of the following is the best guide for making the decision?
A) The patient's preference and history of using such devices
B) Research that addresses the effectiveness of this intervention
C) Existing evidence: the nurse's experience with the intervention and the patient's opinion
D) The cost of installation, the opinion of the patient and her peers, and evidence-based articles regarding the intervention
Question 2
Nurse R. has observed that reorienting demented patients as frequently as possible tends to minimize the patients' level of agitation in the evening.
The nurse has shared this observation with a colleague, who is skeptical, stating that, It's best to stick to evidence-based practice. How can Nurse R. best respond?
A) EBP can include clinicians' personal expertise.
B) Personal experience is often more sound than formal evidence-based practice.
C) Traditional practice and EBP are usually shown to be the same.
D) My years of experience can be just as valuable as any literature review or randomized trial.
Female Wood Duck at Crystal Springs Rhododendron Garden, Oregon, U.S.
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