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.
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.
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