An experienced nurse says to a new graduate, "When you've practiced as long as I have, you'll instantly know how to take care of psychotic patients." What is the new graduate's best analysis of this comment? Select all that apply
a. The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice.
b. New research findings must be continually integrated into a nurse's practice to provide the most effective care.
c. Experience provides mental health nurses with the tools and skills needed for effective professional practice.
d. Experienced psychiatric nurses have learned the best ways to care for psychotic patients through trial and error.
e. Effective psychiatric nurses should be continually guided by an intuitive sense of patients' needs.
ANS: A, B
Evidence-based practice involves using research findings to provide the most effective nursing care. Evidence is continually emerging; therefore, nurses cannot rely solely on experience. The effective nurse also maintains respect for each patient as an individual. Overgeneralization compromises that perspective. Intuition and trial and error are unsystematic approaches to care.
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