Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

What differentiates evidence-based nursing practice from traditional practice?

1. Use of technology in patient care.

2. Inclusion of patient values and preferences.

3. Reliance on past clinical experience alone.

4. Exclusive use of randomized trials.

The correct answer is: Inclusion of patient values and preferences.

The differentiation of evidence-based nursing practice from traditional practice is largely centered on the inclusion of patient values and preferences. Evidence-based nursing practice incorporates the best available research, clinical expertise, and patient preferences into decision-making processes. This holistic approach acknowledges that each patient is unique, and therefore their individual values, circumstances, and preferences should play a significant role when determining their care plan. While traditional practice may mainly focus on established protocols and historical practices without necessarily considering the individual patient's voice, evidence-based practice actively seeks to understand and integrate what matters most to the patient. This not only enhances patient satisfaction but can lead to better adherence to treatment plans, fostering a more personalized and effective approach to care. The other choices do not capture the essence of this differentiation effectively. The use of technology may enhance care but is not a defining feature of evidence-based practice. Relying solely on past clinical experience runs contrary to the essence of evidence-based practice, which emphasizes the integration of up-to-date research. Lastly, while randomized trials provide a strong evidence base, evidence-based practice does not exclusively rely on such studies; it considers a broader range of research, including qualitative studies and other types of evidence that reflect real-world clinical contexts.