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RN Nursing · Critical Thinking and Clinical Judgment · Practice question

What is the best description of evidence-based practice (EBP)?

Answer & explanation

Correct: Integrating best evidence, clinical expertise, and patient preferences

Evidence-based practice is formally defined as the conscientious integration of the best available research evidence with the clinician's individual clinical expertise and the patient's own values and preferences when making clinical decisions. This three-part definition, popularized by David Sackett and colleagues, is widely accepted across nursing and medicine. Relying solely on clinical experience ignores the research component and can perpetuate outdated or ineffective practices. Using traditional methods of care is problematic for the same reason — tradition alone does not guarantee safety or effectiveness; some historical practices have been shown by research to cause harm. Following hospital policy without question disregards the obligation to critically appraise evidence and advocate for the patient. The integration described in the correct option — best research evidence, clinical expertise, and patient preferences — captures all three pillars of EBP and reflects the nurse's role as a critical consumer of research who applies findings within a patient-centered framework. Understanding this definition is foundational for NCLEX-RN questions related to professional nursing practice and quality improvement.

Study note

Clinical Judgment and Priority Setting: ABCs, Maslow, and Safety

A focused review of the three core priority-setting frameworks nurses use on the NCLEX and in practice: ABCs, Maslow's hierarchy, and safety/risk reduction. Includes rules for expected vs. unexpected findings, first vs. next actions, and common test traps.

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