What is nursing care based on?

What is nursing care based on?

• A. Best available research evidence, patient preference, or clinical expertise
• B. Hospital policies and administrative procedures
• C. Physician orders and protocols only
• D. Time constraints and productivity targets

Answer: (A)

Nursing care should be based on evidence-based practice that combines the best available research evidence with what matters to the patient and the clinician’s own expertise. This approach ensures care is effective, up-to-date, and tailored to the individual. Using research evidence helps identify interventions that have been shown to work, while patient preferences ensure choices align with values, goals, and lifestyle; clinical expertise brings seasoned judgment to apply evidence to the patient’s unique situation, monitor responses, and adjust plans as needed. Healthcare delivery is also guided by policies and procedures, but these frame how care is organized rather than determine what is best for a specific patient. Relying solely on physician orders and protocols overlooks nursing autonomy and the patient’s values, and focusing only on time constraints or productivity can undermine safety and quality. Therefore, combining research evidence, patient preferences, and clinical expertise provides the most sound foundation for nursing care.