Which statement best describes the relationship between research evidence and patient values in EBP?

• A. Patient values are optional.
• B. Patient values must be integrated with research and clinical expertise.
• C. Clinical expertise alone drives care.
• D. Evidence is used only when patients agree.

Answer: (B)

In evidence-based practice, decisions come from a blend of the best available research, clinical expertise, and the patient’s own values and preferences. The statement that patient values must be integrated with research and clinical expertise best captures how EBP truly works: care is tailored to what matters to the patient, not just what the data or the clinician alone suggest. This means presenting the evidence, weighing it against the clinician’s experience, and aligning the plan with the patient’s goals, concerns, and life context. For example, two equally effective options might differ in side effects or lifestyle impact, and the patient’s values will guide which option fits best.

Values aren’t optional, and clinical expertise alone isn’t enough to determine care. Evidence isn’t used only if a patient agrees up front; rather, evidence is discussed collaboratively with the patient to arrive at a shared decision that honors their preferences and circumstances.