Can you provide an example of a time when you had to advocate for evidence-based care?

JUNIOR LEVEL
Can you provide an example of a time when you had to advocate for evidence-based care?
Sample answer to the question:
During my clinical rotation in nursing school, I had the opportunity to advocate for evidence-based care when caring for a pregnant patient. The patient had a high-risk pregnancy and was considering a home birth, which posed potential risks to her and the baby. I gathered research and evidence on the safety and benefits of hospital births for high-risk pregnancies and presented this information to the patient and her family. I discussed the potential complications that could arise during a home birth and highlighted the resources and specialized care that the hospital could provide. Ultimately, the patient and her family agreed to deliver at the hospital, ensuring the best possible care for both mother and baby.
Here is a more solid answer:
During my clinical rotation in nursing school, I encountered a pregnant patient who was considering a home birth despite having a high-risk pregnancy. Understanding the potential risks involved, I took the initiative to advocate for evidence-based care. I sought out current literature and research supporting hospital births for high-risk pregnancies, focusing on the safety and positive outcomes associated with this approach. Armed with this evidence, I communicated with the patient and her family in a compassionate and understanding manner, explaining the possible complications that could arise during a home birth and the specialized care and resources available in the hospital setting. I also collaborated with the interdisciplinary team, including the obstetrician and neonatologist, to ensure a comprehensive and well-coordinated plan of care. Through these efforts, I was able to positively influence the patient and her family's decision, and they ultimately agreed to deliver in the hospital, prioritizing the well-being of both the mother and the baby.
Why is this a more solid answer?
The solid answer expands on the basic answer by providing more details about the candidate's communication skills, collaboration with the multidisciplinary team, organizational skills in gathering evidence, critical decision-making in presenting the information, and cultural sensitivity in understanding the diverse backgrounds of the patient and family. The answer also emphasizes the candidate's initiative in seeking out current literature and research to support the advocacy for evidence-based care.
An example of a exceptional answer:
During my clinical rotation in nursing school, I encountered a pregnant patient with a high-risk pregnancy who expressed strong preferences for a home birth. Recognizing the importance of evidence-based care and patient safety, I took on the role of an advocate. To ensure I had a solid foundation of evidence to support my position, I conducted an extensive literature review, examining studies and guidelines from reputable sources such as the American College of Nurse-Midwives and the American College of Obstetricians and Gynecologists. Armed with this knowledge, I engaged in a series of open and honest conversations with the patient, actively listening to her concerns and addressing them using the evidence I had gathered. Understanding the importance of a collaborative approach, I involved the interdisciplinary team, including the obstetrician, neonatologist, and social worker, in the discussions. Through effective communication and collaboration, I was able to bridge the gap between the patient's preferences and the evidence-based recommendations, resulting in a shared decision to deliver in a hospital setting. This experience taught me the importance of advocating for evidence-based care while respecting the autonomy and choices of the patient.
Why is this an exceptional answer?
The exceptional answer further enhances the solid answer by highlighting the candidate's extensive literature review from reputable sources, active listening skills, and involvement of the interdisciplinary team, including the social worker. The answer also emphasizes the candidate's ability to bridge the gap between the patient's preferences and the evidence-based recommendations while still respecting the patient's autonomy and choices.
How to prepare for this question:
  • Familiarize yourself with current research and guidelines related to evidence-based care in midwifery.
  • Practice active listening and effective communication skills to engage patients and address their concerns.
  • Develop your critical thinking and decision-making abilities to present evidence-based care options to patients and their families.
  • Understand the diverse cultural backgrounds of patients and families and tailor your advocacy approach accordingly.
What are interviewers evaluating with this question?
  • Communication
  • Multidisciplinary collaboration
  • Organizational skills
  • Critical decision-making
  • Cultural sensitivity

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