NRS 445 Topic 4 DQ 2
Describe the influence "levels of evidence" have on practice changes.
Identify the most reliable level of evidence and provide an example of the
type of practice change that could result from this level of evidence.
Initial discussion question posts should be a minimum of 200 words and
include at least two references cited using APA format. Responses to peers
or faculty should be 100-150 words and include one reference. Refer to "RN-
BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located
in Class Resources, to understand the expectations for initial discussion
question posts and participation posts, respectively.
Describe the influence "levels of evidence" have on practice changes.
Identify the most reliable level of evidence and provide an example of the
type of practice change that could result from this level of evidence.
The nursing research pyramid, or nursing research hierarchy of evidence,
provides a visual and systematic depiction of forms of research from the
least reliable (base) to the most reliable (apex). The pyramid includes both
qualitative and quantitative paradigms. The least reliable evidence comes
from ideas, opinions, anecdotes and editorials. An understanding of the
pyramid of evidence will lead the nurse to appreciate and identify which
levels of research are more reliable. The most reliable of all. Systematic
reviews, and Meta analysis, of primary research into human health care
and health policy are recognized internationally as the highest standard
in evidence-based care (A Nurses’ Guide to the Hierarchy of Research
Designs and Evidence.: EBSCOhost, 2016).
The levels of evidence are an important component of evidence-based
medicine. Understanding the levels and why they are assigned to
publications and abstracts helps the reader to prioritize information. This is
not to say that all level 4 evidence should be ignored and all level 1
evidence accepted as fact. The levels of evidence provide a guide and the
reader needs to be cautious when interpreting these results (Burns et al.,
2011). In this article, they were trying to prove or disprove whether silicone
implants caused cancer using the levels of evidence used in previous trials.
It was concluded that not enough evidence was provided in previous
documented studies without having a randomized control group. In this
study they concluded that the levels all need to be weighed depending
on how they apply to what is studied.
A nurses' guide to the hierarchy of research designs and evidence.:
EBSCOhost By Container: Oclc.org Year: 2016 URL: https://web-p-
, ebscohost com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?
vid=1&sid=a75883c1-1254- 4788-a991-b75b08bf7c4a%40redis
The Levels of Evidence and Their Role in Evidence-Based Medicine By
Patricia B Burns, Rod J Rohrich, Kevin C Chung Container: Plastic and
reconstructive surgery/PSEF CD journals Publisher: Lippincott Williams &
Wilkins Year: 2011 Volume: 128 Issue: 1 DOI:
10.1097/prs.0b013e318219c171 URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124652/
Response 1:
Hi Comfort, hypertension is a topic I am interested in as it is a common
occurrence in the ER. Its impact is currently growing, particularly in low-
income countries. Even in high-income countries, hypertension remains
largely underdiagnosed and undertreated, with consequent low rates of
blood pressure (BP) control (Verdecchia et al., 2022). Based on levels of
evidence one would thing by prescribing medication would be enough to
treat hypertension but I find that the number one issue that we come
across often is lack of education. I’ve had a patient come in with an
empty
Describe the influence "levels of evidence" have on practice changes.
Identify the most reliable level of evidence and provide an example of the
type of practice change that could result from this level of evidence.
Initial discussion question posts should be a minimum of 200 words and
include at least two references cited using APA format. Responses to peers
or faculty should be 100-150 words and include one reference. Refer to "RN-
BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located
in Class Resources, to understand the expectations for initial discussion
question posts and participation posts, respectively.
Describe the influence "levels of evidence" have on practice changes.
Identify the most reliable level of evidence and provide an example of the
type of practice change that could result from this level of evidence.
The nursing research pyramid, or nursing research hierarchy of evidence,
provides a visual and systematic depiction of forms of research from the
least reliable (base) to the most reliable (apex). The pyramid includes both
qualitative and quantitative paradigms. The least reliable evidence comes
from ideas, opinions, anecdotes and editorials. An understanding of the
pyramid of evidence will lead the nurse to appreciate and identify which
levels of research are more reliable. The most reliable of all. Systematic
reviews, and Meta analysis, of primary research into human health care
and health policy are recognized internationally as the highest standard
in evidence-based care (A Nurses’ Guide to the Hierarchy of Research
Designs and Evidence.: EBSCOhost, 2016).
The levels of evidence are an important component of evidence-based
medicine. Understanding the levels and why they are assigned to
publications and abstracts helps the reader to prioritize information. This is
not to say that all level 4 evidence should be ignored and all level 1
evidence accepted as fact. The levels of evidence provide a guide and the
reader needs to be cautious when interpreting these results (Burns et al.,
2011). In this article, they were trying to prove or disprove whether silicone
implants caused cancer using the levels of evidence used in previous trials.
It was concluded that not enough evidence was provided in previous
documented studies without having a randomized control group. In this
study they concluded that the levels all need to be weighed depending
on how they apply to what is studied.
A nurses' guide to the hierarchy of research designs and evidence.:
EBSCOhost By Container: Oclc.org Year: 2016 URL: https://web-p-
, ebscohost com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?
vid=1&sid=a75883c1-1254- 4788-a991-b75b08bf7c4a%40redis
The Levels of Evidence and Their Role in Evidence-Based Medicine By
Patricia B Burns, Rod J Rohrich, Kevin C Chung Container: Plastic and
reconstructive surgery/PSEF CD journals Publisher: Lippincott Williams &
Wilkins Year: 2011 Volume: 128 Issue: 1 DOI:
10.1097/prs.0b013e318219c171 URL:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124652/
Response 1:
Hi Comfort, hypertension is a topic I am interested in as it is a common
occurrence in the ER. Its impact is currently growing, particularly in low-
income countries. Even in high-income countries, hypertension remains
largely underdiagnosed and undertreated, with consequent low rates of
blood pressure (BP) control (Verdecchia et al., 2022). Based on levels of
evidence one would thing by prescribing medication would be enough to
treat hypertension but I find that the number one issue that we come
across often is lack of education. I’ve had a patient come in with an
empty
