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Assignment: Describe the “levels of evidence” and provide an example of the type of practice change that could result from each. Assignment: Describe the “levels of evidence” and provide an example of the type of practice change that could result from each. Assignment Describe the levels of evidence and provide an example of the type of practice change that could result from each. Dhanya Poulose Posted Date Feb 27, 2022, 9:18 PM Replies to Dhanya Poulose Health care profession requires professionals to be lifelong learners and educators to promote health, prevent disease and to bring the best possible outcome for their patient. Health care is drastically evolving and health care professionals such as the nurses are placed in the forefront of patient care and are expected to be the clinical expert in their area of nursing practice. In this pursuit of knowledge, they must become familiar with the health care research methods and process and continuously update their knowledge with the current evidence based practices (EBPs) that promote improved patient outcomes. Evidence-based practice (EBP) has been described as the integration of the best research evidence, expert clinical judgment, and the preferences and values of patients (Chan.,et,al2020).  The degree to which the health care professionals are evaluated as experts is based on their extent of knowledge that they bring to their clinical practice. Evidence-based medicine (EBM), is about finding evidence and using that evidence to make clinical decisions. The level of evidence is determined based on the confidence, validity and applicability and clinicians are encouraged to find the highest level of evidence to answer clinical questions. The level of evidence hierarchy is determined based on the confidence, validity and applicability. According to Burns,et al (2011), evidence from a systematic review or meta -analysis of all RCTs are considered as the level one level of evidence which is the highest level. At level 2, the evidence is collected through well designed RCT. Next is LOE (Level of evidence ) level 3 where the evidence is collected through controlled trails without randomization.  Case control or cohort studies are considered at level 4, while systematic reviews of descriptive and qualitative studies are under level 5 LOE. When evidence is collected through single descriptive or qualitative study it is considered as a level 6 LOE and lastly when the LOE is determined by evidence from an expert opinion it is considered as the lowest level of evidence. It is important that researcher have good understanding of the LOE while reviewing information needed for the study as it will help him/her to prioritize the information and guide them when interpreting the results. One example of the practice change that I have seen in the hospital that I work is the utilization of fluorescent solution shining under ultraviolet light to test the effectiveness of hand hygiene and to reinforce good HH behavior to prevent infection. One of the article supporting the use of fluorescent material intervention to improve HH training was a randomized control study done in 2021  by Kisacik, et al(2021). The study confirm that there was a significant difference between the intervention and control groups in terms of the total post-test hand hygiene belief score and final hand washing skill score of the students in the intervention group increased significantly for the seven regions of hands . (Kisacik, et al, 2021 Burns, P. B., Rohrich, R. J., & Chung, K. C. (2011). The levels of evidence and their role in evidence-based medicine. Plastic and reconstructive surgery, 128(1), 305–310. https://doi.org/10.1097/PRS.0b013e318219c171 Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials – the gold standard for effectiveness research: Study design: randomised controlled trials. BJOG : an international journal of obstetrics and gynaecology, 125(13), 1716. https://doi.org/10.1111/1471-0528.15199 Kisacik, O. G., Cigerci, Y., & Gunes, U. (2021). Impact of the fluorescent concretization intervention on effectiveness of hand hygiene in nursing students: A randomized controlled study. NURSE EDUCATION TODAY, 97. https://doi-org.lopes.idm.oclc.org/10.1016/j.nedt.2020.104719 Abieyuwa Oseki replied toDhanya Poulose Feb 27, 2022, 11:02 PM Replies to Dhanya Poulose Dhanya, Great response! I like how you explained the different levels of evidence and how they can be applied in certain ways to aid one’s research. In your response you mentioned how you’ve actually noticed practice change in your own place of work after utilizing the Assignment Describe the levels of evidence and provide an example of the type of practice change that could result from each. fluorescent solution + UV light test to see how effective hand hygiene practice was at your facility. I remember doing that test once and it was so interesting to see how parts of science that may not usually be used in the nursing field can still be used to better this profession. Looking back at it now, it was also a way to enforce the use of evidence based practice since there is a connection between proper hand hygiene and a decrease in infections/illnesses spread, and this test showed the quality of everyone’s hand hygiene. I think practices like this are a genius and fun way of showing just how important the little things are because they truly do go a long way, if i come across any more similar practices I will make sure to share them with the rest of the class and hopefully we can use them all in the future to better our places of work.   Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Assignment: Describe the “levels of evidence” and provide an example of the type of practice change that could result from each. Donald Potter replied toDhanya Poulose Feb 27, 2022, 11:46 PM Replies to Dhanya Poulose Hello Dhanya, Evidenced based practices are important in every aspect of our role as nurses so it is important that we maintain high level of critical thinking and ensure we are using the best evidence. RCT are generally viewed as the best way to set up research to ensure that it can be used on many populations as well as ensure there is decreased bias and increased ability to be peer reviewed and redone (Grand Canyon University, 2018). It is important that nurses understand how to be critical of research and how to look at how certain research was conducted to ensure the best research is being utilized for our evidence based practices Order Now