Evidence-Based Practice Implementation Scale

Frontloading and Intensity of Skilled Home Health Visits: A State of the Science

“…Articles were entered into a table of evidence, summarized, and critiqued based on study design, sample size, and significant findings (Table 1). Since a single universally accepted tool to evaluate the level of research evidence does not exist, we applied the seven levels of evidence described by Melnyk and Fineout-Overholt (2011). Level I is the highest level of evidence consisting of systematic reviews and meta-analyses of randomized controlled trials or clinical guidelines based on systematic reviews or meta-analyses.…”

“…ADL = activities of daily living; CHF = congestive heart failure; DM = diabetes mellitus; HF = heart failure; HHA = home health aide; IADL = instrumental activities of daily living; MSW = medical social worker; OT = occupational therapist; PT = physical therapist; RN = registered nurse; SLP = speech-language pathologist; SN = skilled nurse; SW = social worker; THR = total hip replacement. * Levels of evidence as described by Melnyk and Fineout-Overholt (2011): Level I: Evidence from a systematic review of randomized controlled trials (RCTs) or evidence-based clinical practice guidelines based on systematic reviews of RCTs. Level II: Evidence obtained from at least one well-designed RCT. Level III: Evidence obtained from well-designed controlled trials without randomization, quasi-experimental. Level IV: Evidence from well-designed case-control and cohort studies. Level V: Evidence from systematic review of descriptive and qualitative studies. Level VI: Evidence from a single descriptive or qualitative study. Level VII: Evidence from the opinion of authorities and/or reports of expert committees. …”

Small study finds that 3 years after prostate cancer treatment, men may report high quality of life and functioning

“…This study provides level 6 evidence2 or fair ranked evidence3 as a single institution study. However, further research is needed in order to provide sufficient evidence.…”

State of the science on prevention of elder abuse and lessons learned from child abuse and domestic violence prevention: Toward a conceptual framework for research

“…Another framework for evaluation is that from the evidence-based practice literature that helps rank levels of evidence; for example the Cochrane reviews (Cochrane, 2007) or evidence-based practice guidelines (Melnyk & Fineout-Overholt, 2005). The latter method examines seven levels from highest (Level 1) that includes multiple randomized controlled trials (RCTs) with consistent findings to lowest (Level 7) reflecting only opinions of clinical experts.…”