The nursing administration of a health care facility wishes to use Stetler's hierarchy of evidence levels as the basis for its choice of evidence-based practice interventions
What weaknesses in this hierarchy should the group be aware of as it continues in this work? Standard Text: Select all that apply. 1. Few randomized clinical trials have been done in nursing.
2. Nurses do not have the expertise to use these levels of evidence.
3. There are numerous variables in the daily provision of nursing care.
4. The levels do not consider quality improvement initiatives.
5. It is difficult for nursing research to reach the first or second level of evidence.
1,3,5
Rationale 1: Since so few randomized clinical trials have been conducted in nursing, it is difficult to reach the first or second level of evidence.
Rationale 2: This is not a true statement.
Rationale 3: Some of these variables are the psychological, social, cultural, and spiritual aspects of patients.
Rationale 4: The fifth level of evidence is based upon program evaluation research and quality improvement projects.
Rationale 5: Since so few randomized clinical trials have been conducted in nursing, it is difficult to reach the first or second level of evidence.
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