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Journal of the American Psychiatric Nurses Association
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Evidence-Based Practice in Psychiatric Care: Defining Levels of Evidence

Michael J. Rice

College of Nursing and Healthcare Innovation, Arizona State University, Phoenix, Michael.Rice{at}asu.edu

Identification and application of the current research evidence to a clinical problem is a goal reflected in professional codes and institutional mission statements. The use of expert opinions and traditions is no longer clinically or legally defensible in an era of using emerging evidence. Application of current research evidence is the emerging standard of care for all health care personnel, including psychiatric mental health care. The emergence of evidence-based practice as the new standard of care obliges all health care providers to use the latest research evidence. The need to make an intervention based on the highest level of evidence mandates that clinicians understand levels of research evidence and how the different classification systems of evidence compare. In this article, the levels of research evidence are reviewed to provide a framework for determining the best evidence to use as a basis for clinical interventions. J Am Psychiatr Nurses Assoc, 2008; 14(3), 181–187. DOI: 10.1177/1078390308321220

Key Words: evidence-based practice • levels of evidence • systematic reviews • meta-analysis • quantitative • designs

Journal of the American Psychiatric Nurses Association, Vol. 14, No. 3, 181-187 (2008)
DOI: 10.1177/1078390308321220


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