What the Grades Mean and Suggestions for Practice The USPSTF updated its definitions of the grades it assigns to recommendations and now includes "suggestions for practice" associated with each grade. The USPSTF has also defined levels of certainty regarding net benefit (AHRQ, 2010-2011). Table S.1 USPSTF Recommendations Grade Definition Suggestions for Practice A The USPSTF recommends the service. There is Offer or provide this service. high certainty that the net benefit is substantial. B The USPSTF recommends the service. is high or provide this service. certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. C The USPSTF recommends against routinely Offer or provide this service providing the service. There may be considerations only if other considerations that support providing the service in an individual support the offering or patient. There is at least moderate certainty that the providing the service in an net benefit is small. individual patient. D The USPSTF recommends against the service. Discourage the use of this is moderate or high certainty that the service has no service. net benefit or that the harms outweigh the benefits. I The USPSTF concludes that the current evidence is Read the clinical considerations Statement insufficient to assess the balance of benefits and section of USPSTF harms of the service. Evidence is lacking, of poor Recommendation Statement. If quality, or conflicting, and the balance of benefits the service is offered, patients and harms cannot be determined. should understand the uncertainty about the balance of benefits and harms Oncology Nursing Society (ONS) (n.d.) . The Oncology Nursing Society has developed a site entitled Evidence Into Practice”. Users will note that the “Putting ONS gives helpful definitions in support or not in support of effectiveness or harmfulness of the identified intervention as follows: Recommended for Practice: Likely to be Effective Benefits Balanced with Harm Effectiveness Not Established Effectiveness Unlikely Not Recommended for Practice Ackley, Swan, Ladwig, and Tucker (2008) proposed the following method: Effective: Research validates the effectiveness of the nursing activity or intervention, preferably with Level 1 or with Level 2 evidence.
What the Grades Mean and Suggestions for Practice The USPSTF updated its definitions of the grades it assigns to recommendations and now includes "suggestions for practice" associated with each grade. The USPSTF has also defined levels of certainty regarding net benefit (AHRQ, 2010-2011). Table S.1 USPSTF Recommendations Grade Definition Suggestions for Practice A The USPSTF recommends the service. There is high certainty that the net benefit is substantial. Offer or provide this service. B The USPSTF recommends the service. is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. or provide this service. C The USPSTF recommends against routinely providing the service. There may be considerations that support providing the service in an individual patient. There is at least moderate certainty that the net benefit is small. Offer or provide this service only if other considerations support the offering or providing the service in an individual patient. D The USPSTF recommends against the service. is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits. Discourage the use of this service. I Statement The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined. Read the clinical considerations section of USPSTF Recommendation Statement. If the service is offered, patients should understand the uncertainty about the balance of benefits and harms Oncology Nursing Society (ONS) (n.d.) . The Oncology Nursing Society has developed a site entitled “Putting Evidence Into Practice”. Users will note that the ONS gives helpful definitions in support or not in support of effectiveness or harmfulness of the identified intervention as follows: Recommended for Practice: Likely to be Effective Benefits Balanced with Harm Effectiveness Not Established Effectiveness Unlikely Not Recommended for Practice Ackley, Swan, Ladwig, and Tucker (2008) proposed the following method: Effective: Research validates the effectiveness of the nursing activity or intervention, preferably with Level 1 or with Level 2 evidence.
__DNP_Clinical_Scholarship_Project_Guidelines_(Approved_1-9-14)_Appendices.docx