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The Institute also develops and publishes summaries of one or more systematic reviews as “Best Practice: evidence based information sheets for health professionals”. Although these Best Practice information do not follow the usual format of clinical practice guidelines, their development follows the processes recommended by the Appraisal of Guidelines Research and Evaluation (AGREE) Collaboration and include recommendations for practice. Recommendations are graded on the basis of both the level of evidence that underpins them and their appropriateness/relevance. The JBI currently uses the following Grades of Recommendations:

Grade of Recommendations Feasibility Appropriateness Meaningfulness Effectiveness
A. Strong support that merits application Strong support that merits application Strong support that merits application Strong support that merits application
B. Moderate support that warrants consideration of application Moderate support that warrants consideration of application Moderate support that warrants consideration of application Moderate support that warrants consideration of application
C. Not supported Not supported Not supported Not supported

History of Levels of Evidence
During 2007 the following grades of recommendation were used by the Institute

Grade of Recommendations
A Strong support that merits application
B Moderate support that warrants consideration of application
C Not supported
From 2004-2006 the following grades of recommendation were developed and used for the Best Practice series

Grade of Recommendations Feasibility Appropriateness Meaningfulness Effectiveness
A immediately practicable Ethically acceptable ad justifiable Provides a strong rationale for practice change Effectiveness established to a degree that merits application
B Practicable with limited training and/or modest additional resources Ethical acceptance is unclear Provides a moderate rationale for practice change Effectiveness established to a degree that suggests application
C Practicable with significant additional training and/or resources Conflicts to some extent with ethical principles Provides limited rational for practice change Effectiveness established to a degree that warrants consideration for applying the findings
D Practicable with extensive additional training and/or resources Conflicts considerably with ethical principles Provides minimal rationale for advocating change Effectiveness established to a limited degree
E Impracticable Ethically unacceptable There is no rationale to support practice change Effectiveness not established


 
     
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