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V
                Level  Evidence comes from a single descriptive or qualitative study.
                VI
                Level  Evidence comes from the opinion of authorities and/or reports of expert committees.
                VII

               From Zerwekh J, Zerwekh Garneau A: Nursing today: transition and trends, ed 8,
               Philadelphia, 2015, Saunders. Data from Sackett D et al.: Evidence-based medicine: how
               to practice and teach EBM, London, 2000, Churchill Livingstone.

















































                                           FIG. 7-1  Elements of a successful change.





               Box 7-5
               Reasons for Resisting Change


               Conformity
               One goes along with others to avoid conflict.

               Dissimilar Beliefs and Values
               Differences can impede positive change.




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