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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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