[Expert Solution]: Reply to this post: The levels of evidence…

Reply to this post: The levels of evidence have been organized in a pyramid with the apex signifying the most reliable evidence systemic reviews and meta-analysis and the least at the ground of the pyramid which is ideas, opinions, anecdotes, and editorials (Ingham-Broomfield, 2016). These levels influence practice change in different ways, where the least reliable may garner an idea for change, as we move up the pyramid to more reliable evidence that supports the idea and proves that change should be made to improve current practice or put something into practice. Furthermore, the least reliable evidence creates an issue of transferability, making it difficult to place concepts, ideas, and personal beliefs into everyday practice with nothing to support them (Ingham-Broomfield, 2016). A type of practice change that can result from systematic review is falls. There was an article located on the topic that was a review of current interventions to reduce falls in the hospital, it concluded that education was the most valuable tool, and multi-factorial interventions had a tendency to produce a positive impact with a surprise conclusion that chair alarms, bed alarms, wearable sensors and the assessment tool were not associated with a significant reduction (Morris et al, 2022). A nurse could use a post-operative environment or floor environment and use the results from a review and put them into practice, conducting their trial with these interventions and examining the results with a peer review.