Grading
In medical science, grading systems are used to determine the most effective methods of treatment and the most useful research evidence. The use of a grading system to determine the quality of research and evidence has been instigated by the GRADE goup, a team that has brought into being a number of guidelines regarding the grading of evidence for medical purposes. In my nursing practice, the system I use is the ACCP grading system. This is a system created by an American College of Chest Physicians (hence, ACCP).
According to Guyatt et al. (2006), grading systems exist to determine the strength of recommendations made for treatment and the quality of the evidence presented for such treatement. In this way, grading systems enhance the usefulness of clinical guidelines, being that they use empirical evidence. What makes the ACCP system particularly useful in this regard is that it has provided enhanced the simplicity and transparency, along with the explicitness and consistency of recommended methodologies. The authors note that some grading systems offer a wide array of criteria to be applied, thereby somewhat defeating their own purpose in that they are both time consuming and intricate.
The ACCP system is somewhat simpler without detracting from the...
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