In conversation with a woman who is expecting, you are asked for your thoughts on whether she should consider having umbilical cord blood banked after she gives birth. She is wondering if it is worth the cost, and if it poses any risks to her baby. You are unfamiliar with this practice, and want to provide the best evidence possible, but you know you won't have a lot of time to look it up.
On the paper worksheet provided, review the following sources and decide where they would fall in the evidence pyramid. How did you know?
Source #6 - Preterm labour and birth
The 6S evidence pyramid above is designed to help health practitioners prioritize evidence. The higher up the pyramid your evidence falls, the more weight you should give it in your clinical decision making process. Not every topic will have evidence at all levels – use the highest level that is available.
Currently, we do not have access to Systems level evidence at Mount Royal. The resources listed below will help you look for evidence at each of the remaining levels.
The image above is based on levels discussed in the following article:
DiCenso, A., Bayley, L., & Haynes, R. B. (2009). Accessing pre-appraised evidence: Fine-tuning the 5S model into a 6S model. Evidence Based Nursing, 12. 99-101. http://dx.doi.org/10.1136/ebn.12.4.99-b
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