The Hierarchy of Evidence timeline outlines levels of research reliability in evidence-based practice, starting with Level 1 Systematic Reviews and Meta-Analyses as the highest, which synthesize multiple high-quality studies for robust conclusions. It progresses to Level 2 Randomized Controlled Trials for strong causal evidence, skips to Level 4 Cohort and Case-Control Studies for observational insights, and ends at Level 7 Expert Opinions as the lowest, relying on personal experience without empirical backing.
Understanding the Hierarchy of Evidence
Level 1: Systematic Reviews/Meta-Analyses Highest evidence level; synthesizes multiple high-quality studies for robust conclusions. Level 2: Randomized Controlled Trials Strong experimental studies with randomization to minimize bias and establish causality. Level 4: Cohort and Case-Control Studies Observational research tracking groups over time or comparing cases to controls. Level 7: Expert Opinions Lowest level; based on individual experience, lacking empirical support and prone to bias.
Source: Acquiring and Appraising Evidence for Nurse Managers