After establishing the maximum strength of evidence based on these domains, grading the cumulative evidences is done. The possible grades are:
High: if the evidence reflects the true effect, confidence for EBP is high and it is unlikely to change the estimates for future research
Moderate: evidences reflecting the true effect. Further research can be done that may change the level of confidence in the estimate of effectiveness of quality and may change the estimate further.
Low: here, further research is most likely to change confidence in the estimate of effectiveness of healthcare systems and processes along with new estimate.
Insufficient: strength of evidence is considered insufficient when evidence is either unavailable or cannot be used in a decision making process.
Palliative care, hospice care and end-of-life care are addressed here, to understand more about evidence based practice importance. Palliative care can be defined as medical care that has a focus on improving the quality of life of such people who are suffering from serious or life-threatening disease. It is often provided as quality improvement intervention and emphasized on communication, pain and symptom management, and coordinated care. End-of-life care is delivered to such patients who are dying, and it is recognized as a small division of palliative care. Hospice care is also considered as a division of palliative care where a care delivery system is used for better care and insurance benefit for patients.