Module 4: Appraising, Translating, and Disseminating Evidence

Active Rejection

Occurs when a decision-making process ends with a decision to not adopt

Factors of Active Rejection

Financial, staffing, or lack of fit between the innovation and the specific target population

Passive Rejection

Occurs when nurses never even consider using an innovation

Level I Evidence

Meta-analyses, systematic reviews, clinical practice guidelines

Level II Evidence

Randomized control trials (RCTs)

Level III and IV Evidence

Quasi-experimental studies and correlational studies

Level V and VI Evidence

Descriptive studies

Level VII

Narrative reviews, opinions of authorities

What process do sentinel events go through in order to change it?

A review will occur using a root cause analysis with the goal to find the source of error and change it.