Registed Nurses' Association of Ontario

Implementation Resources


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Establish a robust resident falls prevention program on your resident care unit or across your entire long-term care home.

Leading Change Toolkit™ (3rd edition) 

A third edition of the toolkit, called the Leading Change Toolkit, was released in October 2021 and is an online evidence-based resource available to anyone engaged in a change initiative for lasting improvement. It was developed by RNAO in collaboration with Healthcare Excellence Canada. We recommend using the third edition as it includes updated evidence on the Knowledge-to-Action (KTA) Framework (Graham et al., 2006) and the inclusion of valid and pragmatic tools to support the implementation of the KTA action cycle phases.

In addition, the Leading Change Toolkit features a new implementation framework that integrates social movement action for knowledge uptake and sustainability called the Social Movement Action (SMA) Framework (Grinspun et al., 2020). As the SMA and the KTA frameworks are complementary, they can be used together to accelerate success.


Toolkit: Implementation of Best Practice Guidelines (2nd edition)  

This toolkit was designed to assist health-care settings in maximizing the potential of BPGs,through systematic and well-planned implementation. It was also designed to accompany the nursing best practice guidelines (BPG) developed by the Registered Nurses' Association of Ontario (RNAO) in order to facilitate their implementation. Purchase Hardcopy

Get a chart audit tool that can be used in practice for continence and bowel assessment.

This Decision Aid is for you if you are a woman:

  • between the ages of 40 and 65 (but could also be used by younger women)
  • who has a problem with leaking urine and/or has to wear a pad
  • who wants to understand urinary incontinence and options available to manage this problem
  • who wants to prepare for discussion of the options with her health care provider

Urinary incontinence is the accidental release of urine or leaking urine. It can happen when you cough, laugh, sneeze, or jog. Or you may have a sudden need to go to the bathroom but cannot get there in time. Bladder control problems are very common, especially among women. They usually do not cause major health problems, but they can be embarrassing.

Incontinence can be a short-term problem caused by a urinary tract infection, a medication, or constipation. In these situations, it gets better when you treat the problem that is causing it.