Acknowledgments

The Leading Change Toolkit Development Team are grateful to the following individuals for their important contributions to the development of the Leading Change Toolkit from the early planning stages through to development and dissemination. Their knowledge, insights and comments strengthened this resource.  

Many RNAO staff provided ongoing support and guidance, as needed, throughout the development of the Leading Change Toolkit. These colleagues are listed below alphabetically. 

• Megan Bamford, Former Associate Director, Guideline Development and Evaluation 
• Peta-Gay Batten, Executive Assistant to Dr. Doris Grinspun
• Christine Buchanan, Guideline Development Methodologist
• Amy Burt, Guideline Development Methodologist
• Kristen Campbell, Manager, Implementation Science
• Nancy Campbell, Chief Financial Office
• Tanya Costa, Project Coordinator, Implementation Science
• Beverly Faubert, Long-Term Care Coordinator
• Lyndsay Howitt, Guideline Development Methodologist
• Arlene Masaba, Manager, Implementation Science
• Harveer Punia, Manager, Implementation Science
• Madison Scaini, Communications Officer/Writer
• Citlali Singh, Project Coordinator, Long-Term Care Best Practices Program, BPSO® & NQuIRE®
• Heather Woodbeck, Long-Term Care Coordinator

The development and publication of the Leading Change Toolkit, as a co-sponsored resource, involved team members from Healthcare Excellence Canada (HEC) (the new organization that brings together the Canadian Patient Safety Institute and the Canadian Foundation for Healthcare Improvement) who provided guidance, collaboration and engagement throughout the process. Their roles in relation to the Leading Change Toolkit are included in parenthesis.     

• Dr. Jennifer Zelmer, President and CEO (Executive co-sponsor)  
• Maryanne D’Arpino, Vice President, Programs & System Transformation (Project co-sponsor)
• Gina De Souza, Director, Programs & System Transformation (Project co-lead)
• Kim Kinder, Director, Health Innovation Programs (Project co-lead)
• Dan Costigan, Senior Lead, Marketing & Outreach (Marketing and Outreach)
• Chris Power, Former CEO, CPSI (Former executive co-sponsor)
• Mike Cass, Patient Safety Improvement Lead, CPSI (Former project co-lead)
• Tricia Swartz, Senior Program Manager, CPSI (Former project co-lead)

In the early planning phase, members of the Leading Change Toolkit Development Team met with individuals to get their feedback and input on how the resource should be developed. We thank the many individuals and groups for their time and valuable comments shared via focus groups, key informant interviews and survey responses.

Focus Group Participants:

• Bayshore – Tanya Baker
• Cambridge Memorial Hospital – Karen Cziraki
• Canadian Patient Safety Institute – Staff members from Standards Inspection Policy team
• Conestoga College - Michelle Heyer, Linda Sheilban
• Grey Bruce Health Unit - Amanda McManaman
• Guelph Family Health Team - Faith Aimis
• Hôpital Montfort - Sara Leblond and colleague
• Humber River Hospital - Nataly Farshait, Comella Levers
• Leeds, Grenville & Lanark District Health Unit - Lucia Taggart
• Niagara Region Public Health - Catharine Lowes
• Nipissing University - Karey McCullough, Louela Manankin-Rankin
• North Bay Nurse Practitioner-Led Clinic - Johanna Fonteine
• Quest Community Health Centre - Emily Kedwell
• Registered Nurses’ Association of Ontario - Long-Term Care Coordinators
• St. Francis Xavier University - Janet Purvis
• St Joseph's Care Group – Stacey Freemantle and colleague
• The Perley and Rideau Veterans' Health Centre – Members of the interdisciplinary team
• Toronto Public Health - Melissa Koch
• University of The West Indies - Kimarie Brown
• VHA Home HealthCare - Jessica Lok
• Women's College Hospital - Theresa Kay
• York Region Public Health, Child and Family Health Division - Alliah Over

Key Informants

• Dr. Donna Clliska, former Scientific Director, National Collaborating Centre for Methods and Tools; Professor Emeritus, McMaster University
• Helene Gagne, Program Director, Ontario Neurotrauma Foundation
• Eric Lamoreaux, Senior Advisor, Government Relations, Canadian Patient Safety Institute
• Dr. Julia Moore, Senior Director, The Centre for Implementation
• Dr. Jim Ruiter, Vice President and Medical Director, Salus Global Corporation
• Junqiang  Zhou, PhD student, School of Nursing, University of Ottawa; core member, Beijing University of Chinese Medicine Best Practice Spotlight Organization® (BPSO®)

Survey participants:

• Lisa Alguire, R.N., B.Sc.N, Public Health Nurse, Grey Bruce Health Unit, Canada
• Taranvir Dayal, RN, MN, APN, Baycrest, Canada
• Arlene Masaba, RN, BSN, MSN, Clinical Simulation Centre Coordinator and Nurse Instructor, University of Calgary in Qatar, Qatar
• Danny Van Heusden, MSN RN, Nurse Project Leader - BPSO lead, Antwerp University Hospital, Belgium
• Sandy Thompson, RN, Lakeridge Health, Canada
• Sherry Campbell, RN, BScN, Bach Ed. (Adult), MScN, Clinical Practice Leader Critical Care/ BPSO Lead Lakeridge Health, Lakeridge Health, Canada
• Stacey Freemantle, RN, BScN, Registered Nurse, St. Joseph's Care Group, Canada
• Maribel Esparza B Esparza, Enfermeroa BPSO, Enfermera, Foscal, Colombia

Focus group: Engaging persons with lived experience  

Persons , family members and/or caregivers who have lived experience working with health-care providers or other staff to improve the quality or safety of healthcare participated in a focus group to support the development of the ‘Engaging persons with lived experience’ section of the Leading Change Toolkit. RNAO acknowledges the following participants:

• Ally Ladak
• Craig Lyndsay
• Steve Muir
• Natrice Rees
• Mike Reidy
• Judy Smith
• John Snider
• Bernie Weinstein

In addition to the role of being an expert panel member, many of the panelists and the co-sponsor team members from the Canadian Patient Safety Institute (CPSI)/Healthcare Excellence Canada (HEC) also participated in one of the three working groups that focused on the following areas: 1) the concept analysis on social movement action; 2) the Knowledge-to-Action Framework Tools Project; and 3) the evaluation of the Leading Change Toolkit. More details on the outputs of each group and the names of the panel members and others who participated are described below.

1) Working Group: Social Movement Action  

Members of the expert panel participated in a working group focused on the development of the concept analysis on social movement action. The results of this Working Group were shared with  panel members to update the expert panel on the progress made and for them to provide any additional feedback or suggestions.

Social Movement Action Working Group:

• Dr. Doris Grinspun (SMA Working Group Lead & Co-Chair, Leading Change Toolkit)
• Dr. Janet Squires (Co-Chair, Leading Change Toolkit)   
• Nataly Farshait (Leading Change Toolkit panel member)

• Dr. Alison Hutchinson (Leading Change Toolkit panel member)
• Kim Kinder (Co-sponsor team member, Canadian Patient Safety Institute)
• Dr. Celia Laur (Leading Change Toolkit panel member)
• Dr. Julia Moore (Leading Change Toolkit panel member)
• Jodi Ploquin (Leading Change Toolkit panel member)
• John Zhao (Leading Change Toolkit panel member)

2) Working Group: The Knowledge-to-Action Framework Tools Project

The Leading Change Toolkit includes valid and reliable tools to support the Knowledge-to-Action (KTA) Framework’s action cycle phases. In collaboration with the Leading Change Toolkit Development Team, a Working Group was engaged to spearhead and design the evaluation of the pragmatic and psychometric properties of the tools. We thank the following individuals for their contributions to this work.   

KTA Tools Working Group:

• Dr. Janet Squires (KTA Tools Working Group Lead & Co-Chair, Leading Change Toolkit)
• Dr. Ian Graham (Leading Change Toolkit panel member)
• Dr. Alison Hutchinson (Leading Change Toolkit panel member)
• Jennifer Plant (Leading Change Toolkit panel member)
• May Tao (Leading Change Toolkit panel member)
• John Zhao (Leading Change Toolkit panel member)
• Melissa Demery Varin (PhD student, University of Ottawa)
• Wilmer John Santos (MScN student, University of Ottawa)
• Laura Aloisio (Research Coordinator, The Ottawa Hospital Research Institute)

3) Working Group: Evaluation of the Leading Change Toolkit

This Working Group focused on determining priority areas for evaluating the Leading Change Toolkit by internal and external stakeholders during its development phases. In addition, the group provided guidance and input on developing metrics to gauge end-users’ feedback on the Leading Change Toolkit, including the use and impact of the resource.

Impact Evaluation Working Group:

• Dr. Doris Grinspun (Co-Chair, Leading Change Toolkit)
• Dr. Janet Squires (Co-Chair, Leading Change Toolkit)  
• Gina DeSouza (Co-sponsor team member, Canadian Patient Safety Institute (CPSI)/Healthcare Excellence Canada (HEC)) 

• Nataly Farshait (Leading Change Toolkit panel member)
• John Gabbay (Leading Change Toolkit panel member)
• Dr. Alison Hutchinson (Leading Change Toolkit panel member)
• Kim Kinder (Co-sponsor team member, Canadian Patient Safety Institute/Healthcare Excellence Canada (HEC))
• Dr. Celia Laur (Leading Change Toolkit panel member)
• Dr. Tina Mah (Leading Change Toolkit panel member)
• Dr. Julia Moore (Leading Change Toolkit panel member)
• Jodi Ploquin (Leading Change Toolkit panel member)
• May Tao (Leading Change Toolkit panel member)
• Bernie Weinstein (Leading Change Toolkit panel member)
• John Zhao (Leading Change Toolkit panel member)

Masters and PhD Students

• Literature review on patient/person and family engagement: Lori Martin, RN, Masters of Public Health, Candidate, Dalla Lana School of Public Health, University of Toronto
• Structured internet search for accessible resources addressing barriers to knowledge translation: Janet Chan, RN, MN student, Ryerson University

• Development of the KTA Tools template; completion of the objective component of the pragmatic assessment of the KTA Tools; analysis of the stakeholders’ pragmatic assessment surveys; organization of stakeholders’ assessments of the KTA Tools; and completion of the summary pages of the KTA Tools: Wilmer John Santos, RN, MScN student, University of Ottawa
• Development of the KTA Tools template; completion of the objective component of the pragmatic assessment of the KTA Tools; analysis of the stakeholders’ pragmatic assessment surveys; and organization of stakeholders’ assessments of the KTA Tools: Melissa Demery Varin, PhD student, University of Ottawa
• Completion of the summary pages of the KTA Tools: Laura Aloisio, Research Coordinator, The Ottawa Hospital Research Institute

As part of the development process of the Leading Change Toolkit, feedback was obtained from participants across a wide range of health-service organizations, academic institutions, practice areas and sectors. Participants include nurses, educators, students and individuals with lived experience and administrators. Reviewers representing diverse perspectives were also solicited for their feedback.  RNAO wishes to acknowledge the following individuals for their contribution in reviewing the Leading Change Toolkit.

Reviewers have given consent to the publication of their names and relevant information in this resource. Their details are current as of the time of the review (May 2021).