In this action cycle phase, the outcomes of the change initiative are measured to determine the impact. 

In this action cycle phase, strategies are implemented to support the practice change after the outcomes have been evaluated and determined to be effective.   

A section in the Leading Change Toolkit focused on engaging persons with lived experience in a change initiative, including as possible members of a change team. 

A case study about the integration of patient family advisors at Scarborough Health Network to enhance community engagement and health equity. 

Case study - Holland Bloorview 

Kidnney Health Australia case study  

A case study on reducing wound infections at Perley Health in Ottawa, Ontario to advance best practices using the Knowledge-to-Action framework. 

A case study from Holland Bloorview Kids Rehabilitation Hospital focused on engaging persons with lived experience in a change process. 

DongZhiMen Hospital and Beijing University of Chinese Medicine (BUCM) School of Nursing are international BPSOs in Beijing, China. Staff at the sites identified barriers to the use of evidence in practice including heavy workloads, cultural differences and reluctant attitudes about using evidence to inform practice.   

Unity Health Toronto - St. Michael’s Hospital, a Best Practice Spotlight Organization® (BPSO®) has embedded evidence-based practices into its culture and daily work processes as part of its corporate strategy.