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

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. 

In the action cycle phase of the Knowledge-to-Action Framework, actions are taken to determine the barriers and facilitators to achieving best practices. 

Evidence-based interventions to support the development of a screening, brief intervention and referral to treatment (SBIRT) for persons who use drugs and alcohol. 

Toronto Public Health – a Best Practice Spotlight Organization® (BPSO®) - has adapted several RNAO best practice guidelines (BPGs) to align with a population health approach. 

Care practices were revised using adapted evidence-based best practice guidelines in an acute care facility in Beijing, China. 

Tilbury Manor, a long-term care home, chose to focus on provincially-mandated “required programs” when seeking to improve resident care using a gap analysis.