In this action cycle phase, the implementation of the best practice is considered in the context of the setting and whether any modifications are needed to make the practice change.     

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

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

In this action cycle phase, strategies to support a practice change are selected and tailored to the local context and its identified barriers and facilitators.  

Spectrum Health Care, a Best Practice Spotlight Organization® (BPSO®) and home health organization, evaluated care outcomes after implementing the Person- and Family-Centred best practice guideline (BPG). 

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. 

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

The Region of Peel, a Best Practice Spotlight Organization® (BPSO®), has sustained the implementation of the Assessment and Management of Pain best practice guideline (BPG) for almost a decade. 

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