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. 

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

In this action cycle phase, the components of the practice change are monitored to determine their implementation or if additional strategies (or activities) are needed. 

Humber River Hospital is an acute care facility that has used continuous monitoring to determine the impact of BPG implementation and staff performance. 

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.   

In this action cycle phase, a problem is identified, a know-do gap is completed and a knowledge tool is chosen.