Registed Nurses' Association of Ontario

Leading Change Toolkit

A practical, evidence-based toolkit
for champions and change teams

RNAO and the Canadian Patient Safety Institute (CPSI) are developing a toolkit that will give health providers practical advice on how to implement RNAO’s best practice guidelines into care plans for patients. The toolkit will build on content in the second edition of RNAO’s current resource Implementation of Best Practice Guidelines.


The goals of the revised toolkit (Leading Change Toolkit - draft title) are to promote health care excellence at the point-of-care, and to create sustainable evidence-based cultures. Structured processes guided by the Knowledge-to-Action Framework will help organizations understand their context and embrace dynamic change. Social movement approaches will promote engagement of point-of-care practitioners seeking to deliver safe and excellent care.

Target audience

The toolkit is for champions and change teams who work across health sectors and settings in Canada and around the world. Change teams can use the toolkit to implement best practices, and improve quality and safety. Teams may include interprofessional practitioners, patients and families, administrators, students, educators, and other staff or volunteers in the organization. The toolkit will be a comprehensive resource for RNAO Best Practice Spotlight Organizations, RNAO Best Practice Champions and CPSI Safety Improvement Teams. Other toolkit users may include researchers, policy makers and administrators.

New Features

Like the current toolkit, RNAO Toolkit: implementation of Best Practice Guidelines (2nd ed.), the Leading Change Toolkit will be organized around the action phases of the Knowledge to Action framework. Two new features will be added: 1. social movement thinking, including strategies and approaches used to mobilize change, and 2. an online clinical tool library. The library will include additional resources that can be applied to various health service and academic organizations across Canada and around the world.

The toolkit will be available in English, French and Spanish as a free download.

Expert Panel

The expert panel is made up of national and international experts, including interprofessional health-care providers from numerous sectors, patients and families with lived-experience, and those with expertise in knowledge translation, implementation science, social movement thinking, quality improvement and best practice guideline implementation.

Dr. Janet Squires, RN, BN, MN, PhD
Dr. Doris Grinspun, RN, MSN, PhD, LLD(hon), Dr(hc), FAAN, O.ONT.
Jesús Bujalance, RN
Nataly Farshait, RN, MN, CPNC, CHE
John Gabbay
Alison Hutchinson, RN, Cert of Midwifery, BAppSci (Adv Nsg), MBioeth, PhD
Dr. John Lavis
John Lavis MD, PhD
Celia Laur, MSc, PhD
Tina Mah,PhD
Julia Moore
Julia E. Moore PHD
Jignesh Padia, Patient Advocate
Jennifer Plant, MSc
Jodi Ploquin, M.Sc
Natrice Rese, Patient Advocate
P. Jim A. Ruiter, MD, MCFP
Margie Sills-Maerov, BScOT, MBA, CHE
Dr. Daphney St-Germain, RN, PhD
May Tao, RN, BScN, MSN, CCHN(C)
Marita Titler
Marita Titler PhD, RN, FAAN
Bernie Weinstein, Patient Advocate
Junqiang (John) Zhao , RN, MScN, PhD Student

Expected date of completion: November 2020

RNAO and CPSI welcome feedback. Those interested in viewing the current a draft are welcome to sign up


  • Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: Time for a map? Journal of continuing education in the health professions, 26(1), 13-24.
  • Grinspun, D., & Bajnok, I. (2018). Guideline development: First pillar for success in Transforming nursing through knowledge: Best practices for guideline development, implementation, science, and evaluation. Sigma Theta Tau.