Registed Nurses' Association of Ontario

Leading Change Toolkit

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

RNAO and the Canadian Patient Safety Institute (CPSI) are partnering to develop a toolkit that will replace the RNAO Toolkit: Implementation of Best Practice Guidelines (2nd edition) with a dynamic and modern online resource.


The goals of the Leading Change Toolkit 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

The Leading Change Toolkit will include two main frameworks: the Knowledge to Action framework, which is found in the 2nd edition toolkit, and a new Social Movement Action (SMA) Framework. The SMA framework includes strategies and approaches used to mobilize change. Find more details on the SMA framework.

The toolkit will be freely accessible and available in English, French and Spanish.

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
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: April 29, 2021

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.