Practice tips

Practice tips
  • Assemble a team to support the overall change initiative. Don’t do this work alone!
  • Listen early and often to understand people’s beliefs about the change initiative, whether or not they support the change and why
  • Engage staff early and often to identify barriers and facilitators.
  • Engage staff to generate strategies to address barriers.
  • Identify the benefits:
    • Address the questions: “What’s in it for me?”
    • Identify other benefits for persons/patients, staff, the organization.
  • Ensure ownership of the change initiative from staff through active engagement. 
  • Provide opportunities for feedback throughout the change process.
  • Whenever possible, and if appropriate, adopt recommendations from staff as they are generated.
  • Use champions to help create ‘bottom-up’ support. Champions can educate, mentor, audit and evaluate the change initiative and the use of best practices. 

Example: Listen to Sheila Doering, a nurse with the Food is Medicine initiative, talk about creating change in the work environment. She emphasizes the need to include everybody in creating change “to draw on their experiences to foster creativity and ingenuity”.  Learn more about the Food is Medicine initiative here.


Accelerate Your Success: The Social Movement Action Framework’s element ‘networks of people and resources’ can help you and your team gather more information on the barriers and facilitators in your local setting. These networks may also act as key informants to help you understand what other factors you may want to consider before you implement your change. Further, networks may also provide you with resources and tools to help you efficiently leverage facilitators or address barriers.