Survey: Evaluating the Leading Change Toolkit™

We appreciate your feedback on the Leading Change Toolkit™. Your completion of the survey below is voluntary and anonymous. Survey responses will help us to continue to develop and revise content and to support the needs of change agents and change teams.

Should you have any further questions regarding the Leading Change Toolkit, please email us at leadingchangetoolkit@RNAO.ca

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WHO

You chose health-care provider, please indicate which apply to you

You chose health-care provider, please indicate which apply to you Other health-care provider

Educator: Describe role

Student: Describe

Does your change project/initiative involve a change team? (A change team may also be called an implementation team, implementation committee, steering committee, or project team)

Yes

Does your change team involve people from different disciplines or roles?

Yes

If yes, who is part of your change team? (Choose all that apply)

Nurses

Personal Support Workers (PSW)

Physicians

Mental health and/or social service workers

Volunteers

Researchers

Person/patient and/or family member* (*Can also include, but not limited to, chosen family members, caregivers, substitute decision- maker, or community members)

Other

If yes, who is part of your change team? (Choose all that apply) Other

WHY

WHAT

Briefly describe your change project/initiative(s), including the identified problem/shared concern/strongly desired change, and/or performance gap.

Which framework(s) did you apply? *

Both the Social Movement Action and the Knowledge-to-Action

Social Movement Action Framework only

Knowledge-to-Action Framework only

Other

Which framework(s) did you apply? Other

Briefly describe how you applied the framework(s)?

What aspects of the Leading Change Toolkit™ were the most useful (e.g., knowledge, strategies, tools, framework component(s), or worksheets)? *

What aspects of the Leading Change Toolkit™ were the least useful? *

Was anything missing from the Leading Change Toolkit™ ( i.e., were there any gaps in information that you were expecting or anything else you wanted to see)?

In the below table, please indicate the following i) What outcomes were achieved from using the Leading Change Toolkit™? (Choose all that apply) ii) Briefly describe the outcome (optional). iii) For each of the outcome(s) achieved, rate the extent to which you agree/disagree with the following statement: “Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”


Change outcome	Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To increase staff engagement Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To develop informal and formal leadership knowledge and skills Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To enable meaningful participation of persons/patients and families to support the change process Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To develop an evidence-informed culture Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To achieve the uptake and sustainability of knowledge (e.g., BPGs) Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To assess implementation using the included Knowledge-to-Action (KTA) tools Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To gain knowledge and skills in implementation frameworks Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To improve safety Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To achieve quality improvement (e.g., AIM) Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To promote positive outcomes (e.g., for persons/patients, providers, or organizations) Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
To accelerate the success of a change project/initiative Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”
Other Change outcome	Achieved Outcome achieved	Briefly describe the outcome (optional)	“Using the Leading Change Toolkit™ helped us to achieve our outcome(s)”

WHERE

At which level did your change project/initiative occur?

Micro (e.g., at the point of care)

Meso (e.g., organization- or community-wide)

Macro (e.g., health system)

Please describe

WHEN

For approximately how long has your change project/initiative been implemented?

Three to six months

Six to up to 12 months

1 year to up to 2 years

2 years and beyond

HOW

Choose all that apply

How did you access the Leading Change Toolkit™? Other

Choose all that apply

How did you hear about the Leading Change Toolkit™?

How did you hear about the Leading Change Toolkit™? Other

The Leading Change Toolkit is a living resource that will be updated on an annual basis. Please share any suggestions for improvements and/or additions:

Overall impressions

Rate your overall satisfaction with the Leading Change Toolkit™

Consider factors such as ease of navigation, relevance and practicality of the information, visuals, and/or use of time.