The Registered Nurses Association of Ontario (RNAO) has taken the lead in Canada in the development of best practice guidelines for nurses. The Nursing Best Practice Guidelines (NBPG) Project funded by the Ontario Ministry of Health and Long-Term Care involves development, pilot implementation, evaluation and dissemination of a series of clinical practice guidelines (CPGs) as has been previously described in Hospital Quarterly (Grinspun, Virani and Bajnok 2002). In the early stages of development and pilot implementation of the guidelines, it became apparent that organizations were struggling to identify ways to introduce and implement the guidelines. The majority of the pilot sites were providing education sessions to facilitate CPG utilization with little attention to other implementation strategies. Those charged with introducing the CPG into the clinical setting were soon faced with a myriad of implementation challenges for which they needed solutions. It became clear that a planned, systematic approach to facilitate implementation of CPGs was needed.

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