identifying the problem(s), selecting, critiquing, and combining relevant research, designing, planning, and piloting change into practice, and integrating and sustaining change. 

The five steps of the model for change include: identifying the problem(s), selecting, critiquing, and combining relevant research, designing, planning, and piloting change into practice, and integrating and sustaining change. The first step involves carefully assessing any existing issues within an organization such as medical errors or quality gaps in patient care that need to be addressed. This can help guide the selection of evidence-based studies to use when transforming practices so they reflect best practices while being mindful of any constraints or resources available.

Once appropriate research is identified it must then be critically evaluated &combined with best judgment to create a plan for action . This includes developing specific objectives &outcomes as well as strategies for implementation , which should all encompass the organization’s mission/vision statements.

Once a plan is created it needs to be piloted on a small scale before larger rollouts take place in order ensure that everything functions properly; this also allows time for necessary adjustments if unforeseen complications arise. Finally , effective integration &sustaining changes require ongoing monitoring &evaluation coupled with open communication between all stakeholders during each step of this process .