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Building capacity for change: developing an evidence-based competencies framework to power champions
Harveer Punia1, Giulia Zucal2, Patricia Julian2
1Registered Nurses Association of Ontario, Toronto, Ontario, Canada hpunia@rnao.ca.
BMJ Quality & Safety
|June 4, 2026
Summary
Champions are crucial for advancing evidence-based practice (EBP) in healthcare. This study developed a framework detailing essential competencies for healthcare champions to improve EBP implementation and sustainability.
Area of Science:
- Healthcare Innovation
- Evidence-Based Practice (EBP)
- Professional Development
Background:
- Champions are vital for driving healthcare innovation and implementing evidence-based practice (EBP).
- A framework is needed to define the competencies required for effective champions.
- This framework is designed for the global Best Practice Champions Network (BPCN).
Purpose of the Study:
- To develop a comprehensive Champions' Competencies Framework.
- To outline the necessary knowledge, skills, behaviors, attitudes, roles, and responsibilities for champions.
- To support the global Best Practice Champions Network (BPCN).
Main Methods:
- A three-phase development process was employed.
- Phase I: Grey literature scan for existing competency sources.
- Phase II: Scoping review (Arksey and O'Malley methodology) of studies from 2010-2025 across multiple databases (Cochrane, CINAHL, Embase, MEDLINE, PsycINFO). Phase III: Thematic synthesis and external consultation.
Main Results:
- 63 studies were included in the analysis.
- Seven core competency roles for champions were identified: leader, advocate, collaborator, communicator, content and context expert, facilitator, and mentor.
- 34 performance statements were developed to support these roles.
Conclusions:
- Champions are essential for driving EBP in healthcare settings.
- The developed framework enhances the understanding of champion competencies and aids skill development.
- Organizations can use this framework for competency-based training and tailored strategies to promote EBP uptake and sustainability.
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