A group of nurses implement a pilot study to evaluate a proposed evidence-based change to providing client care. Evaluation indicates successful outcomes and the nurses want to integrate the change throughout the facility. Which actions should be taken? Select all that apply.

Rationale: A. Submit a sentinel event report to the research committee: A sentinel event refers to an unexpected occurrence involving death or serious injury, not a successful pilot study. Submitting such a report does not support positive practice change implementation. B. Arrange inservice training through the education department: To ensure consistent and safe adoption of the new evidence-based practice, staff must be trained appropriately. Inservice sessions help standardize understanding and application across all shifts and units. C. Invite data review by the quality improvement department: The QI department plays a key role in evaluating outcomes, ensuring ongoing effectiveness, and identifying areas for refinement. Their review supports evidence-based decision-making and broader facility implementation. D. Propose clinical practice guidelines to the nursing committee: The nursing committee evaluates and approves practice changes for system-wide integration. Presenting guidelines ensures alignment with institutional policies and facilitates formal adoption of the new approach. E. Obtain informed consent from clients who will receive care: Informed consent is not typically required when implementing standard evidence-based care unless the intervention is experimental. Since the pilot was successful and no longer a research study, consent is not necessary.