The desired outcome of this study was to develop and implement a set of practice review documents (the Tool)into community nursing with the intention of improving practice. The study explores the development of the documents in the Tool, their implementation and it then investigates if any changes occurred as a result of their implementation leading to an improvement in nursing practice. The literature associated with the study involved an examination of the role of continuous professional development and career planning in maintaining best practice. In addition, the Magnet Hospitals and the Pathway to Excellence Programmes were examined and the role they play in producing gold standard practice and how they instil these values in staff. Key issues used to improve quality in nursing were also investigated; these included maintaining competence, best practice delivery, staff retention, succession planning and capacity building. Various management approaches used to improve the quality of nursing care delivery were also observed like effective leadership, empowerment of staff, reflective practice, mentorship, staff accountability and ongoing support. Finally, the literature focused on investigating the usefulness of potential key elements being introduced through the Tool in the research, in the hope of improving practice, like case review, early identification of clinical issues and speedy intervention all of which claim to assist with a quicker improvement and/or resolution of clinical issues, which enhance the prospects of better practice outcomes and assist staff feel supported. An action research methodology was used in the research as it allowed for the development of knowledge together with the implementation of actions and it also supports the change process. Grahams et al (2006) model of action research was applied through four action research cycles: an exploratory phase; a consultation and development phase; a pilot phase and a re-development and roll-out phase. The research findings demonstrated that the documents were successful in improving practice and delivering safer healthcare while supporting staff. This in turn, leads to better staff retention and improved patient outcomes. Several recommendations were made, including the introduction of the documents for future practice.