Barriers to effective educational change include lack of involvement from all stakeholders, resistance from employees, poor resource management, ineffective leadership and communication. Other barriers are unclear goals and processes, organizational culture, perceptions of stakeholders, lack of holistic approach or follow up, lack of support, and literacy rates. For change to be successful, the purpose must be clear to all involved, participants must be involved in planning, communication must be strong, and fear of failure or excessive work pressures must be addressed through professional development and use of data. Leadership plays a key role in creating trust and respect for the change process.