Table 2 Grol and Wensing model of implementation
Step 1 | Step 2 | Step 3 | Step 4 | Step 5 |
|---|---|---|---|---|
Develop a proposal for change | Analyze actual performance, target group and setting | Development and selection of strategies and measures to change practice | Development, testing, and execution of implementation plan | Continuous evaluation and (where necessary) adapting plan |
Development of local guidelines based off of AHRQ resources; specific, concise, and relevant educational flyers developed from these resources for nursing staff | Baseline measurement of process and documentation compliance. Survey of staff to understand their knowledge of CHG bathing. Informal discussions with staff to identify barriers and facilitators of guideline use. | Linked identified barriers (lack of knowledge, and perceived importance) to implementation strategies | Planning, preparation, and execution of implementation strategies (educational outreach visits and audit and feedback) | Follow up measurement (post-data) and sustainability plan |