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