Consider Phases of Change: Step 1. Development of proposal for change Barriers: Lack of knowledge Lack of importance Guidelines are complex and difficult to understand Lack of time Lack of motivation Lack of resources Facilitators: Request for more efficient process Recognition as a CSC Step 2. Analysis of performance and targets for change Literature review Local discussions Step 3. Problem analysis of target group and setting Consider Phases of Change: Orientation Insight Acceptance Change Preservation of change Step 4. Development/ selection of implementation strategies and measures Literature review Local discussions Step 5. Testing and execution of the implementation plan Implement plan Step 6. Integration of changes into routine practice Step 7. Evaluation and readjustment of the implementation plan Local discussions Supplemental Digital Content 1. Adaptation of Grol & Wensing’s (2013) implementation model and the methods used for this study.