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Fig. 1 | BMC Health Services Research

Fig. 1

From: The Sustain and Spread Framework: strategies for sustaining and spreading nutrition care improvements in acute care based on thematic analysis from the More-2-Eat study

Fig. 1

The Sustain and Spread Framework: Once there is initial implementation success, strategies are used to sustain and spread the successful change. Strategies to encourage changes to be sustained or spread are included within each circle, with the two strategies in the middle applying to both sustaining and spreading success. To fully spread into a new setting or unit, a new change goes back to implementation (arrows from the Spread circle back to Implementation) in the new context. Working through several rounds of sustaining and spreading may lead to an overall culture change

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BMC Health Services Research

ISSN: 1472-6963

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