Spreading TCAB across network hospitals

Perez et al discuss how they spread the Transforming Care at the Bedside (TCAB) model to 21 units across the Seton Family of Hospitals network. "Spreading" refers to diffusing or expanding the TCAB process to other areas of the hospital or network. According to Rogers's theory of diffusion of innovation, which is the underlying framework for spreading TCAB, diffusion occurs in a five-step process proceeding from finding out about an innovation, to learning more about it, to deciding to use it, to testing it, and finally to adopting it. They stress that the units that are most successful in adopting and spreading TCAB share certain characteristics. Their unit leaders and staff are strongly engaged in the process. Moreover, they present step when spreading TCAB.