Date of Conferral

10-22-2026

Date of Award

October 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Melissa Rouse

Abstract

This Doctor of Nursing Practice (DNP) quality improvement staff education project addressed inconsistent nurse-delivered medication side-effect education and limited use of the teach-back method on a medical-surgical unit. Organizational Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) communication measures identified opportunities to improve patient understanding of medications and their potential side effects. The purpose of this project was to determine whether education for medical-surgical nurses on standardized nurse-delivered bedside medication side-effect education using the teach-back method improved nurses' knowledge, confidence, and intent to use teach-back with their patients. The project was guided by the Johns Hopkins nursing evidence-based practice model and the analysis, design, development, intervention and evaluation (ADDIE) framework. The educational intervention included a PowerPoint presentation, medication scenarios, teach-back scripts, educational handouts, and pre- and post-intervention surveys. Seven nurses completed the preintervention survey and six completed the postintervention survey. Descriptive statistics were used to analyze project outcomes. Knowledge remained high following the intervention (pre: 98.4%; post: 98.1%), while confidence improved slightly (pre: 4.50/5; post: 4.52/5). Participants also demonstrated a strong intent to use teach-back (4.64/5). This project supports evidence-based nursing practice by promoting standardized, patient-centered medication education and has the potential to improve medication safety, patient understanding, and equitable healthcare outcomes.

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