Date of Conferral
11-29-2024
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Dr. Patty Schweickert
Abstract
A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. The project using the Johns Hopkins evidence-based practice model, alongside a literature review. Pre- and post-knowledge assessment of 20 nurses was evaluated using a paired t-test, which revealed a statistically significant improvement (t = -4.83, p = 0.00093), demonstrating the program’s effectiveness. The project was evaluated by a local expert panel of seven participating nurses using a five-point Likert scale. Results showed a strong understanding of the practice problem (M = 4.7) and unanimous ratings demonstrating high effectiveness for evidence-based literature, project goals, objectives, and input opportunities (M = 5.0). The program included an educational framework that improved nurses’ communication skills, enhancing patient understanding and adherence. Ongoing education is recommended to sustain these gains and improve outcomes. Additionally, the project promotes diversity, equity, and inclusion by ensuring all patients receive clear instructions, advancing equitable healthcare and positive social change.
Recommended Citation
Fleming, Janie, "Staff Education: Improving Nursing Knowledge on Patient Medication Adherence Strategies using Teach-Back" (2024). Walden Dissertations and Doctoral Studies. 16712.
https://scholarworks.waldenu.edu/dissertations/16712