Date of Conferral

2018

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Janice M. Long

Abstract

The focus of this quality improvement doctoral project was the evaluation of an organization's standardized use of the teach-back process for patient education implemented in February 2018. Teach-back is a process in which the patient restates the key concepts for self-management, so the nurse can assess the effectiveness of the teaching and learning process. The practice-focused question compared 4 questions on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey with literature and recommendations from major health care organizations. The Iowa Model was used to guide the project. The literature review was completed using the Cumulative Index to Nursing and Allied Health Plus with full text database of peer-reviewed articles published between 2013 and 2018. The standardized HCAHPS scores for 4 identified questions from 6 months of preimplementation and postimplementation of the teach-back process were compared using an independent t-test to determine whether the teach-back method improved satisfaction scores. No statistically significant change was noted in the postimplementation scores compared with scores prior to the implementation of teach-back. Potential reasons for lack of improvement may include lack of nurse readiness, insufficient communication for nurse involvement, and lack of support for the evidence-based practice. Although the results did not show significant improvement in the 4 selected questions, opportunity exists for continued work to standardize the use of teach-back process to improve communication about medications and care transitions for patients preparing for discharge to home. Improved patient understanding may improve outcomes and promote positive social change.

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