Date of Conferral
Doctor of Nursing Practice (DNP)
Congestive heart failure (CHF) is the leading cause for readmission in hospitals and has a
high mortality and morbidity rate, with implications for hospitals and third-party payers.
Readmissions of patients with CHF are related to inadequate patient knowledge at
discharge, inadequate follow-up with a health care provider, and treatment regimen
nonadherence. Patients report feeling ill prepared to provide appropriate self-care during
the transition from inpatient hospital stay to the home setting. One strategy to assess the
patient's understanding following discharge education is through a process known as
teach-back. The purpose of this quality improvement initiative guided by Knowles's
theory was to determine if there would be an increase in the nurses' knowledge about
using the teach-back process to assess learners' understanding after completing the
education module. Thirty-two registered nurses participated in the education, and a paired
t test was used to determine if there was a significant difference (p < .05) in the nurse's
knowledge by comparing the pre- and posttest results. A statistically significant
difference was seen in the scores between the pre- and posttest with a p value of 0.0002
suggesting that nurses' knowledge about teach-back increased after participating in the
teach-back education module. The outcome of this project has the potential to prepare
nurses to evaluate the patients' understanding of their self-care instructions before
discharge. This project has the potential for positive social change by preparing patients
to provide proper self-care when discharged from the hospital, thereby improving their
health outcomes, decreasing the rate of 30-days readmissions, and decreasing health care
costs for the hospital.
Morgan, Morgan B., "Reducing Readmissions for Patients Hospitalized with Congestive Heart Failure" (2020). Walden Dissertations and Doctoral Studies. 8095.