The impact of teach-back method on hospital readmissions
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Rebel L. Heasley, DNP, MHA/MSN, RN, NE-BC, CHPN
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Excessive healthcare costs resulted in the advent of the Centers for Medicare and Medicaid Services Hospital Readmission Reduction Program, where hospitals incur financial penalties for high readmission rates. This suburban hospital reported readmission rates of 10.38% in 2020 and 9.03% in 2021, much higher than the desired Vizient national benchmark of 6.83% or the twenty-fifth percentile. A literature review revealed that using the teach-back method alone or with other discharge activities can reduce hospital readmissions. This project tackled the quality
issue of high readmission rates by addressing patient education at discharge. The quality improvement project translated the use of the teach-back method for patient education into the hospital acute care setting using a pre-test, intervention, and post-test design. The project population consisted of a convenience sample of registered nurses from one acute care medical unit at the suburban hospital. Statistical analysis using the SPSS Version 28.0 for Windows included Spearman rank-order correlations, Pearson chi-square tests, and paired-samples t-tests. The paired-samples t-tests revealed a statistically significant difference in confidence, the Conviction and Confidence Scale scores improved for importance and confidence in using the teach-back method, and a readmission rates Run Chart showed a five-point downward trend after implementation. Incorporating the teach-back method into daily nursing practice can impact readmission rates positively.
The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Readmissions; Rehospitalizations; Hospital Discharge; Patient Education |
Grantor | The University of Texas at Arlington |
Advisor | Hamby, Donna L.; Taylor, Marian R.; Eades, Tamara L. |
Level | DNP |
Year | 2022 |
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