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The impact of teach-back method on hospital readmissions
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 qualityissue 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....
Health literacy preparation of BSN students: A basic qualitative study
Understanding the complexity of multiple health conditions, treatment options, and medications requires a high level of health literacy. Yet, 88% of Americans have some deficiency in health literacy. The nursing literature ...
Measuring knowledge and behavior after an educational program on air pollution as a health risk reduction strategy
Potential exposure to indoor and outdoor air pollution must be considered as part of an overall health risk reduction strategy. Toxicants identified in outdoor air pollution, fine particulate matter (PM2.5), and photochemical ...
Postpartum patient teaching success: Implications from nursing and patient perspectives
A recent examination of postpartum patient satisfaction scores in an inner-city hospital revealed decreased satisfaction of discharge teaching practices. Guided by Knowles’ model of andragogy and Donabedian’s ...
The relation between patient education and PICC line occlusion and infection
The purpose of this study was to test the feasibility of using an electronic tablet to supplement patient and caregiver education about PICC line maintenance and to compare the percentage of PICC line complications in the ...
Effectiveness of fall prevention multimedia program on patient awareness, self-efficacy, and engagement
Hospitalized adults are at high risk of falls during their acute episode of care making fall prevention programs a critical element of care. Patient self-efficacy and engagement in fall-prevention activities are important ...
A randomized controlled trial of an individualized preoperative education intervention for symptom management following total knee arthroplasty
Total knee arthroplasty (TKA) is a common surgical procedure for the treatment of patients with pain and immobility as a result of osteoarthritis or rheumatoid arthritis. Painrelated interference, pain and nausea are ...
Predictors of HIV/AIDS related stigma and discrimination among Anglophone Caribbean women
The effects of the Human Immunodeficiency Virus (HIV) global epidemic continue to emerge decades after the first wave of infection. One key aspect of the HIV epidemic that is significantly impacted by culture and knowledge ...
Patient satisfaction with postpartum teaching methods used by nurses
Background. Maternity nurses have a responsibility to provide extensive teaching to new mothers after they deliver their babies prior to discharge from the hospital. Since patient satisfaction is an important indicator of ...
Comparison of three teaching methods on four-through-seven year old children's understanding of the lungs in relation to a peak flow meter in the management of asthma: A pilot study
The purpose of this study was to compare the effects of three teaching methods on 4-through-7-year-old children's understanding of the lungs in relation to a peak flow meter in the management of asthma. Nineteen children, ...