Using a teach‐back intervention significantly improves knowledge, perceptions, and satisfaction of patients with Nurses' discharge medication education

Marks, Lisa; O'Sullivan, Laura; Pytel, Kathy; Parkosewich, Janet

doi:10.1111/wvn.12612

Cited by 4 publications

References 27 publications

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Initiating an Insulin Safety Campaign to reduce the incidence of glycemic harm events for hospitalized adults 65 and older

Cohen,

de Grandpre,

Herlihy

et al. 2024

J American Geriatrics Society

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BackgroundDuring calendar years 2021 through 2023, our health system admitted 200,837 persons 18 years and older with diabetes, of which 61% (n = 123,393) were 65 years and older with orders for insulin administration. The incidence of diabetes among hospitalized persons 65 and older continues to increase in the United States, with 24 million adults 65 and older with diabetes reported in 2020. Insulin, a high‐risk medication, has the potential for adverse drug events, which can cause significant harm to patients, potentially resulting in death. With the 2023 initiation of voluntary electronic clinical quality measures reporting for severe glycemic harm events from the Centers for Medicare Services, the study team saw an opportunity to evaluate and standardize insulin‐related practices across the system.MethodsWe implemented an Insulin Safety Campaign (ISC), to review, evaluate, and standardize insulin‐related processes across our health system. The primary goal was to reduce severe glycemic harm events system‐wide. Insulin‐related practices were reviewed for best practice alignment and standardized. Outcomes were measured according to the Centers for Medicare and Medicaid Services' electronic clinical quality measures reporting guidelines.ResultsComparing pre‐and post‐implementation results, all five medical centers achieved statistically significant reductions in sever hyper‐ and hypoglycemic harm events.ConclusionsThrough a collaborative effort, we were able to identify, address, and reduce insulin‐related process variabilities through standardization, reducing the percentage of severe glycemic harm events and improving blood glucose management in our hospitalized persons 65 and older.

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Initiating an Insulin Safety Campaign to reduce the incidence of glycemic harm events for hospitalized adults 65 and older

Cohen,

de Grandpre,

Herlihy

et al. 2024

J American Geriatrics Society

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Discharge Communication and the Achievement of Lifestyle and Behavioral Changes Post-Stroke in the Transitions of Care Stroke Disparities Study

Johnson,

Gardener,

Gutierrez

et al. 2024

American Journal of Lifestyle Medicine

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Objectives: This study identifies the association between patient perception of discharge education/resources and adequate transitions of care (ATOC) (i.e., patient achievement of at least 75% of recommended positive behaviors and activities within 30 days post-stroke hospitalization). Methods: The analysis measured the association between sufficient discharge communication (SDC) (i.e., patient receipt of sufficient diet education, sufficient toxic habit cessation education, if applicable, and scheduled medical follow-up appointment) and ATOC within 30 days post-discharge overall and by race/ethnicity [non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic] in the Transitions of Care Stroke Disparities Study (TCSD-S) (2018-2023). Results: In our sample (N = 1151, Average Age 64+/−14 years, 57% Men, 54% NHW, 24% NHB, 23% Hispanic), 31% overall, as well as 22% of NHW, 43% of NHB, and 41% of Hispanics reported SDC. After covariate adjustment, patients reporting SDC had increased likelihood of accomplishing ATOC when compared to patients not reporting SDC overall (OR = 1.97; 95% CI: 1.42-2.74) and among NHW (OR = 2.76; 95% CI: 1.64-4.64) and NHB (OR = 2.29; 95% CI: 1.16-4.53). The association among Hispanic participants was not statistically significant. Conclusion: Our findings reinforce the importance of providing quality communication to patients to ensure a successful transition of care from hospital to home or rehabilitation facility.

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Implementing a Patient Education Bundle to Improve Patient Satisfaction

Tyler

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Practice Problem: Patients on the intervention unit reported via HCAHPS surveys a lack of understanding of the nurse provided education on their medications’ side effects and purpose after discharge home from the hospital. Nurses at the intervention unit’s organization do not use any formal or standardized method of patient education to ensure patient comprehension. PICOT: Among adult inpatients (18 years or older) on a step-down unit in an acute care facility (P), does implementing an education bundle related to patient medication education (I), compared to current practice of no formal education process (C), increase patient satisfaction as measured by HCAHPS scores on patient medication (O) in eight weeks (T)? Evidence: Through rigorous literature review, evidence-based methods proven to assist patients’ learning were discovered. The literature states that to enhance comprehension, education should be provided using plain language, in patients’ preferred language, and utilizing their preferred learning method. Healthcare providers can then ensure their understanding with the use of the teach-back method. Intervention: Nurses on the intervention unit were educated on an education bundle and implemented the bundle as new practice throughout patients’ hospitalization. Use of this bundle was promoted for each alert and oriented patient during medication administration and at discharge. Outcome: The intervention of a medication education bundle resulted in a statistically significant increase of the intervention unit’s patients’ satisfaction of provision of medication education HCAHPS scores over time. Conclusion: When used together, multiple education interventions are effective in increasing patient satisfaction of education and reported understanding of medications’ side effects and purpose.

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Using a teach‐back intervention significantly improves knowledge, perceptions, and satisfaction of patients with Nurses' discharge medication education

Cited by 4 publications

References 27 publications

Initiating an Insulin Safety Campaign to reduce the incidence of glycemic harm events for hospitalized adults 65 and older

Initiating an Insulin Safety Campaign to reduce the incidence of glycemic harm events for hospitalized adults 65 and older

Discharge Communication and the Achievement of Lifestyle and Behavioral Changes Post-Stroke in the Transitions of Care Stroke Disparities Study

Implementing a Patient Education Bundle to Improve Patient Satisfaction

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