MEDICATION TEACHING IN HOME HEATLHCARE: USING THE TEACH-BACK METHOD

Abstract Medication errors continue to be problematic in healthcare. These errors lead to adverse drug events, hospital readmissions, and decreased patient satisfaction. Ineffective medication teaching can lead to medication errors. Numerous reports indicate that 40-80% of healthcare teaching is forgotten immediately, and half of the information is retained incorrectly. Recent studies and clinical practice guidelines support implementation of the teach-back method for teaching patients about medications. The purpose of this quality improvement project was to evaluate home healthcare nurses’ conviction of and confidence in using the “Always Use Teach-Back! Toolkit” and the patients’ views of medication teaching in the home healthcare setting. Patients in acute and post-acute settings report nurses are not explaining and/or teaching them about their prescribed medications. The Plan-Do-Study-Act model guided this quality improvement project. Home healthcare nurses in two branch offices of a large home healthcare agency participated in a process improvement session on the teach-back toolkit. Demographic data, pre and post-data of the nurses’ conviction of and confidence in using the teach-back method was collected. Data was also collected from the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey to identify the patients’ perceptions of medication teaching. Results of the nurses’ conviction and confidence were not statistically significant, although the results indicated that the nurses are convinced that the teach-back method is important and their confidence in using the teach-back method increased. The response rate from the CAHPS® Home Health Care Survey was insufficient to evaluate patient perception of medication teaching.

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Work Title MEDICATION TEACHING IN HOME HEATLHCARE: USING THE TEACH-BACK METHOD
Access
Penn State
Creators
  1. Jill Ann Kargo
Keyword
  1. DNP Project, Teach-Back, Medication Teaching, Home Healthcare
License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
Work Type Project
Acknowledgments
  1. Kelly A. Wolgast, DNP, RN, FACHE, FAAN
  2. Marie Boltz, PhD, GNP-BC, FGSA, FAAN
  3. Kristen A. Altdoerffer, DNP, CRNP, CPNP-PC
Publication Date April 22, 2018
Subject
  1. Medication Teaching in Home Healthcare: Using the Teach-Back Method
DOI doi:10.18113/S1G91B
Deposited April 22, 2018

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