Date of Award
Doctor of Nursing (ND)
Awes, Kelly Marie
A lack of comprehension of discharge instructions may cause high readmission and emergency room revisit rates for organizations. At the project site, there was no current evidence-based practice to ensure patient comprehension of discharge instructions. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Institute for Healthcare Improvement (IHI) Always Use Teach-Back Toolkit would impact emergency room revisit rates among adult medical-surgical patients in a critical access hospital in rural Minnesota over four weeks. Afaf Meleis’ transitions theory and the Iowa model for evidence-based practice were the scientific underpinnings of the project. The total sample size was 87, n = 47 in the comparison and n = 40 in the intervention groups. Data was extracted from the facility’s electronic health record. A chi-squared test was used, and results indicated no statistically significant reduction in the ED revisit rates X 2 (1, n=87) =2.00, p=0.157. Clinical significance is found in reducing the ED revisit rates by 1.38% over the four weeks. Therefore, the implementation of the IHI’s Always Use Teach-Back Toolkit may reduce emergency room revisit rates in this population and setting. Recommendations include sustaining the practice, adding teach-back to the discharge planning protocol, and disseminating the project findings.
Notch, Katie Beth, "Implementation of Teach-Back for Discharge Teaching in a Critical Access Hospital: A Quality Improvement Project" (2021). Theses and Dissertations. 8.