Clinical Question In order to ensure proper discharge planning has been implemented properly using teach back method is vital during patient discharge A literature review disclosed that teach back method assisted in reducing health complications and decreased hospital readmissions One of many issues with discharge planning is that nurses may explain instructions once in result for information not being retainable for patients As such insufficient discharge planning can lead to negative patient outcomes Not only is teach back method determines patient understanding it also reinforces information already given According to Almkuist 2017 heart failure HF affects 5 7 million Americans one in four patients discharged with a diagnosis of HF are readmitted within 30 days p 309 A hospital educational study was conducted with patients with heart failure 23 high risk heart failure patients participated in a 60 minute teach back sessions During a 180 day study period the goal was to reduce the 30 day readmission to 13 8 for these patients Haney M Shepherd J 2014 p 50 The results reported 10 out 23 43 changed dietary habits particularly sodium intake because of the teaching 1 out of 23 died 3 13 was readmitted to the hospital with 30 days but only one was related to heart failure 3 patient s didn t remember the teach back method at all and 5 patient s reported it's a reminder of what they previously learned
The study concluded teach back method is more effective with new information a patient hasn t received previously Haney M Shepherd J 2014 p 51 The purpose of this paper is to discuss how utilizing the teach back method during discharge planning impacts patient outcomes This published research can be more focused based on the PICOT pneumonic Population patients ready for discharge Intervention using teach back method with patients when creating a discharge instructions Comparison not using teach back method Outcome patient readmission is significantly reduced with teach back method and verbalize checklist needs Time with no readmission within 30 days PICOT question Is patient discharge planning compromised when nurses do not use teach back method in comparison to the one who utilize this method Levels of Evidence In addition using quantitative and qualitative analysis would be best represented because in the articles it compares the rates of no readmission of patients using that method after discharge to the ones that get readmitted after discharge A naturalistic approach to research in which the focus is on understanding the meaning of an experience from the individual's perspective Houser 2018 p 35 One can agree that assessing patient understanding can be quite a complex process however utilizing teach back method can measure how much the patient is comprehending by repeating instructions Qualitative research involves a lot of open ended questions that will help us gain incentive to the patient's knowledge
When comparing two different scenarios an acceptable level of evidence is level III because it allows the research to be focused on comparing two different scenarios Search Study A credible resource is keen when conducting research based study as they are backed by evidence and peer reviewed Thus CINAHL was utilized to find the evidence base resources CINAHL database has various different options to refine searches that best suite the research For instance date can be adjusted to find current articles utilizing keywords aided in filtering unwanted articles When I am researching a particular topic I like to narrow down my search terms so I can get less than 15 articles to review rather than thousands Doing an advanced search where I can click peer reviewed English written articles conducted in United States Up to date and recent information is always vital hence why I click on a five year range from the current year Also articles that show types of study that show supporting evidence to back up what is stated in the article is critical
For instance when searching for standardized checklist during discharge planning 235 articles appeared then by entering the keywords teach back method and discharge planning the articles filtered down to about twenty which made it easier to read through The two most relevant and helpful articles were Can teach back reduce hospital readmissions Houser J 2018 In this article it provided qualitative data that pertained the understanding of educational study while the quantitative data provided a detailed assessment of patterns and responses such as the rates of no readmission The second article Using Teach Back Method to Prevent 30 Day Readmissions in Patients with Heart Failure A Systematic Review Almkuist K D 2017 This article uses both quantitate and qualitative by including data analysis which include statistical value and allowing readers to view as a whole rather than one way of research In particular involving the measurable state and the individual s subjective response to it Conclusion Overall every research requires a different method of approach Both quantitative and qualitative research increases our understanding and knowledge about different topics and problems Evidence based practice research is performed to ensure that the research conducted is unbiased and increases positive patient outcomes In spite of many significant advances as a nurse it is our duty to educate to deliver patient centered care by emphasizing evidence based practice through quality improvement approaches
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