FACT

STUDIES HAVE SHOWN THAT 40-80% OF THE MEDICAL INFORMATION

PATIENTS ARE TOLD DURING OFFICE VISITS IS FORGOTTEN IMMEDIATELY,
AND NEARLY HALF OF THE INFORMATION RETAINED IS INCORRECT.
PICO QUESTION
P- PATIENTS ADMITTED TO TELEMETRY WITH THE INTEREST AND ABILITY TO EVALUATE AND COMPREHEND
MEDICATION TEACHING.
I-IMPLEMENT TEACH BACK METHOD TO EVERY IN PATIENT UNDER OUR CARE IN THE UNIT WITH END
MEANS TO ENSURE EFFECTIVE MEDICATION TEACHING DURING ADMISSION, HOSPITAL STAY, AND
DISCHARGE.
C-PATIENT SURVEY WITH CURRENT PRACTICE VS PATIENT SURVEY AFTER TEACH-BACK METHOD.
O- PENDING?
RESEARCH FOCUS

CAN IMPLEMENTING THE TEACH-BACK METHOD HELP IMPROVE MEDICATION COMPLIANCE AND PATIENT
SATISFACTION.
PROJECT GOAL

OUR GOAL IS TO INCREASE PATIENT BASELINE KNOWLEDGE OF CURRENT MEDICATIONS

BY 20 %, AS EVIDENCED BY AN INCREASE IN SURVEY RESPONSES FROM AGREE TO
STRONGLY AGREE.
TIME LINE
OCTOBER 18 2016- NRP PROJECT BRAINSTORM AND IMPLEMENTATION
DECEMBER 22, 2016- TENTATIVE MANAGEMENT APPROVAL
JANUARY 7, 2017- DATA COLLECTION INITIATED
SURVEYS PROVIDED TO EVALUATE INDIVIDUAL PATIENT KNOWLEDGE AND UNDERSTANDING OF MEDICATIONS AT
BEGINNING OF THE SHIFT AND END OF SHIFT.
CERNER TEACHING INTERVENTIONS EVALUATED
JANUARY 14, 1016- DATA COLLECTION PROCESS
DATA GATHERING METHOD

DATA WILL BE DIVIDED WITHIN THE COURSE OF ONE YEAR, EVALUATING THE FIRST HALF OF THE YEAR
BASED ON THE CURRENT MEDICATION TEACHING METHOD AND EFFECTIVENESS AND THE SECOND HALF,
AFTER IMPLEMENTATION OF TEACH-BACK METHOD.
DATA SURVEY
FACTORS AFFECTING EFFECTIVE MED
TEACHING
LACK OF TIME
PATIENT READINESS TO LEARN
MENTATION STATUS
FAMILY INTERRUPTIONS
ENVIRONMENT
WHAT IS TEACH-BACK?

TEACH BACK IS NOT A METHOD OF TESTING THE PATIENTS KNOWLEDGE, BUT RATHER HOW WELL YOU,
THE NURSE, EXPLAINED THE CONCEPT.
STRATEGIES TO EFFECTIVE TEACHING
1. PLAN YOUR APPROACH-
THINK ABOUT HOW YOU WILL ASK YOUR PATIENTS TO TEACH BACK THE INFORMATION
THERE WERE SEVERAL MEDICATIONS COVERED TODAY, DO YOU THINK YOU CAN EXPLAIN THEM TO ME?

2. CHUNK AND CHECK-

DON'T WAIT UNTIL THE END OF THE VISIT TO INITIATE TEACH-BACK. CHUNK OUT INFORMATION INTO SMALL
SEGMENTS AND HAVE YOUR PATIENT TEACH IT BACK. REPEAT SEVERAL TIMES DURING A SHIFT.
3. CLARIFY AND CHECK AGAIN-
IF TEACH-BACK UNCOVERS A MISUNDERSTANDING, EXPLAIN THINGS AGAIN USING A DIFFERENT APPROACH. ASK
PATIENTS TO TEACH-BACK AGAIN UNTIL THEY ARE ABLE TO CORRECTLY DESCRIBE THE INFORMATION IN THEIR OWN
WORDS. IF THEY PARROT YOUR WORDS BACK TO YOU, THEY MAY NOT HAVE UNDERSTOOD.
4. . START SLOWLY AND USE CONSISTENTLY-
AT FIRST, YOU MAY WANT TO TRY TEACH-BACK WITH THE LAST PATIENT OF THE DAY. ONCE YOU ARE
COMFORTABLE WITH THE TECHNIQUE, USE TEACH-BACK WITH EVERYONE, EVERY TIME!

5. PRACTICE-
IT WILL TAKE A LITTLE TIME, BUT ONCE IT IS PART OF YOUR ROUTINE, TEACH-BACK CAN BE DONE WITHOUT
AWKWARDNESS AND DOES NOT LENGTHEN A VISIT.
TEACH-BACK TOOLKIT