LAUSR

Background information The Teach-Back method is an evidence-based strategy identified as a cornerstone intervention for improving communication during patient encounters. Evidence supports that the use of this method improves understanding of discharge instructions and supports self-management in post procedure patients. The follow-up phone call data identified a need to improve patient satisfaction with discharge instructions received in the recovery room. Objective of the project The aim of the project was to implement the Teach-Back method as a standardized communication tool for providing discharge instruction in the post procedure recovery unit. Process of Implementation Nurses in the recovery room were given a pre-implementation survey on the use of and confidence in using the Teach-Back method. Education was provided for all nurses using the evidence-based IOWA toolkit, along with a PowerPoint presentation on proper Teach-Back method techniques. Post-implementation surveys were conducted after one month, three months and 20 months to monitor improvement and sustainability. Patient satisfaction data in post procedure follow-up phone calls was used to measure the outcome of the project. Statement of Successful Practice Implementing the Teach-Back method helped standardize practice and the education helped to improve staff confidence in using this method when giving discharge instructions. The data shows a 63.2% increase in staff confidence in using the Teach-Back method and 65.79 % increase in the use of teach back method, as well as, documentation of the patient's response in the electronic health record. Patient's post procedure follow-up phone call showed an increment from 92% to 100 % compliance of patient satisfaction on discharge instruction by the recovery staff post implementation. Implications of advancing the practice of peri anesthesia nursing The confidence of the staff in providing effective patient education using the Teach-Back method can have a significant impact on quality of care, patient safety, and overall patient satisfaction. Successful practice of Teach-Back method in providing post-procedure discharge instruction will help patients to fully participate in their treatments and follow-up care.