MAKING THE CASE

Making the Case: Teach-Back method for Heart Failure Patients

Kathy Murray

University of South Alabama

Introduction2

Background Information2

Model for Evidence Based Practice3

PICO Question3

Synthesis/Overview of Evidence4

Three Best Strategies4

Conclusion6

Making the Case: Teach-Back method for Heart Failure Patients



Introduction

According to Brandon, Schuessler, Ellison, and Lazenby (2009), CHF patients require frequent and repeated hospitalizations, due to inadequate coordination of care. As a result of repeated hospitalizations, the national yearly Medicare financial burden is $38 billion resulting in the largest single Medicare expenditure (White, Garbez, Carroll, Brinker, and Howie-Esquivel, 2013) A growing body of research has provide understandable confirmation that an advanced practice nurse (APN), who organize care collaboratively with the patient's healthcare team during hospitalization can result in preventing complications and get better outcomes while dipping the cost of concern. (Mccauley, Bixby, and Naylor, 2006) In the research conducted by Williams, Akroyd and Burke (2010), it was found that CHF patients showed a great level of satisfaction with the improved quality of patient education and enhanced patient centered discharge processes in hospitals, resulting in a decrease in readmissions. White, et al. (2013) further proposes that in order to minimize CHF readmissions in the acute care setting, nursing staff must concentrate on enhancing specific CHF patient education through the teach back method beginning at the time of admission extending into the post discharge environment.

Background Information

Heat Failure has an extremely high rate of patient readmission, with up to around 44% of patient has hospitalized within the period of 6 months of discharged. Recent studies have recommended that multidisciplinary disease management program can decrease the risk of readmission with 56% and around 44% of all causes readmissions (Krumholz, H. M et.al, 2002). Study suggest that only 50% patient will able to receive the complete set of instruction about their diet, monitoring, weight, exercise guidance, follow up appointment, worsening symptoms and management of medication at the time of discharge. Past studies have shows evidence that educational intervention provides confirmation gap between patient getting and indulgent of information on self care in heart failure (Albert, et.al, 2007).

Model for Evidence Based Practice

Patient with congestive heart failure needs considerably education that helps them to enable them to provide effective self care for their chronic illness. The participant of this study included hospitalized Heart Failure patient of 60 years older that admitted to the medical services and the cardiology at the University of California, Medical Center. The individual consent for the participation was not required because of entire patient. Data will be taken from July 2013 and August 2013 and the total number of patient will be targeted for this study is around 400 patents.

PICO Question

Therefore, the purpose of this study was to determine that if the hospital starts use teaches back methods for Heart Failure Patient to retain self care patient and whether it was relates to readmission of these patients in hospital Jovicic, et.al, (2007). Specific research question for this research are as follows.

(1) What is the role of education in CFH patient?

(2) Does teach back education method on ...