The teach-back method is an evidence-based practice used in patient education. Clinicians use teach-back to educate patients about health information and enable them to “subsequently evaluate whether learning has occurred” (Tamura-Lis, 2013, p. 267). Teach-back checks for patient understanding of medical diagnosis, treatments, and instructions regarding disease complications (Tamura-Lis, 2013, p. 269). Patients become knowledgeable about their disease process and consequently, teach-back promotes clarification and prevents communication errors. It is important to hospital-based nursing because it optimizes patient learning and comprehension (Tamura-Lis, 2013, p. 270). Ultimately, teach-back helps improve quality care, safety, and patient satisfaction (Tamura-Lis, 2013, p. 271).
Discussion
In the healthcare setting, teach-back is used when patient education is required (Tamura-Lis, 2013, p. 270). Teach-back is defined as a non-shaming process of asking patients to repeat information in their own words (Tamura-Lis, 2013, p. 268). It involves teaching and learning between two participants. Patients who have low health literacy levels are at risked for the need of teach-back. These include patients who are older than 60 years old (Eadie, 2014, p. 9). Older adult patients may have sensory alterations that impair communication (Potter & Perry, 2013, p. 181). In addition, patients from low socioeconomic status and minority groups are more likely to have inadequate health literacy (Tamura-Lis, 2013, p. 267). Nevertheless, assessment tools are available to identify a patient’s health literacy level (Eadie, 2014, p. 11)
Teach-back is currently used and expected in hospital-based practice. Nursing interventions are implemented to promote...
... middle of paper ...
...e evidence-based practice to communicate effectively.
Conclusion
Studies show that patients forget at least half of the information explained to them (Tamaru-Lis, 2013, p. 268). In addition, low health literacy correlates with poor disease management, readmissions, and poor compliance to treatments (Eadie, 2014, p. 9). The goal of teach-back, therefore, is to improve recollection and increase health literacy. Nursing practice is aimed towards meeting these goals. Ultimately, nursing practice will improve as nurses are better able to deliver quality care, promote patient safety, and increase patient satisfaction. As a result, patient outcomes are optimized because teach-back minimizes communication errors and encourages participation. Participation allows patients to make appropriate decisions which direct health care professionals to provide patient-centered care.
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
As such, I want students to realize the level of knowledge and competence they have when they are reviewing the patient database. I appraise the enthusiasm of these nursing students as they strive for professional competence. It is my goal to help them synthesize theoretical knowledge and apply it in the clinical setting. My ambition is to empower novice-nursing students to apply textbook skills to real patients. What motivates me to teach, and to teach well, is the desired output, “A competent nurse”. Nursing has opened many doors for me in all three domains: practice, research, and education. As I plan a career in nursing scholarship, I acknowledge that I have much to learn about teaching. Wherever this path leads me, my goal is to write
It is important to evaluate which learning style your patients prefer in order for them to best understand what needs to be done for the maximum appropriate outcome. Licensed practical nurses are advocates and that’s someone who supports and supplies information to their patients. Advocacy often involves standing up in support of a patient and their rights. This is especially true when patients are not able to protect their own rights. When filling the role of counselor, Licensed Practical Nurses can help patients and families explore ideas and feelings towards healthcare and illness (8 Roles of the LPN). Some patients have a difficult time accepting a disease or its treatment options. As a practical nurse you consult with RN supervisors regarding patient care and assessments. In some settings LPN 's communicate directly to physicians. Communicating information to the proper people assists in increasing the effectiveness of care plans (Role). As practical nurses we are only one part of a patient care team. Other important members include RN 's, CNA 's, physicians, physical/occupational/speech therapists, dietitians, volunteers, and more (8 Roles of the LPN). With such a large team, every member has their own scope of
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
By understanding the values, goals of the nursing community, it gave me a better proficiency as to why my anatomy and chemistry classes strive for preparing us to being dedicated to what we do. Being able to understand how the communication between other medical co-workers and patients differ, has help me relate to the discussions we have had in class about using layman terms for patients, and learning various types of terminology that we are learning now and are going to have to use in the future. Understanding the concept of accuracy and need for conciseness in nursing, has also allowed me to relate to my anatomy class, as one mistake in terminology usage or diagnosis can harm the patient based on the medication or treatment they receive based on the misdiagnosis. Another advantage to the change in knowledge about how nurses communicate based on the concepts of communication, has allowed me to understand why my anatomy class is so rigorous and why the professor’s expect a lot out of the students. If we don’t have the knowledge of the lexis within our community, if we don’t provide accuracy and if we don’t understand the values of the community, not only does it create bad intercommunication within the field, but also reflect badly on the
A common misunderstanding, for example, happens when the provider is insensitive to the patients’ needs. When a patient is unable to understand the provider, it causes a health literacy gap, as a result, treatment could be affected and the patients’ health could get compromise. In other words, “Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Parker and Ratzan, 2000). Patients with a low health literacy often struggle to understand medical terms; they easily misinterpret information and causes of their health issues. Hence the importance of properly communicating with a patient, in manner that they
To help facilitate this communication NPs are required to educate patients and caregivers in a culturally congruent, age appropriate manner. Caifiero (2013) found that increasing NPs knowledge of communication techniques and strategies improves patient education and patient outcomes. This means that graduate programs and continuing education for NPs should increase emphasis on patient centered communication techniques to promote patient understanding of education provided. Research reveals a lack of communication technique utilization and communication education
..., R.M. & Jones, J.R. (2010). From practice to education: Perspectives from three nurse leaders. Journal of Continuing Education in Nursing, 41(2), 83-87. doi: 10.3928/00220124-20100126-0
Nurses have both learning and teaching responsibilities. Continuing education for nurses is very important in order to maintain their knowledge and skills among the health care development. If it is true, that the ability of teaching is a complex process, one fundamental part of this process is the ability of the learner to receive information, process the information and carry out in practice. Learning, is a change in human ability or capability of willing to learn and act on the learning (Blais, Hayes, Kozier, & Erb, 2006); is a transformation of behaviors, existing knowledge, ability and values to change an area of need to become better as individual. When teaching how to use the EpiPen, the following components are applied and planned: detailed assessment of the learner, learner objectives, defined topic and outline for the learner, materials and teaching methods, teaching sessions with focus on an interpersonal process recording, and finally an evaluation of the teaching plan provided by return demonstration.
Educational interventions may increase adherence (Huang et al., 2002), especially when provided by a clinical role model (Whitby et al., 2006; Ellingson et al., 2014). Likewise, LTCF nurses who received HH training using return demonstration were more likely to educate patients, family members, or visitors (Hill et al., 2014).
Communication in the nursing practice and in healthcare is important because when talking with patients, their families, and staff, the nurse and the nursing student needs to be able to efficiently express the information that they want the other person to understand. “Verbal communication is a primary way of transmitting vital information concerning patient issues in hospital settings” (Raica, 2009, para. 1). When proper communication skills are lacking in nursing practice, the chances of errors and risks to the patient’s safety increases. One crucial aspect of communication that affects the patient care outcome is how the nurse and the nursing student interacts and communicates with the physicians and other staff members. If the nurse is not clear and concise when relaying patient information to other members of the healthcare team the patient care may be below the expected quality.
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
By implementing patient teaching hospitals are attempting to slow the revolving door that brings patients back within the thirty day time frame of the CMS. The slowing of readmissions will help the hospital avoid the 2015 penalty of 3% of the total government reimbursements for care. Goodman et al. (2013) Patients are started on discharge education with that might that might include strategies from The Journal of Nursing Administration. Nurses use the Teach back system where patients are taught how to do a task, or to take their medications appropriately, they are than asked to teach back to the nurse or health care provider the technique, or skill they learned. (Cloonan et al.
University of Phoenix. (2014). Syllabus. Retrieved from University of Phoenix, HCS/320 Health Care Communication Strategies website.