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Document Type

DNP - University Access Only

Award Date

2019

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Nicole Gibson

Keywords

Teach-back, post-PCI, readmission, script, discharge education, cardiac patients

Abstract

Coronary artery disease is the most common type of heart disease and results in over 370,000 deaths each year. The literature identified 50% of patients who are discharged do not understand the education provided to them, and most patients forget about half of the information received during their visit. A literature review was completed which identified evidence and support for the use of the teachback method. The teach-back method was a cost effective and applicable intervention in patients with chronic diseases such as heart failure. Using teachback reduced readmissions in cardiac patients. The Agency for Healthcare Research and Quality and Institute for Healthcare Improvement recommended the use of teach-back. A gap existed in the literature regarding best practice for discharge education and process for cardiac patients. Few studies addressed postpercutaneous coronary intervention (PCI) patient readmissions or the use of teachback with post-PCI patients. Current evidence and organizations supported the use of teach-back to reduce readmission rates for post-PCI patients.

Library of Congress Subject Headings

Coronary heart disease -- Patients.
Heart -- Diseases -- Patients -- Education.
Patient education.

Format

application/pdf

Number of Pages

54

Publisher

South Dakota State University

Rights

Copyright © 2019 Morgan Sundet

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