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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Dannica Callies

Second Advisor

Cynthia Elverson


Always Use Teachback Toolkit, Nursing, Pre-Operative Education, Teachback Training


Background: Patient education remains a pivotal aspect of surgical care affecting outcomes and patient safety. Education starts in the pre-operative clinic setting when patients are scheduling surgeries and continues through the care episode. Teachback is an evidence-based approach to patient education.
Methods: A 45-minute interactive training using the Always Use Teachback Toolkit was completed by 21 registered nurses who schedule surgical procedures and provide preoperative patient education in a Midwestern surgical clinic. The nurses then implemented teachback during patient education. One pre- and two post-intervention surveys (1-month and 3-month post-implementation) were completed by 19 nurses to evaluate conviction, confidence, and frequency of using teachback.
Results: Nurse conviction of the importance of teachback was high at all three measurements. There was a statistically significant increase in nurse confidence and frequency of using teachback pre-training compared to post-training. Discussion: Teachback training should be provided to outpatient nurses scheduling patients for procedures. The toolkit provides a training approach that can be individualized to each setting. Further evaluation for frequency of training may be necessary.
Implications for Practice: This toolkit should be applied for sustainable training to enhance organization-wide patient education and improve pre-operative patient understanding.

Library of Congress Subject Headings

Preoperative education.
Patient education.
Self-care, Health.
Ambulatory surgery.

Number of Pages



South Dakota State University


Copyright © 2023 Samantha Dadah

Available for download on Friday, April 26, 2024