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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Mary Lou Mylant


teach-back, readmission, rural, patient education, post-surgical


This practice innovation project (PIP) sought to evaluate the use of teach-back education; evaluate its impact on nurses’ knowledge and satisfaction with teach-back; identify how it affected satisfaction with education and complications experienced by patients returning to rural areas; and determine how it affected 30-day readmission rates of post-surgical patients. Frequencies, t-test, and chi-square analysis were used to analyze the data from nurse pre- and post-surveys, patient telephone surveys, and 30-day hospital readmissions. All nurses reported familiarity with teach-back, and 80% were using it in practice according to the post-intervention survey. All rural and urban patients reported satisfaction with discharge education, and only two patients experienced a complication. The 30-day post-surgical readmission rates decreased from 16.6% to 6.4%. The teach-back method may be attributed to an increase in patient satisfaction with hospital education, a decrease in complications, and a reduction in 30-day post-surgical hospital readmissions. Based on results, the consistent use of teach-back education has the potential to positively impact patient outcomes.

Library of Congress Subject Headings

Patient discharge instructions
Patient education
Self-care, Health
patient compliance
Postoperative period
Rural health


Includes bibliographical references (pages 52-57)



Number of Pages



South Dakota State University


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