Introduction
The purpose of this research project is to discuss the effectiveness of the Teach-Back method in the delivery of discharge education on readmission of heart failure patients within 28 days upon discharge from hospital settings.
Identified Issue
Heart failure is estimated to affect 5 million people in the United States according to statistics from the Centers for Disease Control and Prevention (Ryan, et al 2014). Heart failure is one of the primary hospitalization and readmission among most of Medicare beneficiaries. It is the major cause of hospital admissions in the U.S.
Article 1
Ryan, J., Andrews, R., Barry, M. B., Kang, S., Iskandar, A., Mehla, P., & Ganeshan, R.
(2014). Preventability of 30-day readmissions for heart failure patients before and after a quality improvement initiative. American Journal of Medical Quality, 29 (3), 220-226 7p. doi:10.1177/1062860613496135
Main purpose and scope: The primary purpose of this article is to evaluate the effectiveness of patient discharge education for heart failure patients using self-management care to improve the quality of life of this population.
Brief Description: In this article, the authors explored the significance of post-discharge education on readmission rates for hospitalized patients. Also, the authors discussed improved patient outcomes associated with the education approach as well as the use of the Self-care theory model.
Participants: The study involved 56 registered nurses in a teaching and referral hospital.
Methodology: The researchers employed a randomized study in the acute patient care setting. The group was divided into two groups of 28 where one group was allocated to a healthcare group and the other group in a controlled group.
Significance: The study showed a significant discrepancy between the two groups. The healthcare group showed a reduction in readmission rates and improved quality of life.
Observations: The authors explored the theory of Heart Failure Self-Care. The theory encompasses the participation of the patient in the self-management of heart failure.
Possible Bias: The study was conducted only in one healthcare setting and therefore assuming the model will have a similar impact in other institutions poses a possible bias.
Summary: The study holds that patient education and teaching by healthcare providers reduce subsequent readmission of heart patients within 30 days post-discharge. The study utilizes the theory of the Heart Failure Self-care model as a framework for patient education and teaching to heart failure patients. The article suggests that further research needs to be conducted in larger healthcare facilities.
Article 2
Sterne, P. P., Grossman, S., Migliardi, J. S., & Swallow, A. D. (2014). Nurses’ knowledge of heart failure: Implications for decreasing 30-day re-admission rates. MEDSURG Nursing, 23 (5), 321-329.
Main purpose: The main purpose of this article is to evaluate the nurses’ level of knowledge regarding heart failure. The article explores nurses’ understanding of post-discharge education for heart failure education.
Brief Description: The authors discuss the requirements for healthcare professionals as mandated by the Joint Commission regarding post-discharge patient education.
Participants: The number of participants involved in the study involved 35 registered nursing in the acute patient setting.
Methodology: The researchers used structured interview questionnaires to access nurses’ knowledge of post-discharge education for heart failure patients.
Significance: The study showed a significant impact of discharge education on heart failure patients 30 days post-discharge.
Observations: The authors explored the theory of Heart Failure Self-Care. The theory encompasses the participation of the patient in the self-management of heart failure.
Possible Bias: The study was conducted only in one healthcare setting and therefore assuming the model will have a similar impact in other institutions poses a possible bias.
Summary: Overall, the study showed that equipping nurses with the skills necessary for delivering patient education can help reduce the rate of patient readmission.
References
Ryan, J., Andrews, R., Barry, M. B., Kang, S., Iskandar, A., Mehla, P., & Ganeshan, R.
(2014). Preventability of 30-day readmissions for heart failure patients before and after a quality improvement initiative. American Journal of Medical Quality, 29 (3), 220-226 7p. doi:10.1177/1062860613496135
Sterne, P. P., Grossman, S., Migliardi, J. S., & Swallow, A. D. (2014). Nurses’ knowledge of heart failure: Implications for decreasing 30-day re-admission rates. MEDSURG Nursing, 23 (5), 321-329.
