Faculty Advisor: Margret Harvey, PhD, APRN, ACNP-BC, CHFN
Investigative Techniques | Medicine and Health Sciences | Nursing
The purpose of this scoping review is to evaluate the effectiveness of the teach-back method on education as it relates to congestive heart failure readmission rates. Congestive heart failure (CHF) is the most common cause of hospitalizations among those 65 years and older in the United States. CHF readmission rates in Tennessee are higher than the already elevated national average. The current literature suggests a need to reduce 30-day readmissions, improve patient outcomes, and enhance self-efficacy in patients with CHF. The research proposes a correlation between high readmission rates and poor knowledge retention of patients with CHF, but small sample sizes and poor follow-up have interfered with accurate results. We reviewed the existing research regarding the impact of teach-back education on readmission rates and associated outcomes in patients with CHF.
The articles included were written in the English language, issued in medical or nursing journals, published within the past decade, involved human participants, consisted of an adult patient population (classified as by age > 18 years), encompassed a diagnosis of heart failure, used the teach-back method, and evaluated the outcome of 30-day readmissions. Articles included in this review are systematic reviews/meta-analyses, randomized control trials, case-control/cohort studies, and qualitative/descriptive studies.
The databases were searched from October 2020 to October 2022: CINAHL, Cochrane, JAMA, Medline, and Ovid.
Ten articles published between 2013 and 2022 evaluated the use of teach-back education for patients diagnosed with heart failure in the acute care setting. Teach-back reduced 30-day readmissions in 9/10 articles (unchanged in one), increased patient knowledge of heart failure among all the articles, improved self-management capability (9/10), and promoted treatment adherence (7/10; not examined in 2).
Implications for Nursing Practice
When educating patients with CHF, incorporating the teach-back method has proven to reduce 30-day hospital readmissions and improve patient outcomes.
Evans, Briyanna BSN, RN; Dewalt, Bre'yocha BSN, RN, CCRN; Mabry, Jessica BSN, RN; Garrett, Kailee BSN, RN; Stephens, Crystal BSN, RN; and Harvey, Margaret PhD, APRN, ACNP-BC, CHFN , "Teach-Back Method to Reduce CHF Readmissions: A Scoping Review" (2023). Doctor of Nursing Practice Projects. Paper 51. http://dx.doi.org/10.21007/con.dnp.2023.0051.