Download or read book Improving Patient Outcomes Through Use of the Teach back Method in the Post Anesthesia Care Unit written by Kathleen O'Sullivan and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The setting for this Clinical Nurse Leader (CNL) project was the Post Anesthesia Care Unit (PACU) at a level I trauma center in the Bay Area. The goal was to improve the discharge education performed by the PACU nurses to improve patient safety and decrease the chance of complications or readmissions to this hospital. With no clear instructions for how discharge teaching should be done, the nurses have many differing styles which leaves room for gaps in discharge planning. This influenced the implementation of the teach-back method during discharge planning in order to ensure proper education and increased patient understanding. A literature review revealed that the teach-back method has helped to decrease hospital readmissions and prevents complications patients may experience during home self-care. The Joint Commission, Agency for Healthcare Research and Quality, and the Institute for Healthcare Improvement all state that the teach-back method for discharge planning is best practice. Project data was collected through observation, microsystem assessments and through nurse and patient surveys. Interventions included nurse education at staff meetings, one on one in-service educations and teach-back handouts. The pre-intervention nurse survey (n=26) showed that 80% of the nurses were familiar with the teach-back method while only 36% of nurses used teach-back during discharge planning regularly. The patient survey (n=25) revealed that patients were able to retain 68% of the information presented during discharge education. One on one in-service education on the teach-back method is still being conducted at this time, with high nurse satisfaction. Follow-up surveys will commence when 100% of the staff have completed the in-service. The expected final outcome of this project is the implementation of the teach-back method during discharge planning by all nurses and increased patient understanding of discharge education.
Download or read book Evidence Based Practice Improvement written by Rona F. Levin, PhD, RN and published by Springer Publishing Company. This book was released on 2024-04-15 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes a superior model to guide empirical practice improvement projects This unique text provides the academic and clinical healthcare communities with a tested, practical, and successful model (EBPI+) to steer evidence-based practice improvement projects. The model--tested in multiple clinical settings--is distinguished from similar prototypes by its integration of the best EBP and quality/performance improvement principles (QI), resulting in a highly practical and comprehensible model for guiding students' and clinicians' work to improve quality outcomes in healthcare. The book emphasizes the need for collaboration among all stakeholders, particularly those in different disciplines with different perspectives, to provide greater clarity and enhance improvement work in a clinical agency. It features a blueprint for guiding healthcare improvements based on evidence that incorporates potential changes of direction midstream. The book also introduces tools for the evaluation of organizational commitment, stakeholder choice, and sustainability of improvement projects. Section One of the text focuses on the background and development of the original EBPI model, followed by, in Section Two, an elaboration of the components of the new enhanced model, EBPI+. Chapter authors in Section Three describe how they used the components of the EBPI model, discussing lessons learned from its use. This section, connecting the theoretical basis for this work with real-world applications, includes a template that readers can use to facilitate their own projects. The final section investigates future approaches to improvement work. Comprehensive appendices provide useful tools for students and clinicians to use in developing, implementing, and evaluating any EBPI+ projects. Key Features: Describes a practical and successful model incorporating the best of EBP and QI approaches (EPBI+) for improving quality outcomes in healthcare Incorporates a strong focus on how to determine and engage project stakeholders and provides tools for effective decision making Delineates specific methods to develop protocols for a small test of change prior to larger pilot studies Delivers approaches/strategies for monitoring and evaluating sustainability Discusses how to assess organizational commitment and conduct stakeholder analyses Creates examples that use each component of EBPI+ as a template for readers Emphasizes the "how to" of implementation more than other competitive models
Download or read book TeachBack written by Elizabeth M. Breton and published by . This book was released on 2019 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient education at discharge from the hospital is an essential element to continuation of care and management of chronic health issues. While many elements may contribute to patient satisfaction with discharge education, use of the teach-back method has been found to improve retention of discharge instruction, as well as increase patient confidence in chronic disease management and self-care at the time of discharge. Patient satisfaction with discharge education is a notable component of hospital reimbursement by national standards, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems survey (HCAHPS) results. Following education of nursing staff participating in use of discharge teaching, patient satisfaction with discharge instructions taught using the teach-back method was measured via HCAHPS for a period of two months. Results suggested potential correlation to improved HCAHPS scores for the question “When I left the hospital, I had a good understanding of the things I was responsible for in managing my health,” associated with use of teach-back at time of discharge.
Download or read book Disease Control Priorities Third Edition Volume 1 written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Download or read book Drain s PeriAnesthesia Nursing E Book written by Jan Odom-Forren and published by Elsevier Health Sciences. This book was released on 2022-12-27 with total page 770 pages. Available in PDF, EPUB and Kindle. Book excerpt: UPDATED! Revised content throughout provides the most up-to-date information for effective perianesthesia nursing practice. NEW! Full-color layout makes content more visually appealing and highlights important information. NEW! Information on SARS/COVID-19 is now included in the Pathogens chapter. NEW! Chapter on International Care of the Perianesthesia Patient offers complete coverage on this key topic. UPDATED! Coverage of pain management for the perianesthesia patient features the latest guidelines. UPDATED! Patient with Chronic Disorders chapter provides current information on caring for these patients. UPDATED! Evidence-Based Research boxes provide the latest standards of care.
Download or read book Reinforcing Teach back Method Regarding Pain Management for Non verbal Patients and Their Families written by Renee Krystle Doll Lazaro and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain has been known to have physiologic, psychologic and emotional consequences. Education in pain management has been part for standard care for nurses. The purpose of this study was to reinforce teach-back techniques with nurses when delivering pain management education with non-verbal patients in order to improve patient outcomes in the adult ICU. By using the teach-back method, the nurse will be able to hone a more collaborative approach in dealing with pain, encourage autonomy and include the patient/family in making informed decisions regarding treatment for pain. Reinforcement regarding teach-back was focused on teaching points, and rewording teach-back cues to better engage with the patient/family and acquire more data, not just for the education but for their routing cares as well. A family guide was used as a visual aid for the teaching. A survey was conducted, pre-/post-reinforcement whether or not the nurses do teach-back and observations and family interviews were done after the reinforcement of teach-back technique. The findings show that four out of five family interviews found the guide to be useful, and four out of five nurses found the guide to be useful.
Download or read book Alexander s Care of the Patient in Surgery E Book written by Jane C. Rothrock and published by Elsevier Health Sciences. This book was released on 2022-07-01 with total page 1217 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW! Additional content on infection prevention includes coverage of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Candida auris. NEW! Coverage of discharge planning and gender affirmation surgery is added to this edition.
Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Download or read book The Impact of Improved Patient Teaching Techniques on Patient Satisfaction written by Felicia Mosley-Williams and published by . This book was released on 2017 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practice improvement project determines the impact of patient teaching with the use of the teach-back technique on patient satisfaction. The purpose of this project was to see to what degree a relationship exists between the use of the teach-back technique and patient satisfaction for patients who were discharged from the study unit at the participating hospital, a small 280-bed acute care hospital in the southeastern section of the United States and completed a Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. This project was based on Orem's self-care theory and the theory of symptom management. The clinical question for this project was: Does patient teaching with the use of the teach-back technique have an impact on patient satisfaction as evidenced by an increase in HCAHPS scores related to discharge teaching items? HCAHPS data was reviewed for 146 patients pre-intervention and 96 patients post-intervention of the educational seminar. Use of the teach-back technique was the independent variable and patient satisfaction was the dependent variable. An educational seminar on discharge teaching with the use of the teach-back technique was provided to staff nurses. The study unit at the participating hospital has low patient satisfaction scores for discharge teaching related to understanding care and medication. Data analysis revealed patient satisfaction scores increased from 19.7% pre-intervention to 19.8 % post-intervention related to understanding care and 25.1% pre-intervention to 28.9% post-intervention related to understanding medications. Results demonstrated there was a positive correlation between patient teaching with the use of teach-back technique and patient satisfaction.
Download or read book Improving Anesthesia Communication in the Post Anesthesia Care Unit a Handoff Tool written by Rene Daniel Garcia and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Post Anesthesia Care Unit (PACU) is a dynamic place where multiple critical tasks occur at a rapid pace which elevates the risks for a medical error. A breakdown in communication during the patient handoff that occurs among the anesthesia providers and the PACU nurses can have detrimental patient outcomes. Patient safety may also be at risk when vital patient information is omitted during the anesthesia handoff. Research demonstrated that the use of a standardized handoff tool in the PACU setting increased patient safety by improving communication and the providers' satisfaction with the handoff process (Lambert, 2018). This evidence-based practice (EBP) change project sought to improve communication during this critical phase by utilizing the Written Handoff Anesthesia Tool (WHAT) as a standardized communication tool. The project manager used the Anesthesia Handoff Communication Survey to evaluate the anesthesia providers and the PACU nurses' satisfaction with the handoff. The PACU handoff communication tool survey (HCTS) was used to identify the adequacy, contributing factors, and specific patient data omitted by the senders (anesthesia providers) before and after the implementation of the WHAT. The adequacy of the handoff process significantly improved among the mentioned providers (p
Download or read book The Comprehensive Textbook of Healthcare Simulation written by Adam I. Levine and published by Springer Science & Business Media. This book was released on 2013-06-18 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Comprehensive Textbook of Healthcare Simulation is a cohesive, single-source reference on all aspects of simulation in medical education and evaluation. It covers the use of simulation in training in each specialty and is aimed at healthcare educators and administrators who are developing their own simulation centers or programs and professional organizations looking to incorporate the technology into their credentialing process. For those already involved in simulation, the book will serve as a state-of-the-art reference that helps them increase their knowledge base, expand their simulation program’s capabilities, and attract new, additional target learners. Features: • Written and edited by pioneers and experts in healthcare simulation • Personal memoirs from simulation pioneers • Each medical specialty covered • Guidance on teaching in the simulated environment • Up-to-date information on current techniques and technologies • Tips from “insiders” on funding, development, accreditation, and marketing of simulation centers • Floor plans of simulation centers from across the United States • Comprehensive glossary of terminology
Download or read book Education in Anesthesia written by Edwin A. Bowe and published by Cambridge University Press. This book was released on 2018-04-19 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Become a better educator in anesthesia, understanding and implementing best practices and evidence-based principles in a range of settings.
Download or read book CNOR Exam Prep Second Edition written by CCI and published by CCI. This book was released on 2023-01-27 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: FROM THE LEADER IN PERIOPERATIVE CERTIFICATION Designed by the professionals who administer the CNOR exam, the CNOR® Exam Prep, Second Edition, is a comprehensive resource for CNOR test preparation. Featuring insights and targeted review of all seven subject areas, this user-friendly guide makes it easy to prepare for the exam with confidence. Test breakdown by subject area 200 exam-formatted practice questions with answers* How to create a study plan Explanation of test question structure Test-taking strategies to lessen anxiety Whether you are a nurse seeking to strengthen in those areas in which you have limited exposure to update your current knowledge base or wishing to review best practices, guidelines, and evidence-based standards, CCI is an active partner in your exam preparation. CCI administers the CNOR exam, and this exam prep book was developed to assist you in understanding and mastering the material you will need to know. *Practice questions contained within this product do not appear in any other CCI products, and none of the sample questions will be found on the actual CNOR exam. As a certification organization, CCI’s role is developing and administering certification examinations. CCI does not require or endorse any specific study guides, review products, or training courses. Candidates may prepare for certification examinations with any educational materials they choose. Purchase of CCI review materials is not a requirement for testing, nor does use of any review materials (CCI or otherwise) imply successful performance on the certification examinations. No study resources are prerequisites for the certification examinations.
Download or read book Postoperative Pain Management written by F. Michael Ferrante and published by . This book was released on 1993 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Use of the Teach back Method to Reduce 30 day Readmission Rates in Post surgical Patients from Rural and Underserved Areas written by Ashley Zwiefel and published by . This book was released on 2014 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medical Surgical Nursing E Book written by Donna D. Ignatavicius and published by Elsevier Health Sciences. This book was released on 2015-01-30 with total page 1735 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a unique collaborative care approach to adult health nursing, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 8th Edition covers the essential knowledge you need to succeed at the RN level of practice. Easy-to-read content includes evidence-based treatment guidelines, an enhanced focus on QSEN competencies, and an emphasis on developing clinical judgment skills. This edition continues the book’s trendsetting tradition with increased LGBTQ content and a new Care of Transgender Patients chapter. Written by nursing education experts Donna Ignatavicius and M. Linda Workman, this bestselling text also features NCLEX® Exam-style challenge questions to prepare you for success on the NCLEX Exam. Cutting-edge coverage of the latest trends in nursing practice and nursing education prepares you not just for today’s nursing practice but also for tomorrow’s.
Download or read book Anesthesia Clinical Performance Outcomes written by Nina E. McLain and published by . This book was released on 2007 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers have studied memory recall of crisis-oriented or emotional events in non-educational settings. However, within the health care field, there has been a limited study of the the concept of recall of crisis oriented or emotional events in & health care education. Crisis-oriented events such as natural disasters, acts of bioterroism, and industrial accidents, have been reported to impact memory. Patient safety is a primary focus in anesthesia education, appropriate crisis management is imperative to quality anesthesia care. Due to the critical nature of anesthesia delivery, there is a strong, constant need to develop methods that will enhance, support, and improve current anesthesia practices that impact patient safety. Educational methodologies used by both clinical and didactic instructors that will improve teaching effectiveness need to be investigated to ensure that patient safety content is being delivered to nurse anesthesia students in a manner consistent with the American Association of Nurse Anesthetists (AANAs) Council on Accreditation's COAs) standards of care. Utilizing a simulated anesthesia crisis situation, this study compared the differences in cognitive imprinting and application to practice between two content delivery methods, the written case study and patient safety vignettes, in nurse anesthesia students. The control group was given a written case study which is considered a traditional method of content delivery. The treatment groups studied vignettes, which are short, realistic, simulated audio-visual videos that demonstrate content to be relayed. The research hypothesis studied the use of anesthesia crisis oriented vignettes as an educational tool to impact memory recall, thus potentially improving application to clinical practice. Hypotheses for the study were: Hypothesis 1 (Hl): Student anesthetists exposed to audio-visual vignettes will exhibit superior clinical performance during simulated apparatus-related crisis events, evidenced by higher group mean demonstration scores, when compared to a matched group exposed to written case studies. Hypothesis 2 (H2): Student anesthetists exposed to audio-visual vignettes will exhibit superior recall of apparatus related material, evidenced by higher group mean post-test scores, when compared to a matched group exposed to written case studies. Using the paired samples t-test and analysis of variance procedure (ANOVA), statistical findings were evaluated for significance. The different teaching methodologies were represented in the abbreviation of the variables studied. Two different crisis oriented events were presented in vignette format, a malfunctioning unidirectional expiratory valve and a malfunctioning suctioning apparatus. Variables that were studied include: clinical performance during the anesthesia machine checkout process by recreating the stuck expiratory valve and malfunctioning suction apparatus scenarios. Statistically, mixed results were obtained. The impact that the stuck expiratory valve vignette had on student recall and clinical performance was found to be insignificant. The impact resulting from exposure to the non-functioning suction apparatus vignette was found to be significant for both student recall and clinical performance. Other recall and clinical performance measures related to the non- functioning suction apparatus were also found to be significant. Conclusions: In this research study, memory and clinical performance were impacted when the anesthesia provider incorporated the correct anesthesia apparatus checkout process and crisis management skills into their practice. This research demonstrated that under the conditions of this study, teaching methodology impacted some areas of clinical performance. Due to the small sample size and because the clinical performance measurements tools were newly designed for this particular study, findings from this study cannot be generalized to any other group or population. However, the findings from this study merit further investigation into the potential use of vignettes as an educational methodology to impact clinical practice and improve patient safety.
