Heart failure exasperation is one of the most common causes of hospital readmission in the United States (Breathett et al., 2018). It is estimated that greater than half of all heart failure patients will be readmitted to the hospital within six months of discharge (Caluya, 2021). Additionally, one in four individuals with heart failure are readmitted within thirty days of discharge (Rahmani et al., 2020). This data shows a large area of improvement for hospitals in order to improve patient outcomes. Due to the lack of standardized discharge teaching, heart failure patients are often admitted to the hospital for the same reoccurring symptoms (Haney & Shepherd, 2018). Since the patients are frequently hospitalized, they report a decreased quality of life (Rahmani et al., 2020).
The implementation plan will involve a nurse rounding every day to conduct heart failure education using the teach-back method to heart failure patients and their families. This nurse will be educated on heart failure and common questions the families might have. Through implementing this change, the rates of readmission in heart failure patients will be decreased as well as improving health literacy in this patient population (Rahmani et al., 2020).
Heart failure imposes high costs on society and is typically 50-79% more expensive to treat compared to other illnesses (Rahmani et al., 2020). This large amount can great medical debt for patients that they are unable to pay back. The research identified that the teach-back education method decreases readmission rates, improves patient experiences, and increases medication compliance.
Date of publication
MSN Capstone Project
Masters in Nursing Administration
Johnson, Bethany N., "Teach-back Education in Heart Failure Patients Benchmark Study" (2023). MSN Capstone Projects. Paper 248.