Post-operative discharge-related complications can be minimized when health care professionals ensure the patient’s understanding of discharge-related instructions. The purpose of this quantitative quasi-experimental project was to determine if implementing an interactive educational program, using the teach-back method, positively impacted nurse self-efficacy related to teach-back, surgical complications, and readmission rates for a post-surgical breast reconstruction patient population on a medical surgical unit, which is located in the Santa Monica region. Orem’s theory of self-care guided this project. The Evidenced Based Nursing Practice Self-Efficacy Scale (EBNPSES), patient readmission rates, and complication rates pre and post-project implementation, were analyzed to determine the effectiveness of the intervention. Twenty female patient participants and 27 nurses participated in this project. A t -test denoted that DIEP flap patients experienced statistically significant lower readmission (8.10% vs 3.50%, respectively; (t (11.606) = 9.908, p < 0.001). and complication rates (16.50% vs 13.30%, respectively; t (18) = 4.886, p < 0.001) at post-implementation than other patient groups. A paired samples t -test was run to determine pre-intervention versus post-intervention self-efficacy scores, which noted a statistically significant mean difference of 28.92%, which was found at t (26) = 29.350, p < 0.001. The findings of this project suggests the teach-back method was effective in reducing patient readmission and complication rates, as well increasing nurse self-efficacy in the acute care setting.
|Commitee:||Galuska , Lee|
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-A 82/5(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health education|
|Keywords:||Nurse self- efficacy, Patient self-care, Post-operative breast reconstruction, Post-operative complication rates, Readmission rates, Teach-back method|
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