The Teach-back Method to Improve Patients’ Perception of Nurse Communication

The Teach-back Method to Improve Patients’ Perception of Nurse Communication

Identification: MSNN1905
Issue: September/October 2019
Volume: Volume 28 - Number 5
Credits (Post Test and/or Evaluation Required)
Available until 10/31/2021
  • 1.30 - CH


The objective of this article is to study if implementing the teach-back communication method among direct care clinical staff will improve the nurse communication domain of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and make a positive financial contribution to the hospital. An online education program and a hands-on competency demonstration were offered to direct care clinical staff on three medical-surgical units at a community hospital. Analysis of variance (ANOVA) and t-tests were performed to determine correlation and impact of interventions on HCAHPS scores. Two out of three units improved the HCAHPS nurse communication domain score by more than two percent over a 3- month period. The facility, overall, saw at least a two percent increase in the score for the nurse communication domain of HCAHPS. Staff participation in both activities ranged from 25-86%. Financial contribution of greater than $400,000 was achieved because of this improvement. Using the teach-back communication method improved the nurse communication domain of HCAHPS at one community hospital. Results should be replicated in other institutions to determine if a change in practice is needed.

Learning Outcome:
After completing this learning activity, the learner will be able to discuss how education with competency validation regarding the teach-back communication method may help to improve patient perception of nurse communication.

Learning Engagement Activity:

For more information about how to implement teach-back, visit http://www.teachbacktraining.o... to download a teach-back toolkit.

Contact hours available until 10/31/21.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Authors Conflict of Interest Disclosure:

The author(s), editor, editorial committee, content reviewers, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
This session is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and the Academy of Medical-Surgical Nurses (AMSN).

Anthony J Jannetti, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Anthony J. Jannetti, Inc. is an approved provider of continuing nursing education by the California Board of Registered Nurses, Provider Number CEP 5387.

This article was reviewed and formatted for contact hour credit by Michele Boyd, MSN, RN, AMSN Education Director.


Credits Available

Expired On: Oct 31, 2021

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Rosemary Skiner
10/29/19 5:43 pm

This was an excellent article!

Floremil Aruejo
12/23/19 5:06 pm

great article

Carmen Marquetti
1/17/20 8:21 pm

This is a great article about the teach-back method, which has a significant impact on patients safety and outcomes as well, demonstrating knowledge retention, self-care activities, and an effective caregiver communication, also applying this method of teach-back, will contribute to the financial well-being of the organization, in preventing patient's readmissions.

Helen Wiggins
4/22/20 3:02 pm

A very informative article.

Petra Rotzell
5/10/20 11:03 am

Very good article outlining who patients' view as nurses. If we engage our nurse assistants in teach back, we may see improved outcomes.

Kathy Gregg
5/16/20 12:02 pm

Great article! We have started using this approach at discharge and have formed a Population Health team to follow up within 3 days of every patient discharged. Every staff who enter a patients room and do teaching use the teach back method and document the results. If they need more teaching a manager or supervisor of the discipline will see the patient to further educate them. This is a very realistic way to find out how much the patient really understands and if more people need to be given the teaching to help them understand it better.

Trinh Ngo
5/24/20 7:56 pm

As patients may view other staffs as nurses, my hospital have code dress: nurses: navy blue, PCT's: green, Respiratory therapists: gray, Physical therapists: black......This is part of patient's orientation to the unit along with Communication Board in front of pt's bed. This helps with confusion in pt's perceptions. I fully agree that other staffs need education on Teach-back method to increased the communication score.

Kelly Kuehl
8/6/20 9:30 am

good article

Jolly Punchamannil
8/12/20 7:59 pm

My DNP project was on implementing teach-back to improve patient satisfaction on nurse communication. The pre and post tests revealed that the nurses had a good understanding of the strategy after educating them on teach back method. The patient satisfaction increased for few months, and the leader rounds heard many positive comments from patients. However, the direct observation of nurses found that the teach method is not appropriately practiced by nurses when not observed. It tend to be more uni directional and nurses failed to check patient's understanding or learning needs. Many times, the same area was discussed again and again.

Brenda Williams
8/20/20 2:30 pm

Great article. Significant improvement.

Mark Sears
10/22/20 8:52 am

i aways knew that teaching my patents was importent to them and the feelings that i recived from them in the interaction, i was unaware that it could make a graeter financial inpact on the hospital i work for. Thank you!

Rachel Wells
11/20/20 11:44 am

I had never thought about having my CNA use teach back as well. This is a great opportunity for us.

Marie Marcial
12/10/20 1:42 am

This is informative. Thank you.

Allison Weech
2/10/21 10:53 am

I will have a discussion with the Continuing Education department so they can incorporate the teach back method into training for all clinical caregivers and not only doctors and nurses. All healthcare workers that interact with the patient and has to make notations into medical records must be doing same thing, so as to reduce our readmission rates and hospital length of stays.

Wendy Tsaninos
4/3/21 8:34 pm

What a cool project - great ROI! In addition to my nursing degree, I have a BS in communications and a master's degree in training and development...and I work in the rev cycle for 3 hospitals (in CDI and denials). This article touched on each area of my background so I really enjoyed it.

Fe Quiring
6/30/21 9:52 pm

this article is very informative to improve my nursing practice

Ivory Pedral
7/9/21 2:19 pm

Patients may perceive any clinical discipline as a nurse. Training other direct care clinical staff in addition to nurses can lead to improvements in the patients’ perception of nurse communication

Margaret Kelly
9/6/21 2:09 pm

This has been something we have been trying to get off the ground, I am hoping that this article may help support our efforts

Mary Seyer-Signorino
9/10/21 9:51 pm

great article

Herlie Agonoy
1/2/22 6:36 pm

very informative

Mary Biju
3/17/22 1:30 pm

Very good information about communication strategies

Bobby Jo Ward
10/24/22 1:20 pm


Lacey Brauser
10/29/22 6:04 pm

I will try & use this in my current nursing practice.