Date of Award

Spring 3-16-2024

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

David Liguori, DNP, NP-C, ACHPN

Second Advisor

Eleanor Eberhard, DNP, MBA, RN


Practice Problem: Medication education is a national and global patient safety challenge. Healthcare organizations often lack consistent and effective medication teaching policies. Studies have found that the teach-back method is an effective interactive communication practice of medication teaching to achieve optimal patient outcomes.

PICOT: In direct care nursing staff (P), How does an evidence-based medication teaching bundle (I) compared to the current medication teaching practice(C) affect staff adherence to the dissemination of medication teaching to hospitalized patients (O) in 12 weeks (T)?

Evidence: A review and appraisal of 12 research studies demonstrated that the teach-back method was clinically and statistically significant in improving medication safety and patient outcomes. This supports the evidence-based Doctor of Nursing Practice (DNP) project for nursing staff trained on the teach-back method to integrate teach-back into medication teaching practice for hospitalized patients.

Intervention: Nurse participants (n=8) were given an identical survey three times, once before and twice at six and ten weeks after training on the teach-back method, to evaluate the impact of the teach-back training on medication teaching. Using a validated teach-back evaluation tool, the nurse leader observed the participants' teach-back proficiency.

Outcome: No statistical significance was found in the perceived importance of and confidence in using the teach-back method between any two-time points; the perceived importance of and confidence in using the teach-back method increased from week one to week ten. The use of teach- back for medication communication increased after the teach-back training.

Conclusion: Education on the teach-back method effectively promotes nurses’ confidence in and use of the teach-back method for medication teaching. Standardizing medication teaching using this method is recommended.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice

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