Development of a discharge education program using the teach-back method for heart failure patients
Abstract Background Heart failure (HF) patients have difficulties in self-management after discharge. This study aimed to develop a discharge education program for HF patients using the teach-back method (TBM). Methods As a methodological study to develop a program, we applied the analysis, design,...
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doaj-b0115d4ebe274891ac8a6d9a88a2494e2021-06-27T11:47:54ZengBMCBMC Nursing1472-69552021-06-012011910.1186/s12912-021-00622-2Development of a discharge education program using the teach-back method for heart failure patientsEui Geum Oh0Hyun Joo Lee1You Lee Yang2Sewon Lee3Young Man Kim4Mo-Im Kim Nursing Research Institute, Yonsei University College of NursingDepartment of Nursing, Seojeong UniversityCollege of Nursing, Eulji UniversityDepartment of Nursing, Graduate School, Yonsei UniversityCollege of Nursing, Research Institute of Nursing Science, Jeonbuk National UniversityAbstract Background Heart failure (HF) patients have difficulties in self-management after discharge. This study aimed to develop a discharge education program for HF patients using the teach-back method (TBM). Methods As a methodological study to develop a program, we applied the analysis, design, development, implementation, and evaluation (ADDIE) model comprised of (1) analysis using EMR data, systematic review, and focus group interviews, (2) design and development of a program draft, (3) tests of program validity using 15 experts, 10 nurses, and 10 patients, and (4) development of the final program. The content validity index (CVI), and understandability and actionability of the educational material were used. Results The discharge education program provides definitions and information about medication, symptom/weight/diet management, physical activity, and other precautions. The educational method uses TBM. The overall CVI for the program was 0.96, and all item CVIs were greater than 0.8. The understandability and actionability were 90.2 and 91.3 % in patients, and 94.6 and 86.8 % in nurses. The contents and methods of the program were appropriate for patients and providers. Conclusions We expect the discharge education program using TBM to enhance self-management among HF patients. The process we used to develop this program could guide researchers and clinical practice.https://doi.org/10.1186/s12912-021-00622-2Heart failureProgram developmentSelf-managementTeach-back communication |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eui Geum Oh Hyun Joo Lee You Lee Yang Sewon Lee Young Man Kim |
spellingShingle |
Eui Geum Oh Hyun Joo Lee You Lee Yang Sewon Lee Young Man Kim Development of a discharge education program using the teach-back method for heart failure patients BMC Nursing Heart failure Program development Self-management Teach-back communication |
author_facet |
Eui Geum Oh Hyun Joo Lee You Lee Yang Sewon Lee Young Man Kim |
author_sort |
Eui Geum Oh |
title |
Development of a discharge education program using the teach-back method for heart failure patients |
title_short |
Development of a discharge education program using the teach-back method for heart failure patients |
title_full |
Development of a discharge education program using the teach-back method for heart failure patients |
title_fullStr |
Development of a discharge education program using the teach-back method for heart failure patients |
title_full_unstemmed |
Development of a discharge education program using the teach-back method for heart failure patients |
title_sort |
development of a discharge education program using the teach-back method for heart failure patients |
publisher |
BMC |
series |
BMC Nursing |
issn |
1472-6955 |
publishDate |
2021-06-01 |
description |
Abstract Background Heart failure (HF) patients have difficulties in self-management after discharge. This study aimed to develop a discharge education program for HF patients using the teach-back method (TBM). Methods As a methodological study to develop a program, we applied the analysis, design, development, implementation, and evaluation (ADDIE) model comprised of (1) analysis using EMR data, systematic review, and focus group interviews, (2) design and development of a program draft, (3) tests of program validity using 15 experts, 10 nurses, and 10 patients, and (4) development of the final program. The content validity index (CVI), and understandability and actionability of the educational material were used. Results The discharge education program provides definitions and information about medication, symptom/weight/diet management, physical activity, and other precautions. The educational method uses TBM. The overall CVI for the program was 0.96, and all item CVIs were greater than 0.8. The understandability and actionability were 90.2 and 91.3 % in patients, and 94.6 and 86.8 % in nurses. The contents and methods of the program were appropriate for patients and providers. Conclusions We expect the discharge education program using TBM to enhance self-management among HF patients. The process we used to develop this program could guide researchers and clinical practice. |
topic |
Heart failure Program development Self-management Teach-back communication |
url |
https://doi.org/10.1186/s12912-021-00622-2 |
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