South Dakota Nexus: Interprofessional Teach Back Approach to Patient Care
Member Since: June 2015
Intervention: Interprofessional Teach Back Approach to Patient Care
Partners:
- Augustana University
- Dakota State University
- Dakota Wesleyan University
- Sanford Health: Sioux Falls Region, Pulmonary in-patient unit
- South Dakota State University
- University of South Dakota
Occupations represented: Nursing, Pharmacy, Respiratory Therapy
Overview: The purpose of this project is to determine if an interprofessional team of clinicians and students, working together using a standard teach back method, may improve the quality of the patient’s discharge transition, have a positive effect on Sanford team and student collaboration, improve the patient experience of care, and decrease cost while preventing 30-day readmissions.
Intervention Study Question:
Research Questions:
- Does an interprofessional (IP) team including IP students, working together using a standard teach back method, improve the quality of patient discharge transitions from the Pulmonary unit?
- Does an interprofessional (IP) team, including IP students, working together using a standard teach back method, have a positive effect on dimensions of team collaboration?
- Does an interprofessional (IP) team including IP students, working together using a standard teach back method, improve the patient experience of care?
- Does an interprofessional (IP) team including IP students, working together using a standard teach back method, reduce the cost by decreasing 30-day readmissions.
Phase 1: An interactive teaching intervention highlighting components of teach back, motivational interviewing, and patient self-efficacy was delivered by an interprofessional team to an audience of nurses, pharmacists, and respiratory therapists. Prior to the intervention, an instrument called the Collaborative Practice Assessment Tool (CPAT) was administered to explore dynamics of the interprofessional team and assess the perception of teamwork within the work environment. The goal of Phase I for the clinicians is to work together in an effort to deliver a standardized approach to patient education. Weekly reminders are provided along with periodic tracers to assess integration of the intervention. A post assessment of the CPAT was delivered at the end of phase 1 (end of May 2016). The data from the survey will be grouped together and sent to the National Center for additional data analysis. Along with the CPAT survey, patient readmissions are being tracked along with results from the Press Ganey Hospital Consumer Assessment of Health Plans (HCAHPS) unit-level patient experience indicators. Tracer surveys have been administered by the interprofessional leadership team throughout Phase I to determine progress and serve as a reinforcement of shifting culture expectations. Results of these tracers and aggregate data that demonstrates behavior change will be reported to the NEXUS.
Phase 2: This interactive teaching intervention will be delivered to all pharmacy, nursing, and respiratory therapy students who participate in clinical rotations on the pulmonary unit during the fall of 2016 and spring of 2017. A pre/post assessment of the CPAT will be used to measure both student and employee perception of interprofessional team and teamwork dynamics within the pulmonary unit. It is anticipated that similar follow up activities will be carried out as noted in Phase I. Additionally; case managers will be measuring self-rated patient confidence levels prior to discharge and 72 hours thereafter regarding their plan of care. We are coordinating this work with our academic partners as we scope out learning opportunities together. The intervention will entail scripting for students, targeted evaluation components for students, and development of interprofessional student collaborative activities within the clinical environment.