Assessment of an educational intervention on nurses' knowledge and retention of heart failure self-care principles and the Teach Back method

Heart Lung. 2014 May-Jun;43(3):204-12. doi: 10.1016/j.hrtlng.2013.11.012. Epub 2014 Feb 20.

Abstract

Background: Nurses must have optimum knowledge of heart failure self-care principles to adequately prepare patients for self-care at home. However, study findings demonstrate that nurses have knowledge deficits in self-care concepts for heart failure.

Methods: A quasi-experimental, repeated measures design was used to assess nurses' knowledge of heart failure self-care before, immediately after, and 3-months following an educational intervention, which also included the Teach Back method. Follow-up reinforcement was provided after the educational intervention.

Results: One hundred fifty nurses participated in the study. Significant differences were found between pre-test (65.1%) and post-test (80.6%) scores (p < 0.001). Teach Back proficiency was achieved by 98.3%. Only 61 participants completed the 3-month assessment of knowledge. In this group, mean knowledge scores increased significantly across all three measurements (p < 0.001): 66.5% (pre-test); 82.1% (post-test); 89.5% (follow up post-test).

Conclusions: Participation in a comprehensive educational program resulted in increased nurses' knowledge of heart failure self-care principles and the knowledge was sustained and increased over time.

Keywords: Heart failure; Nurse; Patient education; Self-care; Teach Back.

MeSH terms

  • Aged
  • Clinical Competence*
  • Education, Nursing, Continuing* / methods
  • Female
  • Heart Failure / nursing
  • Heart Failure / therapy*
  • Humans
  • Male
  • Middle Aged
  • Nurses
  • Patient Education as Topic
  • Self Care*