Education for medications and side effects: a two part mechanism for improving the patient experience

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• 作者：Sally W. Gillam ; DNP ; RN^a ; Andrew R. Gillam ; MS^b ; ^{agillam@infant-guard.com" class="auth_mail" title="E-mail the corresponding author} ; Tricia L. Casler ; MSN ; RN^a ; Katelyn Curcio ; BSN ; RN^a
• 关键词：Patient education ; Medication side effects patient education ; Patient satisfaction ; HCAHPS Survey ; Medication teach back
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：31
• 期：Complete
• 页码：72-78
• 全文大小：744 K

文摘

A nursing study aimed to increase patient understanding of new medications and their side effects, and positively impact Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores for medications communication.

Background

Hospital patients' understanding of new medications and side effects is a major satisfaction indicator when formal surveys serve as quality measures. Medical/surgical unit survey scores at a 328-bed Texas hospital were below average.

Methods

Nurses implemented medication information labels for patient drinking mugs. Briefing and teach back paired use of the labels with standard medication information sheets.

Results

When both mechanisms were used in earnest, HCAHPS unit quarterly scores for medications communication improved from 55% (n = 55) to 79% (n = 207). Mann–Whitney U confirmed the change was significant (U = 4370.0, p = 0.001). The change has persisted over three calendar quarters.

Conclusions

Intuitive medications reminders and medication information sheets used in tandem are significantly more effective than when used independently.