title: Assessment of an educational intervention on nurses' knowledge and retention of heart failure self-care principles and the Teach Back method.
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.
authors.affiliation: 1414 Kuhl Ave., MP 107, Orlando, FL 32806, USA. Electronic address: Tara.Mahramus@orlandohealth.com.
authors.forename: Tara
authors.initials: T
authors.lastname: Mahramus
authors.affiliation: Orlando Health Center for Nursing Research, 1404 Kuhl Ave., MP 161, Orlando, FL 32806, USA.
authors.forename: Daleen Aragon
authors.initials: DA
authors.lastname: Penoyer
authors.affiliation: 1414 Kuhl Ave., MP 102, Orlando, FL 32806, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Frewin
authors.affiliation: Department of Nursing, Seminole State College, 850 State Road 434, Altamonte Springs, FL 32714, USA.
authors.forename: Lyne
authors.initials: L
authors.lastname: Chamberlain
authors.affiliation: Visiting Nurse Association, Orlando Health, 102 W. Pineloch St., Suite 23, Orlando, FL 32806, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Wilson
authors.affiliation: University of Central Florida College of Nursing, 12201 Research Parkway #300, Orlando, FL 32826, USA.
authors.forename: Mary Lou
authors.initials: ML
authors.lastname: Sole
mesh_terms: D000368:Aged; D002983:Clinical Competence; D004509:Education, Nursing, Continuing / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000451:nursing / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses; D010353:Patient Education as Topic; D012648:Self Care
keywords: Heart failure; Nurse; Patient education; Self-care; Teach Back