How Do I Get to Always Using Teach-back?

Guidance here will help you to develop reliable and sustainable use of teach-back.

Use these resources to get to Always.

Getting to Always: Beginning

Always Events

  • Learn how Teach-back Always Events enable assessing and assuring understanding what really matters to those receiving care and using services. Click here to download.

Starting a Teach-back initiative

  • Guidance for getting started and engaging stakeholders for a successful teach-back initiative.. Click here to download.

Aims, Goals, and Objectives

  • Examples of Team Aims, Goals, and Objectives: Clinical and Non-Clinical. Click here to download.

Developing Reliable and Sustainable Use of Teach-back

  • It is important to be aware of what is needed for reliability and sustainability at the outset. Use this guidance for developing teach-back Always Events to address important processes that are evidence-based, measurable, affordable, reliable, and sustainable. Click here to download.

Measures for Reliable, Sustainable Teach-back

  • Approaches for establishing and using measures to achieve effective, reliable, and sustainable use of teach-back. Click here to download.

Engaging Senior Leaders or Sponsors

  • Having a senior sponsor’s or leader ‘s support helps spread the importance of your teach-back initiative to others to address barriers and accelerate progress and success. Click here to download.

Coaching for Always Using Teach-back

  • It takes coaching to help people change from long-standing habits of explaining then asking yes-or-no questions like “Do you have any questions?” to using teach-back to assess and assure understanding via the person’s own words. Click here to download.

Engaging Patients and Clients

  • Engaging people about their lived and learned experiences enables best practices. Click here to download.

Ask "What Matters to You?"

  • Guidance to initiative teams for engaging stakeholders (staff and users of care and services) to help understand what is important to and what gets in the way of adding teach-back to daily work. Click here to download.

Getting to Always: Methods and Tools for Sustainability

PDSA Example

  • An example of a teach-back Plan-Do-Study-Act (PDSA) - an iterative, four-stage problem-solving model used for improving a process or carrying out change. Click here to download.

PDSA Template

  • Here’s a tool for planning, conducting, and analyzing a Plan-Do-Study-Act (PDSA) - an iterative, four-stage problem-solving model used for improving a process or carrying out change. Click here to download.
PDSA template

Teach-back Job Aid

  • A tool for teaching and reminding staff about how to do teach-back effectively and why the steps are important. Click here to download.
Insert Content Template or Symbol

10 Elements for Using Teach-back Effectively - Detail

  • Details for the essential 10 elements for using teach-back effectively. Click here to download.

Use Words to Show You Are Taking Responsibility for Being Clear

  • One of the 3 vital Elements: Using words to show you are taking responsibility for being clear is essential to teach-back and fosters a non-shaming environment. Click here to download.

Ask the Person to Explain Back in Their Own Words

  • One of the 3 vital Elements: Asking the person, in a caring way, to explain back (or show back), using their own words what was taught helps reveal what they understand or remember. Click here to download.

When People Cannot Teach Back Accurately

  • One of the 3 vital Elements: When someone cannot teach back, it is important to re-explain differently and check for understanding again. If they cannot teach back after several attempts, different support or an alternative plan of care may be needed. Click here to download.
When People Cannot Teach Back Accurately

Teach-back Observation Tool 2.0 - Consideration for Use

  • Describes various ways to use the Teach-back Observation Tool 2.0. Click here to download.

Teach-back Observation Tool 2.0

  • A tool to assess use of teach-back for various purposes, like self-reflection, providing feedback on strengths of and opportunities for improving performance, and assessing competence. Click here to download.

Teach-back Observation Tool 2.0 with Scoring Guidance

  • A tool to assess use of teach-back for various purposes, like self-reflection, providing feedback on strengths of and opportunities for improving performance, and assessing competence with suggested scoring criteria. Click here to download.

Writing Policies

  • Policies and procedures create the infrastructure to support reliable use of teach-back and to sustain it over time. Click here to download.

Always Events. Starting a Teach-back initiative Aims, Goals, and Objectives Developing Reliable and Sustainable Use of Teach-back Measures for Reliable, Sustainable Teach-back Engaging Senior Leaders or Sponsors Coaching for Always Using Teach-back Engaging Patients and Clients Ask What Matters to You PDSA Example PDSA Template Teach-back Job Aid 10 Elements for Using Teach-back Effectively - Detail Use Words to Show You Are Taking Responsibility for Being Clear Ask the Person to Explain Back in Their Own Words When People Cannot Teach Back Accurately Teach-back Observation Tool 2.0 - Consideration for Use Teach-back Observation Tool 2.0 Teach-back Observation Tool 2.0 with Scoring Guidance Writing Policies


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