Connie Davis, RN, MN, ARNP; Co-Director of the Centre for Collaboration, Motivation, and Innovation
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Learning Objectives: At the end of this activity, you will be able to:
Explain why teach-back and “Ask, Tell, Ask” are good investments of time.
Discuss how to incorporate brief action planning in a primary care practice.
Description: These days, health care experts are talking about patient engagement as a cure for many of health care’s ills. But who has time to engage patients during a short primary care visit?
In this video, Connie Davis, RN, MN, ARNP; Co-Director of the Centre for Collaboration, Motivation, and Innovation, explains how long it actually takes to use three evidence-based patient-centered communication techniques: teach-back, “Ask, Tell, Ask,” and brief action planning. You’ll also learn why that time is a good investment over the long term.
Discussion Questions:
- What other barriers besides time do you think make it hard for clinicians to use teach-back and “Ask, Tell, Ask”? How might you overcome those barriers?
- Find a partner and tell him or her about your morning routine while your partner times your interaction. Then check for understanding by using a teach-back question such as, “Would you mind repeating back to me what you understood, so I can make sure I was clear?” How much extra time did the teach-back portion of the interaction take? Was it a good use of time?
- Imagine you’re working on a team in a primary care practice that wants to start using brief action planning with patients. What is a small test of change you could try to learn how this might work in your office? (To learn more about conducting small tests of change, see QI 102: The Model for Improvement: Your Engine for Change.)
