Date of Project Completion

Summer 6-15-2022

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice



First Advisor

Sonja Meiers


Rochester, Minnesota


Abstract Purpose: To increase patient health literacy and satisfaction in hospitalized adult medical-surgical patients through an evidence-based provider intervention (advanced practice providers, APPs, or physicians, MDs) adding visual aids to current verbal patient education methods during daily bedside team rounding (BTR).

Strength of Evidence: A literature review resulted in 15 studies meeting inclusion criteria including two meta-analyses, three randomized control trials, two quasi-experimental studies, five systematic reviews, two descriptive studies, and one clinical practice guideline. Evidence revealed the addition of visual information to verbal and written education methods significantly improves patient knowledge, understanding, and recall of health information and increases patient satisfaction.

Practice Change: In our acute hospital setting, the providers currently use only verbal and written information for patient education in BTR. The proposed intervention adds visual aids using simple standardized drawings (SSD) of several body systems which can be chosen to fit the patient’s admitting or contributing diagnoses or procedure(s). The provider can then add details to individualize the chosen SSD. Implementation

Strategies and Stakeholders: A set of SSDs will be available to each provider during BTR. The provider will choose the appropriate SSD needed for the patient’s individualized education and implement it in conjunction with current BTR discussions daily. The Revised Iowa Model is used for intervention translation purposes.

Evaluation: Evaluation is through patient survey methods. After daily BTR, all patients in both the SSD intervention and standard care groups will be asked to complete a Likert-scale survey. The survey will assess if the provider used drawings during BTR and will evaluate the patient’s satisfaction, perceived understanding, and recall of the education provided. Providers will be surveyed to determine physician experience. Statistical analysis of the survey results and demographics will be completed


Thank you to Dr. Meiers, Dr. Ponto, and Dr. Bates