Document Type



Doctor of Nursing Practice



Date of Defense


Graduate Advisor

Dr. Nancy Magnuson


Dr. Tonya Haynes

Dr. Osler Guzon



Problem: Congestive heart failure (CHF) is a high symptom disease in which patients tend to decompensate frequently, most often leading to hospitalization and poor quality of life.

Methods: This project involved educating nurses about using patient reported outcome(PRO) tools with an emphasis on the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12). Pre and post surveys using a Likert scale tool designed by the author were used to determine if a change in knowledge occurred. Satisfaction of the providers was assessed using a survey, also designed by the author. A retrospective review of 13 patients was done to establish patients’ baseline KCCQ-12.

Results: Six nurses and three physicians participated in this study. Results from surveys by the nurses indicated perceived familiarity with the KCCQ-12, scoring it both manually and electronically using an electronic scoring tool developed by the author and feasibility to integrate KCCQ-12 into their work flow when scoring was done electronically. Providers’ feedback was obtained through a five item Likert satisfaction survey. Results indicated that the participants were very satisfied using KCCQ-12 using electronic scoring and would recommend integrating it into clinical practice. Changes in patients’ follow up KCCQ-12 scores underscored the questionnaire’s sensitivity to patient’s clinical status.

Implications for Practice: This project demonstrated that, with ease in KCCQ-12 scoring and rapid interpretation of the scores, KCCQ-12 can be integrated in clinical practice. Utilization of this tool will contribute to quality improvement in the care for CHF patients.