Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

11-20-2020

Graduate Advisor

Alicia Hutchings, PhD, RN, CNE

Committee

Nancy Magnuson, DSN, APRN, PCNS, FNP-BC

Jerry Lowder, MD, MSc

Abstract

Abstract

Purpose: This quality improvement (QI) project aimed to determine if a standardized nurse teaching approach improved patient understanding of diagnosis and treatment as it relates to women diagnosed with a pelvic floor disorder (PFD) after receiving a standardized nurse education (SNE) session in an urban tertiary care Urogynecology practice.

Methods: Females aged 18 and older with a newly diagnosed PFD and prescribed PFPT for the first time who agreed to receive the SNE and complete the CAHPS® survey were included in the project. Patient perception of PFPT was assessed via phone interview utilizing the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey from August 11, 2020 through September 1, 2020.

Results: A purposeful sample of 8 (N = 8) patient surveys were completed. The average Likert scores (1-5) for the questions were: explanations (5/5, 100%), listening (5/5, 100%), additional information (4.75/5, 95%), respect (4.88/5, 98%), and a better understanding (4.88/5, 98%). The average time for the SNE was 11-14 minutes. 75% of participants scheduled an initial PFPT appointment after receiving the SNE.

Implications for Practice: This QI initiative successfully utilized a CAHPS® survey program in a Urogynecological practice demonstrating that nurses can successfully educate the patient in a way that is easy to understand and provide a better understanding of why PFPT was ordered as part of the treatment regimen.

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