Date of Degree

8-2021

Document Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Program

Nursing

Advisor

Christina M. Hernandez

Abstract

Background. In the United States, prostate cancer is the most common cancer diagnosed in men and a common treatment choice is a radical prostatectomy. The Enhanced Recovery After Surgery® Society developed evidence-based guidelines to optimize treatment and improve outcomes in prostatectomy patients, yet not all hospitals are utilizing these guidelines or employing all of the elements, including pre-admission education. Purpose and Objectives. The purpose of this quality improvement project was to develop, implement, and evaluate a pre-admission patient education component for a prostate surgery pathway based on the Enhanced Recovery After Surgery guidelines. Objectives included assessing the nurse’s intention to use the tools and the patients’ perception of satisfaction with the education. Methods. The project leader collaborated with physicians, nurses, information technology, and other stakeholders to develop, implement, and evaluate the prostatectomy pre-admission education component of the ERAS pathway at a large southeastern hospital. Components of the education portion of the pathway include a bi-lingual patient prostate surgery education book, a patient surgery checklist, and a nurse teaching tool. Results. Survey findings showed that 100% of patients participating in the ERAS prostatectomy teaching visit with the nurse received the new education book and rated the visit as satisfied or highly satisfied. Implications for Practice. Completing a comprehensive patient education component for a prostate ERAS pathway can lead to pre-admission nurses delivering consistent education to patients preparing to undergo prostatectomy surgery. The role of the Doctor of Nursing Practice leader working with the interdisciplinary team was instrumental in completing this project.

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