P04_NonResearch_CE - Implementation of a Clinical Practice Guideline to Improve Knowledge Retention and Decrease Anxiety in Patients Undergoing a Partial or Radical Nephrectomy

Introduction: The purpose of this project was to determine if the implementation of a clinical practice guideline would improve knowledge retention and decrease anxiety in patients undergoing a partial or radical nephrectomy.

Patients and Methods: A clinical practice guideline was created to assist providers in the delivery of pre-operative education. Data was collected using a pre/post-operative survey modified from the State Trait Inventory for Adults. Patients were asked to rank their anxiety levels and knowledge regarding their upcoming procedure and disease process using a Likert scale. Providers were also asked to evaluate the clinical practice guideline regarding the effectiveness of educating the patient and the sustainability for use with future patients. To evaluate the project data a statistical analysis was completed using a Wilcoxon Signed Rank Test.

Results: A Wilcoxon Signed Rank Test was used to compare the pre-/post-survey results following the implementation of a clinical practice guideline. Analysis indicated that all ten survey questions were noted to be statistically significant (at the 5% level), showing a difference in responses from pre- to post-survey based on the null hypothesis. The null hypothesis for the data collected represents the median of the differences between pre-survey and post-survey 1 and equals 0. The significance of this test was noted to be .000. Since the asymptomatic sing (2-tailed) is 0.000 or