Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2024


Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Karen Whitt


Background: Due to the large number of patients waiting for a kidney transplant and the prolonged wait times, once a kidney becomes available some patients may not be medically ready. For this reason, some patients may miss out on a kidney transplant.

Objective: To assess the effects and outcomes of a one-to-one touch point interview and education seminar for pre-kidney transplant patients who are currently waitlisted for a kidney transplant.

Method: This quality improvement project evaluated the effectiveness of one-to-one interviews and an education seminar with a nurse navigator for approximately 60 adult pre-kidney transplant patients on the Top Active transplant list over the course of two months at one transplant center. Patients completed surveys to compare knowledge of post-transplant expectations before and after the seminar. The percentage of patients bypassed on organ offers was compared for three months before and after the intervention.

Results: Sixty pre-kidney waitlisted patients were eligible for the project, of which fifty-one were called and interviewed (85%) and 22 were invited to the education seminar (62%). Twelve patients attended the seminar (36%) and completed the pre and post knowledge survey. The average pre-survey mean knowledge score was 75% while the average post mean score was 89%, which was an +18.6% increase. There were 304 (24%) bypassed offers prior to implementation of this initiative and 124 (10%) bypassed offers post implementation, resulting in a - 58.3% decrease in overall bypassed offers.

Conclusion: One-to-one interviews with a nurse navigator and participation in an education seminar improved patient knowledge of post-transplant expectations. Ensuring patients are medically ready for transplant, improves organ offer acceptance and decreases the volume of offers being bypassed.

Open Access


Available for download on Tuesday, October 14, 2025