Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2018


Doctor of Nursing Practice (DNP)

Primary Advisor

Michelle Rumble, DNP, RN, MPH


Background: Chronic kidney disease (CKD) is a complex, progressive, and costly disease impacting more than 26 million Americans. Providing effective education is necessary so the patient may actively participate in managing the disease process, but the effectiveness of the delivery of education to the patient with CKD is not well-known.

Objective: To evaluate the effectiveness of a standardized education class on the basic kidney knowledge of persons diagnosed with CKD, stage IV.

Method: This pilot study, using a one-group pre and post-test design, was conducted in an outpatient nephrology clinic located in Washington, D.C. The study participants, recruited using census sampling, completed a kidney disease-specific knowledge questionnaire prior to a standardized education class, and then completed the same questionnaire immediately after the class. A Wilcoxon Signed-Ranks test and descriptive statistics were utilized to examine the mean kidney knowledge and summarize the findings.

Results: A total of 14 patients participated in this study. Participants’ mean age was 63 years, most were female (64%) and Black/African American (79%). Thirty-six percent were not married, 43% reported having a high school diploma or equivalent, and 43% rated their overall health status as good. The study results concluded that the post questionnaire scores were significantly higher than the pre questionnaire scores (Z = -3.299, p = 0.001).

Conclusions: This pilot study showed that providing a standardized education class is associated with higher basic kidney knowledge. While compelling, further studies are needed to determine knowledge retention, and support these findings with a larger sample size

Open Access




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