Date of Award

Spring 2023

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)



Committee Chairperson

Vanessa Johnson, PhD

Committee Member

Jacquelyn Owens, DNP, CRNP

Committee Member

Megan Mraz, RN, PhD


Preoperative education improves surgical outcomes (Burgess et al., 2019). The current standard of care for patients undergoing endoscopic sinus surgery is verbal preoperative education at the office visit supplemented with printed material. Utilizing digital education customized to the surgical procedure is an effective way to improve patient knowledge, engagement, satisfaction, and health outcomes and should be integrated into healthcare guidelines (Golinelli et al., 2020). Our healthcare institution partnered with Independence Health’s Quil to provide patients with access to digital tools for education and preparation, with a goal for patients to have a better experience before and after surgical procedures and be able to manage long-term health conditions (Otto, 2020). Having a member of the healthcare team send messages to patients in the form of a reminder can serve to increase engagement and open the door for continued interactions. Therefore, we decided to send reminders to patients via the electronic medical record (EMR) about the importance of participating in the digital preoperative education. The results of this study show that patients who were sent reminders had increased engagement compared to patients who were invited to participate in digital preoperative education without getting a reminder from the healthcare team. Therefore, the clinical question that was answered is that for adults undergoing endoscopic sinus surgery, receiving a reminder notification to complete preoperative education increased patient engagement with digital preoperative education.