Date of Graduation

Fall 12-15-2023

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Psychiatric Mental Health Nurse Practitioner

First Advisor

Dr Trinette Radasa

Second Advisor

Dr Juli Maxworthy

Abstract

Abstract

Background: The prevalence of hysterectomies in the United States ranges from

5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing

depression preoperatively could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy.

Local Problem: Currently, there is no standard of practice to routinely screen for depression in preoperative patients scheduled for hysterectomy surgeries. However, as with any surgical intervention, there are risks of long-term complications. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022).

Methods: A fifteen-minute zoom course will be created for providers to utilize a depression screening tool preoperatively for patients scheduled for hysterectomies.

Proposed Interventions: Pre -and post-knowledge acquisition project for the preoperative medicine clinic providers.

Proposed Measures: Pre- and post-quiz for preoperative medicine providers.

Conclusions: Literature suggests the importance of performing a preoperative assessment and evaluating mental health diagnosis. Literature supports the need for pre-surgical mental health screening as it affects surgery outcomes. Although hysterectomy is a standard treatment for uterine ailments, its long-term risks are highlighted in the literature of cardiac disease, pelvic prolapse, premature menopause, depression, and other estrogenic declines.

Keywords: Screening tool, Hysterectomy, Preoperative depression assessment, depression

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