Date of Graduation

Fall 12-15-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Psychiatric Mental Health Nurse Practitioner

First Advisor

Dr Trinette Radasa

Second Advisor

Dr Juli Maxworthy



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