Date of Graduation

Fall 12-15-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Dr Trinette Radasa

Second Advisor

Dr Juli Maxworthy


Background: Hysterectomies are prevalent in the United States ranging from

5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing preoperative depression could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy. Local Problem: Currently, there is no standard practice for preoperative depression screening in hysterectomy patients. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022). Methods: To address the gap, clinicians attended a fifteen-minute Zoom course on the Patient Health Questionnaire 9 (PHQ-9) and its application in preoperative assessment. A pre-and post-test survey was given to assess provider knowledge concerning the PHQ-9 and its feasibility in clinical practice. Intervention: Clinicians incorporated the PHQ-9 into the preoperative assessment for hysterectomy patients. Clinicians administered the tool referring patients scoring five or higher to mental health and documented in the chart and alerting the surgeon. Measures and Outcomes: Post-intervention, clinicians completed surveys assessing the feasibility of implementing PHQ-9 and knowledge acquisition. Results: Five clinicians administered the PHQ-9 to 30 patients showed that four out of five clinicians felt more knowledgeable and found it easy to integrate into practice. Pre and post-survey of knowledge acquisition and feasibility showed a 20% improvement, indicating the clinicians not only gained understanding but also recognized the value of the screening tool. Conclusions: The PHQ-9 is a feasible screening tool for identifying depression risk in hysterectomy patients.

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

Available for download on Friday, December 13, 2024

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