Date of Award

Spring 5-6-2022

Document Type

DNP Project

Project Team Faculty Member

Kelley McGuire, PhD, CNE, RN

Project Team Faculty Member

Sheri Compton-McBride, DNP, RN


inflammatory bowel disease, IBD, Crohn's disease, depression, depressive disorder, mood disorder, Patient Health Questionnaire, PHQ-9


Introduction: Mild levels of depression have been measured with screening tools at rates of 15-24% in adults with Crohn’s disease (CD). The spectrum of the impact of depressive symptoms is measurable and documented for those with CD. Patient perspectives support the integration of psychological care, and the Patient Health Questionnaire 9 (PHQ-9) is a well validated tool for the measurement of depressive symptoms.

Purpose: Increase depression screening of adult CD patients in the outpatient gastroenterology clinic and evaluate the provider perspectives regarding PHQ-9, depression, and CD.

Conceptual Framework: The Johns Hopkins Nursing Evidence Based Practice (JHNEBP) Model was selected as the conceptual framework to guide this Doctoral project because it is rooted in evidence-based practice (EBP) and composed of inquiry, practice, and learning.

Methods: The total number of PHQ-9, prior to and during implementation, and the provider’s perspective on utility/integration of the PHQ-9 were measured with anonymous online pretest and posttest surveys.

Results: No routine depression screening took place prior to implementation and the total number of PHQ-9 completed after implementation was reported as five. Initial pretest and posttest scoring indicated positivity to neutrality in all areas. Provider perspective revealed a positive provider shift related to depression frequency, provider screening responsibility, and practice integration. The most significant shift was increased provider comfort identifying depression symptoms.

Conclusion: Continued screening of adult CD patients with PHQ-9 will increase depression identification, enhance routine care, and improve patient outcomes.

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Systematic Literature Review JMullerKrause.pdf (514 kB)
Systematic Review of Literature

Conceptual Framework JMullerKrause.pdf (81 kB)
Conceptual Framework

Project Methods JMullerKrause.pdf (199 kB)
Project Methods

Evaluation JMullerKrause.pdf (107 kB)

Final Reference List JMullerKrause.pdf (206 kB)
Final Reference List



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