Public Health Nurse Intervention for Depression Screening during Sexually Transmitted Disease Risk Assessments Public Deposited

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  • March 21, 2019
  • Grimes, Jessica
    • Affiliation: School of Nursing
  • The United States Preventive Services Task Force (2016) recommends screening adolescents and adults for depression. Depression screening is important during sexually transmitted disease (STD) risk assessments due to the association between depression and STD risk behavior. STD Enhanced Role Registered Nurses (ERRNs) are ideally positioned to incorporate depression screening into STD risk assessments. Purposes: 1. Expand the STD ERRNs' education to include an understanding of the association of depression with STD risk factors, be able to identify those at high risk for depression, and give them an evidence-based tool to screen for depression, thus enhancing the STD ERRNs' comfort and self-efficacy to screen for depression to facilitate evidence-based practice change in the clinical setting 2. Provide the STD ERRNs with a temporary policy addendum and depression screening guidelines to support them as they perform depression screens in the STD clinic Methods: A Needs Assessment Survey was given to STD ERRNs to determine knowledge and practice gaps. A pilot educational course was provided to one local health department (LHD). A temporary policy addendum was created and granted to eliminate the policy barrier. The course, pretest, and posttest were sent to all remaining STD ERRNs. Two follow-up surveys were sent to determine depression screening goal attainment, barriers, and supportive factors. Results: The Needs Assessment Survey found a low percentage of STD ERRNs screened for depression due to time and policy barriers. Pilot LHD feedback included changes to the screening tool and development of an implementation timeline. The course showed an improvement in comfort levels with administering depression screens and reported improved knowledge of depression and risk for STDs. The follow-up surveys showed that the majority of STD ERRNs were able to meet or exceed their depression screening goals, although some STD ERRNs experienced a time barrier related to the referral process. Limitations: Limitations included the reliability/validity of the pretest and posttest test questions, self-report nature of the survey questions, and small sample size (Phase 1 n = 63; Phase 2 n = 35; Phase 3 1st follow-up n = 14, Phase 3 2nd follow-up n = 17).
Date of publication
Resource type
  • Little, Susan
  • Piven, Mary Lynn
  • Davison, Jean
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018

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