Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Camilla Jaekel

Abstract

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate depression in LGBTQ+ patients. The practice question was guided by the best available evidence and questioned if a multidisciplinary group in the primary care setting could develop an evidence-based CPG that meets the AGREE II criteria for managing mild to moderate depression in f LGBTQ+ patients. The Johns Hopkins nursing Evidence-Based Practice (EBP) model framework was selected to guide in the development, structure, process, and outcomes of the project. Three board certified nurse practitioners and one board certified registered nurse served as the expert panelists for this project. The recommended guideline was validated and accepted based on AGREE II criterion. Using a scale of 1-7 (strongly disagree to strongly agree), the project team selected a score of 5 or higher for each criterion within the six domains of the AGREE II tool with an average final guideline assessment score of 6.64. Use of the CPG may promote positive social change by promoting access to LGBTQ+ competent mental health care in the primary care setting.

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