Date of Award


Document Type



College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Kristen Swanson


Routine depression screening of adults in primary care is recommended by many US professional organizations. This quality improvement project found a low baseline rate of screening at a primary care clinic and attempted to increase the rate by creating a revised depression screening workflow. The workflow was created based on staff recommendations gathered through Appreciative Inquiry-grounded interviews. Its efficacy was evaluated by comparing depression screening rates before and after its implementation, and staff evaluated outcomes with anonymous surveys. Overall depression screening rates at the clinic increased from 20.83% to 29.14% (p < .001) in response to the project’s interventions. Continued improvement of the depression screening process at the clinic and other clinics in the parent organization calls for soliciting further staff suggestions and expanding evaluation measures.