Degree Name
Nursing Practice, DNP
Publication Date
8-8-2026
First Advisor
Lisa Drake
Second Advisor
Sandy King
Abstract
Genitourinary syndrome of menopause (GSM) is a prevalent yet underrecognized and undertreated condition despite evidence-based therapies in the urology setting. The purpose of this Doctor of Nursing Practice quality improvement was to provide education on the 2025 American Urological Association/ Society of Urodynamics and Female Pelvic Medicine & Urogenital Reconstruction/American Urogynecological Society GSM guidelines and integrate the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire into practice, evaluate outcomes of acceptability, appropriateness, and feasibility of the intervention, and the impact on diagnosis and associated GSM prescribing. The aim was to impact provider screening and treatment of patients with GSM. Kolcaba's Comfort Theory was the theoretical framework, and Lewin's Theory of Change outlined the process. The Consolidated Framework for Implementation Research (CFIR) guided implementation of a quasi-experimental pre-post design with Advanced Practice Providers (APPs) in a hospital-based urology setting, including education on the guidelines and implementation of the screening tool over 1 month. The intervention showed positive but non-significant trends in Acceptability of Intervention, Intervention Appropriateness, and Feasibility of Intervention Measures (acceptability: t(6) = 1.29, p = .244; appropriateness: t(6) = 1.49, p = .188; feasibility: t(6) = 1.30, p = .243). Aggregate data revealed no statistically significant change in prescribing rates using Poisson regression (IRR = 0.92, 95% CI [0.69, 1.22], p = .50). These findings suggest the intervention is promising and implementable, but larger, adequately powered studies are needed to determine effectiveness.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Myers, Anna L., "Evaluation of Implementation of an Evidence-Based Screening Tool for Genitourinary Syndrome of Menopause" (2026). Doctor of Nursing Practice Projects. 372.
https://arch.astate.edu/dnp-projects/372
