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Show Toolkit-Based Approach to Improving Primary Care Provider (PCP) Confidence in Vasomotor Symptom (VMS) Management: A Quality Improvement Initiative Tammy Dunklebarger, BSN, WHNP/DNP Student; Micaela Besser, BSN, WHNP/DNP Student, NCMP; Camille Moreno, DO, NCMP; Lisa Taylor-Swanson, PhD, LAc, NCCAOM Key Take Away Primary care providers were equipped with evidence-based resources and tools to enhance confidence in managing VMS. Background Results • Vasomotor symptoms (VMS) affect up to 80% of midlife women. • Despite effective treatment options, many PCPs report low confidence in managing VMS. • Improving confidence can lead to enhanced patient care and symptom management. • Barriers include limited menopause education, concerns about hormone therapy, and time constraints. • Statistically significant improvement in VMS management (p=0.041), with identification confidence remaining unchanged (p=0.084). • Feasibility: 65% of participants reported the toolkit was easy to implement during clinic. • Usability: • 24% used the toolkit “most/all” of the time • 35% used the toolkit “some of the time” • 41% did not utilize the toolkit • Barriers to Integration: • 29% perceived no clinical need • 24% forgot toolkit availability • 12% experienced access difficulties • Satisfaction: 76% intend partial/full toolkit incorporation in practice. Purpose • To develop and implement an evidence-based VMS Management Toolkit to improve provider confidence in VMS assessment and management. Agree Somewhat Agree Neutral Somewhat Disagree Disagree Methods • Developed using the John Hopkins Evidence-Based Practice Model, incorporating The Menopause Society (TMS) and American College of Obstetricians and Gynecologists (ACOG) guidelines through expert review. • Piloted in two University affiliated clinics during a eightweek period with biweekly PDSA (Plan-Do-Study-Act) cycle feedback. • Assessed using a mixed-methods approach: • Quantitative: Pre- and post-implementation surveys • Qualitative: Structured feedback to capture deeper insights • Evaluated provider confidence in identifying and managing VMS to measure intervention effectiveness. Conclusions Agree Somewhat Agree Neutral Somewhat Disagree Disagree • Clinicians’ self-reported confidence scores improved significantly after using the toolkit, with notable gains among those who were initially less confident. • Long-Term Viability: Develop a cloud-based, digital platform for real-time updates to reflect constantly emerging guideline updates, with automated literature scanning mechanisms. • Expansion Opportunities: Expand the toolkit to include additional menopause symptoms, develop multi-language versions, and incorporate guidance for cancer survivors or patients with induced menopause. @uofunursing @utnurseresearch |
