Depression screening and management in a free primary care clinic
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Ashley Gagne, DNP, ARNP-C - Graduate Student DNP Program, Keigwin School of Nursing; Lx
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- Theta Tau
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Abstract
Introduction. Depression diagnoses in the United States continue to rise within the primary care setting. At a free primary care clinic in the Southeastern United States, the PHQ-9 screening tool was being used to screen patients for depression, but providers were not regularly addressing positive screenings.
Aims. This quality improvement project aimed to evaluate health care staffs’ awareness, attitudes and confidence towards depression screening and management and implement best practices in primary care identification and follow up for depression.
Methods. Health care staff at a primary care clinic responded to Revised Depression Attitudes Questionnaire (RDAQ) pre-and post-surveys to measure their awareness, attitudes, and confidence regarding depression. In addition, data were collected on Patient Health Questionnaire-9screenings, depression diagnosis and treatment plans to measure depression screening and follow-up. Data was evaluated in four-week cycles according to Plan-Do-Study-Act model.
Results. Participant surveys indicated optimism toward depression screening and management but a lacked confidence in their clinical management of depression. After implementation, PHQ-9 screening remained steady across the three PDSA cycles with 83%, 75%, and 89% of primary care patients being screened. Both a depression diagnosis and treatment plan were documented for 60% (cycle 1), 28.5% (cycle 2), and 31% (cycle 3) of PHQ-9s with scores five or greater. Eight patients had both a baseline and follow-up PHQ-9 score with six of their scores improving by at least one point.
Conclusions. Implementation of an evidence-based depression screening and management protocol in the primary care setting can support clinical care and follow-up.
Description
Advisor Details: Lindsay Wolf, DNP, APRN, CPNP-PC, CNE, CLC - Graduate Director for DNP Program, Keigwin School of Nursing; Dorcas Kunkel, DNP, RN, CNE, PHNA, CPHIMS - DNP Secondary Reader; Leigh Hart, PhD, APRN-BC - Associate Dean, Keigwin School of Nursing
Repository Posting Date
2021-06-07T14:40:09Z
Type Information
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Depression; Adults; Adult Depression; Primary Care; Primary Care; Free Clinic |
Degree Information
Grantor | Jacksonville University |
Advisor | Wolf, Lindsay; Kunkel, Dorcas; Hart, Leigh; de Tantillo, Lila |
Level | DNP |
Year | 2021 |
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