Improving depression screening in rural transitional care facility
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Stephanie Macon-Moore, DNP, MSN, CMSRN
- Sigma Affiliation
- Psi Upsilon
Mental health screening may facilitate possible identification of depression and referrals to mental health care. At the project site, depression screening were not standardized or implemented standardly. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of Pfizer's PHQ-2 depression screening tool would impact the identification of problem symptoms related to mental health disorders and referrals to mental health providers among adult patients in a transitional care facility in rural Idaho over four weeks. The project’s theoretical frameworks were Peplau’s theory of interpersonal relations and Michie et al.’s behavior change wheel. The total sample size was N=114, n=61 in the comparative group and n=53 in the implementation group. Data was obtained from the PHQ-2 screening tool. A chi-square test of independence was used to analyze the data which indicated clinical and statistically significant results χ2(1) = 4.51, p = .034. An independent t-test was used to analyze the number of referrals which were not statistically significant t(50) = -0.96, p=.342. However, clinical significance is found in the identification and referrals made to needed resources which did not occur prior to implementation. Based on the results, Pfizer’s PHQ-2 depression screening tool might improve the identification of problem symptoms related to mental health disorders and referrals to mental health providers in this population and setting. Therefore the recommendations include sustaining the project and data analysis over six months to determine if the short project time and small sample impeded statistical significance.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28649941; ProQuest document ID: 2566003760. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
| Type | Dissertation |
| Acquisition | Proxy-submission |
| Review Type | None: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Quality Improvement |
| Research Approach | Quantitative Research |
| Keywords | Mental Health Screening; Transitoinal Care Unit; Behavior Change Wheel Framework; Older Adults |
| Grantor | Grand Canyon University |
| Advisor | McDermott, Sandi; Six, Seth |
| Year | 2021 |
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