Identifying Depression in Primary Care: An Evidence-Based Intervention
Repository Posting Date2018-05-31T20:17:36Z
Author(s)Peters, Mary Alice
TypeOther Graduate Paper
Level of EvidenceQualitative Study, Other
Research ApproachPilot/Exploratory Study
CINAHL HeadingsDepression -- Diagnosis; Primary Health Care; Health Screening -- Methods; Depression -- Therapy; Health Screening; Depression
Identifying depression in primary care is an urgent concern locally and nationally. Due to lack of screening or inquiry by primary care providers, as well as an insufficient number of mental health professionals, depression remains under-detected. This problem has been identified locally as a result of a 2014 population health survey in Huron County, Ohio. The population reported multiple reasons for not seeking out a program or service within the county to address symptoms of depression, anxiety, or emotional problems. The 2016 recommendation by The United States Preventative Services Task Force is to screen the general public as long as there are resources to provide appropriate treatment. Providers should assess risk factors with the patient by discussing the results of the screen and to decide necessary care such as investigating causative factors, monitoring symptoms, pharmacotherapy, and/or referral to mental health professionals. The purpose of this evidence-based practice improvement project was to add to the knowledge of depression screening by evaluating for patient satisfaction of the newly implemented two-step method in a primary care practice in an effort to improve depression identification. The Rosswurm and Larrabee updated version of the Model for Evidence-Based Practice Change was used to guide the project.
In a primary care practice setting, patient satisfaction of a new two-step screening method was assessed over a two-week period of time using a six-question satisfaction survey administered to participants chosen by simple randomization. Of the participants (n=86), nearly all (n=84) were satisfied with the new method.
Date of Publication2018-05-31
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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