Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults
Purpose: Develop a quality improvement plan to begin a biphasic depression screening process for rural people 65 years and older residing in two counties in south-central Nebraska. Sample: Project initiation involved retrospective chart review of a convenience sample of 50 adults, 65 years or older...
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| Format: | Article |
| Language: | English |
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Rural Nurse Organization; Binghamton University
2019-12-01
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| Series: | Online Journal of Rural Nursing and Health Care |
| Subjects: | |
| Online Access: | https://rnojournal.binghamton.edu/index.php/RNO/article/view/563 |
| _version_ | 1797633321674473472 |
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| author | Stephanie Ann Burge Warseal Powell Linda Mazour |
| author_facet | Stephanie Ann Burge Warseal Powell Linda Mazour |
| author_sort | Stephanie Ann Burge |
| collection | DOAJ |
| description | Purpose: Develop a quality improvement plan to begin a biphasic depression screening process for rural people 65 years and older residing in two counties in south-central Nebraska. Sample: Project initiation involved retrospective chart review of a convenience sample of 50 adults, 65 years or older with a known diagnosis of anxiety or depression residing in south-central Nebraska.
Method: A quality improvement design based on the plan-do-study-act (PDSA) model, charts a prescribed four-stage cyclic learning process while compatible with the Promoting Action on Research Implementation in Health Services Framework (PARiHS) model for evidence-based practice (EBP), emphasizing the significance of organizational culture. An interprofessional (IP) small-team approach provided momentum into full organization expansion through a three-cycle operational plan.
Findings: The project used descriptive statistics providing aggregate demographic data while delivering a means to measure progress towards goal acquisition.
Conclusion: Use of the convenience sample indicated the need to standardize secondary depression screening processes within a vulnerable rural population. Outcomes demonstrate goal achievement with the consistent use of electronic medical record (EMR) supported Patient Health Questionnaire (PHQ-2) data for the older adult. However, a breakdown occurred when the organization was reliant on face-to-face communication in notifying the healthcare provider when the PHQ-2 triggered the need for the more detailed PHQ-9. A gap in primary care for older men discovered with implications for improving the accessibility of healthcare in the future.
DOI: https://doi.org/10.14574/ojrnhc.v19i2.563 |
| first_indexed | 2024-03-11T11:52:28Z |
| format | Article |
| id | doaj.art-02fe346ea95945269a769c7a2e2de065 |
| institution | Directory Open Access Journal |
| issn | 1539-3399 |
| language | English |
| last_indexed | 2024-03-11T11:52:28Z |
| publishDate | 2019-12-01 |
| publisher | Rural Nurse Organization; Binghamton University |
| record_format | Article |
| series | Online Journal of Rural Nursing and Health Care |
| spelling | doaj.art-02fe346ea95945269a769c7a2e2de0652023-11-08T20:40:45ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992019-12-01446410.14574/ojrnhc.v19i2.563483Quality Improvement Endeavor Improving Depression Screening for Rural Older AdultsStephanie Ann Burge0Warseal Powell1Linda Mazour2University of Nebraska College of NursingUniversity of South Alabama College of NursingFranklin County Medical HospitalPurpose: Develop a quality improvement plan to begin a biphasic depression screening process for rural people 65 years and older residing in two counties in south-central Nebraska. Sample: Project initiation involved retrospective chart review of a convenience sample of 50 adults, 65 years or older with a known diagnosis of anxiety or depression residing in south-central Nebraska. Method: A quality improvement design based on the plan-do-study-act (PDSA) model, charts a prescribed four-stage cyclic learning process while compatible with the Promoting Action on Research Implementation in Health Services Framework (PARiHS) model for evidence-based practice (EBP), emphasizing the significance of organizational culture. An interprofessional (IP) small-team approach provided momentum into full organization expansion through a three-cycle operational plan. Findings: The project used descriptive statistics providing aggregate demographic data while delivering a means to measure progress towards goal acquisition. Conclusion: Use of the convenience sample indicated the need to standardize secondary depression screening processes within a vulnerable rural population. Outcomes demonstrate goal achievement with the consistent use of electronic medical record (EMR) supported Patient Health Questionnaire (PHQ-2) data for the older adult. However, a breakdown occurred when the organization was reliant on face-to-face communication in notifying the healthcare provider when the PHQ-2 triggered the need for the more detailed PHQ-9. A gap in primary care for older men discovered with implications for improving the accessibility of healthcare in the future. DOI: https://doi.org/10.14574/ojrnhc.v19i2.563https://rnojournal.binghamton.edu/index.php/RNO/article/view/563rural depressiondepression screening |
| spellingShingle | Stephanie Ann Burge Warseal Powell Linda Mazour Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults Online Journal of Rural Nursing and Health Care rural depression depression screening |
| title | Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults |
| title_full | Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults |
| title_fullStr | Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults |
| title_full_unstemmed | Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults |
| title_short | Quality Improvement Endeavor Improving Depression Screening for Rural Older Adults |
| title_sort | quality improvement endeavor improving depression screening for rural older adults |
| topic | rural depression depression screening |
| url | https://rnojournal.binghamton.edu/index.php/RNO/article/view/563 |
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