Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

4-29-2017

Degree Program

Doctor of Nursing Practice

Degree Track

Family Nurse Practioner

Year Degree Awarded

2016

Month Degree Awarded

May

Keywords

depression, primary care, PHQ-9, screening

Advisor Name

Lisa

Advisor Last Name

Chiodo

Capstone Chair First Name

Lisa

Capstone Chair Last Name

Chiodo

Capstone Member Name

Kimberly

Dion

Capstone Outside Member Name

Adam

Ameele

Abstract

Purpose: The purpose of this research translation project was to mitigate the consequences of under-recognition, and under-treatment of depression through use of an evidence-based depression-screening tool, the PHQ-9, in a primary care setting.

Methods: A plan-do-study-act model was utilized for the implementation of this initiative. An informal educational intervention about administration and interpretation of the PHQ-9 first took place at the provider level in a primary care practice. Next, a pre and post-test study design (n=12) was administered to providers, nursing, and ancillary staff. A report was shared at monthly quality meetings with representatives from each practice in the health system. Finally, a system-wide initiative for administration of the PHQ-9 was adopted. A matched pairs t-test was used to analyze the practice-wide educational initiative. Administration of the PHQ-9 was tracked system-wide at quarterly intervals.

Results: The change in depression screening between quarters 1 and 4 was 42.5%. The healthcare system achieved 60% of their target goal in one year. The total knowledge rating of the pre test showed a mean score of 10.8 and post intervention 13.8. The matched pairs t-test revealed the post test knowledge scores (t(11) = -6.8, p <.001).

Conclusions: The large volume of individuals seen in the primary care setting affords a rich opportunity for identifying depression. Current evaluation suggests that the validated PHQ-9 depression-screening tool was effective in the current primary care setting, allowing for purposeful interventions to improve patient outcomes.

Share

COinS