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Document Type
DNP - University Access Only
Award Date
2018
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Victoria Britson
Keywords
depression, rural, primary care, depression screening, Patient Health Questionnaire
Abstract
In the United States (US), less than half of the population suffering from depression is receiving adequate treatment (National Alliance on Mental Illness [NAMI], 2017). For individuals residing in rural communities, a number of disparities have impaired accessibility to resources necessary for managing depression. Nearly 50% of patients suffering from depression go undetected in primary care settings and less than five percent of the population is screened despite recommendations (American Psychological Association [APA], 2017b; Canady, 2017). This DNP project aimed to evaluate whether standardized depression screening using the Patient Health Questionnaire (PHQ-9) increases the identification of patients with undiagnosed and/or untreated depression in the rural primary care setting. A standardized screening process was implemented over a two month period and the number of depression diagnoses made pre- and post-implementation were compared. Prior to implementing standardized screening, 844 patients were seen in the clinic over a two month period and 24 new depression diagnoses were made. During implementation 858 patients were seen in the clinic and 23 new depression diagnoses were made (p = 0.837). Gender differences were found, in which women constituted 78% of the depression diagnoses made during the implementation period. Despite limitations within the project, the findings concluded that depression screening is a simple and cost-effective intervention that, although not statistically significant, is clinically significant and relevant.
Library of Congress Subject Headings
Depression, Mental -- Diagnosis.
Medical screening.
Rural health.
Description
Includes bibliographical references
Format
application/pdf
Number of Pages
103
Publisher
South Dakota State University
Rights
In Copyright - Educational Use Permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/
Recommended Citation
Long, Jenna M., "Improving Depression Identification in the Rural Primary Care Clinic with Standardized Screening" (2018). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 101.
https://openprairie.sdstate.edu/con_dnp/101