Student Theses, Dissertations and Capstones

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Nursing

First Advisor

Lori Lupe

Publication Date / Copyright Date

2020

Publisher

Nova Southeastern University

Abstract

Depression is the preeminent cause of disability internationally. Support-based depression screening is a nationally recommended means of detecting and treating patients with this disabling illness. The purpose of the doctor of nursing practice (DNP) practice change project was to implement an outpatient neurology depression screening protocol so that depressed patients were identified and received intervention. The project answered whether implementation of an 8- to 12-week systematic depression screening protocol in a neurology practice increased the incidence of accurate depression identification and treatment in this patient population as compared to the 3-month prior baseline. The DNP depression screening project was based on the salutogenic theoretical framework to emphasize the generation of health (Becker, Glasscoff, Felts, & Kent, 2015). This generation of health was accomplished through the preventative intervention of depression screening. The practice change project was based on an evidence-based practice design using quantitative data collection and measurements. In the DNP practice change project, N = 66 patients participated in systematic, support-based depression screening and received treatment recommendations compared to a baseline of 0 systematic depression screening, identification, and treatment. Of the N = 66, 56.1% (n = 37) of the patients screened positive for depression and 39.4% (n = 26) received treatment if indicated. Future studies were needed to determine the generalizability of the practice change protocol methods and results.

Disciplines

Physical Therapy

Keywords

best practice, depression, depression screening, neurology, Patient Health Questionnaire- 9 Item treatment

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