1. Identifying Barriers to Nurse compliance with Depression Screening in Stroke Patients
Susan Alex MS, APRN, ANP – BC, NE, CMSRN, ONC, DNP Student
Faculty Advisor: Dr. Lois Gordon Oquin DNP, APRN-BC, NCSN, NE-BC
BACKGROUND
CLINICAL INQUIRY
RESULTS
DISCUSSION AND CONCLUSIONS
PSD is a common neuropsychiatric disorder that often occurs after a stroke.
>50% all PSD cases are neither diagnosed nor treated (Jiang et al., 2014).
Some form of depression occurs in at least 25% of patients in the first year after stroke.
Stroke survivors need to be routinely screened for mood disorders using a validated tool.
88% of the hospitals surveyed had a local protocol for psychological assessment, but poor compliance resulted in an average screening rate of only 50%.
Possible causes: knowledge; perceived control; colleagues’ expectations; belief in effectiveness; having time for the screenings; having an awareness of guidelines.
What is the current knowledge of nurses regarding depression screening in stroke patients?
What are the possible barriers the nurses think are preventing proper implementation of depressions screening?
How do nurses value the completion of QIDS-SR to the well-being of post-stroke depression patients?
To be completed
To be completed
SAMPLE POOL
Approximately 62 nurses working in ICU and Stroke Unit
INCLUSION CRITERIA
Full time RNs from ICU and Stroke Unit
EXCLUSION CRITERIA
The following nursing careers are excluded:
Nurse managers
Float pool nurses
Agency nurses
Students nurses
Nurse coordinators
PURPOSE
To identify the barriers among nurses for the completion of post-stroke depression screening in stroke patients.
DESCRIPTION OF INTERVENTION
Distribution of survey using Psych Data
Collection and analysis of data
Propose a plan based on the data findings
References available upon request and are in print form for review