Retrospective evaluation of depression screening process among older adult patients in primary care for quality improvement.

Author

Ashley Dru Larson, University of LouisvilleFollow

Date on Paper

12-2022

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Coty, Mary-Beth

Committee Member

Clark, Rudy

Author's Keywords

older adults; geriatrics; depression; depression screening; patient health questionnaire; primary health care

Abstract

Background: Depression is not a normal process of aging; it is a diagnosable and treatable medical condition. The US Preventive Services Task Force (USPSTF) recommends that older adults be screened for depression annually.

Aim: The purpose of this evidence-based practice (EBP) project was to evaluate the depression screening process for older adults (age 65+) in a primary health care setting and provide recommendations to the primary health care clinic for improving it.

Methods: This EBP project involved collecting retrospective data from August to October 2022, including aggregate data (demographics), from all older adults who were seen in a primary health care clinic over a 3-month period, and individual data (demographics, diagnoses, chief complaint, PHQ-9 score, and what happened as a result of the screening) via medical records review.

Analysis: Descriptive statistics were conducted to: 1) describe the sample; 2) determine the percentage of older adults screened for depression (via PHQ-9); and 3) describe the outcomes associated with the screening.

Findings: The clinic reported a total of 702 encounters with older adults. Two (2) patients were screened for depression during their visit with the primary care provider (PCP). Approximately 54% of the older adult patients had completed a depression screening in the last year.

Conclusions: Key steps to ensure depression screening that meets EBP recommendations include: 1) policy development for depression screening; 2) education on depression, screening, tools, and execution; 3) and policy promotion.

Keywords: older adults, geriatrics, aged, depression, depression screening, patient health questionnaire, primary health care, collaborate care

Recommended Citation

Larson, Ashley Dru, "Retrospective evaluation of depression screening process among older adult patients in primary care for quality improvement." (2022). Doctor of Nursing Practice Papers. Paper 88.
Retrieved from https://ir.library.louisville.edu/dnp/88