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Benchmarks for effective primary care-based nursing services for adults with depression: a Delphi study

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McIlrath, Carole, Keeney, Sinead, McKenna, Hugh and McLaughlin, Derek (2010) Benchmarks for effective primary care-based nursing services for adults with depression: a Delphi study. JOURNAL OF ADVANCED NURSING, 66 (2). pp. 269-281. [Journal article]

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DOI: 10.1111/j.1365-2648.2009.05140.x

Abstract

Title. Benchmarks for effective primary care-based nursing services for adults with depression: a Delphi study. Aim. This paper is a report of a study conducted to identify and gain consensus on appropriate benchmarks for effective primary care-based nursing services for adults with depression. Background. Worldwide evidence suggests that between 5% and 16% of the population have a diagnosis of depression. Most of their care and treatment takes place in primary care. In recent years, primary care nurses, including community mental health nurses, have become more involved in the identification and management of patients with depression; however, there are no appropriate benchmarks to guide, develop and support their practice. Method. In 2006, a three-round electronic Delphi survey was completed by a United Kingdom multi-professional expert panel (n = 67). Findings. Round 1 generated 1216 statements relating to structures (such as training and protocols), processes (such as access and screening) and outcomes (such as patient satisfaction and treatments). Content analysis was used to collapse statements into 140 benchmarks. Seventy-three benchmarks achieved consensus during subsequent rounds. Of these, 45 (61%) were related to structures, 18 (25%) to processes and 10 (14%) to outcomes. Conclusion. Multi-professional primary care staff have similar views about the appropriate benchmarks for care of adults with depression. These benchmarks could serve as a foundation for depression improvement initiatives in primary care and ongoing research into depression management by nurses.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Health Promotion and Adolescent Health
Psychology Research Institute > The Bamford Centre for Mental Health and Wellbeing
ID Code:19493
Deposited By:Yvonne Dunwoody (Admin)
Deposited On:11 Aug 2011 14:09
Last Modified:15 Apr 2014 09:13

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