An update to depression case management by practice nurses in primary care: A service evaluation

R. Murphy, D. Ekers, L. Webster

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

There is a recognized need to enhance non-pharmaceutical interventions for depression in the primary care. This service evaluation of collaborative care for depression by primary care practice nurses is an update of Ekers and Wilson (2008), reporting outcomes 5 years following initial training. From an initial 13 trained practice nurses, three provided anonymized data. Mean post-treatment Patient Health Questionnaire-9 (PHQ9) score was 8 [standard deviation (SD) 6.53, n = 185], indicating a mean positive change in depression symptom level of 8.9 [SD 7.01, 95% confidence interval (CI) 7.89-9.93, P <0.001]. Subgroup analysis for patients identified with a comorbid long-term conditions (LTC) mean post-treatment PHQ9 score was 9 (SD 7.72, n = 33), indicating a mean positive change in depression symptom level of 8.1 (SD 5.79, 95% CI 6.04-10.41, P <0.001). Nurses provided feedback on the intervention showing potential areas that would benefit from further detailed qualitative review. It was concluded that primary care practice nurses would be ideally placed to deliver collaborative care to depression patients with comorbid LTCs.

Original languageEnglish
Pages (from-to)827-833
Number of pages7
JournalJournal of Psychiatric and Mental Health Nursing
Volume21
Issue number9
DOIs
Publication statusPublished - 1 Nov 2014
Externally publishedYes

Keywords

  • Chronic health conditions
  • Depression
  • Long-term conditions
  • Practice nurse
  • Primary care nurse
  • Primary care service evaluation

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