Management of patients with generalized anxiety disorder (GAD) by Pennsylvania (PA) primary care nurse practitioners (NPs) was examined. The convenience sample of 95 primary care NPs, from the membership of the Pennsylvania Coalition of Nurse Practitioners (PCNP), completed the original survey. Demographic data found a primarily female, older age group of primary care NPs, with varying educational backgrounds. Descriptive data demonstrated that guidelines were followed by most providers (75%) for treating generalized anxiety disorders (GAD); however, BZDs were still prescribed for long periods of time by 50% of the NPs. Resources and barriers to manage GAD were presented, along with other modalities used by this sample to treat GAD. Regression analyses found that the NPs with a separate mental health course in their basic NP education used counseling/ psychotherapy as a first line treatment (p = 0.001). In addition, these particular respondents reported needing more education (p= 0.003). Two clinically significant, but not statistically significant, findings were related to prescribing BZDs. The NPs who prescribed BZDs as first line therapy responded that they did not need more education (p= 0.409). Similarly, prescribing BZDs as first line treatment was not of statistical significance (p = 0.375) when associated with length of time prescribing BZDs, but the relevant clinical finding demonstrated that 15%of the NPs prescribed BZDs for six months or more. Together, these associations and descriptive data suggest that PA primary care NPs are following evidenced based care, but BZDs are prescribed too often and for too long.
|Commitee:||Rock, Kelly M., Yohn, Sheilah|
|School Location:||United States -- Pennsylvania|
|Source:||DAI-B 76/06(E), Dissertation Abstracts International|
|Subjects:||Mental health, Nursing|
|Keywords:||Anxiety, Benzodiazepine, Hildegard peplau, Nurse practitioner, Prescribing, Psychotherapy|
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