Dissertation/Thesis Abstract

Evidence Based Practice Update for Nurse Practitioners: Depression Screening Training for Long-Term Care Facility Caregivers to Improve Quality of Care: A Clinical Scholarly Project
by Shoemaker, Marilyn L., D.N.P., Brandman University, 2017, 47; 10616069
Abstract (Summary)

The primary purpose of this clinical scholarly research project is to determine whether there are undiagnosed symptoms of depression among the residents in a small population Long Term Care facility (LTC). Caregivers at the LTC receive specific knowledge regarding older adult late-life depression and then apply said knowledge by surveying the LTC residents (LTCR’s) using the Geriatric Depression Scale instrument (GDS-15). The secondary purpose is to determine whether the LTC caregivers perceive this training as beneficial. Using two-sample t-test statistical analysis, the results of this study indicate a positive correlation with the alternative hypothesis; the number of LTCRs with previously undetected depressive symptoms increased. Ha: μ LTCR with depression or delirium ≠ μ LTCR with depression or delirium. In this study, the number of LTCRs with symptoms of depression or delirium increased by 60.4 percent. The P (T<=t) two-tail value is less than 0.001. In the literature, this difference is extremely statistically significant. The mean of the medical records examined minus the mean of the number of medical records with an indication of depression or delirium is 0.60. For a 95% confidence interval, this difference must fall between the ranges of 0.45 to 0.76. These data confirm the alternative hypothesis.

Additionally, the caregiver participant’s satisfaction outcome survey results reported the training was substantially beneficial.

Indexing (document details)
Advisor: Williamitis, Christine, Hanisch, Tyke
Commitee: Schine, Patric
School: Brandman University
Department: Nursing and Health Professions
School Location: United States -- California
Source: DAI-B 79/01(E), Dissertation Abstracts International
Subjects: Gerontology, Nursing, Psychology, Health education
Keywords: Caregiver, Depression, GDS-15, Geriatric, Long term care, Training
Publication Number: 10616069
ISBN: 978-0-355-14068-2
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