Correlates of knowledge and beliefs about depression among long‐term care staff

Ayalon, Liat; Areán, Patricia A.; Bornfeld, Heather

doi:10.1002/gps.1884

Cited by 24 publications

(37 citation statements)

References 23 publications

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“…In the medical records, we found doctors' notes regarding depression in 40% and nurses' notes in 47% of those depressed. Even though the nurses pay more attention to patients' depressive symptoms, their accuracy in diagnostics is limited [32,33]. We can only speculate about the reasons for the doctors' diagnostic inaction.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression among Recently Admitted Long-Term Care Patients in Norwegian Nursing Homes: Associations with Diagnostic Workup and Use of Antidepressants

Iden

Engedal

Hjörleifsson

et al. 2013

Dement Geriatr Cogn Disord

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Aims: We aimed to establish the prevalence of depression among recently admitted long-term care patients and to examine associations with diagnostic initiatives and treatment as recorded in patients' medical records. Materials and Methods: Eighty-eight long-term care patients were included. Depression was diagnosed according to the ICD-10 criteria; patients were screened for depression using the Cornell Scale for Depression in Dementia (CSDD) and for dementia with the Clinical Dementia Rating (CDR) scale. Results: Depression was found in 25% of the patients according to the ICD-10 criteria and in 31% according to a CSDD sum score of ≥8. Diagnostic initiatives were documented in the medical records of half of the patients with depression. Forty-four percent of the patients were prescribed antidepressants and 23% actually received them for the treatment of depression. Conclusion: Depression was prevalent among recently admitted long-term care patients, but diagnostic initiatives were too rarely used. Antidepressants were commonly prescribed, but depression was the indication for treatment in only half of the cases. Screening for depression should be mandatory on admission.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Depression among Recently Admitted Long-Term Care Patients in Norwegian Nursing Homes: Associations with Diagnostic Workup and Use of Antidepressants

Iden

Engedal

Hjörleifsson

et al. 2013

Dement Geriatr Cogn Disord

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“…These findings are in stark contrast to older adults’ expressed preference for non-pharmacological interventions (Unutzer et al, 2003) and the availability of psychosocial interventions that may be used in daily care (Mellor et al, 2010; Smith, Johnson, Seydel, & Buckwalter, 2010). Common deterrents to quality depression care in NHs include staff’s lack of knowledge about depression signs and symptoms, lack of familiarity with psychosocial or medication interventions, beliefs that older adults don’t want to talk about their feelings, and perceptions that their primary focus should be on physical care tasks (Ayalon, Arean, & Bornfeld, 2008; Davison, et al, 2009). In summary, many opportunities exist to reduce disability and improve quality of life for depressed older adults by enhancing depression knowledge and skills through training.…”

mentioning

confidence: 99%

Depression Training in Nursing Homes: Lessons Learned from a Pilot Study

Smith¹,

Stolder²,

Jaggers³

et al. 2013

Issues in Mental Health Nursing

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Late-life depression is common among nursing home residents, but often is not addressed by nurses. Using a self-directed, CD-based depression training program, this pilot study used mixed methods to assess feasibility issues, determine nurse perceptions of training, and evaluate depression-related outcomes among residents in usual care and training conditions. Of 58 nurses enrolled, 24 completed the training and gave it high ratings. Outcomes for 50 residents include statistically significant reductions in depression severity over time (p<0.001) among all groups. Depression training is an important vehicle to improve depression recognition and daily nursing care, but diverse factors must be addressed to assure optimal outcomes.

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“…Other studies [21] have shown that nurses are no better at identifying depression than other staff members. In addition, length of service has also been shown to be unrelated to level of knowledge about depression [22,23]. …”

Section: Introductionmentioning

confidence: 99%

“…While a number of studies have looked at staff training in depression recognition [26-28]; staff knowledge of depression [23,29] and confidence in managing depression [22,25]; to our knowledge, no other studies have explored unprompted knowledge of appropriate help giving behaviours or examined staff confidence in knowing how to respond to depression in high care environments. For this reason, the present study aims to extend previous research by focusing on staff self-efficacy and knowledge of appropriate help giving responses and their likelihood of providing assistance to potentially depressed care recipients.…”

Section: Introductionmentioning

confidence: 99%

More age-care staff report helping care recipients following a brief depression awareness raising intervention

et al. 2013

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BackgroundThose working with elderly care recipients require a good working knowledge of depression and appropriate help giving responses. While it is important for age-care staff to recognize depression in care recipients it is also critical that they know the appropriate course of action to assist a care recipient who may be depressed. This study aims to determine the knowledge of age-care staff of appropriate help giving responses, their confidence in knowing what kind of assistance to provide and their actual likelihood of providing help to potentially depressed care recipients and to examine if these measures improve following an intervention training program.MethodsOne hundred and two age-care staff were surveyed on their confidence in helping age-care recipients and on their knowledge of appropriate ways to provide assistance. Staff then participated in a two hour depression awareness raising intervention. The survey was repeated immediately following the training and again six months later.ResultsStaff confidence in knowing how to provide assistance increased significantly subsequent to training and remained significantly improved at the six month follow up. In addition, a significantly higher proportion of staff reported helping care recipients at the six month follow up.ConclusionsThis study highlights the potential of a brief staff training program to provide a cost effective means to improve staff self-confidence and increase the likelihood of staff providing assistance to depressed care recipients.

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Correlates of knowledge and beliefs about depression among long‐term care staff

Abstract: Educational interventions about depression should be specifically geared to meet the needs of paraprofessional caregivers who provide the majority of care to LTC residents, yet possess less knowledge about depression and its treatments.

Cited by 24 publications

References 23 publications

Prevalence of Depression among Recently Admitted Long-Term Care Patients in Norwegian Nursing Homes: Associations with Diagnostic Workup and Use of Antidepressants

Prevalence of Depression among Recently Admitted Long-Term Care Patients in Norwegian Nursing Homes: Associations with Diagnostic Workup and Use of Antidepressants

Depression Training in Nursing Homes: Lessons Learned from a Pilot Study

More age-care staff report helping care recipients following a brief depression awareness raising intervention

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