Improving Adolescent Depression in Primary Care: A Quality Improvement Initiative

Chavez, Banesa; Sullivan, Jessica; Portela, Paola

doi:10.1016/j.nurpra.2022.11.013

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Opioid prescribing for patients with chronic pain has been complicated by the opioid epidemic (Keller et al, 2020) and associated opioid regulations. Opioid prescribing policies differ significantly from state to state and often within health systems (Carnago et al, 2023; Davis & Lieberman, 2021). Although the Centers for Disease Control and Prevention 2016 Guideline for Opioid Prescribing in Chronic Pain has had significant uptake in multiple settings, there have been reports of its recommendations being implemented inconsistently or inadequately for certain types of chronic pain (Coffin & Barreveld, 2022) and of misapplied dosage ceilings or abrupt tapering that could harm patients (Dowell et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology practice

Carnago,

Knisely,

Malek

2024

J Am Assoc Nurse Pract

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Dilemmas regarding opioid prescribing for chronic pain frequently occur within health care settings. The ethical principles of autonomy, beneficence, nonmaleficence, and justice, as well as the principles of care ethics, can assist in addressing these opioid-related dilemmas. The purpose of this clinical case study is to provide a case study highlighting an opioid prescribing dilemma and then identify opioid-related transition considerations; address ethical questions that nurse practitioners (NPs) may encounter in clinical practice when providing care for individuals living with chronic pain who may need or use a prescribed opioid medication; and draw on the ethical principles and care ethics to provide guidance for NPs who face these challenging issues.

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Section: Introductionmentioning

confidence: 99%

Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology practice

Carnago,

Knisely,

Malek

2024

J Am Assoc Nurse Pract

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“…It is easy to see how depression affects adolescents not only in terms of academics, relationships, and social adjustment, but also as a predictor of their mental health ( McLeod et al, 2016 ). In the short term, depression can negatively impact adolescents’ academic performance, social functioning, and interpersonal relationships ( Chavez et al, 2023 ). In the long term, adolescents are prone to self-injury, suicide, and other behavioral problems once they are depressed ( Ding et al, 2022 ; Neslusan et al, 2023 ), and at the risk of developing related psychiatric disorders in adulthood ( Robin et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy

Lin,

Jia,

Zhao

et al. 2024

Front. Psychol.

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ObjectivePrevious research has shown a correlation between family adaptability and adolescent depression. However, there is a lack of studies that have investigated the underlying mechanism between family adaptability and adolescent depression. Based on the Ecological Systems Theory, this study aims to investigate the link between family adaptability and depression in adolescents, mediated by the sequential roles of social support and self-efficacy.MethodsThe sample consisted of 1086 students randomly selected from seven public middle schools in Shandong Province, Eastern China. All the participants filled in the structured self-report questionnaires on family adaptability, social support, self-efficacy, and depression. The data were analyzed using SPSS 25.0 and Structural Equation Modeling (SEM) in AMOS 24.0.ResultsThe findings of this study are as follows: (1) Family adaptability is negatively associated with adolescent depression; (2) Social support plays a mediating role between family adaptability and adolescent depression; (3) Self-efficacy plays a mediating role between family adaptability and adolescent depression; (4) Social support and self-efficacy play a chain mediation role between family adaptability and adolescent depression.ConclusionIt is suggested that early interventions and support should be provided to facilitate adolescents’ family adaptability, social support, and self-efficacy, thus reducing their depression and improving mental health of adolescents.

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Letter to the Editor: Addressing the Complexity of Adolescent Vaping in Primary Care Settings

Wei

2024

The Journal for Nurse Practitioners

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Improving Adolescent Depression in Primary Care: A Quality Improvement Initiative

Cited by 3 publications

References 13 publications

Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology practice

Ethical considerations and decision making in opioid prescribing for chronic pain: A case study in rheumatology practice

The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy

Letter to the Editor: Addressing the Complexity of Adolescent Vaping in Primary Care Settings

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