Feasibility of a nurse‐led intervention for the early management of depression after stroke in hospital
| العنوان: | Feasibility of a nurse‐led intervention for the early management of depression after stroke in hospital |
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| المؤلفون: | Thóra B. Hafsteinsdóttir, Marieke J. Schuurmans, Mariska J. van Dijk, Janneke M. de Man-van Ginkel |
| المصدر: | Journal of Advanced Nursing, 74(12), 2882. Wiley-Blackwell |
| بيانات النشر: | Wiley, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Attitude of Health Personnel, Nursing(all), Context (language use), Audit, Hospitals, General, complex intervention, Hospitals, University, 03 medical and health sciences, 0302 clinical medicine, nursing, Surveys and Questionnaires, Intervention (counseling), medicine, Nursing Interventions Classification, Humans, 030212 general & internal medicine, Stroke, General Nursing, Depression (differential diagnoses), Aged, Netherlands, Depressive Disorder, business.industry, medicine.disease, stroke, Focus group, Hospitalization, depression, Physical therapy, Feasibility Studies, Female, business, 030217 neurology & neurosurgery, Management of depression |
| الوصف: | Aim To explore the feasibility of the Post-Stroke Depression toolkit in terms of fidelity and acceptability in daily nursing practice. Background Depression after stroke is common and influences patients' recovery significantly. Although stroke guidelines recommend early depression screening and treatment, depressive symptoms remain unrecognized. To enhance adoption of evidence into the context of the daily practice of stroke treatment, we developed the Post-Stroke Depression toolkit, an evidence-based nurse-led intervention for the early management of depressive symptoms after a stroke for use in the hospital setting. Design An explanatory mixed-methods before-and-after study design. Methods Data were collected continuously from March 2012 - June 2013 during three phases: pre-implementation, the implementation phase (where implementation strategies guided the implementation) and the sustainability phase (executed without the implementation strategies) and involved patient chart audits and surveys and individual and focus group interviews with nurses. Results A total of 775 patient charts were audited to examine fidelity. Implementation of the Post-Stroke Depression toolkit during the implementation phase resulted in an increase in depression screening (+72.9%) and more patients receiving nursing interventions (+11.1%). During the sustainability phase, screening for depression decreased (-16.3%), while the application of the nursing interventions remained unchanged (+0.6%). The acceptability of the toolkit was judged to be good. Conclusions The Post-Stroke Depression toolkit was found to be feasible in terms of fidelity and acceptability, improving structural screening for depressive symptoms as well as the application of nursing interventions in case of a positive screening. Trial registration ClinicalTrials.gov Identifier: NCT03500250. |
| وصف الملف: | image/pdf |
| تدمد: | 1365-2648 0309-2402 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::67d8a2b706ad1734894ded5a6024f5afTest https://doi.org/10.1111/jan.13806Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....67d8a2b706ad1734894ded5a6024f5af |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652648 03092402 |
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