Development of an Evidence-Based Guideline for Screening and Managing Depression in Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/335484
Category:
Full-text
Type:
Presentation
Title:
Development of an Evidence-Based Guideline for Screening and Managing Depression in Older Adults
Author(s):
Sung, Huei-Chuan; Tsai, Shin-Yann; Smith, Graeme D.; Wu, Mann-Chian
Lead Author STTI Affiliation:
Non-member
Author Details:
Huei-Chuan Sung, PhD, MSN, RN, sung@tccn.edu.tw; Shin-Yann Tsai, MSN, RN; Graeme D. Smith, RN, BA, FEANS, PhD; Mann-Chian Wu, MSN
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: This study aimed to develop an evidence-based guideline for screening and managing depression in older adults. Background: Depression and dementia are common mental problems among aging population. Depression in older adults is often ignored and inadequately diagnosed and managed. Literature indicates that older patients with depression may also have cognitive impairment which has similar symptoms with dementia. Therefore, this makes the assessment of depression more difficult among older adults. There is a lack of guideline which can assist clinicians make better assessment and care plan for older adults with depression in Taiwan. Therefore, a clear guideline for nursing professionals to screen and manage older adults with depression is warranted. Methods: A systematic review method was used and searched published guidelines and systematic reviews from 2000-2012. Relevant guidelines and reviews were appraised by three certified reviewers using appraisal tools and further analyzed. With the results from the systematic reviews and suggestions from expert focus group, we developed the guideline protocol for screening and managing depression suitable for older adults in Taiwan. This guideline protocol was evaluated by 12 psychiatric experts, and further revision was made according to the experts' recommendations. In addition, the guideline protocol was assessed by 357 clinical health care professionals in psychiatric wards and long-term care facilities using a questionnaire survey method for its feasibility and possible obstacles in implementing the guideline in the clinical settings in Taiwan. Results: The final version of guideline has 62 recommendations, including identifying high-risk factors for older adults with depression, assessing cognitive function for older adults, assessing depression level of older adults, screening results and referral requirements, and care interventions. Conclusions: An evidence-based guideline for screening and managing depression of older adults was developed through a systematic review method. This guideline provides nursing professionals a clear guidance and tool to accurately assess depression in order to provide suitable care and interventions in managing depression problems of older adults.
Keywords:
depression; older adult; guideline development
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14PST225
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDevelopment of an Evidence-Based Guideline for Screening and Managing Depression in Older Adultsen
dc.contributor.authorSung, Huei-Chuanen
dc.contributor.authorTsai, Shin-Yannen
dc.contributor.authorSmith, Graeme D.en
dc.contributor.authorWu, Mann-Chianen
dc.contributor.departmentNon-memberen
dc.author.detailsHuei-Chuan Sung, PhD, MSN, RN, sung@tccn.edu.tw; Shin-Yann Tsai, MSN, RN; Graeme D. Smith, RN, BA, FEANS, PhD; Mann-Chian Wu, MSNen
dc.identifier.urihttp://hdl.handle.net/10755/335484-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: This study aimed to develop an evidence-based guideline for screening and managing depression in older adults. Background: Depression and dementia are common mental problems among aging population. Depression in older adults is often ignored and inadequately diagnosed and managed. Literature indicates that older patients with depression may also have cognitive impairment which has similar symptoms with dementia. Therefore, this makes the assessment of depression more difficult among older adults. There is a lack of guideline which can assist clinicians make better assessment and care plan for older adults with depression in Taiwan. Therefore, a clear guideline for nursing professionals to screen and manage older adults with depression is warranted. Methods: A systematic review method was used and searched published guidelines and systematic reviews from 2000-2012. Relevant guidelines and reviews were appraised by three certified reviewers using appraisal tools and further analyzed. With the results from the systematic reviews and suggestions from expert focus group, we developed the guideline protocol for screening and managing depression suitable for older adults in Taiwan. This guideline protocol was evaluated by 12 psychiatric experts, and further revision was made according to the experts' recommendations. In addition, the guideline protocol was assessed by 357 clinical health care professionals in psychiatric wards and long-term care facilities using a questionnaire survey method for its feasibility and possible obstacles in implementing the guideline in the clinical settings in Taiwan. Results: The final version of guideline has 62 recommendations, including identifying high-risk factors for older adults with depression, assessing cognitive function for older adults, assessing depression level of older adults, screening results and referral requirements, and care interventions. Conclusions: An evidence-based guideline for screening and managing depression of older adults was developed through a systematic review method. This guideline provides nursing professionals a clear guidance and tool to accurately assess depression in order to provide suitable care and interventions in managing depression problems of older adults.en
dc.subjectdepressionen
dc.subjectolder adulten
dc.subjectguideline developmenten
dc.date.available2014-11-17T13:53:35Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:53:35Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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