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dc.contributor.advisorDavis, Mary P.
dc.contributor.authorDavis, Meagan Chase
dc.creatorDavis, Meagan Chase
dc.date.accessioned2019-06-28T04:00:19Z
dc.date.available2019-06-28T04:00:19Z
dc.date.issued2019
dc.identifier.urihttp://hdl.handle.net/10150/633063
dc.description.abstractPurpose: The purpose of this DNP quality improvement project was to increase primary care provider knowledge about indications for adolescent depression screening. Background: Approximately 13.3% of adolescents experienced depression in the past year. In Oklahoma alone, rates are increasing, with depression totaling 60% of all mental health illness among adolescents. Primary care providers see approximately 75% of adolescents; however, mental health conditions are missed 84% of the time. Current clinical guidelines recommend screening for adolescent depression during wellness visits or when risk factors are present. Methods: The providers of interest were nurse practitioners, physicians, and physician assistants providing primary care to children between the ages of 12 and 17 in a private pediatric practice group consisting of three clinics. The Model for Improvement guided the process of developing, implementing, and evaluating an educational intervention through use of a pre-test/post-test quantitative design. An email invited participants to complete an anonymous pre-test survey to evaluate knowledge and beliefs surrounding adolescent depression, then view an educational presentation on adolescent depression and screening guidelines, then complete a post-survey to evaluate any changes in knowledge and intention to screen. Results were shared with clinic representatives to help refine the education for future testing cycles and other clinic sites. Results: Data collection took place over one week. Five providers completed both the pre-test and post-test surveys. Provider knowledge scores significantly increased 29% after participating in the education and self-reported knowledge on screening increased. Conclusions: DNP quality improvement projects like this help develop strategies to increase best practices, leading to improved patient outcomes. Nurse-led improvement programs like this contribute to healthcare literature and the advancement of the nursing profession by developing patient-centered interventions applicable to a wide variety of providers. Results may be used to develop strategies to increase and align provider practices with best standards to help promote early identification and treatment of adolescents with depression.
dc.language.isoen
dc.publisherThe University of Arizona.
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
dc.subjectAdolescents
dc.subjectDepression
dc.subjectGLAD-PC
dc.subjectPrimary Care
dc.subjectQuality Improvement
dc.subjectScreening
dc.titleAdolescent Depression Screening in Primary Care Practice
dc.typetext
dc.typeElectronic Dissertation
thesis.degree.grantorUniversity of Arizona
thesis.degree.leveldoctoral
dc.contributor.committeememberEdmund, Sara J.
dc.contributor.committeememberPeek, Gloanna J.
thesis.degree.disciplineGraduate College
thesis.degree.disciplineNursing
thesis.degree.nameD.N.P.
refterms.dateFOA2019-06-28T04:00:19Z


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