Including nurses in care models for older people with mild to moderate depression: an integrative review

Dreizler, Jutta; Koppitz, Andrea Luise; Probst, Sebastian; Mahrer‐Imhof, Romy

doi:10.1111/jocn.12237

Cited by 11 publications

(27 citation statements)

References 35 publications

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“…Notwithstanding significant challenges regarding expanding scope of practice, funding, and recruitment (Day 2017 ; Dreizler et al . 2014 ; Heslop et al . 2016 ; Wilberforce et al .…”

Section: Relevance For Clinical Practicementioning

confidence: 99%

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Help‐seeking experiences of older adults with a diagnosis of moderate depression

Polacsek

Boardman

McCann

2018

Int J Mental Health Nurs

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Depression is the most prevalent mental illness among older adults. However, help-seeking by older adults is frequently delayed, resulting in longer duration of untreated symptoms, poorer health outcomes, and consequent higher healthcare use. Early help-seeking and access to appropriate support benefits individuals, while providing better outcomes from health systems constrained by limited resources. The aim of this study, which is abstracted from a larger study, was to identify the factors that inhibited and enabled formal help-seeking in older adults with a diagnosis of moderate depression. Corbin and Strauss' approach to grounded theory informed data collection and analysis. Two themes and related subthemes concerning help-seeking barriers and facilitators were abstracted from the data. Help-seeking barriers were attributable to stigma, self-motivation, accessing formal support, ageism, and difficulty obtaining an initial diagnosis. Help-seeking facilitators were accepting personal responsibility, mental health literacy, therapeutic alliances, and informal support. Findings have implications for the role of mental health nurses, who are well-placed to provide support to community-based older adults with depression. More broadly, mental health nurses and other clinicians should seek to reduce help-seeking barriers and implement ways to facilitate help-seeking in this cohort.

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“…Notwithstanding significant challenges regarding expanding scope of practice, funding, and recruitment (Day 2017 ; Dreizler et al . 2014 ; Heslop et al . 2016 ; Wilberforce et al .…”

Section: Relevance For Clinical Practicementioning

confidence: 99%

“…It is associated with a decline in well‐being, daily functioning, and independence, and increased disability, suicidal ideation, and mortality (Dreizler et al . 2014 ; Soysal et al . 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Help‐seeking experiences of older adults with a diagnosis of moderate depression

Polacsek

Boardman

McCann

2018

Int J Mental Health Nurs

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“…9 In order for nurses to be able to motivate involvement in leisure activities, as well as active participation in interventions related to depression and/or loneliness, a knowledge of cognitive or behavioural interventions or similar methods is emphasised. 42,43 Nurse education must enhance education within this field in order to enable nurses to promote health in the future. Finally, continuous evaluation and documentation is essential in order to be able to ensure that the interventions have proved effective, and new goals must be set and reached.…”

Section: Discussionmentioning

confidence: 99%

Identifying variables in relation to health-related quality of life among community-dwelling older women: Knowledgebase for health-promoting activities

Boman

Häggblom²,

Lundman

et al. 2015

Nordic Journal of Nursing Research

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The aim of the present study was to explore health-related quality of life (HRQoL) and associated variables among all community-dwelling older women (565 years) (n ¼ 2724) on Å land, a Finnish self-governing island community. A total of 1023 women participated (mean age 72.9 AE 6.8 years). Absence of depression, absence of diagnosed disease(s), having the opportunity to engage in meaningful leisure activities, and never or seldom feeling lonely explained, together with socioeconomic control variables (i.e. age, education and economic situation), 34.4% of the variation in physical health. Absence of depression, strong inner strength, and never or seldom feeling lonely explained, together with socioeconomic control variables, 27.7% of the variation in mental health. HRQoL was rated as relatively good, although special attention should be paid to women aged 80þyears. To promote HRQoL, interventions aimed at preventing, detecting and treating depression should be prioritised. In addition, interventions aimed at reducing feelings of loneliness are also recommended in order to enhance overall HRQoL.

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“…Terms such as MoC, nursing model and framework have been described both as ambiguous and used interchangeably, even though referring to various but corresponding concepts 31 32. In long-term care, nurse-led integrative MoC are often highlighted 33–36. However, in a recent literature review by Deschodt et al that focuses on nurse-led integrative care models in long-term care (here among home-dwelling older persons), no significant positive outcomes on mortality, hospitalisation, nursing home admission, quality of life, activities of daily living and emergency department visits were identified 37.…”

Section: Introductionmentioning

confidence: 99%

Nursing care and models of care in relation to older people in long-term care contexts: a scoping review protocol

et al. 2022

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IntroductionWhat nurses do and how they do it can influence older people’s experiences of the quality of long-term care. In addition, a clear role definition for nurses supports them in giving patients appropriate basic care. Despite this, there is a lack of a clear role definition regarding policy, work descriptions and expectations. Therefore, the objective of this scoping review is to map the literature on nurses’ role, function and care activities and/or nursing interventions, as well as to identify nursing interventions (as models of nursing care, patient care pathways and/or clinical practice guidelines) in relation to older people in long-term care. Hence, to explore how nurse’s role, function and care activities in relation to older people’s basic care needs are described and understood by key stakeholders (older people, their next of kin, nurses) in long-term care.Methods and analysisArksey and O’Malley’s methodologic framework for scoping studies will be used for this upcoming scoping review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist will be followed. Search strategies will be developed in collaboration with the research team and an experienced librarian. Search strategies will be adjusted for each of the databases: PubMed, PsycINFO, CINAHL and Scopus. Data will be charted using a pilot extraction sheet. Quantitative data will be described numerically, and qualitative data will be analysed using thematic analysis. The key stakeholders will be consulted for validation.Ethics and disseminationThe upcoming study will follow All European Academies' principles for good research. The findings will be used to inform the design of future studies aiming to develop a nursing intervention targeting older peoples’ basic care needs.

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Including nurses in care models for older people with mild to moderate depression: an integrative review

Abstract: Collaboration is needed to meet the needs of older people with depression. New forms of work divisions are pivotal to achieve this objective.

Cited by 11 publications

References 35 publications

Help‐seeking experiences of older adults with a diagnosis of moderate depression

Help‐seeking experiences of older adults with a diagnosis of moderate depression

Identifying variables in relation to health-related quality of life among community-dwelling older women: Knowledgebase for health-promoting activities

Nursing care and models of care in relation to older people in long-term care contexts: a scoping review protocol

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