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Doctors' and nurses' observations on the Geriatric Depression Rating Scale
1Department of Geriatric Medicine, University of Liverpool, Duncan Building, Daulby Street, Liverpool L69 3GA, UK. mhammond@liv.ac.uk
Age and Ageing
|February 13, 2004
Summary
Healthcare professionals show low enthusiasm for the Geriatric Depression Scale, hindering its use in routine depression screening for older patients. Alternative methods may improve practice.
Area of Science:
- Geriatric Medicine
- Mental Health Assessment
- Healthcare Professional Attitudes
Background:
- Routine screening for depression in older adults using the Geriatric Depression Scale is recommended but not widely implemented.
- Limited evidence exists on the widespread adoption of this screening practice.
Purpose of the Study:
- To explore doctors' and nurses' attitudes towards the Geriatric Depression Scale.
- To identify barriers and opportunities for improving depression screening practices in older patients.
Main Methods:
- Structured interviews were conducted with healthcare professionals.
- Participants included 20 junior doctors and 25 nurses.
- The study was set in Acute Care of the Elderly wards.
Main Results:
- Only 10% of respondents would use the Geriatric Depression Scale for routine screening.
- Concerns were raised about the scale's content and process, with some finding it 'too depressing' and a barrier to patient rapport.
- Doctors desired formal symptom rating, while nurses sought therapeutic structure and counseling training.
Conclusions:
- Low enthusiasm for the Geriatric Depression Scale limits its effectiveness as a screening tool.
- Developing a more acceptable screening method for nurses and doctors could enhance depression screening practices in older adults.