Screening for depression in older district nursing clients: feasibility study

Area of Science:

• Geriatric nursing
• Mental health screening
• Public health

Background:

• Depression is prevalent in older adults, particularly those receiving district nursing care.
• Effective screening is crucial for timely intervention and improved patient outcomes.
• District nurses play a vital role in identifying mental health concerns in elderly populations.

Purpose of the Study:

• To assess the feasibility of implementing a depression screening process for older district nursing clients.
• To evaluate the use of the 15-item Geriatric Depression Scale (GDS) in this population.
• To identify barriers and facilitators to depression screening by district nurses.

Main Methods:

• A two-cycle feasibility study was conducted with older clients in an Australian district nursing organization.
• An educational session on depression and GDS use was provided to nurses prior to screening.
• The 15-item Geriatric Depression Scale (GDS) was used for screening.

Main Results:

• Nurses identified several barriers to depression screening, including lack of knowledge and discomfort with mental health.
• Some nurses expressed reluctance to use the GDS due to its questions and perceived intrusiveness.
• Despite barriers, nurses generally acknowledged the prevalence of depression and their potential role in identification and support.

Conclusions:

• Implementing depression screening in older district nursing clients presents challenges for nurses.
• Addressing knowledge gaps and providing support for mental health engagement are essential for successful screening.
• Further recommendations are needed to optimize depression screening practices within this demographic.