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Related Concept Videos

Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Planning Nursing Care II01:29

Planning Nursing Care II

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Related Experiment Videos

A Practice Improvement Education Program Using a Mentored Approach to Improve Nursing Facility Depression

Joshua Chodosh1,2,3, Rachel M Price2, Mary P Cadogan2

  • 1Veterans Affairs Greater Los Angeles Health System, Los Angeles, California.

Journal of the American Geriatrics Society
|October 28, 2015
PubMed
Summary

This study enhanced nursing home depression care using Minimum Data Set (MDS) 3.0 data and quality improvement (QI) mentorship. The program improved care processes and reduced antidepressant medication use in residents.

Keywords:
MDS 3.0antidepressantsdepressionnursing homequality improvement

Related Experiment Videos

Area of Science:

  • Gerontology
  • Healthcare Quality Improvement
  • Psychiatry

Background:

  • Depression is prevalent in nursing facility residents, necessitating improved assessment and management.
  • The Minimum Data Set (MDS) 3.0 offers valuable data for enhancing depression care quality.
  • Integrating MDS 3.0 data into quality improvement (QI) initiatives requires effective strategies.

Purpose of the Study:

  • To augment nursing home (NH) capacity in utilizing QI processes for depression care.
  • To improve depression assessment and management through focused mentorship and team building.

Main Methods:

  • A 6-month intervention involving facilitated collection of MDS 3.0 Patient Health Questionnaire (PHQ-9) and medication data.
  • Education on QI, team building, nonpharmacological care, mentored team meetings, webinars, and technical assistance.
  • Interprofessional teams were established, collecting resident data at baseline, 6, and 9 months.

Main Results:

  • Five NHs formed interprofessional teams with significant participation in educational activities.
  • Self-rated competency in depression care measures improved significantly (P = .05 to <.001).
  • Resident depression scores remained stable, but antidepressant medication use decreased from 37.2% to 31.0% (P < .001).

Conclusions:

  • The structured mentoring program successfully enhanced care processes and reduced psychotropic medication use in nursing home residents.
  • The intervention was well-received and demonstrated potential for application to other prevalent conditions in NHs.