Recognition and referral of depression in patients with heart disease

Worrall-Carter, Linda, Ski, Chantal F., Thompson, David R., Davidson, Patricia M., Cameron, Jan, Castle, David and Page, Karen (2012) Recognition and referral of depression in patients with heart disease. European Journal of Cardiovascular Nursing, 11 2: 231-238. doi:10.1016/j.ejcnurse.2011.04.005

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Author Worrall-Carter, Linda
Ski, Chantal F.
Thompson, David R.
Davidson, Patricia M.
Cameron, Jan
Castle, David
Page, Karen
Title Recognition and referral of depression in patients with heart disease
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1474-5151
Publication date 2012-06
Sub-type Article (original research)
DOI 10.1016/j.ejcnurse.2011.04.005
Volume 11
Issue 2
Start page 231
End page 238
Total pages 8
Place of publication London, U.K.
Publisher Sage Publications
Collection year 2013
Language eng
Formatted abstract
Background:  Routine screening and assessment for depression occurs rarely in clinical practice for a variety of reasons, including the absence of systems to facilitate the process.
Aim:  To identify nurses' knowledge and practice regarding depression screening and referral for cardiac patients following the implementation of education workshops and a validated screening tool with referral actions.
Methods:  Pre and post-test design using surveys and semi-structured interviews was conducted with a purposive sample of nurses in a large Australian metropolitan tertiary referral hospital. Prior to the introduction of the screening and referral tool, nurses engaged in an interactive one hour education workshop on the topic of depression and the tool; introduced to improve depression screening following an acute cardiac event.
Results: In the pre and post-survey 40 and 30 nurses, respectively, participated with 14 also engaging in semi-structured interviews. Eighty percent reported a 'good' understanding of depression post-program compared to 30% at baseline. Sixty percent reported routinely using the depression screening and referral tool. The interviews identified three main themes that supported the utility of the education and instrument: knowledge improvement; perceived self-efficacy and new knowledge into practice.
Conclusion:  The vast majority of participants reported increased skill, knowledge and confidence to screen and refer for depression post an acute cardiac event. The substantial increase in the number of nurses who engaged in screening and referral actions further demonstrated the success of the program. These encouraging results provide evidence that screening for depression can be achieved through adopting formalised processes.
Keyword Depression
Coronary heart disease
Clinical pathway
Registered nurses
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Tue, 26 Jul 2011, 15:10:45 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work