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Difficult for Nurses To Detect Depression?

A new UK study suggests nurses have ‘considerable difficulty’ detecting depression and distress in patients.

In the UK, nurses play a prominent role in a health care system that requires individuals to see general practitioners, including nurses, before obtaining care from specialists.

Research studies led by Dr. Alex Mitchell highlight the fact that while nurses are at the front line of caring for people, they receive little training in mental health.

The researchers call for the development of short, simple methods to identify mood problems as a way of providing more targeted and appropriate treatment for patients.

Dr. Mitchell, of the Department of Cancer Studies and Molecular Medicine at the University of Leicester, said: “In terms of dealing with distress and depression, nursing staff are probably the most important group of health professionals.

“In the NHS 400,000 nurses provide valuable support to those suffering a range of physical and mental illnesses but struggle to detect depression in the early stages.

“Nurses are often very capable of forming good therapeutic relationships and provide a great deal of psychological support which is highly valued. However their ability to do this is increasingly under pressure from high workloads and little funding for professional development.

“Our first analysis found that 7000 nurses and nursing assistants often overlooked depression in clinical settings. Nurses working in hospital settings and nursing homes correctly identified about 4 out of 10 people with depression and practice nurses working in primary care correctly identified only one in four people with depression.”

A second study examined the ability of nurses to detect distressed patients and found half were missed until distress became severe.

Dr. Mitchell said the research discovered a number of reasons that accounted for this situation: “Factors that appear to be influential include greater empathy, more confidence with mental health and more time spent with patients.

“However most nursing staff receive little training in mental health and report low experience in this area. It may be unrealistic to expect nurses to remember complex criteria for detection of depression or to apply lengthy screening tools. In the future we may focus more on who has impaired function and who needs help rather than depression alone.”

Source: University of Leicester

Difficult for Nurses To Detect Depression?

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Difficult for Nurses To Detect Depression?. Psych Central. Retrieved on September 23, 2018, from https://psychcentral.com/news/2010/10/05/difficult-for-nurses-to-detect-depression/19176.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.