TY - JOUR
T1 - Screening, prevention, and management of patients with poststroke depression in a tertiary hospital in China
T2 - A best practice implementation project
AU - Tan, Jing
AU - Brancatisano, Olivia
AU - Cadilhac, Dominique A.
AU - Deng, Bo
AU - Wu, Yanni
AU - Li, Yan
AU - Liu, Ning
N1 - Publisher Copyright:
Copyright © 2023 JBI Evidence Implementation
PY - 2023/12/20
Y1 - 2023/12/20
N2 - Introduction:Poststroke depression (PSD) is common but insufficiently addressed by health professionals, and management is not always evidence-based.Objectives:This evidence implementation project aimed to improve adherence to evidence-based practice for screening, prevention, and management of patients with PSD in the neurology ward of the Fifth Affiliated Hospital of Zunyi Medical University, China.Methods:This project was based on the JBI methodological approach and was conducted in three phases, from January to June 2021: a baseline audit, implementation of strategies, and a follow-up audit. We utilized the JBI Practical Application of Clinical Evidence System software and the Getting Research into Practice tools. Fourteen nurses, 162 stroke patients, and their caregivers participated in this study.Results:The results of the baseline audit showed that compliance with evidence-based practice was poor, with 3/6 criteria showing 0% adherence and the other three audit criteria showing 5.7, 10.3, and 49.4% adherence, respectively. Through feedback to nurses regarding the baseline audit results, the project team identified five barriers and adopted a battery of strategies to overcome these barriers. The follow-up audit revealed significantly enhanced outcomes across all the best practice criteria, and the compliance of each criterion reached at least 80%.Conclusion:The implementation program designed to screen, prevent, and manage PSD in a tertiary hospital in China improved nurses' knowledge and compliance with evidence-based management of PSD. Further testing of this program in more hospitals is needed.
AB - Introduction:Poststroke depression (PSD) is common but insufficiently addressed by health professionals, and management is not always evidence-based.Objectives:This evidence implementation project aimed to improve adherence to evidence-based practice for screening, prevention, and management of patients with PSD in the neurology ward of the Fifth Affiliated Hospital of Zunyi Medical University, China.Methods:This project was based on the JBI methodological approach and was conducted in three phases, from January to June 2021: a baseline audit, implementation of strategies, and a follow-up audit. We utilized the JBI Practical Application of Clinical Evidence System software and the Getting Research into Practice tools. Fourteen nurses, 162 stroke patients, and their caregivers participated in this study.Results:The results of the baseline audit showed that compliance with evidence-based practice was poor, with 3/6 criteria showing 0% adherence and the other three audit criteria showing 5.7, 10.3, and 49.4% adherence, respectively. Through feedback to nurses regarding the baseline audit results, the project team identified five barriers and adopted a battery of strategies to overcome these barriers. The follow-up audit revealed significantly enhanced outcomes across all the best practice criteria, and the compliance of each criterion reached at least 80%.Conclusion:The implementation program designed to screen, prevent, and manage PSD in a tertiary hospital in China improved nurses' knowledge and compliance with evidence-based management of PSD. Further testing of this program in more hospitals is needed.
KW - clinical audit
KW - depression
KW - evidence-based practice
KW - nurses
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85178496262&partnerID=8YFLogxK
U2 - 10.1097/XEB.0000000000000377
DO - 10.1097/XEB.0000000000000377
M3 - Journal article
C2 - 37334919
AN - SCOPUS:85178496262
SN - 1744-1595
VL - 21
SP - 325
EP - 334
JO - JBI Evidence Implementation
JF - JBI Evidence Implementation
IS - 4
ER -