Learning Objective 1: 1. identify barriers to effective nurse based management of depression in primary care settings
Learning Objective 2: 2. describe potential and actual nursing roles in interevning with patients with depression in primary care.
Methods: . Indepth semi-structured interviews were conducted with HCPs and patients with depression at 4 primary care sites in an urban setting. Semi-structured interviews with 15 HCPs and 5 patients were completed. Interviews were 35 minutes to an hour. Interviews were analyzed using thematic analysis. Transcribed interviews were coded using the NVIVO computer program.
Results: Results indicated that there were differences in attitudes and beliefs of APNs and baccalaureate/ associate degree nurses toward depression treatment. System based factors influenced HCPs’ responses to patients with depression, including barriers and facilitators to effective treatment for depression. Patients’ described experiences with depression as a factor affecting their co-occurring medical conditions.
Conclusion: Results add to understanding of factors that, if addressed, may meet the mental health needs of this population. Interventions based on this study should be tested to determine if they enhance patient management of depression over time.