Depression Screening in Outpatient Mental Health Clinic

Submission of the Project Proposal Template with completion of the

Project Purpose, Scope and Leadership Question and Conceptual and Theoretical Model

Carefully read through the directions on the template and include the feedback adjustments from the past week discussion board.

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I have attached last week’s assignment, which is what you need to edit and also take in to consideration the proffessor’s feedback. I have also attached the feedback and what i write to her but don’t limit your self to what I wrote, Explore other possible answers to her questions about the project. Thanks

Project Purpose

The purpose of this nursing project is grounded on the implementation of the PHQ-9 depression screening tool as a component of the clinic’s assessment process to increase the rate of depression screening from 0% to 80% at the same time improving the identification of depression. The project’s goal is to heighten depression screening of clients at the hospital-based outpatient care setting.

Project Objectives

To improve the screening for depression by means of implementing the PHQ-9 depression screening tool during initial assessment and follow up visits.
To carry out staff training on national designated recommendations and guidelines regarding the use of the PHQ-9 as well as the criteria for documentation and reporting depression.
To evaluate and assess the weekly administration rate of the PHQ-9 by every clinic’s clinician and provider with documentation of client’s scores in an Excel spreadsheet
To ensure accurate documentation of the patient’s score so as to assess the completion rate of the PHQ-9.
To design or develop a Health Stream PowerPoint online presentation for the clinic’s health provider education on the importance of using the PHQ-9.

Scope of the Project

The system-level of application to the practice of this project is the Meso system. The system details the examination of a particular group, organization, studies, communities, or specific components of society (WHO, 2018). For this case, the system will aid in analyzing the significance of PHQ-9 in screening depression, especially in an out-patient clinic. The project aligns with the system-level application because it undergoes five essential stages, namely traditional society, preconditions, take-off, drive to maturity, and the stage of high mass application. The clinic staff are educated on applying the PHQ-9 screening system to ensure they are well-versed with its components to ensure successful implementation (Rancans et al., 2018). Also, ensuring the project undergoes the system level stages means that it will be evaluated at every phase to determine its effectiveness in addressing depression screening issues.

Leadership Question

Can the implementation of screening strategy enhance awareness of depression, encourage the use of PHQ-9 tools, and heighten the administration of PHQ-9 for depression screening in an outpatient care setting?

Upon completing the project, the leader will be able to sustain the outcomes by ensuring reporting and documentation of PHQ-9 scores by the clinic’s staff is made a routine practice. Still, leaders should be at the forefront of advocating for the quick incorporation of these scores into the client assessment as well as daily therapy notes (Williams et al., 2017). The current patient’s depressive symptoms should only be assessed with PHQ-9 (Muñoz-Navarro et al., 2017). The clinic leader should emphasize the 100% completion rate when using the PHQ-9 assessment tool.

Conceptual and Theoretical Model

The project will make use of the Plan-Do-Study-Act cycle abbreviated as (PDSA). As such, it is essentially an approach (scientific) employed in action-oriented learning (Coury et., 2017). The cycle is stenography for assessing a change through, evaluating, and responding to what is learned. Still, it best provides response regarding what does and does not work. The PDSA is mainly recognized as an iterative four-stage cycle typically used in enhancing a change (Coury et al., 2017). Following its usefulness, it has been employed in a broad range of organizations and industries. The theoretical model aligns with the project in that it will enhance the provision of safe and advanced care. Basically, quality improvement approaches depend on evidence-based and innovative practices to ensure efficient disease prevention (Hall, 2017). The project’s systematic review shows that the core tenets of PDSA may lead to positive impacts on learning as well as quality improvement. Also, with the aid of PDSA, it is possible to utilize the leadership capabilities to create a protocol to enhance the care quality for clients struggling with depression.

Rerences

Coury, J., Schneider, J. L., Rivelli, J. S., Petrik, A. F., Seibel, E., D’Agostini, B., & Coronado, G. D. (2017). Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics. BMC health services research, 17(1), 1-10.

Hall L., L (2016). Quality improvement using Plan-Do-Study-Act: Strategies for local quality improvement. AMA Retrieved https://edhub.ama-assn.org/steps-forward/module/2702507

Muñoz-Navarro, R., Cano-Vindel, A., Medrano, L. A., Schmitz, F., Ruiz-Rodríguez, P., Abellán-Maeso, C., & Hermosilla-Pasamar, A. M. (2017). Utility of the PHQ-9 to identify major depressive disorder in adult patients in Spanish primary care centres. BMC psychiatry, 17(1), 1-9.

Rancans, E., Trapencieris, M., Ivanovs, R., & Vrublevska, J. (2018). Validity of the PHQ-9 and PHQ-2 to screen for depression in nationwide primary care population in Latvia. Annals of general psychiatry, 17(1), 1-8.

Williams, S., Chung, G., & Muennig, P. (2017). Undiagnosed depression: A community diagnosis. SSM – Population Health, 3, 633-638. doi: 10.1016/j.ssmph.2017.07.012

World Health Organization (2018). Depression. Retrieved December 16, 2018, from https://www.who.int/news-room/fact-sheets/detail/depression