Title: Early Detection of Postpartum Depression: Evidence Based Risk Assessment Guidelines

Transcription

1 Title: Early Detection of Postpartu Depression: Evidence Based Risk Assessent Guidelines Beena Roby Joseph, DNP (HSL), MSN College of Nursing, Chaberlain College of Nursing, 3005 Highland Parkway, Downers Grove, IL 60515, sugarland, TX, USA Session Title: Rising Stars of Nursing Invited Posters - Group 2 RSG STR 2: Friday, Septeber 26, 2014: 10:00 AM-10:30 AM RSG STR 2: Friday, Septeber 26, 2014: 11:45 AM-1:00 PM RSG STR 2: Friday, Septeber 26, 2014: 3:00 PM-3:30 PM Keywords: Postpartu n, Predicators of n and Risk assessent guidelines, Edinburgh Postnatal Depression Scale (EPDS). References: Refernces: Adas, S., & McCarthy, A. (2007). Evidence-based practice guidelines and school nursing. Journal Of School Nursing (Allen Press Publishing Services Inc.),23(3), Agency for health care research and quality (AHRQ). (2006). National collaborating center for priaryc. Postnatal care. Routine postnatal care of woen and their babies. Alanen, S., Väliäki, M., & Kaila, M. (2009). Nurses' experiences of guideline ipleentation: A focus group study. Journal of Clinical Nursing, 18(18), Allison, K. C., Wenzel, A., Kleian, K., & Sarwer, D. B. (2011). Developent of a brief easure of distress. Journal of Woen's Health ( ), 20(4), Anderson, C. (2010). Using the Edinburgh Postnatal Depression Scale to screen for syptos of n aong Latina, African Aerican and Caucasian adolescents. Southern Online Journal of Nursing Research, 10(1). Aerican Psychiatric Association (APA). (2010). Practice guideline for the treatent of patients with ajor depressive disorder (3rd edn). Arlington (VA). Austin, M., Priest, S.R., & Sullivan, E. A. (2008). Antenatal and psychosocial assessent for reducing perinatal ental health orbidity. Cochrane Database of Systeatic Reviews,4(CD005124), Beck, C. T., (2006). Postpartu Depression. Aerican Journal of Nursing, 106(5), Retrieved fro UHV Ovid database. Beck, C. T. (2002). Revision of the n predictors inventory. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 31(4), doi/ /j tb00061.x/pdf Beck, C.T. (2001) Predictors of n: An update. Nursing Research. 50(5): Retreived fro UHV Ovid Database. Beck, C., Records, K., & Rice, M. (2006). Further developent of the n predictors inventory-revised. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(6), Caple, C., & Schub, T. (2011). Postpartu n: Assessent and screening. Evidence- Based Care Sheet. Center for Disease Control and prevention. CDC. (2009). Pregnancy assessent onitoring syste (PRAMS): PRAMS and n. Retrieved fro Chen, H., Wang, J., Ch ng, Y. C., Mingoo, R., Lee, T., & Ong, J.( 2011). Identifying others with n early: Integrating perinatal ental health care into the obstetric setting. ISRN Obstetrics and Gynecology. doi: /2011/ Davis, J. (2010). Screening for Postpartu Depression on an Inpatient Unit. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 39S102. doi: /j x Davis, S., Cross, J., & Lind, B. (2008). Exploring the adjustent questionnaire as a predictor of n. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(6), Farrar, J. (2009). Evidence-based practice: Choose it then diffuse it. Retrieved fro Goyal, D., Gay, C., & Lee, K. (2009). Fragented aternal sleep is ore strongly correlated with depressive syptos than infant

2 teperaent at three onths. Archives of Woen's Mental Health, 12(4), Haas, S. (2008). Resourcing evidence-based practice in abulatory care nursing. Nursing Econoic$, 26(5), Hanusa, B., Scholle, S., Haskett, R., Spadaro, K., & Wisner, K. (2008). Screening for n in the period: A coparison of three instruents. Journal of Woen's Health ( ), 17(4), Harting, J., Rutten, G., Rutten, S., & Kreers, S. (2009). A qualitative application of the diffusion of innovations theory to exaine deterinants of guideline adherence aong physical therapists. Physical Therapy, 89(3), Horowitz, J., Murphy, C., Gregory, K., & Wojcik, J. (2011). A counity-based screening initiative to identify others at for n. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 40(1), Kirpinar, Ý., Gözü, S. and Pasinlioðlu, T. (2010), Prospective study of n in eastern Turkey prevalence, sociodeographic and obstetric correlates, prenatal anxiety and early awareness. Journal of Clinical Nursing, 19 (3-4), doi: /j x Lau, Y., Wong, D., & Chan, K. (2010). The utility of screening for perinatal n in the second triester aong Chinese: A three-wave prospective longitudinal study. Archives of Woen's Mental Health, 13(2), Lasiuk, G., & Ferguson, L. (2005). Fro practice to idrange theory and back again: Beck's theory of n. Advances in Nursing Science, 28(2), Logsdon, M., Foltz, M., Scheetz, J., & Myers, J. (2010). Self-efficacy and n teaching behaviors of hospital-based perinatal nurses. Journal of Perinatal Education, 19(4), McQueen, K., Montgoery, P., Lappan-Gracon, S., Evans, M., & Hunter, J. (2008). Evidence- based recoendations for depressive syptos in woen. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(2), Melnyk, B.M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. (2nd ed.). Philadelphia: Wolters Kluwer health/ Lippincott Willias & Wilkins. Mental Health Aerica of Greater Houston. ( ). Retrieved on Noveber 2, 2011 fro Mental Health Aerica of Greater Houston. ( ).Woen s ental health. Retreived on Septeber 14, 2011 fro Morrissey, M. (2007). Suffer no ore in silence: Challenging the yths of woen's ental health in childbearing. International Journal of Psychiatric Nursing Research, 12(2), Neian, S., Carter, S., Van Sell, S., & Kindred, C. (2010). Best practice guidelines for the nurse practitioner regarding screening, prevention, and anageent of n. Critical Care Nursing Quarterly, 33(3), Retreived fro UHV OVID Data Base doi: /cnq.0b013e3181e65f86 Oppo, A., Mauri, M., Raacciotti, D., Cailleri, V., Banti, S., Borri, C., &... Cassano, G. (2009). Risk factors for n: The role of the Postpartu Depression Predictors Inventory-Revised (PDPI-R). Results fro the Perinatal Depression-Research & Screening Unit (PNDReScU) study. Archives Of Woen's Mental Health, 12(4), Paris, R., Bolton, R., & Weinberg, M. (2009). Postpartu n, suicidality, and otherinfant interactions. Archives of Woen's Mental Health, 12(5), Polit, D., F., & Beck, C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia: Lippincott Willias & Wilkins. Records, K., Rice, M., & Beck, C. (2007). Psychoetric assessent of the Postpartu Depression Predictors Inventory-Revised. Journal Of Nursing Measureent, 15(3), Rogers, E. M. (2003). Diffusion of innovations (5 th ed.). New York, NY: The Free Press Ross, L., & Dennis, C. (2009). The prevalence of n aong woen with substance use, an abuse history, or chronic illness: a systeatic review. Journal of Woen's Health ( ), 18(4), Schanie, C., Pinto-Foltz, M., & Logsdon, M. (2008). Analysis of popular press articles concerning n: Issues in Mental Health Nursing, 29(11), Segre, L., O'Hara, M., Arndt, S., & Beck, C. (2010). Screening and counseling for n by nurses: The woen's views. MCN: The Aerican Journal of Maternal Child Nursing, 35(5), doi: /nmc.0b013e3181e62679 St. Pierre, C. (2007). The taboo of otherhood: Postpartu n. International Journal for Huan Caring, 11(2), Texas departent of health (TDH) (2003). Pregnancy, parenting and n resource list. Retreived on Septeber 28, 2011 fro Texas health and huan service coission.(2008). Texas Nurse-Faily Partnership. Retreived on Noveber 3, 2011 fro Toey, A. M. & Alligood, M.R. (2006). Nursing Theorists and Their Work. (6th ed.) Missouri:Mosby Elsevier. Vigod, S., Villegas, L., Dennis C-L., & Ross, L.(2010). Prevalence and factors for n aong woen with preter and low-birth-weight infants: A systeatic review. BJOG: An International Journal of Obstetrics & Gynecology, 117(5), DOI: /j

3 Learning Activity: LEARNI NG OBJECTI VES EXPAN DED CONTE NT OUTLIN E TIME ALLOT TED FACULTY/SPE AKER TEACHING/LEA RNING METHOD EVALUATION/FE EDBACK Critique selected definition of the ter, "curriculu " Definitio ns of "curricul u" Course of study Arrange ents of instructio nal aterials The subject atter that is taught Cultural "training" 20 inutes Nae, Credentials Lecture PowerPoint presentation Participant feedback Group discussion: What does cultural training ean to you? Planned engage ent of learners 1.List the coon factors of n List of coon factors of n fro literature review. Explain the 15 inutes Beena Joseph, MSN, RNC- MNN Poster presentation and Discussion What are the coon psotpartu n factors identified fro your practice? Have you noticed one ore of these factors listed with your patients? If so how often and what did you do to address those factors?

4 evidence supportin g the coon factors of n. 2.Identify the evidence based assessent guidelines for early detection of n (PPD). Explain how and when to use the proposed evidence based assesse nt guideline s for early identifica tion of Postpartu n. 15 inutes Beena Joseph, MSN, RNC- MNN Poster presentation and Discussion Are you using any assessent guidelines or tools at your facility to identify high others? Do you think ipleenting an evidence based guideline/tool will allow early detection of n? if so, how? Abstract Text: Early detection of n (PPD) is vital in iproving aternal and newborn health. PPD affects 10-20% of the woen (Caple & Schub, 2011). This project proposes guidelines for early identification of PPD by using evidence based assessent tools. The needs assessent was perfored in a unit of a suburban hospital, serving the counity of Greater Houston, Texas. Based on the Mental Health Aerica (MHA) of Greater Houston report, n hits woen in their childbearing age, especially between years of age. The children of others who had PPD are 4-ties at for developing psychiatric illness copared to the children of others who did not have PPD (Neian, Carter,Van Sell, & Kindred, 2010). PPD is a global issue. The international rate of PPD is consistent with the reported rate of % in United States. s of international reported rates are; Zibabwe (16%), India (23%), Japan (17%), Italy (15%) (Becks et al., 2006). The literature review provided an iportant look at factors for PPD. Antenatal n, antenatal anxiety, history of depressive illness, presence of any existing life stress, and level of selfestee, the aount of social support available, arital or partner status, satisfaction with the arital relationship, undesirable or unintended pregnancy, socioeconoic stability, newborn characters and teper, child care stress, and presence of otherhood blues were recognized as the predictors of PPD (Beck, 2001; Beck et al., 2006). In addition to the 13 substantial PPD factors identified by Beck (2001), current or history of drug abuse (Ross & Dennis, 2009), and delivery of a preature or low birth

5 weight baby (Vigod, Villegas, Dennis, & Ross, 2010) are significant with the target population. A close follow up patterns for those who are potential candidates for developing PPD is iperative (Beck et al., 2006). Universal testing and evaluation of PPD is a standard of care in England, but not in United States (Caple & Schub, 2011). Health care workers can support the ission of early assessent and screening for PPD, by learning and sharing inforation about PPD assessent and screening, educating the patient and asking about history of PPD or other factors, and adinistering a PPD screening tool for review (Caple & Schub, 2011). Health care workers need to be ore active in educating patients, and counity about PPD that affects arked nuber of woen in the society (Schanie, Pinto-Foltz, & Logsdon, 2008). Several researchers ephasized the need for early identification of woen who are ore likely to develop PPD after childbirth (Anderson, 2010; Neian et al., Austin et al., 2008; Beck et al.,2006). A routine antenatal psychosocial review ay increase the provider's consciousness of psychosocial (Austin et al., 2008; Neian et al., 2010). An integrated approach with screening and intervention progra in the obstetric settings will iprove the help-seeking activities in PPD (Chen, Wang, Ch'ng, Mingoo, Lee, & Ong, 2011). The review of literature supports the key role nurses play in assessing, and counseling woen about PPD. In addition, research supports the need to identify at groups early to initiate teaching, and therapy. A checklist based on the PPD factors and EPDS ay be helpful in identifying the woen at for PPD. The literature review done for this project shows Edinburgh Postnatal Depression Scale (EPDS) is the valuable and a siple assessent tool for PPD assessent. The priary investigator based on the literature review developed the part-1 (PPD Risk Factor Assessent Checklist) and part-2 (EPDS and PPD Screening) EBP guidelines for the proposal of in-patient PPD assessent guidelines. The Beck's Postpartu Depression Theory guided the preparation of Evidence Based Practice (EBP) guidelines. The Rogers' Diffusion of Innovations Theory will guide the ipleentation and evaluation process.