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Title: Screening, prevention, and management of patients with poststroke depression in a tertiary hospital in China: a best practice implementation project.
Austin Authors: Tan, Jing;Brancatisano, Olivia;Cadilhac, Dominique A;Deng, Bo;Wu, Yanni;Li, Yan;Liu, Ning
Affiliation: The Nursing Faculty, Zhu Hai Campus of Zunyi Medical University, Zhuhai, PR China.
Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 2 Monash University Research, Victorian Heart Hospital, Clayton.;Public Health, Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australia.
The Florey Institute of Neuroscience and Mental Health
The Nursing Faculty, Zhu Hai Campus of Zunyi Medical University, Zhuhai, PR China.
Nanfang Hospital, Southern Medical University.;The Nanfang Nursing Centre for Evidence-Based Practice: A JBI Centre of Excellence, Guangzhou, PR China.
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
The Nursing Faculty, Zhu Hai Campus of Zunyi Medical University, Zhuhai, PR China.
Issue Date: 20-Jun-2023
Date: 2023
Publication information: JBI Evidence Implementation 2023-06-20
Abstract: Poststroke depression (PSD) is common but insufficiently addressed by health professionals, and management is not always evidence-based. 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). The current evidence implementation project was based on the JBI methodological approach and included 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. 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%. 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.
DOI: 10.1097/XEB.0000000000000377
ORCID: 0000-0001-8162-682
Journal: JBI Evidence Implementation
PubMed URL: 37334919
ISSN: 2691-3321
Type: Journal Article
Appears in Collections:Journal articles

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