Show simple item record

dc.contributor.authorSchlicht, Kate
dc.contributor.authorMorgan, Mark Andrew
dc.contributor.authorFuller, Jeffrey
dc.contributor.authorCoates, Michael
dc.contributor.authorDunbar, James Anthony
dc.date.accessioned2013-05-28T23:53:03Z
dc.date.available2013-05-28T23:53:03Z
dc.date.issued2013-04-08
dc.identifier.citationSchlicht, K., Morgan, M.A.J., Fuller, J., Coates, M.J. and Dunbar, J.A., 2013. Safety and acceptability of practice-nurse-managed care of depression in patients with diabetes or heart disease in the Australian TrueBlue study. BMJ Open, 3(4), e002195.en
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/2328/26788
dc.description.abstractObjectives To determine the safety and acceptability of the TrueBlue model of nurse-managed care in the primary healthcare setting. Design A mixed methods study involving clinical record audit, focus groups and nurse interviews as a companion study investigating the processes used in the TrueBlue randomised trial. Setting Australian general practices involved in the TrueBlue trial. Participants Five practice nurses and five general practitioners (GPs) who had experienced nurse-managed care planning following the TrueBlue model of collaborative care. Intervention The practice nurse acted as case manager, providing screening and protocol-management of depression and diabetes, coronary heart disease or both. Primary outcome measures Proportion of patients provided with stepped care when needed, identification and response to suicide risk and acceptability of the model to practice nurses and GPs. Results Almost half the patients received stepped care when indicated. All patients who indicated suicidal ideations were identified and action taken. Practice nurses and GPs acknowledged the advantages of the TrueBlue care-plan template and protocol-driven care, and the importance of peer support for the nurse in their enhanced role. Conclusions Practice nurses were able to identify, assess and manage mental-health risk in patients with diabetes or heart disease.en
dc.description.sponsorshipFunding was provided by beyondblue, the (Australian) National Depression Initiative (http://www.beyondblue.org.au) through grant 172, but it had no other involvement in any phase of the study. All researchers were independent of and not influenced by beyondblue.en
dc.language.isoen
dc.publisherBMJ Groupen
dc.subjectPrimary health careen
dc.subjectNursingen
dc.subjectChronic illnessen
dc.subjectDiabetesen
dc.subjectCoronary heart diseaseen
dc.subjectMental illnessen
dc.titleSafety and acceptability of practice-nurse-managed care of depression in patients with diabetes or heart disease in the Australian TrueBlue studyen
dc.typeArticleen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record