Safety and acceptability of practice-nurse-managed care of depression in patients with diabetes or heart disease in the Australian TrueBlue study

Schlicht, 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, vol. 3, no. 4, Article e002195, pp. 1-6.

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Title Safety and acceptability of practice-nurse-managed care of depression in patients with diabetes or heart disease in the Australian TrueBlue study
Author(s) Schlicht, K.
Morgan, M. A. J.
Fuller, J.
Coates, M. J.
Dunbar, J. A.
Journal name BMJ Open
Volume number 3
Issue number 4
Season Article e002195
Start page 1
End page 6
Total pages 6
Publisher BMJ Group
Place of publication London, England
Publication date 2013
ISSN 2044-6055
Keyword(s) mixed methods study
mental-health risk
suicide risk
collaborative care
Summary Objectives:
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.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30055888

Document type: Journal Article
Collection: Population Health
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Created: Wed, 11 Sep 2013, 15:33:59 EST by Barb Lavelle

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