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A qualitative study of nurses’ clinical experience in recognising low mood and depression in older patients with multiple long‐term conditions

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  • Susan Waterworth
  • Bruce Arroll
  • Deborah Raphael
  • John Parsons
  • Merryn Gott

Abstract

Aims and objectives To explore how nurses’ recognise depression in older patients with multiple long‐term conditions and the strategies they use to support the patient. Background Depression decreases an older person's quality of life and sense of wellness, and increases functional impairment. The positive role of nurses working with patients with long‐term conditions is now being recognised internationally; however, there is a gap in the research about how nurses recognise depression in older patients and how this impacts on their practice. Design This is a qualitative study informed by a constructivist grounded theory approach. Methods In‐depth telephone interviews were conducted with 40 nurses working in geographically diverse areas in New Zealand. Results Having the conversation with older patients about their low moods, or specifically about depression was not something that all the nurses had, or felt they could have. While some nurses knew they could provide specific advice to patients, others believed this was not their responsibility, or within the scope of their role. Conclusion Faced with an increasing number of older people with long‐term conditions, one of which maybe depression itself or as a result of living with other long‐term conditions, ongoing monitoring and support pathways are necessary to prevent further decline in the older person's quality of life and well‐being. Relevance to clinical practice Nurses in primary health care can build on current knowledge and skills to increase their capability to promote ‘ageing well’ with older people who have long‐term conditions and depression.

Suggested Citation

  • Susan Waterworth & Bruce Arroll & Deborah Raphael & John Parsons & Merryn Gott, 2015. "A qualitative study of nurses’ clinical experience in recognising low mood and depression in older patients with multiple long‐term conditions," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2562-2570, September.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:17-18:p:2562-2570
    DOI: 10.1111/jocn.12863
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    Cited by:

    1. Parvin Mangolian Shahrbabaki & Esmat Nouhi & Majid Kazemi & Fazlollah Ahmadi, 2017. "The sliding context of health: the challenges faced by patients with heart failure from the perspective of patients, healthcare providers and family members," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3597-3609, November.
    2. Ariane Girard & Catherine Hudon & Marie‐Eve Poitras & Pasquale Roberge & Maud‐Christine Chouinard, 2017. "Primary care nursing activities with patients affected by physical chronic disease and common mental disorders: a qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1385-1394, May.
    3. Koji Tanaka, 2020. "Depression‐linked beliefs in older adults with depression," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 228-239, January.
    4. Koji Tanaka, 2018. "Strengths promoting the recovery process in older adults with depression," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3032-3043, August.

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