서브메뉴
검색
Standardizing Guidelines for the Post Administration of the GAD-7 Screening Tool at a Veterans' Residential Facility
Standardizing Guidelines for the Post Administration of the GAD-7 Screening Tool at a Veterans' Residential Facility
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105113
- ISBN
- 9798270290207
- DDC
- 610.73
- 서명/저자
- Standardizing Guidelines for the Post Administration of the GAD-7 Screening Tool at a Veterans Residential Facility
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 62 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-07, Section: B.
- 주기사항
- Advisor: Jones, Ann-Marie;Machalicky, Stephanie.
- 학위논문주기
- Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약ProblemGeneralized Anxiety Disorder (GAD) is described as excessive worry that is uncontrolled and affects the functions of daily living. GAD is highly prevalent among U.S. adults, with rates increasing due to stressors such as the COVID-19 pandemic. Veterans, a vulnerable subgroup population of US adults, face an even greater risk of suffering from GAD due to pre-existing mental health conditions, social isolation, and economic instability. Veterans face unique risk factors that increase their likelihood of developing GAD, including combat exposure, PTSD, and challenges in transitioning to civilian life.PurposeThe purpose of this quality improvement project was to systematically incorporate the GAD-7 screening tool with a score-based notification algorithm based on the GAD-7 into every new intake appointment, at the Veteran's Life Center in Butner, NC, aiming to facilitate early identification and intervention of generalized anxiety disorder and treatment.MethodsA 45-day intervention in which staff implemented an algorithm post-admission to a veterans' facility included the administration of the GAD-7 screening tool upon admission to the Veterans Life Center. The nurse administered and scored the completed GAD-7, thus triggering the symptoms-related algorithm. The algorithm included how often the resident was seen by the NP and appropriate follow-up appointment scheduling.ResultsFollowing the implementation of the Post administration of the GAD-7 Screening Algorithm, data was collected on six veterans admitted to the veterans' residential facility during the 45-day intervention period. All six veterans received their initial GAD-7 screening upon admission. In contrast to the retrospective cohort, 100% of these veterans received a documented H&P assessment within 10 days, reflecting a 50% improvement in timely initial evaluation. Additionally, the algorithm introduced a structured response protocol whereby elevated GAD-7 scores triggered chart flagging by nursing staff and prompted direct communication to the NP for clinical review.Discussion and Further ConsiderationsProject outcomes showed significant data improvement. Continued evaluation is needed to address and resolve the barriers to using a structured approach to recognizing and treating GAD according to Evidence Based Practice. With continued assessment and change, marked improvement and sustainability over time are achievable.
- 일반주제명
- Nursing
- 일반주제명
- Mental health
- 일반주제명
- Clinical psychology
- 키워드
- Screening tool
- 키워드
- Veterans
- 기타저자
- The University of North Carolina at Chapel Hill Nursing
- 기본자료저록
- Dissertations Abstracts International. 87-07B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017359397
■00520260202105113
■006m o d
■007cr#unu||||||||
■020 ▼a9798270290207
■035 ▼a(MiAaPQ)AAI32237253
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aBowman, Brittney.
■24510▼aStandardizing Guidelines for the Post Administration of the GAD-7 Screening Tool at a Veterans' Residential Facility
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a62 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-07, Section: B.
■500 ▼aAdvisor: Jones, Ann-Marie;Machalicky, Stephanie.
■5021 ▼aThesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aProblemGeneralized Anxiety Disorder (GAD) is described as excessive worry that is uncontrolled and affects the functions of daily living. GAD is highly prevalent among U.S. adults, with rates increasing due to stressors such as the COVID-19 pandemic. Veterans, a vulnerable subgroup population of US adults, face an even greater risk of suffering from GAD due to pre-existing mental health conditions, social isolation, and economic instability. Veterans face unique risk factors that increase their likelihood of developing GAD, including combat exposure, PTSD, and challenges in transitioning to civilian life.PurposeThe purpose of this quality improvement project was to systematically incorporate the GAD-7 screening tool with a score-based notification algorithm based on the GAD-7 into every new intake appointment, at the Veteran's Life Center in Butner, NC, aiming to facilitate early identification and intervention of generalized anxiety disorder and treatment.MethodsA 45-day intervention in which staff implemented an algorithm post-admission to a veterans' facility included the administration of the GAD-7 screening tool upon admission to the Veterans Life Center. The nurse administered and scored the completed GAD-7, thus triggering the symptoms-related algorithm. The algorithm included how often the resident was seen by the NP and appropriate follow-up appointment scheduling.ResultsFollowing the implementation of the Post administration of the GAD-7 Screening Algorithm, data was collected on six veterans admitted to the veterans' residential facility during the 45-day intervention period. All six veterans received their initial GAD-7 screening upon admission. In contrast to the retrospective cohort, 100% of these veterans received a documented H&P assessment within 10 days, reflecting a 50% improvement in timely initial evaluation. Additionally, the algorithm introduced a structured response protocol whereby elevated GAD-7 scores triggered chart flagging by nursing staff and prompted direct communication to the NP for clinical review.Discussion and Further ConsiderationsProject outcomes showed significant data improvement. Continued evaluation is needed to address and resolve the barriers to using a structured approach to recognizing and treating GAD according to Evidence Based Practice. With continued assessment and change, marked improvement and sustainability over time are achievable.
■590 ▼aSchool code: 0153.
■650 4▼aNursing
■650 4▼aMental health
■650 4▼aClinical psychology
■653 ▼aGeneralized Anxiety Disorder
■653 ▼aPost administration
■653 ▼aScreening tool
■653 ▼aVeterans
■653 ▼aResidential facility
■690 ▼a0569
■690 ▼a0347
■690 ▼a0622
■690 ▼a0769
■71020▼aThe University of North Carolina at Chapel Hill▼bNursing.
■7730 ▼tDissertations Abstracts International▼g87-07B.
■790 ▼a0153
■791 ▼aD.N.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359397▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
