Practice Nurse Collaborative Care Qualitative Evaluation
Research type
Research Study
Full title
Qualitative evaluation of practice nurse facilitated collaborative care of depression for patients with long term health problems in a primary care service development project in Bradford and Airedale
IRAS ID
134066
Contact name
David Ekers
Contact email
Sponsor organisation
Durham University
Research summary
Depression is set to become the second largest cause of disease burden by 2020 and is commonly associated with long-term physical health conditions (LTC. The clinical and economic implications of this are substantial with worsened physical/psychological health, quality of life and mortality. This group of patients have a near threefold increased use of acute medical services and general practice.
Most depression remains managed in primary care and collaborative care (CC) is recommended (NICE CG 91/123). Collaborative care aims to improve interdisciplinary collaboration and patient self-management to enhance clinical outcomes. Primary care nurses are able to deliver clinically effective CC in patients with LTC and are ideally placed to deliver the intervention. Knowledge relating to the optimum method of implementation and acceptability of CC by nurses in a UK primary care setting is lacking resulting in little guidance for commissioners/providers of care.
Bradford City, District and Airedale, Wharfdale and Craven CCG have developed project aimed at piloting nurse led CC for patients with depression and LTC in 6 practices. This research seeks to conduct a formal qualitative evaluation across the case managers (nurses), GPs, mental health specialists and patients who received the intervention. The UK Medical Research Council has highlighted the need for evaluation of process as essential to understanding the problems of integrating interventions into health care settings, and particularly emphasised the need to examine barriers and facilitators of implementation. In this project there exists a unique opportunity to examine these factors across a range of practice settings (rural and inner city) and staff groups. No previous qualitative study has evaluated the delivery of CC for depression in LTC by nurses or across these staff groups. This study will provide in depth knowledge relating the intervention and primary care based services for depression and patients perceptions of the CC received.REC name
North East - Newcastle & North Tyneside 2 Research Ethics Committee
REC reference
13/NE/0237
Date of REC Opinion
11 Oct 2013
REC opinion
Further Information Favourable Opinion