Enhancing The Assessment Of Suicidal Ideation In The Long-Term Care Environment: A Quality Improvement Project

<p>Abstract Despite high rates of depression and risk factors for suicide, there is a knowledge deficit and lack of protocol surrounding the assessment of suicidal ideation in the long-term care setting. Although studies examining suicide in the long-term care setting are lacking, the prevalence of suicidal ideation is high. This DNP quality improvement project addressed this problem by creating a suicide assessment and management inservice for frontline clinical staff at a skilled nursing facility in Connecticut. The inservice integrated use of an adapted suicide assessment algorithm and a suicide screening tool, the P4 Screener. A SAMHSA toolkit was utilized as a guide for inservice creation. After a three-person expert panel unanimously validated the importance and relevance of the inservice PowerPoint content, two rounds of the inservice, including additional application content for staff authorized to complete formal assessments, was presented to twenty-eight (28) frontline staff. Evaluation of knowledge acquisition, confidence and comfortability was conducted via pre and post-test. Results of a paired samples t-test showed a significant difference in participant knowledge of suicidal ideation assessment from pre-inservice to post-inservice. Descriptive statistics were utilized to describe trends in participant comfort and confidence from pre-inservice to post-inservice. The small sample size (n=6) for the additional application content inservice limited confidence in those results showing there was not a significant difference in knowledge acquisition from pre to post-inservice. These results have implications for clinical practice in the long-term care setting by empowering the frontline assessment of suicidal ideation and collaboration with mental health services to promote accurate identification of those who are at risk and implementation of clinically appropriate interventions. </p>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2022

Author dc:creator

• Tufano, Carissa Ann

Contributors dc:contributor

• Andree de Lisser
• Joanne Iennaco

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1143

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1142