Evidence Based Practise Assignment 2022

Running head: EVIDENCE BASED PRACTICE
Evidence Based Practice
Name of the Student
Name of the University
Author Note

1EVIDENCE BASED PRACTICE
Evidence-based practice in depression management in aged care service
Introduction
Evidence-based practice (EBP) in nursing is defined as a conscientious yet problem
solving approach that is used in the clinical practice in order to improve the overall quality of
care. EBP incorporates evidences derived from well-designed studies, patients’ preferences
and clinical expertise in the decision-making process of patients’ care plan. Consistent
implementation of EBP helps to improve the safety and efficacy of care. EBP also helps in
empowering of the nursing professionals leading to higher level of job satisfaction, increased
engagement in team work and reduced cost of care (Melnyk, Gallagher-Ford & Zellefrow,
2017). According to the Australian Institute of Health and Welfare (2012), entry into the aged
care service can be a challenging experience and presence of depression can increase this
overall challenge. Depression and anxiety among the older adults and kaumatua can never be
regarded as normal part of aging. It must be recognised and addressed. The proper application
of EBP can be used to overcome depression among the older adults. The following paper
aims to identity the aspect of nursing that can be improve through EBP in the domain of
depression management among older adults in aged care.
Evidence-Based Practice for Depression Management
Non-pharmacological intervention for depression management
According to Kok and Reynolds (2017), depressive symptoms among the older adults
are common and can be effectively treated by the use of anti-depressants and
electroconvulsive therapy. However, as per the EBP, non-pharmacological interventions are
mainly preferred for the management of depression among the older adults. Titov et al.
(2015) stated that among the community-dwelling older adults, the depression is mainly

2EVIDENCE BASED PRACTICE
attributed to bereavement, social isolation, physical alignment and inability to conduct the
activities of daily living. Kok and Reynolds (2017) are of the opinion that psychotherapy
alone or combined anti-depressant treatment is effective for the treatment of depression
among the older adults in the residential care or community dwelling older adults. Clinical
benefits arising from the psychotherapy is evident after 6 to 8 weeks.
Role of CBT in depression management
Titov et al. (2015) are of the opinion that manualized cognitive behavioural therapy
(CBT) is effective for the treatment of the depression among the older adults with comorbid
physical illness, cognitive impairment, and disability and comorbid anxiety. CBT challenges
the self-critical or pessimistic thoughts while emphasizing over rewarding activities and
reducing the behaviour that that increases the sense of depression. The study conducted by
Brenes et al. (2015) revealed proper application of the CBT is supported by EBP for the
treatment of anxiety in older adults. Decrease in the level of anxiety and stress helps in
overcoming the sense of depression among the older adults. CBT can be delivered through
phone. This approach is effective for the rural population. Nearly 10 to 11 sessions are
mandate for obtaining positive results through CBT in depression or anxiety management. In
order to track the normal dwelling of the older adults at least 2 to 4 months of follow-ups and
important and DSM-V is used as a parameter for the measuring the outcomes. The
randomized control trial undertaken by Dear et al. (2015) showed that CBT has potential for
older adults in order to reduce depression with significant clinical improvements. The overall
approach is also cost-effective. In of community dwelling urban population internet delivered
CBT is effective. For in-patient population, face-to-face CBT is used.
Experience of the older adults in CBT (200)
Kishitav and Laidlaw (2017) stated that use of the older adults tend to prefer CBT, a
non-pharmacological interventions in comparison to the use of the anti-depressant. The CBT