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nursing research
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A national survey of GP and nurse attitudes and beliefs towards depression after myocardial infarction
Joanne Haws, Janet Ramjeet and Richard Gray 2011 2011 Blackwell Publishing Ltd, Journal of Clinical Nursing, 20, 3215–3223
Aim--- to investigate attitudes to depression after myocardial iunfraction
Background. Depression after myocardial infarction affects almost half of all patients and has a considerable negative effect on recovery. Despite the increased prevalence of depression in this population, it is often not recognised or treated.
Results---Diagnosing depression was perceived as complex by both groups but significantly more so by nurses. We observed that training seems to have a significant effect on reported practice. Practitioners who reported that they had recent training in the management of depression were significantly more accurate in their estimate of how common depressionwas in this population.
Conclusion. Depression may be underdiagnosed in this population because primary care practitioners, especially nurses, are not aware of how common the disorder is and lack competence in diagnosis. There is merit in developing and testing a brief training intervention to ensure competence in depression screening and treatment in post-myocardial infarction patients.
Relevance to clinical practice. Diagnosing depression in post-myocardial infarction patients is perceived by nurses as complex but training in the management of depression is seen as helping practice.

Support
Lack of supportive recourses can have serious implications for patient care and treatment.
........stated that nurses did not feel supported by management and the ward environment was not appropriate for psychiatric patients.

A similar study by Happell et al (2009) discovered that nurses need the support of management and colleagues. Nurses in this study felt unsafe on the unit because of lack of facilities and institutional resources to address client needs

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