ArticleScandinavian journal of primary health care2011
Treatment decisions on antidepressants in nursing homes: a qualitative study.
Article in Scandinavian journal of primary health care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Discontinuing antidepressant medication: a qualitative evidence synthesis and logic model based on health professionals' views.BMC health services research · 2025Pooled it
- Stakeholders' views on the use of psychotropic medication in older people: a systematic review.Age and ageing · 2022Pooled it
- Health care professionals' attitudes towards deprescribing in older patients with limited life expectancy: A systematic review.British journal of clinical pharmacology · 2019Pooled it
- Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Pooled it
- Efficacy and Safety of Analgesic Treatment for Depression in People with Advanced Dementia: Randomised, Multicentre, Double-Blind, Placebo-Controlled Trial (DEP.PAIN.DEM).Drugs & aging · 2018Trial
- The External Validation of the Nursing Homes Short Depression Inventory in Older Adults with Major Neurocognitive Disorders in Long-Term Care Centers.Dementia and geriatric cognitive disorders · 2023Article
- General practitioners' perspectives on discontinuation of long-term antidepressants in nursing homes.The European journal of general practice · 2022Article
- 'Never change a winning team': GPs' perspectives on discontinuation of long-term antidepressants.Scandinavian journal of primary health care · 2021Article
- Health professionals' experience of nursing home residents' consumption of alcohol and use of psychotropic drugs.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Variation between nursing homes in drug use and in drug-related problems.BMC geriatrics · 2020Article
- Helping people discontinue long-term antidepressants: views of health professionals in UK primary care.BMJ open · 2019Article
- Article
- Small-scale implementation with pragmatic process evaluation: a model developed in primary health care.BMC family practice · 2018Article
- Drug-related problems and changes in drug utilization after medication reviews in nursing homes in Oslo, Norway.Scandinavian journal of primary health care · 2017Observational
- Resourse Use and Disease Couse in dementia - Nursing Home (REDIC-NH), a longitudinal cohort study; design and patient characteristics at admission to Norwegian nursing homes.BMC health services research · 2017Article
- Article
- "It is meaningful; I feel that I can make a difference" -A qualitative study about GPs' experiences of work at nursing homes in Sweden.BMC family practice · 2015Article
- Residents' perceptions of their own sadness--a qualitative study in Norwegian nursing homes.BMC geriatrics · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore decision-making on treatment with antidepressants among doctors and nurses in nursing homes. DESIGN AND SUBJECTS: A qualitative study based on interviews with three focus groups comprising eight physicians engaged full time, eight physicians engaged part time, and eight registered nurses, respectively. The interview guide comprised questions on initiating, evaluating, and withdrawing treatment with antidepressants. The interviews were audio-recorded, transcribed, and analysed by systematic text condensation.
resultsThe first theme was the diagnostic process. The informants expressed difficulty in differentiating between depression and sorrow resulting from loss in old age. Further, the doctors reported that they relied on nurses' observations and rarely carried out systematic diagnostic work and follow-up of patients with depression. The second theme was treatment. Antidepressants were usually the only type of treatment provided, and patients were kept on medication even though staff felt uncertain whether this was effective. The third theme was who really determines the treatment. Registered nurses reported that unskilled and auxiliary nursing staff requested drug treatment, and doctors felt some pressure from the nurses to prescribe antidepressants.
conclusionsThis study suggests that the quality of diagnosis and treatment for depression in nursing homes needs to be improved in Norway. Doctors should be more available and take responsibility and leadership in medical decisions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.