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Author

Clarice Hart

Date of Award

7-22-2020

Document Type

Thesis

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

Thesis Committee Chairperson

Janice Hobba-Glose DNS, MSN, RN

Second Reader

Jennifer Huber AGNP-BC, BSN, RN_

Abstract

This study aimed to identify the barriers and facilitators of antidepressant medication adherence in home care. Participants were invited to participate in the study via letters mailed to their homes by a care manager at the Visiting Nursing Association of Western New York. Three 30-45 minute interviews were transcribed verbatim and were analyzed using content analysis with four major barriers and facilitators emerging from the data. The major barriers were lack of provider initiative to discuss mental health, lack of established rapport with the provider, lack of education on antidepressants, and lack of provider follow up. The facilitators were perceived benefits of taking the antidepressants, an established routine to take antidepressants, an established trust in the provider, and having a positive attitude. The findings of this study serve as data that can be used by nurse practitioners and providers in practice to enhance their rapport with patients, tailor their education and interventions to this patient population, and promote the utilization of home care agencies to provide at home services to better increase continuity of care and patient contact to enhance antidepressant medication adherence.

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