Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

10-16-2023

Graduate Advisor

Vanessa Loyd, DNP, PhD

Committee

Vanessa Loyd, DNP, PhD

Diane Saleska, DNP, RN, CHSE

Auveilia Lakine-Crocekett, MSN, RN

Abstract

Abstract

Problem: Depression is a prevailing global health issue and a typical complication of dialysis patients. This quality improvement project's purpose was to evaluate mindfulness on depression in dialysis patients, aged 18-93, who are on dialysis and participated in a mindfulness program over three months.

Methods: A descriptive, prospective, and retrospective design was used to assess depression pre- and post-implementation of a mindfulness telephone line over three months. A convenience sample of twenty adults aged 18-83 who use this hemodialysis center on Monday, Wednesday, and Friday was utilized. The Iowa Model is the framework selected to guide the implementation of this quality improvement project.

Results: A total of 20 hemodialysis patients (n=20) participated in mindfulness and had pre-and post-PHQ-2 and well-being scores analyzed. The results of pre-and post-PHQ-2 mean score were (M=.90, SD=.788) (M=.35, SD=.48. The mean of the well-being score decreased from (M=2.3) to (M=1.5). All tests were based on an alpha of 0.05. Results revealed statistical significance. Post PHQ-2 resulted in (p

Implications for Practice: Mindfulness meditation has a favorable influence on depression in dialysis patients. Telephone-based mindfulness can reduce depression and well-being scores in the dialysis population. Consistent use of mindfulness can further improve depression scores.

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