How to write a nursing Recommendations for Primary Care Practice (Essay)

How to write a nursing Recommendations for Primary Care Practice (Essay)

Depression is the most common psychiatric disorder observed among the general population and the most frequently treated mental health illness by primary care providers (Williams et al., 2018). Detection of depression can be difficult both in children and adults because most people fail to directly discuss their symptoms. Because of the increased prevalence of the condition, the US Preventive Services Task Force (USPSTF) provides preventive care recommendations for depression among adults.

The USPSTF recognizes depression as the leading cause of disability in persons 15 years and older including postpartum and pregnant women (Maurer et al., 2018). In their final recommendation, primary care providers should screen for depression in the general adult population, including pregnant and postpartum women (Siu et al., 2016). Additionally, healthcare organizations should have adequate systems to ensure effective diagnosis, treatment, and follow-up. This recommendation is classified as grade B representing moderate to high certainty that the net benefit is moderate to substantial.

The recommendation on screening for depression among adults is based on a systematic evidence review by the USPSTF. The task force analyzed evidence on the accuracy of screening tests and the effectiveness of screening and treatment before making the recommendations. Most of the literature used in their review involved randomized control trial studies with several systematic reviews used to inform their decisions (Siu et al., 2016). Good quality observational studies and recommendations from other organizations like AHRQ and the American College of Preventive Medicine also informed the USPSTF’s final recommendation.


Maurer, D. M., Raymond, T. J., & Davis, B. N. (2018). Depression: Screening and Diagnosis. American Family Physician98(8), 508–515.

Siu, A. L., US Preventive Services Task Force (USPSTF), Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., García, F. A., Gillman, M., Herzstein, J., Kemper, A. R., Krist, A. H., Kurth, A. E., Owens, D. K., Phillips, W. R., Phipps, M. G., & Pignone, M. P. (2016). Screening for depression in adults: US Preventive Services Task Force recommendation statement. JAMA315(4), 380–387.

Williams, J., Nieuwsma, J., Elmore, J. G., Roy-Byrne, P. P., & Melin, J. A. (2018). Screening for depression in adults. UpToDate (pristupljeno 20.4. 2017.).

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