ORCID Identifier(s)

0009-0002-3350-3176

Graduation Semester and Year

Spring 2026

Language

English

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Tiffany Trent

Second Advisor

Dr. Cathy Brown

Abstract

There is currently a gap in accurate screening and treatment of anxiety in Long-Term Care (LTC) nursing facilities. The question for this quality improvement project was: Will implementing interventions for long-term care residents aged 65 and older improve anxiety screening, non-pharmacological interventions, and mental health referrals by 10% compared to current practices? Interventions to enhance anxiety screening included the Geriatric Anxiety Scale-Long Term Care (GAS-LTC) tool to assess and score anxiety. In addition, a Non-Pharmacological Intervention (Non-PI) tool was created to evaluate interventions performed by facility staff. Referrals to the mental health care provider were submitted if a resident scored above 5 on the GAS-LTC. The project found that the number of referrals increased 48% compared to the previous year. Non-PIs could not be compared due to a lack of previous documentation. However, there were secondary statistically significant findings.

Keywords

Anxiety, Geriatric, Older Adult, Long Term Care, Facility, Mental Health, Nursing, Screening, GAS-LTC, Non-Pharmacological, DNP, Project

Disciplines

Community Health | Geriatrics | Primary Care | Psychiatric and Mental Health

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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