title: A Qualitative Evaluation of an Inpatient Nursing Intervention for Depressed Elderly: The Systematic Activation Method.
abstract: OBJECTIVE
  This article describes the evaluation of the implementation of a nursing intervention, that is, the Systematic Activation Method (SAM), among inpatients with late life depression (LLD).
  
  
  METHODS
  A qualitative study in four clinical units for old age psychiatry.
  
  
  RESULTS
  We identified facilitators and barriers relating to patient and nurse characteristics, as well as to contextual factors, from the perspective of mental health nurses. The nature of the LLD and the quality of the therapeutic relationship were major aspects that affected the implementation of the SAM.
  
  
  CONCLUSIONS
  Given the complexity of the implementation process, careful supervision and monitoring, with the active participation of management and the multidisciplinary team, are necessary.
authors.affiliation: Frans Clignet, MSc, RN, CNS, is in Faculty of Behavioural and Movement Sciences, Section of Clinical Psychology, VU Amsterdam, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research, VU University Medical Center, Amsterdam, The Netherlands.|Altrecht, Institute for Mental Health Care, Old Age Psychiatry, Den Dolder, The Netherlands.|Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands.
authors.forename: Frans
authors.initials: F
authors.lastname: Clignet
authors.affiliation: Berno van Meijel, PhD, RN, is in Research, Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands.|Parnassia Psychiatric Institute, The Hague, The Netherlands.|Department of Psychiatry, VU Amsterdam Medical Center, Amsterdam, The Netherlands.
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
authors.affiliation: Annemieke van Straten, PhD, is in Faculty of Behavioural and Movement Sciences, Section of Clinical Psychology, VU Amsterdam, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research, VU University Medical Center, Amsterdam, The Netherlands.|Department of Psychiatry, VU Amsterdam Medical Center, Amsterdam, The Netherlands.
authors.forename: Annemieke
authors.initials: A
authors.lastname: van Straten
authors.affiliation: and Pim Cuijpers, PhD, is in Faculty of Behavioural and Movement Sciences, Section of Clinical Psychology, VU Amsterdam, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Pim
authors.initials: P
authors.lastname: Cuijpers
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D011568:Psychiatric Nursing / Q000379:methods*; D036301:Qualitative Research
keywords: Barriers; facilitators; implementation; mental health nursing