The second educational session began with a debriefing session. The nurses were asked about their experiences in implementing the depression screening. When instructors encouraged the group to problem solve and discuss alternative strategies in approaching and conducting depression screening, they were confronted with a variety of reasons why nurses were hesitant to conduct depression screening. A common concern that nurses voiced was that, “I am not a psychiatric nurse, so how can I perform depression screening?” Nurses also expressed concern about upsetting patients and families when discussing mental health concerns and consequently often relied solely on observation rather than direct questioning. When this concern was voiced, it was attempted to elicit nurse experiences from the group in which patients felt comforted and cared for when asked questions about mental health in a sensitive manner, as opposed to becoming upset. This approach fostered social reinforcement and support among the nurses in asking directly about symptoms. E-mail reminders were provided 4 and 8 months after the training. These brief reminders focused on the importance of identification (reminder 1) and the value of adequate depression treatment (reminder 2). Content for these reminders was taken directly from the training program.