Aims and Objectives
To determine the effectiveness of a community‐based health programme grounded on the PRECEDE‐PROCEED model, on the knowledge, adherence and blood pressure control of community‐dwelling adults with hypertension.
Background
Hypertension has consistently been a leading cause of morbidity and mortality in different countries and has continuously increased in prevalence. Albeit manageable with lifestyle modification and anti‐hypertensive medications, adequate knowledge and poor adherence to these treatment regimens are issues that have led to poor blood pressure control.
Design
Quasi‐experimental, one‐group pretest–post‐test design.
Methods
The PRECEDE‐PROCEED model was used to develop and evaluate the effectiveness of the community‐based health programme. From August to October 2017, a total of 50 community‐dwelling adults with hypertension participated in the programme which included blood pressure monitoring, targeted health educations, motivational interviews, individualised lifestyle modification plans and house‐to‐house visits. Knowledge, adherence and blood pressure were assessed at the start and at the end of the 2‐month programme. Gathered data were analysed using descriptive statistics and RM‐MANOVA. The TREND checklist was followed in reporting this study (See Appendix S1).
Results
After 2 months, the mean adherence, systolic blood pressure and diastolic blood pressure significantly improved, attributing more than 25% of the change. Although knowledge scores were significantly higher after the programme, it only accounted 9% of the improvement.
Conclusion
This study provides evidence on the effectiveness of a community‐based health programme grounded on the PRECEDE‐PROCEED model on the knowledge, adherence and blood pressure control of community‐dwelling adults with hypertension.
Relevance to Clinical Practice
The community‐based health programme is beneficial to community‐dwelling adults with hypertension in promoting knowledge and adherence to treatment regimen and improving BP control. This study also provides a framework for developing new or enhancing existing programmes on hypertension in the Philippines.
Aims and objectives
To determine the prevalence and to identify the occupational determinants of compassion satisfaction and compassion fatigue among general medical–surgical registered nurses.
Background
Compassion fatigue and compassion satisfaction are caring concepts that have been explored among nurses in specialised hospital units. However, there is paucity of studies exploring the occupational determinants among general medical–surgical registered nurses.
Design
Cross‐sectional.
Methods
From August–November 2017, 121 consecutively selected general medical–surgical registered Nurses from five hospitals completed a four‐part survey packet composed of the participant information sheet, the Professional Quality of Life Version 5, the McCloskey‐Mueller Satisfaction Scale and the Eden Warmth Survey—Employee Questionnaire. Stepwise‐forward multiple linear regression was employed to identify the occupational determinants of compassion fatigue and compassion satisfaction. The STROBE checklist was followed in reporting this study (see Appendix S1).
Results
The prevalence of moderate to high levels of compassion satisfaction was 90.09% while burnout and secondary stress, the facets of compassion fatigue, had a prevalence of 74.38% and 83.47%, respectively. Among the identified occupational determinants, only job satisfaction and nurse colleague relationship positively influenced compassion satisfaction. In contrary, although higher monthly income positively influenced both dimensions of compassion fatigue, nurse colleague relationship had the strongest negative effect.
Conclusion
Among the occupational determinants of compassion fatigue and compassion satisfaction, nurse colleague relationship had the strongest influence. This result highlights the importance of positive nurse colleague relationships and paves way for the development and initiation of appropriate strategies.
Relevance to clinical practice
The findings of this study paves way for the development of institutional policies and individualised programmes geared towards building rapport and communication among registered nurses assigned in general medical–surgical units. Likewise, the high prevalence of compassion fatigue needs further exploration to develop appropriate measures to mitigate its development among general medical–surgical nurses.
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