Assessment of blood pressure skills and belief in clinical readings

Gulati, Martha; Peterson, Lori-Ann; Mihailidou, Anastasia S.

doi:10.1016/j.ajpc.2021.100280

Cited by 10 publications

(5 citation statements)

References 23 publications

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“…This is consistent with another study conducted among healthcare professions to determine the knowledge of blood pressure measurement skills, where one in ve persons measured blood pressure correctly. 22 It is also consistent with studies conducted among nurses which revealed irregularities in the blood pressure assessment technique at baseline evaluation which is due to the fact that there was inadequate emphasis on correct technique and lack of periodical retraining. 23 Results from our study contradict what was reported in a community based hypertension screening study performed by health extension workers and trained health professionals where high blood pressure was detected in a dependable way using an aneroid sphygmomanometer.…”

Section: Discussionsupporting

confidence: 87%

The Role of Community Health Workers in the Management of Hypertension in Nigeria

OSENI,

OLAWUMI,

SALAM

et al. 2024

Preprint

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Background Hypertension is the number one risk factor for cardiovascular death worldwide and its prevalence has been on the increase in LMICs including Nigeria. There is an increasing awareness and recognition of the contributions of the community health workers (CHWs) in the healthcare system. This study assessed their current role in the management of hypertension and patient satisfaction with the care received. Methods A mixed method study (cross-sectional study and key informant interview) across five states in different geopolitical zones of Nigeria where 381 CHWs were selected for the study using multi-stage random sampling method and 14 patients with hypertension through purposive sampling method for key informant interview (KII) to assess the level of satisfaction with services of CHWs. Chi-square test was used to assess relationship between categorical variables. A p-value ≤ 0.05 was considered statistically significant. Thematic analysis of the text data from the KII was done using Nvivo® version 12 pro. Results A total of 381 CHWs completed the study. They were predominantly males (63%) with mean age of 40.96 ± 12.51 years. Only about one-third of the CHWs (31%) could correctly diagnose hypertension while only 15% knew the base-line investigations to be requested. Being female (FE = 9.205, p = 0.008) and resident in northwest geopolitical region (χ2 = 20.920, p < 0.001) had statistically significant associations with appropriate diagnostic skills for hypertension. Being supervised by doctors is associated with appropriate knowledge of baseline investigations for hypertension (χ2 = 5.534, p = 0.019). Mostly, hypertensive patients reported positive experiences and satisfaction with the services provided by the CHWs. Conclusions Community health workers currently have critical contributions in the management of hypertension in Nigeria. Hypertensive patients generally reported satisfactory experience with CHWs managing them. The services rendered by CHWs can be improved upon by adequate supervision and training.

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Section: Discussionsupporting

confidence: 87%

The Role of Community Health Workers in the Management of Hypertension in Nigeria

OSENI,

OLAWUMI,

SALAM

et al. 2024

Preprint

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“…As a result, clinical practice is unclear and lacking in standards. The majority of guidelines advise ambulatory and athome blood pressure monitoring to confirm diagnoses outside of the clinic [4].…”

Section: Discussionmentioning

confidence: 99%

“…However, these numbers differ significantly between countries [2]. Less than 1 in 5 are estimated to have their blood pressure under effective control, which contributes to more than 10 million deaths annually [3,4]. Hypertension is a significant but avoidable risk factor for heart failure, chronic renal disease, haemorrhagic and ischemic stroke and coronary artery disease.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring

ALOTAIBI¹,

ALOTAIBI²,

ALSOMALI³

et al. 2023

fmpcr

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Background. Home blood pressure monitoring (HBPM) is a crucial part of managing and preventing complications of hypertension.Objectives. The study's objective was to evaluate adult hypertension patients' knowledge of and attitudes towards home blood pressure monitoring (HBPM). However, it is uncertain whether individuals with hypertension in Saudi Arabia monitor their blood pressure at home. Material and methods. In a cross-sectional survey, a total of 830 cases, ranging from 18 years of age and above of both genders, were selected. Patients with hypertension for more than six months were included. Data was collected by filling out the designed questionnaire. Results. Knowledge related to blood pressure (BP) measurements was moderate to high, whereas the practices of home blood pressure monitoring were not satisfactory. Our results imply that patients are informed about hypertension (HTN) in general but are less aware of specific factors associated with it, specifically their own degree of BP control. There was no statistically significant association between the age of the participants, gender, educational level, occupation, residency region and the duration of HTN compared with knowledge and level of practice; however, it was observed that participants who had sufficient average monthly income, positive family history of hypertension and patients with chronic disease(s) had significantly better knowledge and good practices. Conclusions. The knowledge of hypertensive patients related to HBPM was found to be moderate, while their practices were poor. Hypertensive patients > 60 years of age showed better practices. Both knowledge and practices were comparatively better in patients who were married, those who had a sufficient monthly income, those with a family history of HTN and those who had associated comorbidities.

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“…Accurate BPM is important in the diagnosing and managing HTN. The reliability of BPM needs education, the recognition of recommendation implementation barriers, and engagement of the entire team [ 28 ]. Releasing staff from practice to present classroom teaching or arranging their release and fitting training according to their shifts is difficult.…”

Section: Discussionmentioning

confidence: 99%

Effects of an educational program using a virtual social network on nurses’ knowledge and performance of blood pressure measurement: a randomized controlled trial

Elzeky

Shahine

2022

BMC Nurs

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Background Hypertension diagnosis, treatment, and follow-up depend on accurate blood pressure measurement; however, inaccurate measurement techniques are common among healthcare providers. To improve professional performance, continuous education is necessary. Distance education through virtual social network can be used as it is easy to use and accessible. Methods This study adopted a randomized controlled trial design and was conducted at two hospitals in Mansoura, Egypt. The subjects were selected from two hospitals using Stratified random sampling method in proportion to the total number of nurses. Seventy nurses were included in this study and were randomly divided into the intervention (n = 35) and control (n = 35) groups using block randomization. Data were gathered before and after intervention using a blood pressure measurement knowledge questionnaire and a blood pressure measurement observation checklist. The blood pressure measurement error (the difference between the BP determined by each observer and the reference BP) was calculated for the randomly selected recordings in both groups. The intervention group received 24 blood pressure measurement education sessions using WhatsApp, while the control group received only routine education using traditional lecture. Results No statistically significant differences in pretest knowledge scores, performance scores, and range of error were found between both groups, whereas, after intervention, knowledge scores were higher in the intervention group than those in the control group (p < 0.001). The range of error of systolic and diastolic blood pressure values significantly reduced after the intervention in the intervention group, and the posttest performance scores were higher than the pretest performance scores; however, the difference was not statistically significant. Conclusions The blood pressure measurement education program via WhatsApp was effective in increasing nurses’ knowledge and reducing the range of error; however, a multimodal approach may be required to improve performance scores. Trial registration Prospectively registered with ClinicalTrials.gov on 09/03/2021; registration number NCT04789642.

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Assessment of blood pressure skills and belief in clinical readings

Cited by 10 publications

References 23 publications

The Role of Community Health Workers in the Management of Hypertension in Nigeria

The Role of Community Health Workers in the Management of Hypertension in Nigeria

Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring

Effects of an educational program using a virtual social network on nurses’ knowledge and performance of blood pressure measurement: a randomized controlled trial

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