Doctors record higher blood pressures than nurses: systematic review and meta-analysis

Why are doctors still measuring blood pressure?

“…The difference in magnitude of the alerting rise in blood pressure induced by doctors and nurses also has implications for studies evaluating relative efficacy of nurseled hypertension care, and, as suggested, calls into question at least some of the improvements attributed to nurse-led care. 2 In research using databases such as the Clinical Practice Research Datalink or QResearch ® , differentiation of recorded blood pressure on the basis of the professional making that measurement is difficult. This could explain at least in part the reduced prognostic ability of blood pressure for subsequent cardiovascular disease in QRISK ® compared to epidemiological or trials based data; if the blood pressures combined in the algorithm were partly doctor-and partly nurse-based.…”

Communicating risk

“…Harmsen et al 's interesting paper 1 on risk communication relates closely to work published 13 years ago in this journal. Misselbrook and Armstrong 2 used a hypothetical scenario to look at the effect of giving patients the same statistical information in different ways: 75% said they would accept medication if given the absolute risk reduction, whereas only 44% would if given a 'personal probability of benefit model'.…”

“…1 In our trial, patients were randomised into a 'trainee' group (n = 133) and a 'no trainee' (n = 129) group. The blood pressure was measured at two subsequent contacts.…”

The Effects of Two Lubricating Products In Elderly Individuals - A Pilot Study

“…Possibly sympathetic innervation also must be taken into account. It may have influenced the results when participants were nervous of the first test and then become more comfortable [21]. Salivary glands are affected both by sympathetic and parasympathetic innervation, therefore resting saliva and stimulated saliva varies [22].…”