Improving blood pressure control in primary care: The ImPress study

Stephen, Catherine; Halcomb, Elizabeth; McInnes, Susan; Batterham, Marijka; Zwar, Nicholas

doi:10.1016/j.ijnurstu.2019.03.019

Cited by 10 publications

(9 citation statements)

References 37 publications

(47 reference statements)

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“…Moreover, an earlier New Zealand study recommended intensified community monitoring and strengthened public health measures to address the increasing blood pressure of New Zealand populations (McLean et al., 2013). Our study results are similar to the findings of a meta‐analysis and previous studies on effects of interventions for hypertension, where a significant effective control of blood pressure was noted with services provided from nurse‐led clinics compared to usual care within the primary health care settings (Clark et al., 2010; Stephen et al., 2019). The added contribution of our analysis is that data was obtained from a country representative population and trends were analyzed in a 5‐year period rather than individual studies undertaken in different settings.…”

Section: Discussionsupporting

confidence: 90%

Nurse visit utilization and blood pressure control: A multi‐cohort study in New Zealand

Montayre

Liu

Calma

et al. 2022

Public Health Nursing

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Objective This study aimed to retrospectively examine the contribution of nurses to population health outcomes with reference to nurse visits and blood pressure measurement in primary health settings. Design A retrospective study was conducted using New Zealand Health Survey (NZHS) from 2012 to 2017. Sample Adult population who are 18 years old and over living in New Zealand. Measurements Age, gender, and ethnicity, the service utilization of primary health care nurse visit and blood pressure measurement were extracted from the NZHS (2012–2017) to compare with the service utilization of primary health care nurses by different demographic groups. Results Females who have treated hypertension shows higher utilization of nurse visit than males. From 2015 to 2017, the participants in this cohort have visited a primary health care nurse at least more than once within a year. With blood pressure control, the overall pooled results show the impact of visiting primary health nurses on systolic and diastolic blood pressure control. Conclusion Our study at a national scale, demonstrated the impact of nurse's contribution to population health outcomes among people living with hypertension in New Zealand. Nurses are key to improving population health outcomes and to achieve universal health coverage.

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Section: Discussionsupporting

confidence: 90%

Nurse visit utilization and blood pressure control: A multi‐cohort study in New Zealand

Montayre

Liu

Calma

et al. 2022

Public Health Nursing

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“…Lifestyle risk factors, such as smoking, poor diet, limited physical activity, and excessive alcohol intake, often play a significant role in increasing CVD risk (World Health Organisation 2017). These risks are often easily identified in routine health screening by general practitioners and general practice nurses (James et al 2019;Stephen et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Middle-aged Australians’ perceptions of support to reduce lifestyle risk factors: a qualitative study

Ashley

Halcomb

McInnes

et al. 2020

Aust. J. Prim. Health

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Increasingly, middle-aged people are demonstrating lifestyle risk factors that increase their risk of developing chronic disease. Reducing lifestyle risk in middle age can significantly reduce future morbidity and mortality and improve quality of life. Understanding peoples’ perceptions of health support is important to inform health professionals and policymakers regarding strategies to support lifestyle risk reduction. This paper seeks to explore middle-aged Australians’ perceptions of support for lifestyle risk reduction. Thirty-four middle-aged Australians were interviewed using a semi-structured interview schedule. Interviews were audio-recorded, transcribed and analysed using thematic analysis. The overarching theme ‘support for healthy lifestyles’ comprised three subthemes. ‘Engagement with general practice’ highlighted gender differences in why people attend and what impacts their access to general practice. ‘Providing information’ emphasised participants’ experiences of lifestyle risk communication in general practice. Finally, ‘Sources of support’ revealed participants’ current health advice-seeking behaviours. Findings highlight a need for general practices to better engage middle-aged people in behaviour change and educate them about the role of general practice in prevention and health promotion. Consistent messaging across the community and strategies that focus on gender-specific concerns are likely to ensure that middle-aged people are able to make informed choices about seeking support for lifestyle risk reduction.

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“…Care for chronic diseases, including hypertension, requires coordinated interprofessional care that involves multiple health industry team members. Collaborative models involving physicians, pharmacists, and nurses are feasible and promising with respect to proper design and coverage for all BP control determinants [ 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review

Elnaem

Mosaad²,

Abdelaziz

et al. 2022

IJERPH

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Controlling hypertension (HTN) remains a challenge, as it is affected by various factors in different settings. This study aimed to describe the disparities in the prevalence and barriers to hypertension control across countries of various income categories. Three scholarly databases—ScienceDirect, PubMed, and Google Scholar—were systematically examined using predefined search terms to identify potentially relevant studies. Original research articles published in English between 2011 and 2022 that reported the prevalence and barriers to HTN control were included. A total of 33 studies were included in this systematic review. Twenty-three studies were conducted in low and middle-income countries (LMIC), and ten studies were from high-income countries (HIC). The prevalence of hypertension control in the LMIC and HIC studies ranged from (3.8% to 50.4%) to (36.3% to 69.6%), respectively. Concerning barriers to hypertension control, patient-related barriers were the most frequently reported (n = 20), followed by medication adherence barriers (n = 10), lifestyle-related barriers (n = 8), barriers related to the affordability and accessibility of care (n = 8), awareness-related barriers (n = 7), and, finally, barriers related to prescribed pharmacotherapy (n = 6). A combination of more than one category of barriers was frequently encountered, with 59 barriers reported overall across the 33 studies. This work reported disparities in hypertension control and barriers across studies conducted in LMIC and HIC. Recognizing the multifactorial nature of the barriers to hypertension control, particularly in LMIC, is crucial in designing and implementing customized interventions.

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Improving blood pressure control in primary care: The ImPress study

Cited by 10 publications

References 37 publications

Nurse visit utilization and blood pressure control: A multi‐cohort study in New Zealand

Nurse visit utilization and blood pressure control: A multi‐cohort study in New Zealand

Middle-aged Australians’ perceptions of support to reduce lifestyle risk factors: a qualitative study

Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review

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