"Jumping on the Blood Pressure Bandwagon": Nurse, GP, and Patient Perspectives of a General Practice Nurse-Led Hypertension Management Intervention.
hypertension
nursing
primary care
qualitative study
Journal
Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857
Informations de publication
Date de publication:
Dec 2024
Dec 2024
Historique:
revised:
03
09
2024
received:
28
03
2024
accepted:
10
09
2024
medline:
3
10
2024
pubmed:
3
10
2024
entrez:
3
10
2024
Statut:
ppublish
Résumé
To explore the perceptions and experiences of general practice nurses, general practitioners, and patients who participated in a nurse-led intervention to improve blood pressure control. Given the impact of hypertension on rates of premature death and disability, it is important that interventions be evaluated to reduce blood pressure. A key component of such evaluation is understanding the experiences of participants and clinicians. Understanding these experiences can provide insight into acceptability and feasibility that informs future research and implementation. Qualitative descriptive study within a mixed methods project. Semi-structured interviews were conducted post-intervention with six patients, five nurses, and three general practitioners. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis. The COREQ checklist guided reporting. Three themes around the need for change, navigating change, and sustaining change were revealed. In highlighting the need for change, participants recognized that it was time to actively work toward improved blood pressure control. In navigating change, general practice nurses were perceived as ideally placed to communicate risks around uncontrolled blood pressure and support lifestyle change. The final theme, sustaining change revealed the feasibility of the intervention in practice, however, clinician participants identified that appropriate funding is required to ensure sustainability. Nurse-led intervention to improve blood pressure control in general practice is feasible in practice and acceptable to patients. This highlights an opportunity for nurses to play a more proactive role in hypertension management within general practice. To ensure sustainability, however, issues such as funding, teamwork, and collaboration need to be addressed. Trial Registration: Australian and New Zealand Clinical Trials Registry: ACTRN12618000169246.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13166Informations de copyright
© 2024 The Author(s). Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.
Références
Ashley, C., E. Halcomb, S. James, et al. 2022. “The Impact of COVID‐19 on the Delivery of Care by Australian Primary Health Care Nurses.” Health & Social Care in the Community 30: e2670–e2677.
Australian Medical Association. 2021. “Primary Health Care—2021: AMA Position Statement, Barton, ACT.” https://www.ama.com.au/sites/default/files/2021‐09/Primary%20Health%20Care%20‐%202021%20‐%20Final_0.pdf.
Braun, V., and V. Clarke. 2022. “Conceptual and Design Thinking for Thematic Analysis.” Qualitative Psychology 9: 3.
Britt, H., G. C. Miller, J. Henderson, et al. 2015. “General Practice Activity in Australia 2014–15.” General Practice Series no. 38. Sydney University Press, Sydney, NSW.
Bulto, L. N., J. Roseleur, S. Noonan, et al. 2023. “Effectiveness of Nurse‐Led Interventions Versus Usual Care to Manage Hypertension and Lifestyle Behaviour: A Systematic Review and Meta‐Analysis.” European Journal of Cardiovascular Nursing 23: 21–32.
Calma, K. R. B., A. Williams, S. McInnes, and E. Halcomb. 2021. “New Graduate Employment in General Practice: Perceptions of Final‐Year Nursing Students.” Nurse Education in Practice 54: 103115.
Carnagarin, R., J. Yang, S. Critchley, et al. 2021. “May Measurement Month 2019: An Analysis of Blood Pressure Screening Results From Australia.” European Heart Journal Supplements 23: B18–B20.
Crowe, M., V. Jones, M.‐A. Stone, and G. Coe. 2019. “The Clinical Effectiveness of Nursing Models of Diabetes Care: A Synthesis of the Evidence.” International Journal of Nursing Studies 93: 119–128.
Davis, K. M., M. C. Eckert, A. Hutchinson, et al. 2021. “Effectiveness of Nurse‐Led Services for People With Chronic Disease in Achieving an Outcome of Continuity of Care at the Primary–Secondary Healthcare Interface: A Quantitative Systematic Review.” International Journal of Nursing Studies 121: 103986.
Department of Health. 2022. Future Focused Primary Health Care: Australia's Primary Health Care 10 Year Plan 2022–2032. Canberra, ACT: Australian Government.
Fox, M. N., J. M. Dickson, P. Burch, D. Hind, and O. Hawksworth. 2024. “Delivering Relational Continuity of Care in UK General Practice: A Scoping Review.” BJGP Open 8.
Gavino, A., V. Isaac, and C. McLachlan. 2018. “Hypertension Status and Associations With Self‐Rated Health and General Practitioner Health Seeking in a Rural Australian Cohort.” Journal of Cardiovascular Development and Disease 5: 53.
Grant, A., J. Kontak, E. Jeffers, et al. 2024. “Barriers and Enablers to Implementing Interprofessional Primary Care Teams: A Narrative Review of the Literature Using the Consolidated Framework for Implementation Research.” BMC Primary Care 25: 25.
Grauman, Å., J. Veldwijk, S. James, M. Hansson, and L. Byberg. 2021. “Good General Health and Lack of Family History Influence the Underestimation of Cardiovascular Risk: A Cross‐Sectional Study.” European Journal of Cardiovascular Nursing 20: 676–683.
Halcomb, E., and C. Ashley. 2019. “Are Australian General Practice Nurses Underutilised? An Examination of Current Roles and Task Satisfaction.” Collegian 26: 522–527.
Halcomb, E., S. Bird, S. McInnes, C. Ashley, and K. Huckel. 2021. “Exploring Job Satisfaction and Turnover Intentions Among General Practice Nurses in an Australian Primary Health Network.” Journal of Nursing Management 29: 943–952.
Halcomb, E., R. Fernandez, R. Mursa, et al. 2022. “Mental Health, Safety and Support During COVID‐19: A Cross‐Sectional Study of Primary Health Care Nurses.” Journal of Nursing Management 30: 393–402.
Halcomb, E., S. McInnes, A. Williams, et al. 2020. “The Experiences of Primary Health Care Nurses During the COVID‐19 Pandemic in Australia.” Journal of Nursing Scholarship 52: 553–563.
Halcomb, E., C. Thompson, D. Morris, et al. 2023. “Impacts of the 2019/20 Bushfires and COVID‐19 Pandemic on the Physical and Mental Health of Older Australians: A Cross‐Sectional Survey.” Family Practice 40: 449–457.
Hird, T. R., E. Zomer, A. J. Owen, D. J. Magliano, D. Liew, and Z. Ademi. 2019. “Productivity Burden of Hypertension in Australia.” Hypertension 73: 777–784.
James, S., E. Halcomb, J. Desborough, and S. McInnes. 2019. “Lifestyle Risk Communication by General Practice Nurses: An Integrative Literature Review.” Collegian 26: 183–193.
Kappes, M., P. Espinoza, V. Jara, and A. Hall. 2023. “Nurse‐Led Telehealth Intervention Effectiveness on Reducing Hypertension: A Systematic Review.” BMC Nursing 22: 19.
Lincoln, Y. S., and E. G. Guba. 1985. Naturalistic Inquiry, c1985. Beverly Hills, California: Sage Publications.
Lukewich, J., R. Martin‐Misener, A. A. Norful, et al. 2022. “Effectiveness of Registered Nurses on Patient Outcomes in Primary Care: A Systematic Review.” BMC Health Services Research 22: 740.
Lumivero. 2018. “NVivo Version 12.” www.lumivero.com.
McInnes, S., K. Peters, A. Bonney, and E. Halcomb. 2015. “An Integrative Review of Facilitators and Barriers Influencing Collaboration and Teamwork Between General Practitioners and Nurses Working in General Practice.” Journal of Advanced Nursing 71: 1973–1985.
McInnes, S., K. Peters, A. Bonney, and E. Halcomb. 2017a. “The Influence of Funding Models on Collaboration in Australian General Practice.” Australian Journal of Primary Health 23: 31–36.
McInnes, S., K. Peters, A. Bonney, and E. Halcomb. 2017b. “Understanding Collaboration in General Practice.” Family Practice 34: 621–626.
Mills, K. T., J. D. Bundy, T. N. Kelly, et al. 2016. “Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population‐Based Studies From 90 Countries.” Circulation 134: 441–450.
Mills, K. T., A. Stefanescu, and J. He. 2020. “The Global Epidemiology of Hypertension.” Nature Reviews Nephrology 16: 223–237.
Morris, M., E. Halcomb, Y. Mansourian, and M. Bernoth. 2022. “Understanding How General Practice Nurses Support Adult Lifestyle Risk Reduction: An Integrative Review.” Journal of Advanced Nursing 78: 3517–3530.
National Heart Foundation of Australia. 2016. Guideline for the Diagnosis and Management of Hypertention in Adults—2016. Melbourne: National Hearth Foundation of Australia.
Roseleur, J., D. A. Gonzalez‐Chica, G. Harvey, N. P. Stocks, and J. Karnon. 2023. “The Cost of Uncontrolled Blood Pressure in Australian General Practice: A Modelling Study Using Electronic Health Records (MedicineInsight).” PharmacoEconomics 41: 573–587.
Sandelowski, M. 2010. “What's in a Name? Qualitative Description Revisited.” Research in Nursing & Health 33: 77–84.
Schutte, A. E., R. Webster, G. Jennings, and M. P. Schlaich. 2022. “Uncontrolled Blood Pressure in Australia: A Call to Action.” Medical Journal of Australia 216: 61–63.
Stephen, C., E. Halcomb, R. Fernandez, S. McInnes, M. Batterham, and N. Zwar. 2022. “Nurse‐Led Interventions to Manage Hypertension in General Practice: A Systematic Review and Meta‐Analysis.” Journal of Advanced Nursing 78: 1281–1293.
Stephen, C., E. Halcomb, S. McInnes, M. Batterham, and N. Zwar. 2019. “Improving Blood Pressure Control in Primary Care: The ImPress Study.” International Journal of Nursing Studies 95: 28–33.
Stephen, C., S. McInnes, and E. Halcomb. 2018. “The Feasibility and Acceptability of Nurse‐Led Chronic Disease Management Interventions in Primary Care: An Integrative Review.” Journal of Advanced Nursing 74: 279–288.
Stephen, C., N. Zwar, M. Batterham, and E. Halcomb. 2024. “Jumping on the Blood Pressure Bandwagon: Nurse, GP and Patient Perspectives of a General Practice Nurse‐Led Hypertension Management Intervention.” Submitted to Nursing and Health Sciences.
Vörös, K., B. Márkus, C. Hargittay, O. Sisak, and L. Kalabay. 2018. “Perceived Cardiovascular Risk and Attitude Towards Lifestyle Change.” Family Practice 35: 712–717.
Zhou, B., R. M. Carrillo‐Larco, G. Danaei, et al. 2021. “Worldwide Trends in Hypertension Prevalence and Progress in Treatment and Control From 1990 to 2019: A Pooled Analysis of 1201 Population‐Representative Studies With 104 Million Participants.” Lancet 398: 957–980.
Zwar, N., O. Hermiz, E. Halcomb, P. Davidson, and T. Bodenheimer. 2017. “Improving Blood Pressure Control in General Practice: A Pilot Study of the ImPress Intervention.” Australian Family Physician 46: 306–311.