Key result
Nurse-led interventions using a stepped treatment algorithm reduced systolic blood pressure compared with usual care (weighted mean difference -8.2 mm Hg; 95% CI -11.5 to -4.9).
Why the study?
Do nurse led interventions improve blood pressure control compared to usual care in adults with hypertension in primary care?
Population
Adults with hypertension in primary care
Comparison
Nurse led interventions vs Usual care
Design
Meta-analysis
Authors
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Supports nurse-led stepped algorithms for hypertension control in primary care; reinforces pooled RCT evidence for task-shifting.
Meta-Analysis
Do nurse led interventions improve blood pressure control compared to usual care in adults with hypertension in primary care?
Effect estimate: WMD -8.2 mm Hg (95% CI -11.5 to -4.9)
Nurse-led interventions, particularly those involving prescribing and structured algorithms, significantly improve blood pressure control in hypertensive patients.
Clark et al. (2010) conducted a meta-analysis in hypertension. Nurse led interventions vs. usual care was evaluated on Systolic blood pressure (stepped treatment algorithm) (WMD -8.2 mm Hg, 95% CI -11.5 to -4.9). Nurse-led interventions using a stepped treatment algorithm reduced systolic blood pressure compared with usual care (weighted mean difference -8.2 mm Hg; 95% CI -11.5 to -4.9).
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