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?
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.
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Supports nurse-led stepped algorithms for hypertension control in primary care; reinforces pooled RCT evidence for task-shifting.
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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