Why the study?
Hypertension is a major risk factor for heart diseases and stroke among Americans, yet only 25% have it under control nationwide.
Does a team-based care approach improve blood pressure control and disease knowledge in primary care patients with hypertension?
Does a team-based care approach improve blood pressure control and disease knowledge in primary care patients with hypertension?
A team-based care approach utilizing nurses, nurse practitioners, and unattended automated BP measurement significantly improves blood pressure control and patient disease knowledge in the primary care setting.
May support nurse-led team care for hypertension in primary care; hypothesis-generating and requires randomized confirmation.
BACKGROUND/LOCAL PROBLEM: Hypertension is a major risk factor for heart diseases and stroke among Americans; only 25% have this under control nationwide. METHODS: This quality improvement project evaluated the outcomes of team-based care in hypertension control by registered nurses and certified nurse practitioners in a primary care setting. Pre/post-data analysis of blood pressure (BP) control, and BP knowledge, was done. INTERVENTION: The team provided education and counseling based on knowledge assessment during visits and used unattended automated blood pressure measurement (uAOBPM) techniques to measure BP. RESULTS: There was a significant reduction in systolic and diastolic BP control ( P < .001). There was a statistically significant increase in disease knowledge score pre- and postintervention ( P < .001). CONCLUSION: The team-based care approach improved patients' BP control and knowledge of the disease. The uAOBPM technique could be incorporated into clinical settings for accurate BP measurements.
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V. K. Anand (2023) studied this question.
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