Risk factors for hypertension are becoming increasingly prevalent. Currently, there is no standardized community-based program for hypertension widely implemented in the Philippines. Health Education and Lifestyle Program for Hypertension is a ten-week health education program that aims to improve the blood pressure in hypertensive patients. This community-based intervention discusses five key health strategies like hypertension awareness, medication regimen, dietary regimen, healthy lifestyles, and stress management. This quasi-experimental study includes 128 hypertensive patients (64 in control and 64 in intervention groups). It utilized IBM SPSS 5.0 to statistically compute for mean, standard deviation, ttest independent samples and t-test paired sample. The study findings revealed that the post-systolic and diastolic blood pressure of the intervention group were 124.67 and 82.00 mmHg, respectively. Paired t-test yielded a significant difference in pre-and post-systolic (t=5.28, p=<.001) and pre-and post-diastolic (t=3.59, p=0.003) BP of the intervention group before and after the Health Education and Lifestyle Program. Lastly, t-test for independent samples revealed a statistically significant difference (t=2.32, p=0.028) in the post-diastolic blood pressure readings of control and intervention groups after the implementation of the program. The study implied that program for hypertension was effective in improving blood pressure in hypertensive patients. Thus, compliance with the medication regimen, dietary regimen, healthy lifestyles, and stress reduction strategies can help control blood pressure among hypertensive patients. A health education program that provides emphasis on patient's health and lifestyle behavior teaching is a successful intervention in reducing the blood pressure in hypertensive individuals.
Limited studies have reported about student nurses' level of competencies in performing leadership and management functions during their practicum and nursing internship in clinical areas. Also, safe and quality nursing practice is a major concern in clinical nursing practice settings. The aim of this study is to determine the relationship between the competencies of student nurses in performing leadership and management functions and their level of compliance to key performance indicators (KPIs) for patient safety outcomes at a private university in Nakhon Pathom, Thailand. This descriptive-correlational study includes 450 final-year students pursuing Bachelor of Nursing Science degrees (both Thai and International Programs) and are currently enrolled in nursing leadership and management courses, as well as professional nursing externship programs in a private university in Nakhon Pathom, Thailand. The findings of this study indicated that most of the Thai student nurses are competent (x̅ =3.23, SD±0.66) in performing nursing leadership and management functions. Moreover, the majority of student nurses demonstrated a moderate level of performance (x̅ =2.62, SD±0.96) of patient safety outcomes. Pearson correlation coefficient revealed a relatively high positive correlation between nursing leadership and management competencies and key performance indicators (KPIs) of patient safety outcomes among the respondents (r=0.96; p=0.000) at a significant level of 01. Further, these findings support the results of other previous studies indicating the level of competence of student nurses in performing nursing leadership and management functions. However, they contradict previous findings in which student nurses demonstrated a moderate level of performance to patient safety outcomes. Therefore, nursing schools must provide education, teaching, and training related to nursing leadership and management to student nurses as a way of preparing them to be competent to perform future nursing leadership roles.
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