2016
DOI: 10.18865/ed.26.3.315
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Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya

Abstract: <p><strong>Background: </strong>Hypertension is the leading global risk for mortality. Poor treatment and control of hypertension in low- and middle-income countries is due to several reasons, including insufficient human resources. Nurse management of hypertension is a novel approach to address the human resource challenge. However, specific barriers and facilitators to this strategy are not known. </p><p><strong>Objective: </strong>To evaluate barriers and facilitato… Show more

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Cited by 21 publications
(31 citation statements)
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“…Six manuscripts met inclusion criteria, were of average or good quality, were retained for the scoping review, and provided the results of four nurse‐led hypertension intervention studies (Hareri, Abebe, & Asefaw, ; Katende, Groves, & Becker, ; Khabala et al., ; Kumar et al., ; Some et al., ; Vedanthan et al., ). The studies were conducted in outpatient settings in Kenya, Ethiopia, and Uganda.…”
Section: Resultsmentioning
confidence: 99%
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“…Six manuscripts met inclusion criteria, were of average or good quality, were retained for the scoping review, and provided the results of four nurse‐led hypertension intervention studies (Hareri, Abebe, & Asefaw, ; Katende, Groves, & Becker, ; Khabala et al., ; Kumar et al., ; Some et al., ; Vedanthan et al., ). The studies were conducted in outpatient settings in Kenya, Ethiopia, and Uganda.…”
Section: Resultsmentioning
confidence: 99%
“…() and Vedanthan et al. () were likely conducted in the same setting, a care system in rural western Kenya. However, the samples were composed of different groups.…”
Section: Resultsmentioning
confidence: 99%
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“…Some of the factors associated with patients which hinder self‐management behaviours that were identified in this study had already been named in other studies: a lack of awareness of the recommended diet and preventative measures for complications (Lou et al, ; Rushforth et al, ; Shoal et al, ), a lack of awareness and misperceptions of the illness (Legido‐Quigley et al, ; Vedanthan et al, ), low socio‐economic status (Rimando, ), a perception that there is a lack of time to prepare adequate meals or do physical exercise (Fukunaga, Uehara, & Tom, ), a lack of self‐motivation (Khatib et al, ), the fact that social relations go hand‐in‐hand with eating habits (Legido‐Quigley et al, ; Shoal et al, ), a fear of self‐injecting insulin (Funnell, Bootle, & Stuckey, ), a lack of family and/or social support (Jones et al, ; Khatib et al, ; Shen et al, ), a perception of social stigma (Fukunaga et al, ), a perception of numerous prohibitions from medical staff (Fukunaga et al, ) and suffering aches and pains after physical exercise (Fukunaga et al, ). Furthermore, this study has identified other key factors, such as the belief that many patients share, in which they consider that taking the prescribed medication is sufficient to manage the illness and prevent any derived health complications.…”
Section: Discussionmentioning
confidence: 64%