Effect of Nurse-Based Management of Hypertension in Rural Western Kenya

Kumar, Anirudh; Kamano, Jemima; Too, Kenneth; Tulienge, Deborah; Wambui, Charity; Okidi, Evon; Porter, Carol; Fitzpatrick, Joyce J.; Fuster, Valentín; Vedanthan, Rajesh

doi:10.1016/s0735-1097(16)31945-3

Cited by 4 publications

(12 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%

“…Kumar et al. () examined changes in systolic blood pressure among patients whose care was managed by a nurse. Vedanthan et al.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the six studies (66.7%) were conducted in Kenya (Khabala et al., ; Kumar et al, ; Some et al., ; Vedanthan et al., ). Half of the studies were retrospective and used clinic records as the data source (Khabala et al., ; Kumar et al, ; Some et al., ). Researchers for one study used focus groups to collect data (Vedanthan et al., ), and the remaining studies collected data from nurses participating in hypertension training.…”

Section: Resultsmentioning

confidence: 99%

“…Researchers for one study used focus groups to collect data (Vedanthan et al., ), and the remaining studies collected data from nurses participating in hypertension training. The samples for four studies were composed of clinic patients or patients in the community (Hareri et al, ; Khabala et al., ; Kumar et al, ; Some et al., ). The participants in the two other studies were healthcare professionals (clinical officers and nurses; Katende et al, ; Khabala et al, ; Vedanthan et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…The remaining two studies (Hareri et al., ; Kumar et al., ) reported patient outcomes. Hareri et al.…”

Section: Resultsmentioning

confidence: 99%

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Nurse‐Led Interventions for Hypertension: A Scoping Review With Implications for Evidence‐Based Practice

Spies

Bader

Opollo

et al. 2018

Worldviews Ev Based Nurs

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This scoping review provides evidence from studies of nurse-led hypertension interventions in East Africa relevant to implementing or improving hypertension screening, diagnosis, and treatment. Nurses provide 80% of health care in East Africa, and nurse-led hypertension interventions are critically needed to ameliorate the significant hypertension-related increases in morbidity and mortality globally.

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Section: Resultsmentioning

confidence: 99%

“…Kumar et al. () examined changes in systolic blood pressure among patients whose care was managed by a nurse. Vedanthan et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The remaining two studies (Hareri et al., ; Kumar et al., ) reported patient outcomes. Hareri et al.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Nurse‐Led Interventions for Hypertension: A Scoping Review With Implications for Evidence‐Based Practice

Spies

Bader

Opollo

et al. 2018

Worldviews Ev Based Nurs

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Design and Implementation of Nursing Clinical Practice Teaching Management System

Zhuang

2021

2021 4th International Conference on Information Systems and Computer Aided Education

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Hypertension Treatment Rates and Health Care Worker Density

et al. 2019

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Elevated blood pressure is the leading cause of death worldwide; however, treatment and control rates for hypertension are low. Here, we analyze the relationship between physician and nurse density and hypertension treatment rates worldwide. Data on hypertension treatment rates were collected from the STEPwise approach to Surveillance country reports, individual studies resulting from a PubMed search for articles published between 1990 and 2010, and manual search of the reference lists of extracted studies. Data on health care worker density were obtained from the Global Atlas of the Health Workforce. We controlled for a variety of variables related to population characteristics and access to health care, data obtained from the World Bank, World Development Indicators, United Nations, and World Health Organization. We used clustering of standard errors at the country level. Full data were available for 154 hypertension treatment rate values representing 68 countries between 1990-2010. Hypertension treatment rate ranged from 3.4% to 82.5%, with higher treatment rates associated with higher income classification. Physician and nurse/midwife generally increased with income classification. Total health care worker density was significantly associated with hypertension treatment rate in the unadjusted model (p < 0.001); however, only nurse density remained significant in the fully adjusted model (p = 0.050). These analyses suggest that nurse density, not physician density, explains most of the relationship with hypertension treatment rate, and remains significant even after adjusting for other independent variables. These results have important implications for health policy, health system design, and program implementation.

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Effect of Nurse-Based Management of Hypertension in Rural Western Kenya

Cited by 4 publications

References 0 publications

Nurse‐Led Interventions for Hypertension: A Scoping Review With Implications for Evidence‐Based Practice

Nurse‐Led Interventions for Hypertension: A Scoping Review With Implications for Evidence‐Based Practice

Design and Implementation of Nursing Clinical Practice Teaching Management System

Hypertension Treatment Rates and Health Care Worker Density

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