Opportunities for the Advanced Practice Nurse to Enhance Hypertension Knowledge and Self-management Among African American Women

Jones, Lenette M.; Rosemberg, Marie-Anne S.; Wright, Kathy

doi:10.1097/nur.0000000000000331

Cited by 6 publications

(9 citation statements)

References 46 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beyond comorbidities, the way in which healthcare providers convey dietary information to patients living with hypertension may impact their patients’ understanding of and adherence to a prescribed diet (Fix et al, 2014; Jones et al, 2017), as suggested by the participant who was recommended to eat eggs frequently after years of avoiding them. Healthcare providers should also pay attention to multiple goals that patients might have, as the example of participants who wanted to avoid losing body weight suggests.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Jones

Moss

Mitchell

et al. 2022

Worldviews Ev Based Nurs

Self Cite

View full text Add to dashboard Cite

Background Hypertension rates are disproportionately higher among Black or African Americans (Black/African American) compared to other racial and ethnic groups in the United States. However, research on self‐management strategies to control hypertension through healthy eating such as the Dietary Approaches to Stop Hypertension (DASH), and ketogenic diets has underexplored the use of dietary strategies among older Black/African American adults. In reporting contemporary challenges with implementing dietary strategies targeting blood pressure control among Black/African American older adults living with hypertension, this study addresses a clear need. Aims Prior research has only partially addressed the challenges older Black/African Americans face in implementing and maintaining dietary strategies to control hypertension, therefore the current study aimed to address this gap by reporting contemporary challenges, as reported by a sample of Black/African American older adults living with hypertension. Methods Nineteen Black/African American older adults living with hypertension participated in a focus group. An interview guide with open‐ended questions on dietary approaches to self‐management hypertension was used to guide data collection. Responses were audio‐recorded, transcribed verbatim, and interpreted using qualitative thematic analysis. Results Study participants were 71.6 years (SD = 8.3), 87.1% were women, and all were self‐identified as Black/African American. Overall, participants shared that they were interested in improving their hypertension self‐management skills. They expressed uncertainty about dietary strategies related in part to a lack of knowledge about incorporating or excluding certain foods and adhering to complex dietary recommendations. Participants also related financial concerns about accessing the recommended foods to control hypertension and expressed confusion about how to manage hypertension alongside other comorbidities. Linking Evidence to Action This study highlights several barriers that Black/African American older adults face (lack of dietary knowledge, lack of financial resources, and unique barriers to managing multiple comorbid health conditions), which often pose simultaneous and intersecting barriers to managing hypertension using existing evidence‐based dietary strategies.

show abstract

Section: Discussionmentioning

confidence: 99%

“…However, a range of socio‐behavioral and structural factors pose challenges to compliance with these management strategies (James, 2004; Winham et al, 2020). These factors may contribute to health disparities that negatively impact Black/African Americans (Flynn et al, 2013; Jones et al, 2017; Spikes et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Jones

Moss

Mitchell

et al. 2022

Worldviews Ev Based Nurs

Self Cite

View full text Add to dashboard Cite

show abstract

“…Commonly cited reasons for not participating were lack of time or interest. Additional details about this protocol have been published elsewhere (Jones et al, 2017; Jones, Veinot, & Pressler, 2018; Jones, Veinot, Pressler, Coleman-Burns, & McCall, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…This analysis is part of a larger study (hereafter, parent study) conducted with Black women with hypertension (Jones et al, 2017; Jones, Veinot, Pressler, Coleman-Burns, & McCall, 2018). The parent study was a cross-sectional, descriptive study and examined the influence of sharing health information on participation in hypertension self-management behavior.…”

Section: Methodsmentioning

confidence: 99%

Health Social Networks of Black Women With Hypertension

Jones,

Hawkins,

Mitchell

et al. 2023

Nursing Research

Self Cite

View full text Add to dashboard Cite

Background The prevalence of hypertension is 55% among African American/Black (Black) women, who have a higher risk for poor health outcomes compared to women from other racial and ethnic groups, in part due to uncontrolled blood pressure. Previous research results suggest that peers may positively influence self-management of chronic conditions like hypertension. However, few studies have described the personal characteristics of peers in the health social networks of Black women. Objective This substudy aimed to examine health social networks and describe the peers’ characteristics, as reported by a convenience sample of Black women with hypertension. Methods In this analysis of data from a larger study, 94 Black women with hypertension attending a church conference participated in a cross-sectional, descriptive study. Their mean age was 59 years, and their mean systolic blood pressure was 143 mmHg. All participants completed a survey to gather data about (a) the characteristics of individuals they discussed health matters with (their peers or health social network) and (b) their perceptions about hypertension status and knowledge of hypertension among the peers in their health social network. Results Collectively, participants from the larger study named a total of 658 peers who were part of their health social networks; the mean health social network size was six peers. The peers were mostly women, Black, family members, and on average, 54 years old. The participants discussed hypertension with 71% of the peers, reported that 36% had hypertension, and felt that 67% were somewhat or very knowledgeable about the condition. A small, positive correlation existed between the participants’ health social network size (number of peers named) and their systolic blood pressure levels. Discussion The health social network peers were similar to those in the larger study, with most of the same gender, race, and age. The findings of this analysis may be used to help practitioners and scientists guide patients in building health social networks for support in self-managing hypertension and conducting future studies to examine the best strategies for developing and using health social networks to improve health outcomes and reduce health disparities.

show abstract

“…14 The content of self-management support in patients with hypertension consists of teaching knowledge and skills on nutrition, physical activity, disease treatment, complications, drug therapy, regular monitoring, lifestyle changes, and blood pressure monitoring at home. Studies have reported that self-management support increases awareness of the importance of the disease in hypertensive patients, 15 provides motivation for personal control over the disease, positively affects clinical outcomes, and increases the number of days patients allocate for physical activity. 16 The World Health Organization draws attention to the fact that nurses create awareness in society through training to achieve success in combating hypertension.…”

mentioning

confidence: 99%

The effect of self-management support on knowledge level, treatment compliance and self-care management in patients with hypertension

Kurt¹,

Gurdogan²

2022

AJAN

View full text Add to dashboard Cite

Objective: This study was carried out to determine the effect of self-management support given to patients diagnosed with hypertension on the hypertension knowledge level, treatment adherence and self-care management, and to examine the changes in patients' blood pressure after the selfmanagement support. Background:The rise of chronic diseases such as hypertension necessitates the equipment of patients with sufficient knowledge and skills necessary to manage their disease and self-care.Methods: This randomised controlled research was conducted with a total of 137 patients, including 69 intervention and 68 control patients. Data were collected using the "Patient Information Form", "Hypertension Knowledge-Level Scale", "Hill-Bone Compliance to High Blood Pressure Therapy Scale" and "Self Care Management Process in Chronic Illness Scale" at the first interview and the last interview three months after the first interview. One week after the first interview, the patients in the intervention group received self-management support including information about hypertension and its management and blood pressure measurement skills. results: After self-management support, a significant improvement was found in hypertension knowledge level (p=0.000), treatment adherence (p=0.000), and self-care management (p=0.000) of patients in the intervention group A significant decrease was determined in systolic (p=0.000) and diastolic blood pressure (p=0.000) of patients in the intervention group. conclusion: Self-management support has shown positive effects in increasing hypertension knowledge level, adherence to hypertension treatment, self-care management, and blood pressure control in patients diagnosed with hypertension. This study also provides nurses with an approach in which they can effectively use training and counselling roles for patients. implications for research, policy, and practice: Patients diagnosed with hypertension should be educated by nurses about the disease. Nurses should teach the patients who are diagnosed with hypertension the ability to monitor their blood pressure at home. Cardiovascular rehabilitation nursing units should be established in hospitals to provide more effective self-management support to hypertensive patients.

show abstract

Opportunities for the Advanced Practice Nurse to Enhance Hypertension Knowledge and Self-management Among African American Women

Cited by 6 publications

References 46 publications

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Challenges to dietary hypertension self‐management as described by a sample of African American older adults

Health Social Networks of Black Women With Hypertension

The effect of self-management support on knowledge level, treatment compliance and self-care management in patients with hypertension

Contact Info

Product

Resources

About