247765 Perceptions of nursing care in a stroke and heart attack prevention program

Monday, October 31, 2011: 3:30 PM

Marylen Rimando, PhD, MPH, CHES, CPH , Department of Health and Human Physiology, University of Iowa, Iowa City, IA
Introduction: Hypertension control is an important issue for public health practice and clinical practice. Hypertension, known as a silent killer, affects more than 73 million Americans or approximately 1 in 3 adults in their lifetime. African Americans have been shown to have higher rates of uncontrolled hypertension compared to Caucasians. The Stroke and Heart Attack Prevention Program (SHAPP) is an ongoing hypertension management program for mostly low-income, uninsured patients in Georgia. Methods: The site of data collection was in a hypertension clinic at a health department in Georgia. Twenty-two qualitative interviews were conducted with African American females aged 55 and older. Interviews ranged from 40 minutes to 1 hour. Patients were mostly uninsured, low income, and high school graduates. Patients were diagnosed with controlled and uncontrolled hypertension. Results: All patients reported positive perceptions of the care they received in the clinic. Nurses treated them compassionately by addressing their individual needs. Nurses educated them on the risks of uncontrolled hypertension, diabetes, and obesity. Patients believed what the nurses told them and believed they were receiving the proper care at the clinic. Discussion: The patients' positive perceptions of the nurses may have contributed to their compliance with their treatment, successful hypertension control, and continual participation in the SHAPP program. Limitations include participation of patients with the time to participate and being unable to interview patients who were unsatisfied with their care. These results demonstrate the importance of nursing care and patient communication in management of hypertension, diabetes, and weight loss.

Learning Areas:
Advocacy for health and health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related nursing

Learning Objectives:
Participants will discuss the impact of nursing care and patient communication on hypertension and diabetes management.

Keywords: Hypertension, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted this research for my dissertation at the University of Georgia.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Disease Management
See more of: Public Health Nursing