Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery

Background: Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and insufficient human resource capacity is among the contributing factors. Thus, a critical component of hypertension management is to develop novel and effective so...

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Autores principales:	Rajesh Vedanthan, Jemima H. Kamano, Carol R. Horowitz, Deborah Ascheim, Eric J. Velazquez, Sylvester Kimaiyo, Valentin Fuster
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2014
Materias:	facilitators and barriers hypertension impact evaluation implementation research low- and middle-income countries nurse management usability and feasibility testing workforce estimation Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3d3fd10698224a36b00df649902073c0
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spelling	oai:doaj.org-article:3d3fd10698224a36b00df649902073c02021-12-02T07:55:09ZNurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery2214-999610.1016/j.aogh.2013.12.002https://doaj.org/article/3d3fd10698224a36b00df649902073c02014-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/49https://doaj.org/toc/2214-9996Background: Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and insufficient human resource capacity is among the contributing factors. Thus, a critical component of hypertension management is to develop novel and effective solutions to the human resources challenge. One potential solution is task redistribution and nurse management of hypertension in these settings. Objectives: The aim of this study is to investigate whether nurses can effectively reduce blood pressure in hypertensive patients in rural western Kenya and, by extension, throughout sub-Saharan Africa. Methods: An initial phase of qualitative inquiry will assess facilitators and barriers of nurse management of hypertension. In addition, we will perform usability and feasibility testing of a novel, electronic tablet-based integrated decision-support and record-keeping tool for the nurses. An impact evaluation of a pilot program for nurse-based management of hypertension will be performed. Finally, a needs-based workforce estimation model will be used to estimate the nurse workforce requirements for stable, long-term treatment of hypertension throughout western Kenya. Findings: The primary outcome measure of the impact evaluation will be the change in systolic blood pressure of hypertensive individuals assigned to nurse-based management after 1 year of follow-up. The workforce estimation modeling output will be the full-time equivalents of nurses. Conclusions: This study will provide evidence regarding the effectiveness of strategies to optimize task redistribution and nurse-based management of hypertension that can be applicable to noncommunicable disease management in low- and middle-income countries.Rajesh VedanthanJemima H. KamanoCarol R. HorowitzDeborah AscheimEric J. VelazquezSylvester KimaiyoValentin FusterUbiquity Pressarticlefacilitators and barriershypertensionimpact evaluationimplementation researchlow- and middle-income countriesnurse managementusability and feasibility testingworkforce estimationInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 80, Iss 1, Pp 5-12 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	facilitators and barriers hypertension impact evaluation implementation research low- and middle-income countries nurse management usability and feasibility testing workforce estimation Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	facilitators and barriers hypertension impact evaluation implementation research low- and middle-income countries nurse management usability and feasibility testing workforce estimation Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Rajesh Vedanthan Jemima H. Kamano Carol R. Horowitz Deborah Ascheim Eric J. Velazquez Sylvester Kimaiyo Valentin Fuster Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
description	Background: Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and insufficient human resource capacity is among the contributing factors. Thus, a critical component of hypertension management is to develop novel and effective solutions to the human resources challenge. One potential solution is task redistribution and nurse management of hypertension in these settings. Objectives: The aim of this study is to investigate whether nurses can effectively reduce blood pressure in hypertensive patients in rural western Kenya and, by extension, throughout sub-Saharan Africa. Methods: An initial phase of qualitative inquiry will assess facilitators and barriers of nurse management of hypertension. In addition, we will perform usability and feasibility testing of a novel, electronic tablet-based integrated decision-support and record-keeping tool for the nurses. An impact evaluation of a pilot program for nurse-based management of hypertension will be performed. Finally, a needs-based workforce estimation model will be used to estimate the nurse workforce requirements for stable, long-term treatment of hypertension throughout western Kenya. Findings: The primary outcome measure of the impact evaluation will be the change in systolic blood pressure of hypertensive individuals assigned to nurse-based management after 1 year of follow-up. The workforce estimation modeling output will be the full-time equivalents of nurses. Conclusions: This study will provide evidence regarding the effectiveness of strategies to optimize task redistribution and nurse-based management of hypertension that can be applicable to noncommunicable disease management in low- and middle-income countries.
format	article
author	Rajesh Vedanthan Jemima H. Kamano Carol R. Horowitz Deborah Ascheim Eric J. Velazquez Sylvester Kimaiyo Valentin Fuster
author_facet	Rajesh Vedanthan Jemima H. Kamano Carol R. Horowitz Deborah Ascheim Eric J. Velazquez Sylvester Kimaiyo Valentin Fuster
author_sort	Rajesh Vedanthan
title	Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
title_short	Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
title_full	Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
title_fullStr	Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
title_full_unstemmed	Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery
title_sort	nurse management of hypertension in rural western kenya: implementation research to optimize delivery
publisher	Ubiquity Press
publishDate	2014
url	https://doaj.org/article/3d3fd10698224a36b00df649902073c0
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Nurse Management of Hypertension in Rural Western Kenya: Implementation Research to Optimize Delivery

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