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Blood Pressure Measurement Training Program and Adherence of Public Health Nurses to BP Measurement Guidelines
Jesusa S Pagsibigan1, Araceli O Balabagno1, Josefina A Tuazon1
1College of Nursing, University of the Philippines Manila.
Acta Medica Philippina
|May 14, 2021
Summary
The Blood Pressure Measurement Training Program (BPMTP) improved public health nurses' adherence to blood pressure measurement guidelines by enhancing their knowledge. Skills in BP measurement, interpretation, and referral showed no significant change post-training.
Area of Science:
- Public Health
- Nursing Education
- Hypertension Management
Background:
- Adherence to blood pressure measurement guidelines is crucial for accurate hypertension diagnosis and management.
- Public health nurses (PHNs) play a vital role in community-based hypertension control.
- Assessing and improving PHNs' knowledge and skills in blood pressure measurement is essential.
Purpose of the Study:
- To evaluate the effectiveness of the Blood Pressure Measurement Training Program (BPMTP) on PHNs' adherence to BP measurement guidelines.
- To compare adherence levels based on knowledge and skills before and after the BPMTP.
- To assess changes in BP measurement skills, interpretation, and referral among PHNs.
Main Methods:
- An experimental pre- and post-test design with two-staged cluster randomization.
- 118 PHNs from six districts in Manila were assigned to either the BPMTP or control group.
- Structured instruments were used to assess knowledge, skills, and adherence.
Main Results:
- Baseline demographic characteristics, practices, and adherence were equivalent between the BPMTP and control groups.
- Nurses in the BPMTP group demonstrated significantly improved adherence compared to the control group (p<0.05).
- No significant changes were observed in the skills of recording, interpretation, and referral in either group (p=1.000).
Conclusions:
- The BPMTP is a feasible intervention for enhancing PHNs' adherence to BP measurement guidelines through increased knowledge.
- While adherence improved, skills in BP measurement recording, interpretation, and referral require further targeted interventions.
- A larger-scale study is recommended to confirm the potential of BPMTP in improving global hypertension clinical management.
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