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Community Nursing Practice in Hypertension Management in China: Qualitative Analysis Using a Bourdieusian Framework
1Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Public Health Nursing (Boston, Mass.)
|November 3, 2024
Summary
Chinese community nurses adapt hypertension care by balancing traditional beliefs with modern guidelines and institutional demands. Their professional practices are shaped by complex social and power dynamics.
Area of Science:
- Community health nursing
- Public health
- Sociology of health
Background:
- Hypertension management in community settings is crucial for public health.
- Understanding nurses' practical experiences is key to improving care delivery.
- Sociocultural and institutional factors significantly influence healthcare practices.
Purpose of the Study:
- To explore the practices of Chinese community nurses in hypertension management.
- To analyze how sociocultural and institutional forces shape nursing routines.
- To apply Pierre Bourdieu's theory of practice to understand nurse dispositions and actions.
Main Methods:
- Qualitative descriptive study conducted in Shenzhen, China (March-June 2024).
- Eighteen community nurses with hypertension care experience were interviewed.
- Semistructured interviews and thematic analysis were employed, following COREQ guidelines.
Main Results:
- Nurses navigate tensions between traditional health beliefs and modern hypertension care protocols.
- Institutional pressures often prioritize efficiency over personalized patient care.
- Nurses adapt strategies, balancing clinical standards with patient needs amidst power imbalances with physicians.
Conclusions:
- Community nurses are adaptive professionals, not just guideline enforcers.
- Their practice involves navigating complex sociocultural norms and institutional demands.
- Flexible, culturally sensitive approaches are essential for improving hypertension management and public health outcomes.
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