Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

54
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
54
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

59
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
59
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

50
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
50
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

984
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
984
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

5.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
5.1K
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

3.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Choosing Variables.

Western journal of nursing research·2026
Same author

Go-Along Virtual INTERview (GVIv): A Novel Nurse-Led Qualitative Method for Exploring Neighborhood Lived Experience and Health.

Global qualitative nursing research·2026
Same author

Implementation Science.

Western journal of nursing research·2026
Same author

The RESILIENT Study: A Retrospective, Descriptive, Correlational Investigation of Correlates of Oral Endocrine Therapy Adherence in Older Women With Breast Cancer.

Cancer medicine·2026
Same author

Application of Public Health Critical Race Praxis to Refine Black Girls Move: An Obesity Prevention Intervention for Black Adolescent Daughter/Mother Dyads.

Western journal of nursing research·2026
Same author

Precision Health Needs Nursing Science.

Western journal of nursing research·2026

Related Experiment Video

Updated: Sep 18, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

363

Understanding System-Level Experiences Impacting Black Americans' Adherence to Antihypertensive Medication.

Molly C Kokenge1,2, Todd M Ruppar3, Wrenetha Julion3

  • 1Orvis School of Nursing, University of Nevada, 1664 N. Virginia St., MS 0134,, Reno, NV, 89557, USA. mkokenge@unr.edu.

Journal of Racial and Ethnic Health Disparities
|June 24, 2025
PubMed
Summary

Black Americans face challenges with antihypertensive medication adherence. Understanding social, economic, and health system factors is key to improving medication adherence (MA) and reducing health disparities.

Keywords:
Adherence to medicationBlack AmericanHypertensionQualitative researchSystem-level experiences

More Related Videos

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.5K
Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
08:35

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Published on: May 26, 2022

3.5K

Related Experiment Videos

Last Updated: Sep 18, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

363
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.5K
Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
08:35

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion

Published on: May 26, 2022

3.5K

Area of Science:

  • Health Services Research
  • Health Disparities
  • Qualitative Research

Background:

  • Black Americans exhibit higher rates of antihypertensive medication nonadherence, contributing to increased morbidity and mortality.
  • The influence of system-level factors on medication adherence (MA) remains underexplored in this population.

Purpose of the Study:

  • To explore patient perceptions of system-level experiences impacting antihypertensive medication adherence (MA).
  • To identify barriers and facilitators to antihypertensive MA from a patient perspective.

Main Methods:

  • Qualitative descriptive study utilizing semi-structured interviews via Zoom.
  • Thematic analysis of interview transcripts with coding validation by a second team member.
  • Member checking by a community advisory group for credibility.

Main Results:

  • Four primary themes emerged: social and economic barriers, social and economic facilitators, health system-level barriers, and health system-level facilitators.
  • Subthemes revealed logistical challenges and complex system-level influences on antihypertensive MA.
  • Identified facilitators offer potential for intervention and policy enhancement.

Conclusions:

  • System-level factors significantly influence antihypertensive medication adherence (MA) among Black Americans.
  • Interventions should leverage identified social, economic, and health system facilitators.
  • Addressing these factors can improve healthcare delivery and promote medication adherence.