Sustaining Nurse-Led Task-Shifting Strategies for Hypertension Control: A Concept Mapping Study to Inform Evidence-Based Practice.
ABSTRACT Background The use of task-shifting is an increasingly widespread delivery approach for health interventions targeting prevention, treatment, and control of hypertension in adults living in sub-Saharan Africa (SSA). Addressing a gap in the literature, this research examined the sustainabili...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 14; no. 5; pp. 350 - 358 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Oct2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125424497&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125424497 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Oct2017 vid: 14 iid: 5 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 125424497 125424497 125424497 10.1111/wvn.12230 125424497 ppf: 350 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Sustaining Nurse-Led Task-Shifting Strategies for Hypertension Control: A Concept Mapping Study to Inform Evidence-Based Practice. aug: au: Blackstone, Sarah Iwelunmor, Juliet Plange ‐ Rhule, Jacob Gyamfi, Joyce Quakyi, Nana Kofi Ntim, Micheal Ogedegbe, Gbenga affil: Doctoral Candidate, Department of Kinesiology and Community Health, University of Illinois Urbana ‐ Champaign, Champaign IL sug: subj: Hypertension Therapy Community Health Nursing Nursing Practice, Evidence-Based Task Performance and Analysis Concept Mapping Multimethod Studies Human Ghana Nursing Shortage Community Health Centers Male Female Adult Brainstorming Summated Rating Scaling Scales Data Analysis Software Cluster Analysis Primary Health Care Health Resource Allocation Staff Development Communication Workload Salaries and Fringe Benefits Funding Source Adult: 19-44 years Male Female ab: ABSTRACT Background The use of task-shifting is an increasingly widespread delivery approach for health interventions targeting prevention, treatment, and control of hypertension in adults living in sub-Saharan Africa (SSA). Addressing a gap in the literature, this research examined the sustainability of an ongoing task-shifting strategy for hypertension (TASSH) from the perspectives of community health nurses (CHNs) implementing the program. Methods We used concept-mapping, a mixed-methods participatory approach to understand CHNs' perceptions of barriers and enablers to sustaining a task-shifting program. Participants responded to focal prompts, eliciting statements regarding perceived barriers and enablers to sustaining TASSH, and then rated these ideas based on importance to the research questions and feasibility to address. Twenty-eight community health nurses (21 women, 7 men) from the Ashanti region of Ghana completed the concept-mapping process. Results Factors influencing sustainability were grouped into five categories: Limited Drug Supply, Financial Support, Provision of Primary Health Care, Personnel Training, and Patient-Provider Communication. The limited supply of antihypertensive medication was considered by CHNs as the most important item to address, while providing training for intervention personnel was considered most feasible to address. Linking Evidence to Action This study's findings highlight the importance of examining nurses' perceptions of factors likely to influence the sustainability of evidence-based, task-shifting interventions. Nurses' perceptions can guide the widespread uptake and dissemination of these interventions in resource-limited settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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