Over the last three decades, nurses are key contributors to many of the hypertensive initiatives worldwide. According to spies et al. (2018), nurses lead interventions such as education that encourages life modification strategies. The authors contend that nurses not only measure and monitor patients’ blood sugar levels but also engage in multidisciplinary education to enlighten them on the management of hypertension, including detection, diagnostics and medication, risk detection, and patient and care coordination practices. Nurses’ role in change management and facilitation of hypertension is imperative in ensuring that patients collaborate in enhancing safety outcomes.
However, the implementation of identified evidence-based practices in addressing hypertension may be affected by a number of barriers. For instance, Pacholla et al. (2019), economic factors play a significant role in facilitating the implementation of evidence-based practices, for instance, lifestyle modifications. In a way, lifestyle modifications require self-management by the patients, through technical support and usability. In this case, a lack of funds to purchase and maintain technical support may be a barrier to implementing lifestyle modifications for patients with hypertension.
According to Li et al. (2019), patient-level factors are the major barriers to implementing practices to enhance safety outcomes for high-pressure patients. For instance, patients’ knowledge, beliefs, values and attitudes about hypertension and its control are deemed to be predictors of care and compliance. In relation to Mr. Doe case, his lack of knowledge on the consideration of lifestyle modification significantly contributes to the lack of improvements in his medication course. On the other hand, Li et al. attest that health-provider level factors also act as barriers to effective implementation of the evidence-based practices. Physician self-efficacy and practice patterns are considered potential determinants in the implementation of control and care measures due to a lack of confidence in their abilities to manage the treatment strategies. Overall, the concepts of hypertension emphasize on patient’s capabilities, readiness, and collaboration attitudes toward lifestyle modification. Nurses are expected to perform their role effectively in educating the patients on the medical regimen, coping skills, and lifestyle modification strategies to ensure they are compliant with the recommended hypertension intervention. Making use of effective communications and creating an environment of shared opinions in supporting self-care is essential in encouraging collaboration between the patient and the health care provider.
Effectiveness of Nursing Standards in Enhancing Patient Outcomes for Hypertension
Nurses can affect health policies through their knowledge of the healthcare system. According to Crisp & Iro (2018), hypertension patient outcomes are influenced by the effectiveness of nursing policies since they are associated with their practices and competence in care delivery. According to Mileski et al. (2020), nurses can play a critical role in policymaking since they closely deal with patients and their families and therefore, they are able to present valuable considerations of patient experiences. Advocacy of patients will be a source of reducing hospital readmissions and costs. In addition, different health policies directly impact nurses and their nursing practices. Nurses’ involvement in policymaking is critical in ensuring a supportive working environment. With an improved working environment, they are likely to improve patient outcomes and reduce medical errors, hence preventing illness. According to Gyamfi et al. (2020), Task Shifting Strategy for hypertension control is a consolidated framework that will effectively frame and guide a collaborative environment for effective care delivery. The conceptual framework informs on patient health goal setting, leadership engagement and availability of resources.
Nursing practice standards are designated by the nursing board that is unique in every state. Each state’s advanced nurse practice act defines perimeters for nurses to ensure that the practicing nurses qualify academically and are competent to deliver quality services (Huynh & Haddad, 2020). For instance, in Georgia State, the board of nursing enforces a safe harbor policy under the Nurse Practice Act, which protects the nurse’s licensure in their scope of practice. The critical role of ensuring that the nurses provide quality care is essential for hypertension patients since they require close monitoring and detection of risks. The
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