For years, patient quality care and safety have been the major focus of nursing, meaning that efforts are put explored for ensuring that high standards are maintained. Nurses and other stakeholders employ various strategies such as evidence-based practice and quality improvement initiatives to ensure that patients receive the best nature of care possible. The implication is that nurses usually engage in the research processes, which may entail identifying health care problems and coming up with potential solutions which are then fine-tuned before implementation to ensure that the interventions achieve the intended purpose (Aiken et al., 2021). In the previous weeks, various attempts have been made to use the epidemiological approach in a critical analysis of a population health problem. Therefore, the health problem identified in the previous weeks is hypertension among healthcare workers. The purpose of this assignment is to discuss an intervention that will be implemented to address the health problem a literature review that supports the intervention. Besides, this write-up explores the potential social impact of the solution.
The Intervention
As discussed in the previous sections, this project seeks to address hypertension among healthcare workers. Therefore, the following PICOT statement was chosen: Among Healthcare Personnel On a Medical Unit Aged 21 To 51 Years Having Psychological Stress, Does Blood Pressure Self-Monitoring with A Comprehensive Education in The Healthcare Facility as Compared to No Intervention Contribute to The Deterrence of Development of Hypertension Over 6 Months? From the above, the population encompasses the health workers of the medical unit aged 20 years to 50 years. Therefore, the chosen intervention to help address the problem of developing hypertension due to psychological stress is blood pressure self-monitoring with comprehensive education.
A Review of Literature
Hypertension has various adverse impacts, and therefore, over the years, there have been efforts to address the condition and come up with better ways of managing it. One of such interventions that have been used in Literature is the use of blood pressure self-monitoring and comprehensive education on how to keep the pressure normal. Therefore, this section presents some of the studies in the past that have addressed hypertension using this intervention.
In one of such studies, Persell et al. (2020) conducted research to investigate the impact of using a coaching application among patients to enhance various aspects such as blood pressure monitoring. The applied design was a randomized controlled study design. Upon the use of the intervention, the researchers observed various results. The mean systolic blood pressure was found to be better in the intervention group as compared to the control group. Besides, the participants in the study group showed more self-confidence in controlling blood pressure. One notable result is also that the blood pressure was similar among patients using a smartphone coaching app integrated with home monitoring and those who performed home monitoring integrated with a blood pressure monitoring app (Persell et al., 2020). Therefore, this study shows that blood pressure monitoring leads to better outcomes in reference to hypertension.
Khorsandi et al.( 2017), also conducted a study to evaluate the impact of education built on the health belief model on the adoption of behaviors that help control hypertension among the elderly. This research used a quasi-experimental study design involving a total of one hundred elderly patients living with hypertension. While part of the study participants was placed in the intervention group, the other part was in the control group. The researchers analyzed the results through repeated measures analysis of variance. From the analysis, the study revealed a substantial difference in the scores of the intervention and the control group’s constructs (Khorsandi et al., 2017).
The data were collected at baseline, immediately after the intervention, and three months after the educational intervention. Therefore, the use of the education initiative led to better use of strategies for controlling hypertension among elderly patients. From the study, it was evident that there is a close connection between patients’ health beliefs and their health behaviors (Khorsandi et al., 2017). The implication is that deliberate efforts should be made to design education initiatives that can influence such beliefs and promote health for better patient outcomes. This was reflected in the increased mean score of the patient’s health beliefs when the education initiative was used.
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