Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study
Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study
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DOI：
10.1186/s12913-017-2026-5
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发表时间：
2017-02-02
影响因子：
2.8
通讯作者：
Ogedegbe, Gbenga
中科院分区：
文献类型：
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作者：
Gyamfi, Joyce;Plange-Rhule, Jacob;Ogedegbe, Gbenga
背景：加纳的护士在家庭和社区一级提供初级卫生保健方面发挥着至关重要的作用。然而，在包括加纳在内的低收入和中等收入国家，缺乏关于将高血压管理和控制任务转移给社区保健护士的信息。本研究的目的是评估护士的高血压管理和控制的知识和实践的培训前和培训后利用任务转移策略在加纳高血压控制（TASSH）。对64名社区卫生服务中心和区级医院在职的社区卫生护士和注册护士在培训前后进行了测试性调查，随后进行半结构式定性访谈，评估护士对培训的满意度，由此产生的变化，在实践中的障碍和促进者，以最佳的高血压management.Results：共有64 CHN和EN参加了TASSH培训。培训前后的评估结果显示，护士在高血压检测和治疗方面的知识和实践有明显改善。在评估前26.9%的护士得分80%或以上的高血压知识测试，而这显着提高到95.7%的培训后。改善人际交往能力和病人的教育也提到了护士参与intervention.Conclusions的积极成果：研究结果表明，如果所有的护士接受管理和控制高血压，即使是简短的培训，主要的公共卫生福利可能会实现在低收入国家，如加纳。然而，需要更多的研究，以确定实施保真度和可持续性的干预措施，如TASSH，强调护士在减轻加纳的高血压控制障碍的潜在作用。
Background: Nurses in Ghana play a vital role in the delivery of primary health care at both the household and community level. However, there is lack of information on task shifting the management and control of hypertension to community health nurses in low-and middle-income countries including Ghana. The purpose of this study was to assess nurses' knowledge and practice of hypertension management and control pre-and post-training utilizing task-shifting strategies for hypertension control in Ghana (TASSH).Methods: A pre-and post-test survey was administered to 64 community health nurses (CHNs) and enrolled nurses (ENs) employed in community health centers and district hospitals before and after the TASSH training, followed by semi-structured qualitative interviews that assessed nurses' satisfaction with the training, resultant changes in practice and barriers and facilitators to optimal hypertension management.Results: A total of 64 CHNs and ENs participated in the TASSH training. The findings of the pre-and post-training assessments showed a marked improvement in nurses' knowledge and practice related to hypertension detection and treatment. At pre-assessment 26.9% of the nurses scored 80% or more on the hypertension knowledge test, whereas this improved significantly to 95.7% post-training. Improvement of interpersonal skills and patient education were also mentioned by the nurses as positive outcomes of participation in the intervention.Conclusions: Findings suggest that if all nurses receive even brief training in the management and control of hypertension, major public health benefits are likely to be achieved in low-income countries like Ghana. However, more research is needed to ascertain implementation fidelity and sustainability of interventions such as TASSH that highlight the potential role of nurses in mitigating barriers to optimal hypertension control in Ghana.