Development and Implementation of a Combined Nurse Care Manager and Community Health Worker Training Curriculum to Address Hypertension Disparities.
Development and Implementation of a Combined Nurse Care Manager and Community Health Worker Training Curriculum to Address Hypertension Disparities.
复制标题
制定和实施护士护理经理和社区卫生工作者培训课程，以解决高血压差距问题。
DOI：
10.1097/jac.0000000000000422
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发表时间：
2022-07-01
影响因子：
2.3
通讯作者：
Investigators, Rich Life Project
中科院分区：
文献类型：
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作者：
Alvarez, Carmen;Ibe, Chidinma;Dietz, Katie;Carrero, Nicolas Dominguez;Avornu, Gideon;Turkson-Ocran, Ruth-Alma;Bhattarai, Jagriti;Crews, Deidra;Lipman, Paula Darby;Cooper, Lisa A.;Investigators, Rich Life Project
使用护士护理管理人员（CMs）和社区卫生工作者（CHWs）已被证明是有效的，在种族，民族和社会经济的少数民族人群中支持改善血压管理。我们与社区咨询委员会（CAB）合作，开发CM和CHW培训课程和基于团队的协作护理干预，以解决不受控制的高血压。培训CM和CHW实施以患者为中心的技术，并解决与高血压控制相关的健康社会决定因素。与CAB合作，我们为CM/CHW协作护理团队开发并实施了培训课程。培训提高了CM和CHW对他们解决导致患者高血压不受控制的医疗和非医疗问题的能力的信心;然而，CM和CHW之间预先存在的规范和信念对团队合作提出了挑战。培训课程是可行的，深受欢迎。此外，CM和CHW的反应为改善未来的协作护理培训和团队合作提供了见解。
The use of nurse care managers (CMs) and community health workers (CHWs) has demonstrated effectiveness in supporting improved blood pressure management among racially, ethnically, and socioeconomically minoritized populations. We partnered with a community advisory board (CAB) to develop a CM and CHW training curriculum and team-based collaborative care intervention to address uncontrolled hypertension. To train CMs and CHWs to implement patient-centered techniques and address social determinants of health related to hypertension control. In partnership with a CAB, we developed and implemented a training curriculum for the CM/CHW collaborative care team. The training improved CM and CHW confidence in their ability to address medical and non-medical issues that contribute to uncontrolled hypertension in their patients; however, preexisting norms and beliefs among CMs and CHWs created challenges with teamwork. The training curriculum was feasible and well-received. Additionally, the CMs’ and CHWs’ reactions provided insights to improve future collaborative care training and teamwork.