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Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension.

Publication ,  Journal Article
Tanabe, P; Cline, DM; Cienki, JJ; Egging, D; Lehrmann, JF; Baumann, BM
Published in: Journal of emergency nursing
January 2011

We describe clinician-reported knowledge of the Joint National Committee (JNC7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definitions of Stage I hypertension; perceived causes of elevated blood pressure; barriers to blood pressure re-assessment; risk of adverse events associated with the elevated blood pressure.Health care providers from five emergency departments completed a questionnaire assessing knowledge of blood pressure criteria for hypertension, perceived causes of elevated blood pressures, barriers to re-assessment, and perceived risk of an adverse event at one year in a patient within three defined systolic and diastolic blood pressure ranges. Descriptive statistics were used to analyze the data.Seventy-two percent (379/524) of providers (68 attending physicians, 87 residents, 209 nurses, and 15 nurse practitioners) completed questionnaires. One hundred and four providers (27%) correctly listed the systolic and diastolic criteria for Stage 1 hypertension. Nurses and physicians rated uncontrolled, known hypertension [mean (standard deviation)] [8.7 (2.1), 8.9 (1.9)] the highest and pain [8.3 (2.3), 8.3 (2.1)] as the second highest cause of elevated BP. Nurses and physicians rated the lack of time to perform a reassessment [5.2 (3.4), 4.7 (2.8)] and a lack of adequate staffing [4.7 (3.4), 4.6 (2.9)] the highest as barriers to re-assessment. Nurses' mean adverse risk assessment twice that of physicians.Twenty seven percent of providers were aware of the JNC7 criteria and often attributed elevated blood pressures to chronic, uncontrolled hypertension, pain or anxiety. No single barrier to repeating elevated blood pressures was identified.

Duke Scholars

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

January 2011

Volume

37

Issue

1

Start / End Page

17 / 23

Related Subject Headings

  • Surveys and Questionnaires
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Practice Patterns, Nurses'
  • Practice Guidelines as Topic
  • Nursing Staff, Hospital
  • Nursing Methodology Research
  • Nursing
  • Nurse Practitioners
  • Medical Staff, Hospital
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tanabe, P., Cline, D. M., Cienki, J. J., Egging, D., Lehrmann, J. F., & Baumann, B. M. (2011). Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension. Journal of Emergency Nursing, 37(1), 17–23. https://doi.org/10.1016/j.jen.2009.11.017
Tanabe, Paula, David M. Cline, John J. Cienki, Darcy Egging, Jill F. Lehrmann, and Brigitte M. Baumann. “Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension.Journal of Emergency Nursing 37, no. 1 (January 2011): 17–23. https://doi.org/10.1016/j.jen.2009.11.017.
Tanabe P, Cline DM, Cienki JJ, Egging D, Lehrmann JF, Baumann BM. Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension. Journal of emergency nursing. 2011 Jan;37(1):17–23.
Tanabe, Paula, et al. “Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension.Journal of Emergency Nursing, vol. 37, no. 1, Jan. 2011, pp. 17–23. Epmc, doi:10.1016/j.jen.2009.11.017.
Tanabe P, Cline DM, Cienki JJ, Egging D, Lehrmann JF, Baumann BM. Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension. Journal of emergency nursing. 2011 Jan;37(1):17–23.

Published In

Journal of emergency nursing

DOI

EISSN

1527-2966

ISSN

0099-1767

Publication Date

January 2011

Volume

37

Issue

1

Start / End Page

17 / 23

Related Subject Headings

  • Surveys and Questionnaires
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Practice Patterns, Nurses'
  • Practice Guidelines as Topic
  • Nursing Staff, Hospital
  • Nursing Methodology Research
  • Nursing
  • Nurse Practitioners
  • Medical Staff, Hospital