Advanced

A Proposed Middle-Range Theory of Nursing in Hypertension Care

Drevenhorn, Eva LU (2018) In International Journal of Hypertension 2018. p.1-11
Abstract

Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to... (More)

Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem's theory of nursing. Clinical and research implications of the theory are discussed.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Nursing, Hypertension care
in
International Journal of Hypertension
volume
2018
pages
11 pages
publisher
Hindawi Publishing Corporation
external identifiers
  • scopus:85043364405
ISSN
2090-0384
DOI
10.1155/2018/2858253
language
English
LU publication?
yes
id
4bb423cf-d730-4ccd-b9c3-f0f1b265a3b0
date added to LUP
2018-03-27 10:42:00
date last changed
2019-02-20 11:12:03
@article{4bb423cf-d730-4ccd-b9c3-f0f1b265a3b0,
  abstract     = {<p>Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem's theory of nursing. Clinical and research implications of the theory are discussed.</p>},
  articleno    = {2858253},
  author       = {Drevenhorn, Eva},
  issn         = {2090-0384},
  keyword      = {Nursing,Hypertension care},
  language     = {eng},
  pages        = {1--11},
  publisher    = {Hindawi Publishing Corporation},
  series       = {International Journal of Hypertension},
  title        = {A Proposed Middle-Range Theory of Nursing in Hypertension Care},
  url          = {http://dx.doi.org/10.1155/2018/2858253},
  volume       = {2018},
  year         = {2018},
}