Control of Blood Pressure in Renal Disease

Kauric-Klein, Z. (2012). Improving blood pressure control in end stage renal disease through a supportive educative nursing intervention. Nephrology Nursing Journal, 39(3), 217-228.

Purpose/Scope: The purpose of this study was to investigate nursing interventions for improving control of blood pressure in renal disease. In particular, the article covered ways of improving control of blood pressure in populations with chronic hemodialysis.

Description of Research: The author reviewed statistical data of cardiovascular morbidity and mortality with respect to individuals going through hemodialysis. Additionally, the author determined nursing interventions, which could improve blood pressure control in populations with chronic hemodialysis. Furthermore, the author explained how self-regulation, self-care and self-efficacy would assist in management of hypertension. This research was conducted through a randomized controlled design, which involved 118 participants from 6 hemodialysis centers in Detroit (Kauric-Klein, 2012).

The research involved blood pressure education sessions, 12-week intervention that incorporated monitoring of the participants, goal settings, as well as reinforcements. Additionally, the research involved a 30-day post-intervention follow-up phase. Specifically, participants were required to monitor their blood pressure levels, fluid levels and sodium intake levels on a weekly basis for the 12 weeks.

Value/Significance: This study was important in reflecting the importance of managing hypertension in patients with renal disease. Results proved that diastolic and systolic levels declined considerably in the treatment group.

Shortcomings: This study was well conducted because it covered in-depth analysis. However, it could use a larger sample for improvement.

Conclusion: The author concluded that hypertension contributed considerably to morbidity and mortality of patients with hemodialysis.

Summary: This study tried to investigate ways of managing blood pressure in patients with renal illnesses. Furthermore, it proved successful in achieving its objectives. This research would be useful in managing blood pressure in patients suffering from chronic kidney disease because it provides ways of managing hypertension.

Jones, L. (2014). Reducing Disparities in Hypertension among African American Women through Understanding Information Seeking and Information Use (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses. (Accession Order No. AAT 3636569).

Purpose/Scope: The purpose of this research was to establish ways of reducing health disparity in hypertension that excessively affects African American women. In particular, Lynette examined evidence on internet health information seeking. Additionally, she explored and illustrated internet behaviors and information behaviors in a given sample of African American women. Additionally, the author determined the capability of conceptual model in explaining variance in information use by the sample.

Description of Research: The sample chosen were firstly from 15 electronic databases while the second set of data (n=156) was from Midwest church conference by African American women (Jones, 2014). Moreover, 9 experimental assessments were also incorporated in the study. The author utilized statistical analysis methods to clarify on blood pressure. Furthermore, advanced statistical analysis methods like Pearson correlation and regression analysis were also utilized.

Value/Significance: Results showed that internet could be utilized as a launch pad in nurse –patient interaction among the women. This research was insightful since it gave information on ways of reaching populations such as African American Women.

Shortcomings: However, it could have been more useful if it focused on different age groups instead of ethnicity and gender. In other words, the author could have researched a wide range of people to provide this insightful information to a wide range of audience including African American women.

Conclusion:

The author concluded that internet was crucial in providing a platform for sharing information on ways of managing blood pressure among the women.

Summary: The author talks about information sharing which is essential to management of hypertension. This research was important as it could help patients with chronic kidney disease to manage blood pressure by sharing information.

Samranbua, A. (2011). The Lived Experience of Rural Thai Older Adults with Poorly Controlled Hypertension (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses. (Accession Order No. AAT 3454810).

Purpose/Scope: The reason for this research study was to investigate incidences of badly managed hypertension in elderly Thais living in rural areas. The author attributes this to the fact that few studies had previously been conducted in the topic of poorly controlled hypertension among elderly Thais.

Description of Research: The author utilized purposive sampling to select 20 elderly Thais with hypertension problem (Samranbua, 2011). Additionally, the author’s participants had received health care services from two healthcare centers in Thailand. It should be noted that according to the author, the subjects were either 60 years or older. Semi-structured techniques of interviewing methods. Moreover, Giorgi’s phenomenological technique was also utilized. Moreover, credibility of the findings was tested through auditing.

Value/Significance: This study was important since it unearthed issues that face rural elderly who suffer from hypertension. The paper has a strong theme, which could strengthen research on hypertension.

Shortcomings: A sample of just 20 subjects is slightly low based on the importance of such a study. This research would be more insightful if the sample collected was 100 or more.

Conclusion: The author notes that this study would help nurse professionals to develop better ways of managing hypertension among the elderly. Additionally, the author poses that the study would assist nurse professionals to appreciate the way of life of the aged experiencing badly managed hypertension in rural areas of Thailand.

Summary: The theme and scope of the study is quite helpful to the chosen topic since it aids in suggesting other activities that can help the elderly with chronic kidney disease manage hypertension. Furthermore, the sample of this study is essential since the elderly are the worst affected by hypertension and chronic kidney illnesses.

Kauric-Klein, Z. (2012). Blood Pressure Knowledge in Hypertensive Hemodialysis Patients. Canadian Association of Nephrology Nurses and Technologists Journal, 22(4), 18-25.

Purpose/Scope: The reason for Kauric-Klein’s quantitative research was to investigate whether educative as well as care giving would improve blood pressure control in patients with chronic hemodialysis. Essentially, the methods of intervention included education on blood pressure, monitoring of blood pressure levels, goal settings as well as use of reinforcements to achieve the goal. The scope this study inferred if blood pressure awareness was amplified among the selected group after 12 weeks of the intervention. Additionally, the author wanted to deduce if the awareness created resulted in improved blood pressure control.

Description of Research: This research was conducted through experimental method. Moreover, sampling was done in random (Kauric-Klein, 2012). The author utilized 118 subjects. These subjects came from Detroit. The participants went through 12 weeks of blood pressure education. Additionally, intervention was also done during the period. Furthermore, they checked and recorded blood pressure levels for changes. In addition, fluid intake levels were also checked as well as salt levels.

Value/Significance: Results showed that patients got adequate knowledge on blood pressure. However, this did not result in significant improvement on follow-up. This study was essential in both relevance and contribution to hypertension in chronic kidney disease.

Shortcomings: Sample from different parts of the country could have been utilized to increase the sample space.

Conclusion: Although the study was successful, the expected result was not achieved.

Summary: This research gives nursing professionals an opportunity to explore other methods of ensuring blood pressure management. This paper gives in-depth data on results of the findings, which is essential in ascertaining the validity of results. The study shows that knowledge on blood pressure does not necessarily mean improved management of blood pressure levels.

Reference List

Jones, L. (2014). Reducing Disparities in Hypertension among African American Women through Understanding Information Seeking and Information Use (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses.

Kauric-Klein, Z. (2012). Blood Pressure Knowledge in Hypertensive Hemodialysis Patients. Canadian Association of Nephrology Nurses and Technologists Journal, 22(4), 18-25.

Kauric-Klein, Z. (2012). Improving blood pressure control in end stage renal disease through a supportive educative nursing intervention. Nephrology Nursing Journal, 39(3), 217-228.

Samranbua, A. (2011). The Lived Experience of Rural Thai Older Adults with Poorly Controlled Hypertension (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses.