Wednesday, 19 July 2006: 3:00 PM-4:30 PM
Nursing Management of Hypertension: A Best Practice Guideline
Learning Objective #1: Understand how the best practice guideline, Nursing Management of Hypertension, was developed and evaluated.
Learning Objective #2: Adapt the guideline to her/his nursing practice.
Hypertension is a major health problem affecting almost one-quarter of Canadians over the age of 18 (Joffres, Hamet, MacLean, L'Italien, & Fodor, 2001). Forty-two percent of Canadians with hypertension are unaware of having the problem and 23% of those who are treated have less than optimal control (Joffres et al., 1997). When it comes to detection, care and management of hypertension, family practice nurses and nurse practitioners are a key group of nurses. Bengston and Drevenhorn (2003) conducted a systematic review of studies of nursing in hypertension care and concluded that nurses’ foremost roles in hypertension care are education, dispensing of advice, and assessment of blood pressure (Bengtson & Drevenhorn, 2003). Hypertension is one of the five most common reasons for Canadians to visit with a nurse practitioner (NP) and NPs working in primary care practices provide more disease prevention and supportive services than do family practitioners (Way, Jones, Baskerville, & Busing, 2001). The Registered Nurses Association of Ontario (RNAO) and the Heart and Stroke Foundation of Ontario have partnered to develop a best practice guideline focusing on the nursing management of hypertension. The goal of the guideline is to “provide nurses with recommendations, based on the best available evidence, related to nursing interventions for high blood pressure detection, client assessment and development of a collaborative treatment plan, promotion of adherence and ongoing follow-up” (Heart and Stroke Foundation of Ontario & Registered Nurses Association of Ontario, 2005). This best practice guideline was implemented and evaluated with a group of family practice nurses and nurse practitioners. This symposium will describe development of the guideline, a workshop developed to implement the guideline, and a randomized controlled trial undertaken to evaluate the implementation.
Organizer:Joy A. Noel-Weiss, RN, IBCLC, MScN
 Development of the Nursing Best Practice Guideline
Cindy M. Bolton, RN, BNSc, BA, MBA, Heather McConnell, RN, BScN, MA(Ed), Margaret Moy Lum-Kwong, RN, BScN, MBA, CHE
 Implementation: A Workshop for Family Practice Nurses and Nurse Practitioners
Joy A. Noel-Weiss, RN, IBCLC, MScN, Cheryl A. Christopher-Mayer, RN, BScN, MScN, CNS, Hazelynn Kinney, RN, BScN, MN
 Evaluation: a Randomized Controlled Trial
Kirsten A. Woodend, RN, MSc, PhD, Ann Alsaffar, RN, Janice Bissonnette, RN, ACNP, PhD(s), Cindy M. Bolton, RN, BNSc, MBA, Cheryl A. Christopher-Mayer, RN, BScN, MScN, CNS, Hazelynn Kinney, RN, BScN, MN, Willi Kirenko, RN(EC), MN, PHCNP, Heather McConnell, RN, BScN, MA(Ed), Tazim Virani, MScN