Sustaining Nurse-Led Task-Shifting Strategies for Hypertension Control: A Concept Mapping Study to Inform Evidence-Based Practice

Sarah Blackstone, Juliet Iwelunmor, Jacob Plange-Rhule, Joyce Gyamfi, Nana Kofi Quakyi, Micheal Ntim, Gbenga Ogedegbe

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The use of task-shifting is an increasingly widespread delivery approach for health interventions targeting prevention, treatment, and control of hypertension in adults living in sub-Saharan Africa (SSA). Addressing a gap in the literature, this research examined the sustainability of an ongoing task-shifting strategy for hypertension (TASSH) from the perspectives of community health nurses (CHNs) implementing the program. Methods: We used concept-mapping, a mixed-methods participatory approach to understand CHNs’ perceptions of barriers and enablers to sustaining a task-shifting program. Participants responded to focal prompts, eliciting statements regarding perceived barriers and enablers to sustaining TASSH, and then rated these ideas based on importance to the research questions and feasibility to address. Twenty-eight community health nurses (21 women, 7 men) from the Ashanti region of Ghana completed the concept-mapping process. Results: Factors influencing sustainability were grouped into five categories: Limited Drug Supply, Financial Support, Provision of Primary Health Care, Personnel Training, and Patient-Provider Communication. The limited supply of antihypertensive medication was considered by CHNs as the most important item to address, while providing training for intervention personnel was considered most feasible to address. Linking Evidence to Action: This study's findings highlight the importance of examining nurses’ perceptions of factors likely to influence the sustainability of evidence-based, task-shifting interventions. Nurses’ perceptions can guide the widespread uptake and dissemination of these interventions in resource-limited settings.

Original languageEnglish (US)
Pages (from-to)350-357
Number of pages8
JournalWorldviews on Evidence-Based Nursing
Volume14
Issue number5
DOIs
StatePublished - Oct 2017

Keywords

  • Ghana
  • community health nurses
  • hypertension
  • stakeholder analysis
  • task-shifting

ASJC Scopus subject areas

  • Nursing(all)

Fingerprint Dive into the research topics of 'Sustaining Nurse-Led Task-Shifting Strategies for Hypertension Control: A Concept Mapping Study to Inform Evidence-Based Practice'. Together they form a unique fingerprint.

Cite this