dc.contributor.author | Parro Moreno, Ana Isabel | |
dc.contributor.author | Serrano Gallardo, María del Pilar | |
dc.contributor.author | Díaz-Holgado, Antonio | |
dc.contributor.author | Aréjula-Torres, José L. | |
dc.contributor.author | Abraira, Víctor | |
dc.contributor.author | Santiago-Pérez, Isolina M. | |
dc.contributor.other | UAM. Departamento de Cirugía | es_ES |
dc.contributor.other | UAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología | es_ES |
dc.date.accessioned | 2016-07-21T13:29:19Z | |
dc.date.available | 2016-07-21T13:29:19Z | |
dc.date.issued | 2015-01-01 | |
dc.identifier.citation | BMJ Open 5.1 (2015): e009126 | es_ES |
dc.identifier.issn | 2044-6055 | es_ES |
dc.identifier.uri | http://hdl.handle.net/10486/672194 | |
dc.description.abstract | Objective: To determine the impact of Primary Health
Care (PHC) nursing workforce characteristics and of
the clinical practice environment (CPE) perceived by
nurses on the control of high-blood pressure (HBP).
Design: Cross-sectional analytical study.
Setting: Administrative and clinical registries of
hypertensive patients from PHC information systems
and questionnaire from PHC nurses.
Participants: 76 797 hypertensive patients in two
health zones within the Community of Madrid, North-
West Zone (NWZ) with a higher socioeconomic
situation and South-West Zone (SWZ) with a lower
socioeconomic situation, and 442 reference nurses.
Segmented analyses by area were made due to their
different socioeconomic characteristics. Primary
outcome measure: Poor HBP control (adequate figures
below the value 140/90 mm Hg) associated with the
characteristics of the nursing workforce and selfperceived
CPE.
Results: The prevalence of poor HBP control,
estimated by an empty multilevel model, was 33.5%
(95% CI 31.5% to 35.6%). In the multilevel
multivariate regression models, the perception of a
more favourable CPE was associated with a reduction
in poor control in NWZ men and SWZ women
(OR=0.99 (95% CI 0.98 to 0.99)); the economic
immigration conditions increased poor control in NWZ
women (OR=1.53 (95% CI 1.24 to 1.89)) and in SWZ,
both men (OR=1.89 (95% CI 1.43 to 2.51)) and
women (OR=1.39 (95% CI 1.09 to 1.76)). In all four
models, increasing the annual number of patient
consultations was associated with a reduction in poor
control (NWZ women: OR=0.98 (95% CI0.98 to 0.99);
NWZ men: OR=0.98 (95% CI 0.97 to 0.99); SWZ
women: OR=0.98 (95% CI 0.97 to 0.99); SWZ men:
OR=0.99 (95% CI 0.97 to 0.99).
Conclusions: A CPE, perceived by PHC nurses as
more favourable, and more patient–nurse consultations,
contribute to better HBP control. Economic immigration
condition is a risk factor for poor HBP control. Health
policies oriented towards promoting positive
environments for nursing practice are needed | en_US |
dc.description.sponsorship | The results presented here form part of a study that has been
funded partially with the First Prize for National Research in Nursing
(12th edition) from Hospital Universitario Marqués de Valdecilla (Santander)
in 2010. | en_US |
dc.format.extent | 13 pag. | es_ES |
dc.format.mimetype | application/pdf | en |
dc.language.iso | eng | en |
dc.publisher | BMJ Publishing Group | en_US |
dc.relation.ispartof | BMJ Open | en_US |
dc.subject.other | Primary Health Care | en_US |
dc.subject.other | High-blood pressure | en_US |
dc.title | Impact of primary care nursing workforce characteristics on the control of high-blood pressure: A multilevel analysis | en_US |
dc.type | article | en |
dc.subject.eciencia | Medicina | es_ES |
dc.relation.publisherversion | http://dx.doi.org/10.1136/bmjopen-2015-009126 | es_ES |
dc.identifier.doi | 10.136/bmjopen-2015-009126 | es_ES |
dc.identifier.publicationfirstpage | e009126 | es_ES |
dc.identifier.publicationissue | 1 | es_ES |
dc.identifier.publicationlastpage | e009126 | es_ES |
dc.identifier.publicationvolume | 5 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
dc.rights.cc | Reconocimiento – NoComercial | es_ES |
dc.rights.accessRights | openAccess | en |
dc.authorUAM | Parro Moreno, Ana Isabel (262396) | |
dc.authorUAM | Serrano Gallardo, María Del Pilar (262397) | |
dc.facultadUAM | Facultad de Medicina | |