Small-group hypertension health education programme: a process and outcome evaluation

Aim.  This paper reports a study to explore the expectations, attainments and opinions of the participants, the objectives and experiences of nurse facilitators, and the changes in nurse–client relationship after a small‐group hypertension health education programme. Background.  Effective control o...

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Veröffentlicht in:Journal of advanced nursing 2005-12, Vol.52 (6), p.631-639
Hauptverfasser: Leung, Cynthia M., Ho, Georgina K.H., Foong, Mary, Ho, C. F., Lee, Peter K.K., Mak, Lucy S.P.
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container_end_page 639
container_issue 6
container_start_page 631
container_title Journal of advanced nursing
container_volume 52
creator Leung, Cynthia M.
Ho, Georgina K.H.
Foong, Mary
Ho, C. F.
Lee, Peter K.K.
Mak, Lucy S.P.
description Aim.  This paper reports a study to explore the expectations, attainments and opinions of the participants, the objectives and experiences of nurse facilitators, and the changes in nurse–client relationship after a small‐group hypertension health education programme. Background.  Effective control of blood pressure among hypertensive patients is essential in the reduction of cerebrovascular‐related morbidity and mortality. A ‘small‐group hypertension education programme’ has been implemented in all general outpatient clinics in Hong Kong since 2000. In order to identify what aspects of the programme were beneficial and how it benefited clients, a process evaluation study was conducted. Methods.  Following implementation of a small‐group hypertension health education programme, two focus groups were run to collect data from eight nurse facilitators, and individual semi‐structured interviews were conducted with 16 programme participants. The data were collected in 2001. Findings.  The findings indicate that both clients and nurses gained a great deal from and enjoyed the process of this health education programme, and their relationships were improved after the programme. About half of the clients reported having adopted health‐enhancing behaviour. The study also revealed discrepancies between the nurses and clients in their perceptions of the objectives of the programme. This indicates that there is a need to clarify the objectives with clients to minimize disappointments from unrealistic expectations. Conclusion.  There is a need for the nurse facilitators to clarify the goal of the programme as an education group rather than as a support group. Also, needs assessment is suggested before group member recruitment in order to make the group more homogeneous.
doi_str_mv 10.1111/j.1365-2648.2005.03640.x
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Methods.  Following implementation of a small‐group hypertension health education programme, two focus groups were run to collect data from eight nurse facilitators, and individual semi‐structured interviews were conducted with 16 programme participants. The data were collected in 2001. Findings.  The findings indicate that both clients and nurses gained a great deal from and enjoyed the process of this health education programme, and their relationships were improved after the programme. About half of the clients reported having adopted health‐enhancing behaviour. The study also revealed discrepancies between the nurses and clients in their perceptions of the objectives of the programme. This indicates that there is a need to clarify the objectives with clients to minimize disappointments from unrealistic expectations. Conclusion.  There is a need for the nurse facilitators to clarify the goal of the programme as an education group rather than as a support group. 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Methods.  Following implementation of a small‐group hypertension health education programme, two focus groups were run to collect data from eight nurse facilitators, and individual semi‐structured interviews were conducted with 16 programme participants. The data were collected in 2001. Findings.  The findings indicate that both clients and nurses gained a great deal from and enjoyed the process of this health education programme, and their relationships were improved after the programme. About half of the clients reported having adopted health‐enhancing behaviour. The study also revealed discrepancies between the nurses and clients in their perceptions of the objectives of the programme. This indicates that there is a need to clarify the objectives with clients to minimize disappointments from unrealistic expectations. Conclusion.  There is a need for the nurse facilitators to clarify the goal of the programme as an education group rather than as a support group. 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F.</au><au>Lee, Peter K.K.</au><au>Mak, Lucy S.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Small-group hypertension health education programme: a process and outcome evaluation</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2005-12</date><risdate>2005</risdate><volume>52</volume><issue>6</issue><spage>631</spage><epage>639</epage><pages>631-639</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aim.  This paper reports a study to explore the expectations, attainments and opinions of the participants, the objectives and experiences of nurse facilitators, and the changes in nurse–client relationship after a small‐group hypertension health education programme. Background.  Effective control of blood pressure among hypertensive patients is essential in the reduction of cerebrovascular‐related morbidity and mortality. A ‘small‐group hypertension education programme’ has been implemented in all general outpatient clinics in Hong Kong since 2000. In order to identify what aspects of the programme were beneficial and how it benefited clients, a process evaluation study was conducted. Methods.  Following implementation of a small‐group hypertension health education programme, two focus groups were run to collect data from eight nurse facilitators, and individual semi‐structured interviews were conducted with 16 programme participants. The data were collected in 2001. Findings.  The findings indicate that both clients and nurses gained a great deal from and enjoyed the process of this health education programme, and their relationships were improved after the programme. About half of the clients reported having adopted health‐enhancing behaviour. The study also revealed discrepancies between the nurses and clients in their perceptions of the objectives of the programme. This indicates that there is a need to clarify the objectives with clients to minimize disappointments from unrealistic expectations. Conclusion.  There is a need for the nurse facilitators to clarify the goal of the programme as an education group rather than as a support group. Also, needs assessment is suggested before group member recruitment in order to make the group more homogeneous.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16313376</pmid><doi>10.1111/j.1365-2648.2005.03640.x</doi><tpages>9</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Attitude of Health Personnel
client-nurse relationship
Evaluation
expectations
Female
Focus groups
Health behavior
Health behaviour
Health education
Health Education - organization & administration
Hong Kong
Humans
Hypertension
Hypertension - nursing
Male
Middle Aged
Nurse patient relationships
Nurse-Patient Relations
Nursing
objectives
Outcome Assessment (Health Care)
Patient Education as Topic - methods
Patient Satisfaction
qualitative process
Self-Help Groups
small-group hypertension health education programme
Surveys and Questionnaires
Wellness programs
title Small-group hypertension health education programme: a process and outcome evaluation
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