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 |
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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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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.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2005.03640.x</identifier><identifier>PMID: 16313376</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>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</subject><ispartof>Journal of advanced nursing, 2005-12, Vol.52 (6), p.631-639</ispartof><rights>Copyright Blackwell Publishing Dec 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4950-417801c9e1170e4f6c9274c3c2fbe60880eca9227fe0b2d0b3ff8b5450f525883</citedby><cites>FETCH-LOGICAL-c4950-417801c9e1170e4f6c9274c3c2fbe60880eca9227fe0b2d0b3ff8b5450f525883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2648.2005.03640.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2648.2005.03640.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,30980,30981,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16313376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leung, Cynthia M.</creatorcontrib><creatorcontrib>Ho, Georgina K.H.</creatorcontrib><creatorcontrib>Foong, Mary</creatorcontrib><creatorcontrib>Ho, C. F.</creatorcontrib><creatorcontrib>Lee, Peter K.K.</creatorcontrib><creatorcontrib>Mak, Lucy S.P.</creatorcontrib><title>Small-group hypertension health education programme: a process and outcome evaluation</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude of Health Personnel</subject><subject>client-nurse relationship</subject><subject>Evaluation</subject><subject>expectations</subject><subject>Female</subject><subject>Focus groups</subject><subject>Health behavior</subject><subject>Health behaviour</subject><subject>Health education</subject><subject>Health Education - organization & administration</subject><subject>Hong Kong</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - nursing</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurse patient relationships</subject><subject>Nurse-Patient Relations</subject><subject>Nursing</subject><subject>objectives</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Education as Topic - methods</subject><subject>Patient Satisfaction</subject><subject>qualitative process</subject><subject>Self-Help Groups</subject><subject>small-group hypertension health education programme</subject><subject>Surveys and Questionnaires</subject><subject>Wellness programs</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkVtv0zAYhi0EYt3gL6CIC7hK-HxOkLiYKrYyTeUCpiFuLMf9sqbkUOwE2n-Ps1ZD4gLwjU_P-8rWQ0hCIaNxvNlklCuZMiXyjAHIDLgSkO0ekdnDxWMyAw5FygSwE3IawgaAcsbYU3JCFaecazUjN59a2zTpne_HbbLeb9EP2IW675I12mZYJ7ganR2mg63v77xtW3yb2GnjMITEdqukHwfXt5jgD9uM9-wz8qSyTcDnx_mM3Fy8_zxfpNcfLz_Mz69TJwoJqaA6B-oKpFQDikq5gmnhuGNViQryHNDZgjFdIZRsBSWvqryUQkIlmcxzfkZeH3rjc76PGAbT1sFh09gO-zEYrQRTWvIikq_-SqrYpif0X6DUlArNpsaXf4CbfvRd_K5hnIlC5AARyg-Q830IHiuz9XVr_d5QMJNKszGTMTMZM5NKc6_S7GL0xbF_LFtc_Q4e3UXg3QH4WTe4_-9ic3W-nFYxnx7ydRhw95C3_ptRmmtpbpeXZrGc3159-bqIZb8AqJK7CQ</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Leung, Cynthia M.</creator><creator>Ho, Georgina K.H.</creator><creator>Foong, Mary</creator><creator>Ho, C. F.</creator><creator>Lee, Peter K.K.</creator><creator>Mak, Lucy S.P.</creator><general>Blackwell Science Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Small-group hypertension health education programme: a process and outcome evaluation</title><author>Leung, Cynthia M. ; Ho, Georgina K.H. ; Foong, Mary ; Ho, C. F. ; Lee, Peter K.K. ; Mak, Lucy S.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4950-417801c9e1170e4f6c9274c3c2fbe60880eca9227fe0b2d0b3ff8b5450f525883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude of Health Personnel</topic><topic>client-nurse relationship</topic><topic>Evaluation</topic><topic>expectations</topic><topic>Female</topic><topic>Focus groups</topic><topic>Health behavior</topic><topic>Health behaviour</topic><topic>Health education</topic><topic>Health Education - organization & administration</topic><topic>Hong Kong</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - nursing</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurse patient relationships</topic><topic>Nurse-Patient Relations</topic><topic>Nursing</topic><topic>objectives</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Education as Topic - methods</topic><topic>Patient Satisfaction</topic><topic>qualitative process</topic><topic>Self-Help Groups</topic><topic>small-group hypertension health education programme</topic><topic>Surveys and Questionnaires</topic><topic>Wellness programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leung, Cynthia M.</creatorcontrib><creatorcontrib>Ho, Georgina K.H.</creatorcontrib><creatorcontrib>Foong, Mary</creatorcontrib><creatorcontrib>Ho, C. F.</creatorcontrib><creatorcontrib>Lee, Peter K.K.</creatorcontrib><creatorcontrib>Mak, Lucy S.P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leung, Cynthia M.</au><au>Ho, Georgina K.H.</au><au>Foong, Mary</au><au>Ho, C. 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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