Evidence map›Paper›PMID 28148255›Full record

Trial reportBMC health services research2017

Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study.

Joyce Gyamfi, Jacob Plange-Rhule, Juliet Iwelunmor, Debbie Lee, Sarah R Blackstone, Alicia Mitchell, Michael Ntim, Kingsley Apusiga, Bamidele Tayo, Kwasi Yeboah-Awudzi and 2 more

Erratum issued Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01802372 (Task Shifting and Blood Pressure Control in Ghana), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01802372 nacompletednot on this map

Task Shifting and Blood Pressure Control in Ghana: A Cluster-Randomized Trial

TypeinterventionalSponsorNYU Langone HealthRan2012 to 2016Enrolled757ConditionsHypertension, High Blood Pressure, Cardiovascular DiseasesArmsWHO CVD risk assessment package, Health Insurance only
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Joyce GyamfiNew York University School of Medicine, NYU Langone Medical Center, New York, NY, 10016, USA. Joyce.gyamfi@nyumc.org.
Jacob Plange-RhuleSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Juliet IwelunmorUniversity of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
Debbie LeeStony Brook University School of Medicine, Stony Brook, NY, 11797, USA.
Sarah R BlackstoneUniversity of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
Alicia MitchellNew York University School of Medicine, NYU Langone Medical Center, New York, NY, 10016, USA.
Michael NtimSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kingsley ApusigaSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Bamidele TayoStritch School of Medicine, Loyola Chicago Medical Center, Maywood, IL, 60153, USA.
Kwasi Yeboah-AwudziGhana Health Service, Kumasi, Ghana.
Richard CooperStritch School of Medicine, Loyola Chicago Medical Center, Maywood, IL, 60153, USA.
Gbenga OgedegbeNew York University School of Medicine, NYU Langone Medical Center, New York, NY, 10016, USA.
Kwame Nkrumah University of Science and Technology · GHNYU Langone Health · USLoyola University Medical Center · USUniversity of Illinois Urbana-Champaign · USGhana Health Service · GHStony Brook University · US

Funding

Stroke and Cardiovascular Research Training (SCaRT) InstituteD43TW009140 · FIC · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADANU, RICHARD M K, ALABI, SULYMAN BIODUN · 2011 to 2023
$2.5M
Task Shifting and Blood Pressure Control in Ghana: A Cluster- Randomized Trial.U01HL114198 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G. · 2012 to 2016
$2.1M
FIC NIH HHS D43 TW009140NHLBI NIH HHS U01 HL114198
6 · The paper itself

Abstract

backgroundNurses in Ghana play a vital role in the delivery of primary health care at both the household and community level. However, there is lack of information on task shifting the management and control of hypertension to community health nurses in low- and middle-income countries including Ghana. The purpose of this study was to assess nurses' knowledge and practice of hypertension management and control pre- and post-training utilizing task-shifting strategies for hypertension control in Ghana (TASSH).

methodsA pre- and post- test survey was administered to 64 community health nurses (CHNs) and enrolled nurses (ENs) employed in community health centers and district hospitals before and after the TASSH training, followed by semi-structured qualitative interviews that assessed nurses' satisfaction with the training, resultant changes in practice and barriers and facilitators to optimal hypertension management.

resultsA total of 64 CHNs and ENs participated in the TASSH training. The findings of the pre- and post-training assessments showed a marked improvement in nurses' knowledge and practice related to hypertension detection and treatment. At pre-assessment 26.9% of the nurses scored 80% or more on the hypertension knowledge test, whereas this improved significantly to 95.7% post-training. Improvement of interpersonal skills and patient education were also mentioned by the nurses as positive outcomes of participation in the intervention.

conclusionsFindings suggest that if all nurses receive even brief training in the management and control of hypertension, major public health benefits are likely to be achieved in low-income countries like Ghana. However, more research is needed to ascertain implementation fidelity and sustainability of interventions such as TASSH that highlight the potential role of nurses in mitigating barriers to optimal hypertension control in Ghana.

trial registrationTrial registration for parent TASSH study: NCT01802372 . Registered February 27, 2013.

Indexed as

AdultClinical CompetenceCluster AnalysisCommunity Health CentersCommunity Health NursingFemaleGhanaHealth Knowledge, Attitudes, PracticeHospitals, DistrictHumansHypertensionMaleNurse-Patient RelationsNurses, Community HealthPrimary Health CareSurveys and QuestionnairesGhanaHypertensionNursesSub-Saharan AfricaTask-shifting strategies

Identifiers

PMID28148255
PMCPMC5288999
OpenAlexW2583634217

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.