Analysis of nursing consultations for people with systemic arterial hypertension in Primary Health Care.
Luciana Assis Couto, Carin Caroline Dzembatyi, Dafne Louize Gomes Fernandes and 3 others
PMID 42525001WHAT IT FOUND
Across 29 hypertension consultations by 13 nurses, a median of 18 of 48 checklist items was met, and no nursing diagnosis was communicated.
Longer consultations were associated with greater adherence to the nursing process.
Key findings
01In 29 recorded hypertension consultations performed by 13 nurses, the median number of checklist items fulfilled was 18 of 48, corresponding to a median fulfillment rate of 20%.
02Nursing diagnoses were not communicated in any consultation, goals were not set in 89.66% of consultations, and nursing prescriptions were not verbalized in 75.86% and were never delivered in writing.
03Longer consultation duration showed a positive and statistically significant correlation with greater adherence to the Nursing Process stages.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was selected by convenience and the sample size was not calculated, so the findings may not represent all primary-care nurses or hypertension users in Brazil. Only 29 full consultations by 13 nurses were analysed, so the percentages are based on a small sample. Nurses and users knew they were being recorded, which may have changed behaviour. The evaluation checklist and record instrument were developed by the researchers, so measurement error is possible. The study observed associations only; it did not test whether longer consultation time or fewer interruptions caused better nursing-process compliance. Only consultations with self-reported hypertension that were recorded in full were included, so people or encounters not captured in the recordings are not represented.
The easy way to misread this
Do not read the low median compliance as a reliable national performance rate or conclude that longer consultation time causes better hypertension care. The study observed a small convenience sample of recorded consultations, and the time-compliance result was correlational.