title: Hypertensive Black Men's Perceptions of a Nurse Protocol for Medication Self-Administration.
abstract: A factor contributing to uncontrolled hypertension in older persons is medication nonadherence. Older Black men in a rural cardiology clinic were not taking blood pressure medication as prescribed resulting in uncontrolled hypertension. A nurse protocol to assist with self-administration of hypertensive medication was proposed to address the problem. This qualitative key informant study identified a purposive sample of 10 hypertensive Black men who were 65-70 years of age and nonadherent in taking their medication. The nurse conducted teaching sessions using the protocol to review evidence-based strategies for improving medication adherence. A follow-up phone call was done after 1 week. Participants were interviewed about their perceptions of taking hypertensive medication. The interviews were recorded, transcribed, and coded for themes using constant comparative analysis. Six themes emerged: Medication Bottle Guides Medication Usage, Confusion about Side Effects, Reasons for Not Taking Medications, New Behavior, Unchanged Behavior, and Discovery of Other Problems. The results showed that the nurse-administered protocol resulted in participants' changed attitudes about taking medication.
authors.affiliation: Regis University, Denver, Colorado, USA.
authors.forename: Ophelia
authors.initials: O
authors.lastname: Thomas
authors.forename: Pamella
authors.initials: P
authors.lastname: Stoeckel
mesh_terms: D001741:Black or African American; D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D055318:Evidence-Based Nursing; D005845:Georgia; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000451:nursing*; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence; D010353:Patient Education as Topic; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D012424:Rural Population; D012646:Self Administration
chemical_list: D000959:Antihypertensive Agents