Prevalence, Awareness and Management of Hypertension in Acute Care Personnel
| Status: | Completed |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/30/2013 |
| Start Date: | August 2012 |
| End Date: | July 2013 |
| Contact: | Dan Donahue, M.Ed. |
| Email: | Dan.Donahue@providence.org |
| Phone: | 360.493.5397 |
The primary purpose of this study is to identify the percentage of health care workers
working in an acute care hospital who have high blood pressure, to determine the awareness
of their blood pressure status, and to see how well it is managed. Study participants will
come from the following three distinctly different types of departments: telemetry
(clinical), non-telemetry (clinical), and non-direct patient care staff. All study
participants are offered educational information surrounding high blood pressure and review
the recommendation for their primary care engagement. Study participants with high blood
pressure will be asked to continue in the study for up to 6 months. It is intended that each
study participant who continues will take their blood pressure three times a day and record
the results in a study provided diary. Each study participant should also make some of the
suggested changes that promote a healthier lifestyle including exercising, improving their
diet, and seeing their primary care provider. It is the thought that these changes will
reduce the study participant's blood pressure. The secondary purpose is to determine the
effect shift work has on these hospital employees and the potential positive effects of the
three interventions.
Research on hypertension (HTN) in hospital personnel during work hours is limited yet
research has been published on the relationship of job strain and the risk of cardiovascular
disease. HTN can be caused by sympathoadrenal activation brought on by long-term exposure to
stressors and an inherent biomarker that is associated with an increased risk of
cardiovascular disease.
The primary purpose of this study is to quantify differences in HTN prevalence, awareness
and management in three distinctly different areas and shifts within an acute hospital.
Blood pressure (BP) will be taken during working hours along with pre and post sleep hours.
The secondary purpose is to identify the effect of shift work within an acute care hospital
and effectiveness of: BP monitoring, increases in physical activity, positive nutritional
changes, and the correlation between a primary care provider visits and lowering BP.
Inclusion Criteria:
- Providence Health System's Southwest Washington Service Area (SWSA) employees
- Subjects who will be included in the intervention part of the study will have two
consecutive BP readings of > 140/90
- Has or is willing to have collaborative PCP
- Understand and sign the informed consent form
Exclusion Criteria:
- Under the age of 18
- Has a severe systemic illness with life expectancy judged less than three years
- Has a severe vascular event such as Myocardial Infarction or Cerebral Vascular Event
in the past 90 days
- Is enrolled in another therapeutic program or similar study, and
- Has a condition which, in the opinion of the investigators, may prevent the subject
from participating in the study
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