Do Nursing Health Care Providers (HCPs) Face Difficulties in Treating the Rural Populations of South India?

Authors

  • Christy Vijay St. John’s national academy of health sciences, Bangalore
  • Farah N Fathima St. John’s national academy of health sciences, Bangalore

Keywords:

Diabetes, Hypertension, Health care workers, Barriers, Beliefs

Abstract

Introduction: Our study was aimed at studying the perspectives of nursing health care workers (HCPs) regarding the burden of Diabetes, Hypertension and Cardiovascular diseases that they had to deal with and the barriers faced by them in providing care for patients with NCD .

Methodology: Qualitative methods for the in-depth interviews to elicit information of each of the nursing healthcare workers was done.

Results: A total of 14 in-depth interviews were conducted. Each HCPs was introduced to a separate discussion and were further stratified based on the qualification/position they held in the hospital. The Healthcare providers were primarily specialised in maternity care, although the hospital did cater to General medical cases .Each session lasted 30 min to 1 hour. Themes identified were -High burden of illness and type of patient care, Barriers to good health and unexplored boundaries.

Conclusion: NCDs are a burden on the fast growing societies in India. There is lack of HCPs in treating such NCDs. Many barriers to treating NCDs exist and lack of Indian Protocols for a rural population limits the quality of care to patients. HCPs face many difficulties which in turn increases the gap in the care to the patients.

References

Huque R, Nasreen S, Ahmed F, Hicks JP, Walley J, Newell JN, Elsey H. Integrating a diabetes and hypertension case management package within primary health care: a mixed methods feasibility study in Bangladesh. BMC Health Serv Res. 2018 Oct 23;18(1):811. Doi: 10.1186/s 12913-018-3601-0.

Kasper Dl, Fauci AS, Hauser SL, Longo DL, Jameson JL et al. (2015) Harrison’s principles of internal medicine. (19th edn). Mc Graw Hi education, New York, USA.

Black JM, Hawks JH (2008) Medical surgical nursing-clinical management for positive outcome. (8th edn). Elsevier sanders, United States of America

Chiman Salimi ,Saeed Momtazi,Saeedeh Zenuzian. A Re-view on Effectiveness of Motivational Interviewing in the Management of Diabetes Mellitus.Social Determanants of HealthResearch Center,Zanjan University of Medical Scienhces ,Iran.Volume 5Issue 4-2016.February 20,2016

Wild s, Roglic G, Green A, Sicree R, King H (2004) Global Prevalence of Diabetes: estimates for the year 2000 and projections for 2030 Diabetes Care 27(5): 1047-1053.

Bazzazian S, Besharat MA, Bahrami Ehsan H, Rajab A (2010). The Moderating Role of Coping Strategies in Rela-tionship between illness Perception Quality of Life and HbA1c in Patients with Type 1 diabetes. Iranian Journal of Endocrinology and Metabolism 12(3):213-221.

Graham JM, Stoebner-May DG, Ostir GV, Snith SA, Kristen Peek M, et al. (2007) Health Related Quality of Life in Older Mexican Americans with Diabetes: Across Sectional study. Health Qual Life Outcomes 5(39):1-7

World Health Organization (2014) Global Health Estimates: Deaths by cause, Age, Sex and Country. 2000-2012. Health statistics and information systems, Geneva, USA.

Mathers CD, Loncar D (2006) Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3(11):e442.

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global buden of hypertension: analysis of worldwide data. Lancet 2005;365:217-23.

James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood Pressure in adults: report from the panel members appointed to the eighth joint national committee (JNC 8). JAMA 2014;311:507-20.

Cheryl R. Dennison Himmelfarb, RN, ANP, Yvonne Com-modore-Mensah, RN, Baltimore and Atlanta GA. Expanding the Role of Nurses to Improve Hypertension Care and Control Globally. Annals of Global Health, Vol. 82, No.2, 2016.

Guo F, He D, Zhang W, Walton RG. Trends in prevalence, awareness, management and control of Hypertension among United States adults, 1999 to 2010. J Am Coll Cardiol 2012;60:599-606.

Carter BL, Bosworth HB, Green BB. The hypertension team: the role of the pharmacist, nurse, and teamwork in hypertension therapy. J Clin Hypertens (Greenwich) 2012;14:51-65.

Clark CE, Smith LF, Taylor RS, Campbell JL. Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. BMJ 2010;341:c3995.

Shaw RJ, McDuffie JR, Hendrix CC, et al. Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis. An Intern Med 2014;161:113-21.

Santschi V, Chiolero A, Colosimo AL, et al. Improving blood pressure control through pharmacist interventions: a meta-analysis of randomized controlled trials. J Am Heart Assoc 2014;3:e000718.

Proia KK, Thota AB, Njie GJ, et al. Team-based care and improved blood pressure control: a community Guide systematic review. Am J Prev Med 2014;47:86-99.

Miller NH, Hill MN. Nursing clinics in the management of hypertension. In: Oparil S, Weber M, eds. Hypertension. 2nd ed. Philadelphia, PA: Saunders; 2005.

Elizabeth Selvin2, Jonathan Aboagye3, Ruth-Alma Turkson-Ocran4, Ximin Li5, Cheryl Dennison Himmelfarb6, Rexfrod S. Ahima7,1,2 and Lisa A. Cooper8,9. Hypertension, overweight/obesity, and diabetes among Immigrants in the United States: an analysis of the 2010-2016 National He…BMC Public Health 2018 18:773.

Kauzomi Kario, Naoko Tomitani, Yuri Matsumoto, Haruna Hamasaki, Yukie Okawara, Maiko Kondo, Ryoko Nozue, Hiromi Yamagata, Ayako Okura, Satoshi Hoshide. Research and Development of Information and Communication Technology-based Home Blood Pressure Monitoring from Morning to Nocturnal Hypertension. Annals of Global Health. Vol.82, No.2. 2916.

GBD 2013 DALYs and HALE Collaborators. CJL M, Barber RM, Foreman KJ, Abbasoglu Ozgoren A, Abd- Allah F, et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition. Lancet. 2015;386:2145-2191. doi:10.1016/S0140-6736(15)61340-X.

World Health Organization. India: first to adapt the Global Monitoring Framework on noncommunicable disease (NCDs) Geneva, Switzerland: World Health Organization (WHO);2015.

WHO. Global action plan for the prevention and control on noncommunicable diseases 2013-2020. Geneva, Switzerland: 2013.

Gakidou E, Mallinger L, Abbott-Klafter J, Guerrero R, Vil-lalpando S, Ridaura RL, et al. Management of diabetes and associated cardiovascular risk factors in seven countries: a comparison of data from national health examination surveys. Bull World Health Organ. 2011;89:172-183. doi:10.2471/BLT.10.080820.

Xu Y, Wang L, He J, Bi Y, Li M, Wang T, et al. Prevalence and control of diabetes in Chinese adult. JAMA. 2013; 310:948.doi:10.1001/jama.2013.168118.

Rahman MS, Akter S, Abe SK, Islam MR, Mondal MNI, Rahman JS, et al. Awareness, treatment and control of di-abetes in Bangladesh: a nationwide population-based study. PLos One. 2015;10:e0118365. doi:10.1371/journal. pone.0118365.

Wang J, Zhang L, Wang F, Liu L. Wang; H, the China Na-tional Survey of chronic kidney disease working group. Prevalence, awareness, treatment, and control of hypertension in China: results from a national survey. Am J Hypertens.2014;27:1355-1361. doi:10.1093/ajh/hpu053.

Abdul-Razak S, Daher AM, Ramli AS, Ariffin F, Mazapuspavina MY, Ambigga KS, et al. For the REDISCOVER investigators. Prevalence, awareness, treatment, control and socio demographic determinants of hypertension in Malaysian adults. BMC Public Health. 2016;16.

Chow CK, Koon T, Rangarajan S, Islam S, Gupta R, Avezum A, et al. Prevalence, awareness, treatment and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310:959. Doi: 10.1001/jama.2013.184182.

Miles, M. and A.M. Huberman, An expanded sourcebook. Qualitative Data Analysis. 1994, Thousand Oaks, London, New Delhi: Sage.

Strauss , A and J Corbin , Basics of qualitative re-search:Techniques and procedures for developing grounded theory.1998,Thousand Oaks ,London,New Delhi:Sage.

Guba EG ,Lincoln YS. Competing paradigms in qualitative research. In: Denzin NK, Lincoln YS, editors. Handbook of Qualitative Research. Thousand Oaks,CA:Sage;1994:105-17

Goyal A, Yusuf S. The burden of cardiovascular disease in the Indian subcontinent Indian J Med Res 2006, 124;235-244.

Facing the facts WHO report 2005. The impact of chronic disease in India. Available at http://www/who.int/chp/ chronic_disease_report/en/ Last accessed on 4th June 2012.

Jeemon P, Reddy KS. Social determinants of cardiovascular disease outcomes in Indians: Indian Journal of Medical Research, 2010; 132(5): 617-622.

Normal G, George C, Krishnamurthy A, Mukherjee D. Burden of cardiovascular risk factors of a rural population in South India using the WHO multivariable risk prediction algorithm. Int J Med Sci Public Health. 2014;3(6):764-768. Doi:10.5455/ijmsph.2014.180320141.

Akeroyd JM, Chan WJ, Kamal AK, Palaniappan L, Virani SS. Adherence to cardiovascular medications in the South Asian population: A systematic review of current evidence and future directions. World J Cardiol. 2015 Dec 26:7(12):938-47. Doi:10.4330/wjc.v7.i12.938.

Fathima FN, Shanbhag DN, Hegde SKB, Sebastian B, Bri-guglio S. Cross Sectional Study of Adherence to Pre-scribed Medications among Individuals Registered at a High Risk Clinic in Rural Area in Bangalore, India. Indian Journal of Public Health Research and Development 2013; 4:90-93 [DOI: 10.5958/j.0976-5506.4.3.085]

Diabetes Caregivers Needs Assessment Survey – Executive Summary Conducted by the Hormone Foundation 2010. Available at http://www.caregiving.org/wp-content/ upl-oads/2014/01/NAC_Diabetes-Caregivers- Needs- Assessment-Survey_Executive-Summmary-3-25-10_Final.pdf Last accessed on 4th June 2016.

Garside R, Garside PenTAG R, Scott House N. Multiple Risk Factor Programmes Aimed At Reducing Cardiovascular Disease Review 4: Barriers to, and facilitators for, the effectiveness of multiple risk factor programmes aimed at reducing cardiovascular disease within a given population: a systematic review of qualitative research AUTHORS [Internet]. [cited 2018 Dec 3]. Available from: https://www.nice. org.uk/guidance/ph25/evidence/reeviews-and -primary-studies-5- qualitative-studies-pdf- 374886109.

Ferrante D, Konfino J, Linetzky B, Tambussi A, Laspiur S. Barriers to prevention of cardiovascular disease in primary care settings in Argentina. Rev Panam Salud Publica. 2013;33(4):259-66.

Maria Papspurou, Vasiliki C. Laschou, Paraskevi Partsi-opoulou, Evangelos C.Fradelos, Christos F. Klesisiaris, Malamati A. Kalota, Anna Neroliatsiou,7 and loanna V. Papathanasiou8. Fears and Health Needs of Patients with Diabetes: A Qualitative Research in Rural Population. Med Arch. 2015 Jun;69(3):190-195.

Baker Heart and Diabetes Institute, Level 4, The Alfred Centre, 99 Commercial Road, Melbourne, Vic 3004 Australia T (03) 8532 1800 / F (03) 8532 1899 / www.baker.edu.au @ 2017 Baker Heart and Diabetes Institute /Review date: July 2019 / Literacy level assessed.

Svetkey LP et al. (1999). The DASH Diet, Sodium Intake and Blood Pressure Trial (DASH-sodium): rationale and design. Journal of the American Dietetic Association, 99(8), S96-S104.

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Published

2019-07-31

How to Cite

1.
Vijay C, Fathima FN. Do Nursing Health Care Providers (HCPs) Face Difficulties in Treating the Rural Populations of South India?. Natl J Community Med [Internet]. 2019 Jul. 31 [cited 2024 May 2];10(07):403-15. Available from: https://www.njcmindia.com/index.php/file/article/view/531

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Original Research Articles