Abstract
Objective to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records.Method quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05.Results the median of the professionals’ scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001).Conclusion the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.
Highlights
Blood pressure (BP) recording is one of the steps of the indirect BP measurement
National and international guidelines on hypertension (HTN) recommend that BP recording includes the position of the patient’s body, the arm used for cuff placement and the systolic blood pressure (SBP) and diastolic blood pressure (DBP) obtained immediately after performing the procedure[1,2]
Despite the importance of BP recording for patient care, especially regarding diagnostic definition and planning of treatment and interventions, studies have shown that the conduct of nursing professionals regarding the BP documentation is still outdated and does not adequately portray the care received by the client[4,5]
Summary
Blood pressure (BP) recording is one of the steps of the indirect BP measurement. It provides important information for care and supports the clinical evaluation, the diagnosis and the therapeutic procedures used with patients affected by the most diverse health conditions[1,2]. These records may enable the exchange of information between the members of the multi-professional team, the contact with the patient’s health history and the evaluation of the quality of care provided[3]. The theoretical and practical knowledge about indirect BP measurement is below the expected for compliance with the technique[6,7]
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