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  <controlfield tag="001">UP-1685954869149796211</controlfield>
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   <subfield code="a">Pagsibigan, Jesusa S.</subfield>
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   <subfield code="a">Blood pressure measurement training package and adherence to BP measurement guidelines among public health nurses</subfield>
   <subfield code="c">Jesusa S. Pagsibigan.</subfield>
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   <subfield code="a">Manila: College of Nursing, University of the Philippines Manila</subfield>
   <subfield code="c">2013</subfield>
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   <subfield code="a">xvi, 174 leaves</subfield>
   <subfield code="c">28 cm.</subfield>
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   <subfield code="a">text</subfield>
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   <subfield code="a">Thesis (Master of Arts in Nursing - Adult Health Nursing) -- University of the Philippines Manila, October 2013.</subfield>
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  <datafield tag="504" ind1=" " ind2=" ">
   <subfield code="a">Bibliography: leaves 112-120.</subfield>
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   <subfield code="a">Not available to the general public.</subfield>
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   <subfield code="a">Decades of studies reveal practice variations in blood pressure (BP) measurement, lacking adherence to BP measurement guidelines with impact on the high cost of care, poor outcome, and premature death. Public Health Nurses (PHN), recognized as leaders in providing quality health services to communities, are expected to perform BP measurement procedure accurately. However, there are no major studies in the Philippines related to practice variations in BP measurement and adherence to BP measurement guidelines by health professionals. There is also a dearth of literature on evaluation of intervention outcomes on adherence to BP measurement guidelines. -- This study introduces an educational intervention, BP Measurement Training Package (BPM-TP) that integrates three components: 1) BP Measurement Guidelines Manual (BPM-GM) - the scientific evidence that stimulates the cognitive processes of the PHN to value performing accurate BP measurements procedure as essential to their role in health care; 2) modeling BP measurement procedure that adheres to the guidelines - stimulates reflection and insight om their adapted BP measurement practices as they observe the model; and 3) experiential learning with peers - stimulates team value in performing the accurate procedure, strengthen their psychomotor skills, and unifies them to standardize the procedure according to BPM-GM. BP measurement that adheres to the guidelines in the attainment of positive adaptation (Roy, 1970; 1984). The objectives of this study are: 1) determine the level of adherence to BP measurement guidelines by PHNs based on their knowledge on BP measurement guidelines, and skills in BP measurement; 2) to determine if there is a significant difference in the level of adherence of the intervention and the comparison group based on their knowledge and skills in BP measurement. -- This study is a quasi - experimental, pre-test and post-test design with a total sample size n=118 PHNs, n=59 for the intervention group, and n=59 for the comparison group, using systematic random sampling technique. This was conducted in 54 health centers, 17 city high schools, and 1 Special Service Unit (City Government Employees Clinic) located in the six districts of the Manila Health Department, and the Department of City Schools. The districts were assigned to either the intervention of the comparison group through simple random sampling technique. Knowledge, and skills in BP measurement are measured using structured tools namely: 1) BP measurement skills checklist; 2) BP measurement device quality check; and 3 BP Measurement Written Examination. The technical and ethical approval to conduct the study was released by the UP Manila Research Ethics Board on January 22, 2013.</subfield>
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   <subfield code="a">Blood pressure</subfield>
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