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|a RA645.H9 M33 2013_MccurdyRosalee |2 BU-Local |
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|a Critical influences on the management and home self monitoring of blood pressure among middle-aged hypertensive Americans : a grounded theory approach |h [electronic resource]. |
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|a Miami, Fla. : |b Barry University, |c 2013. |
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|a v, 163 leaves : |b ill. ; |c 28 cm |
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|a Barry University Dissertations -- College of Nursing and Health Sciences. |
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|a Thesis (Ph.D.)--Barry University, 2013. |
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|a Includes bibliographical references (leaves 130-146). |
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|a Copyright Rosalee E. McCurdy. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder. |
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|a Background: Within the last two decades high blood pressure has become endemic worldwide, affecting populations of developed, undeveloped, and developing countries equally (International Society of Hypertension [ISH, 2008]) at an estimated global economic cost in the billions of dollars. In the United States (US) approximately 75 million people suffer from high blood pressure and 75% of people with high blood pressure do not have their blood pressure under control (CDC, 2010). Recent studies have shown that management which includes self-monitoring may hold the key to sustainable blood pressure control in all populations regardless of race or ethnicity. Purpose: This qualitative study aims to discover critical influences that lead hypertensive middle-aged Americans to manage and self-monitor their blood pressure at home. Philosophical Underpinnings: The philosophical underpinnings used to guide this study are based on the qualitative research paradigm, symbolic interactionism and pragmatism. Methods: A grounded theory methodology was used in this study of English-speaking adults age 40-65 with high blood pressure, who manage and self-monitor their blood pressure at home at least once a month. Audio-taped, semi-structured interviews with open-ended questions were utilized to collect data. Categories are formed to capture all major themes. Results: The following three dominant categories emerged from the data: accepting the diagnosis, establishing support and tending to health. A core category of daring to live under pressure was constructed and reflected the participants’ critical influence in management and self-monitoring of their blood pressure. A conceptual model of the dominant categories was developed to guide future intervention studies. Conclusion: Accepting the diagnosis, establishing support, and tending to health for individuals with high blood pressure are crucial to abating this chronic disease in middle-aged adults. |
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|a Electronic reproduction. |c Barry University, |d 2020. |f (Barry University Digital Collections) |n Mode of access: World Wide Web. |n System requirements: Internet connectivity; Web browser software. |
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|a Barry University Archives and Special Collections. |
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|a Hypertension |x Prevention. |
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|a Hypertension |x Age factors. |
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|a Blood pressure |x Regulation. |
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|a Barry University Digital Collections. |
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|a Theses and Dissertations. |
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|a BUDC |c Theses and Dissertations |
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|u http://sobekcmsrv.barrynet.barry.edu/AA00001578/00001 |y Click here for full text |
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|a https:/budc.barry.edu/content/AA/00/00/15/78/00001/RA645_H9 M33 2013_MccurdyRosaleethm.jpg |
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|a Theses and Dissertations |
