Assessment of hypertensive patients' self-care agency after counseling training of nurses

J Am Assoc Nurse Pract. 2015 Nov;27(11):624-30. doi: 10.1002/2327-6924.12222. Epub 2015 Mar 2.


Purpose: The aim of the study was to assess hypertensive patients' self-care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training.

Data sources: Nurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers were trained in patient centeredness (motivational interviewing) and the stages of change model and included 137 patients. Nurses in the control group (CG; n = 14) included 51 patients. The Exercise of Self-Care Agency (ESCA) instrument was used. There was a significant difference from baseline to the 2-year follow-up in the ESCA score (IG, p = .0001). An increase in ESCA score was correlated with an increased level of physical activity after 2 years (IG, p = .0001; CG, p = .040).

Conclusions: The counseling training gave an increase in the patients' self-care agency scores, which was significantly correlated with increased physical activity.

Implications for practice: In clinical practice it is important for nurses to be patient centered in their counseling to affect patients' self-care agency in a positive direction.

Keywords: Counseling; Sweden; advanced practice nursing; hypertension; international; patient-centered care; self-care.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Counseling*
  • Female
  • Humans
  • Hypertension / nursing*
  • Hypertension / prevention & control
  • Male
  • Middle Aged
  • Nurse Practitioners
  • Nursing Process
  • Patient Education as Topic*
  • Practice Patterns, Nurses'
  • Self Care*
  • Sweden
  • Treatment Outcome