Impact on Nurse-patient relationship of quality of care and patient autonomy in decision making.

Impact on Nurse-patient relationship of quality of care and patient autonomy in decision making. The article is a quantitative research study publi…

Impact on Nurse-patient relationship of quality of care and patient autonomy in decision making.

Summary of the study

Date of the study

Type of the study

Sample size

Statistical significance



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Article analysis


The article is a quantitative research study published in 2020. The project took 11 months to complete, from February to December 2016. Results evaluation occurred in January 2017. The article assesses the impact of enhanced RN visits utilizing evidence-based guidelines for lifestyle and medication management on blood pressure outcome (BP). It provides a review of the studies showing nurses-led interventions’ ability to enhance BP control, including collaboration among health professionals and team-based care. Individuals with chronic diseases typically receive care in a primary care setting either by physicians or advanced practice providers. These patients struggle to access provider appointments to manage their conditions optimally. The article evaluates how team-based care can help solve these issues affecting a patient’s quality of care. The study utilizes interventions and evaluation that influence enhanced RN visit’s effectiveness compared to usual care for bettering health outcomes for patients with hypertension. The study involved an RN visit group (n=30) and a usual care group (n=30) collected from electronic registries specific for each group.


RN visit group’s results indicated a 93% of the patients with hypertension reaching their goal with a two week median weeks to goal. The usual care group measure showed 86% of the patients attaining their BP goal with an 8-week median weeks to goal. The RN visit group reached the BP goal sooner, a 6-week average, with only two patient not reaching their BP goal. Four patients in the usual care group did not reach their BP goal. The measures show improved management of individuals with uncontrolled hypertension from RN visits compared to those under routine care. A survey on patient satisfaction saw patients rating the RN visits as either agree or strongly agree that nurses demonstrated care and concern, skills and knowledge, and involvement. They would recommend the visits to other patients. There was also a decrease in clerical burden among physicians due to decreased laboratory and medication ordering. RNs also reported higher satisfaction during patient encounters. Patients demonstrated higher satisfaction in all domains. There were additional positive outcomes from the RN visits, such as better lifestyle habits, weight loss and family involvement, and support for sustainable management of the condition and behavioral changes.

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Statistical significance

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The results show a statistical significance as RN visits help the patient reach their BP goal faster, with 93% of patients attaining their BP goal with a 2-week median. The implementation of RN visits to manage medical conditions and modify lifestyles resulted in patients attaining their BP goal, better access to care by patients with other acute and complex medical conditions, higher patient satisfaction, and higher RN satisfaction.


RN visits helped patients reach their BP goal, increased patient satisfaction, and RN satisfaction of their roles of performing the visits and making telephone calls. The RNs worked comprehensively on their nursing licensure and adopted motivational interview techniques and coaching. There is a need to measure the ability of these interventions to help improve the health outcomes of patients suffering from other chronic medical conditions like diabetes and heart failure to determine the effectiveness of team-based care.

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There is a need to foster workable team-based care to enhance both patient and health practitioners’ experience of care delivery. Collaborative, evidence-based, and innovative health care interventions utilizing teams can improve hypertension management among patients. This model of care has far-reaching benefits in managing chronic diseases and ensuring optimal patient outcomes.

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