Nursing inhypertension care comprises counselling about lifestyle changes, blood pressuremeasurement, and being a translator for\nthe physician. For the patient, changing lifestyle means performing self-care. As notmuch in the form of research and guidelines\nfor nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice,\nin order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are\npresented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of\nperceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network)\nand the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient\nadvocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related\nto the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with\nOrem�s theory of nursing. Clinical and research implications of the theory are discussed.
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