Table 2 Assessment of participants’ knowledge and attitudes, pre- and post-program, N = 88
Pre-module responses, N (%) | Post-module responses, N (%) | p-value | |
|---|---|---|---|
Total questions answered | 1272 | 1245a | |
Participants responding | 88 | 88 | |
Questions answered correctly | 1025 (80.6%) | 1163 (93.4%) | < 0.01 |
Questions answered correctly per participant | 11.6 (81%) | 13.2 (93.6%) | < 0.01 |
Knowledge questions | |||
Question (Correct answer) | Pre-module correct answers, (%) | Post-module correct answers, (%) | p-value |
Which of the following characterizes accurate blood pressure measurement? (Recording the exact blood pressure instead of rounding to the nearest 10) | 83.9% | 93.3% | 0.04 |
The automated Omron devices available in JHCP sites have been programmed to measure blood pressure how many times when set in Average mode? (Three) | 96.7% | 100% | 0.09 |
Taking multiple blood pressure readings in one visit leads to a more reliable reading than a single reading, why is this true? (Taking multiple readings increases the likelihood that the measured value is closest to the true value) | 90% | 97.7% | 0.03 |
Which of the following statements about placement of an automated blood pressure cuff is correct? (Placing the blood pressure cuff over a thin shirt sleeve is acceptable) | 46.8% | 86.5% | <0.01 |
The use of a regular adult cuff when a larger one is required would. (Give a falsely high blood pressure reading) | 81.7% | 93.3% | 0.02 |
What does the P-set dial found on the automated Omron device do? (It sets the maximum pressure that the Omron device will inflate to) | 91% | 91% | 1 |
Which of the following statements regarding blood pressure measuring equipment is correct? (blood pressure cuffs should be inspected regularly for leaks) | 82.6% | 92% | 0.06 |
An obese patient comes for blood pressure measurement. The extra-large cuff that comes with the automated Omron device is too small for the patient. How should you proceed? (Obtain a manual blood pressure using a thigh cuff instead of using the Omron device) | 67.4% | 96.6% | < 0.01 |
An emergency blood pressure measurement is urgently needed for a sick patient. What should you do? (Take a single blood pressure reading using the automated Omron device) | 94.4% | 96.7% | 0.47 |
When using the Omron HEM-907XL, which of the following values is already set when it is on Average mode? (Waiting time until the start of the first measurement) | 74.4% | 85.4% | 0.07 |
An automated blood pressure device displays an error code. What should you do next? (Look at the device and the patient and think stepwise about what might have gone wrong) | 75% | 90.9% | < 0.01 |
How can you position the patient’s arm at the correct level during blood pressure measurement? (Support the patient’s arm on a flat surface at heart level during measurement) | 95.5% | 98.9% | 0.17 |
You return to the room where your patient’s blood pressure is being recorded and find the Omron HEM-907XL device has turned itself off. If the device is not plugged in, how long after the reading is complete does the device turn itself off? (5 min) | 70.3% | 94.3% | < 0.01 |
A 22 year-old female with no history of hypertension is seeing her doctor for a routine physical. According to JHCP protocol, how should you measure her blood pressure? (Take an average reading using the automated Omron device) | 80.2% | 91% | 0.04 |
Attitudes questions | |||
Question | Pre-module response 1 = strongly disagree 5 = strongly agree (mean) | Post-module response 1 = strongly disagree 5 = strongly agree (mean) | p-value |
Overall | 4.2 | 4.3 | 0.33 |
Taking blood pressure with an automated device saves time. | 3.4 | 3.4 | 0.98 |
Using the “AVG” (average) mode on the Omron device is only necessary for patients with high blood pressure. | 4 | 4.3 | 0.19 |
When using an automated device to measure blood pressure, patient positioning is not important. | 4.7 | 4.7 | 0.90 |
Following the blood pressure measurement protocol will result in better management of hypertension for patients. | 4.7 | 4.7 | 0.90 |
Allowing patients to rest at least 3 min before taking a blood pressure measurement will result in a more accurate blood pressure reading. | 4.5 | 4.5 | 0.50 |