Epidemiology in Nursing: Hypertension in Pregnancy - Report Analysis

This report examines the epidemiology of hypertension in pregnancy, focusing on females aged 35 and older. It analyzes a research article on the management of hypertensive disorders during pregnancy, highlighting the causes, challenges, and potential solutions. The report discusses the application of epidemiological principles within a community health nursing context, including assessment, planning, implementation, and interviewing strategies. It emphasizes the challenges faced by healthcare providers, particularly within the aboriginal and Torres Strait Islander communities, and suggests recommendations for improved patient care, including both pharmacological and non-pharmacological therapies. The report also critiques the research article, considering its study design, findings, and the potential for integrating the research into nursing practice, and further research questions.

Running Head: EPIDEMIOLOGY IN NURSING
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Nursing Epidemiology: Hypertension in Pregnancy

EPIDEMIOLOGY IN NURSING 1
Abstract
Analysis of the issues and suggesting the best way to overcome the challenges in the
planned study and method is epidemiology of the multidisciplinary approach. An
epidemiology applies on health service and information for a particular disease over a
particular selected population or community. The objective of this epidemiology application
is to identify the challenges causing risk of hypertension in the pregnancy for the females
who are aged in or above 35 years.
Duration of nine months in pregnancy is very difficult period for a female, as there are
many changes in hormones and body that leads to mood swing disorders, physical health
issues and many other mental health challenges. Stress and tension is common in pregnancy
this can be due to fear, high blood pressure or changes in the hormones, female expecting the
pregnancy in higher age has many other health issues that cause difficulties to their
pregnancy (Vollman, Anderson, & McFarlane, 2007). This research paper will use an article
that discusses the challenges, causes, and solutions to hypertension and pregnancy in the aged
female. After analysis, this research paper will apply practices of epidemiology over the
selected community to deal their challenges effectively.
Key Words; hypertension, Pregnancy, pharmacological therapy, non- pharmacological
therapy
“A Survey of Canadian Practitioners Regarding the Management of the Hypertensive
Disorders of Pregnancy by M. Caetano and others in 2004.”
This research article is based on aim to research the causes of hypertension in the
Canadian female who are expecting the pregnancy in the high age. This article describes the
tension and stress as normal to experience but pharmacological treatment is not the manner to
solve the issues. This research article focus over effective analysis and collect data in a
French and English version of the study, in a self-declared mail survey.
This article aims to analyse the female during pregnancy and how nursing practices
helps them to deal their stress and the effect of their hypertension over the born infant, it
focus over the hormones changes and measurement of the BP relevant to the development of
the different kind of hyper tension in the females. It also examines the impact of the
guidance and prescriptions to the females given by the GP in non- pharmacological therapy.

EPIDEMIOLOGY IN NURSING 2
This survey was focused to examine the guidance given by the CHS as bed rest and in from
of the medicines.
This epidemiology uses the No pharmacological Therapy and pharmacological theory
to analyse the effective analysis of the severe tension and general tension caused in the
patient due to the changes in the blood pressure that result the anxiety, stress and many other
causes in the customers (Caetano, et al., 2004).
Research population
Research population selected for this epidemiology is the females who are expecting
pregnancy in the age of the 35 or above the 35 years in their life. Many females in Canada
have active lifestyle in the professional life and they used to manage their personal life along
with the stress of the professional working that delayed their pregnancy decisions. Some of
them were married late and some of them were expecting the pregnancy for the second time,
hence this study examine deep about the causes of hypertension among these selected
population by examining the stress and tension management by pharmacological and non-
pharmacological theory (Lamminpää, Vehviläinen-Julkunen, Gissler, Selander, & Heinonen,
2016).
Application of the services
This epidemiology application focuses to apply key principles of the nursing
healthcare and strategies of the health care promotion for the targeted community and
population, after developing the research question this research and epidemiology focus to
apply the healthcare services and application of the healthcare development at the targeted
population in effective manner (Nzelu, Dumitrascu-Biris, Hunt, Cordina, & Kametas, 2018).
Community healthcare application for the selected community that is the pregnant female
suffering from the hypertension will include the following steps;
Assessment-
The stage according to the researched article will include the examination of the stress
in the patients and they will categorise it in proper categories, which is general hypertension
or severe hypertension. To assess the essential information nurses can track their
pharmacological history about the doses of the medicine they received in the past and deep
they can research the past activities that can lead nightmares and sudden shock in the patients.

EPIDEMIOLOGY IN NURSING 3
Planning
At this stage, assessment of the customer requirements and needs is the first and then
managing their issues according to the planned epidemiology (Magee, von Dadelszen, &
Singer, The CHIPS randomized controlled trial (Control of Hypertension in Pregnancy
Study) is severe hypertension just an elevated blood pressure?, 2016). Classification of the
customers according to general and severe patients, nurse needs to plan their schedule that
can change their routine and practices.
Implementation
This step will follow the effective involvement of the nurses and practitioner into the
awareness and care services that they are planning to develop for the targeted population.
After the identification of causes of hypertension among the custmerrs and classifying it in
the pharmacological treatment or non- pharmacological treatment nurse guides to cure it with
effective treatment. Hence, here nurses will counsel their issues and will suggest them the
guidance to avoid the challenging situation and will aware them about the risk associated
with the hypertension in their safe delivery.
Interviewing
At this stage, nurses will examine that bed rest, exercises or medicine suggested to
minimise the tension is effective in working or not. This is the phase that determines the
success of the planned epidemiology in the community. Population in Canada including the
aboriginals and islander group have low birth and life expectancy, hence their females are at
high risk of the issues related to the hypertension and other issues in pregnancy (Magee, von
Dadelszen, & Rey, Less-tight versus tight control of hypertension in pregnancy, 2015).
Difficulties and challenge
The role of CHS in suggesting the strict day activities planner and other
pharmacological treatment to the HDP patients face many challenges and so on this research
will. Specifically from the females belonging to the aboriginals and Torres islander
community, this community has lower faith in the provided healthcare facilities that make the
awareness and development tasks very challenging for the nurse and others. Hence nurse and
other professional needs to understand the available and hidden challenges that are related to

EPIDEMIOLOGY IN NURSING 4
pregnant female and their mood swing disorders as well (Vollman, Anderson, & McFarlane,
2007).
Strengths
These epidemiology’s has deep analysis of the research articles and have a detailed
data collected about the pregnant female issues and causes of the hypertension in the females,
nurses are experienced and have effective practising and counselling skills according to the
guidance of the American Nursing Association. This nursing team have effective
understanding about ethical and moral principles associated to the nurses needs to include
while practising with any particular community hence; they will practice the cure practices,
and treatment in the manner of effective nursing care practices (Nzelu, Dumitrascu-Biris,
Hunt, Cordina, & Kametas, 2018).
Recommendations and Conclusion
This epidemiology is based on a systematic planning and implementing method that
uses the effective analysis of the data collection for making the changes in the healthcare
services for a selected community. This research epidemiology is based on suggesting the
HDP solutions on the base of examination of the tension. This method will identify the
targeted population on the basis of old tracking record and will make effective awareness and
cure treatment solutions suggested to the females who are in the challenging situation,
because it essential to cure at the initial stage. If stress and hypertension remain uncured this
can lead many other issues like premature delivery, miscarriage, and smoking in the
pregnancy that can make a pregnancy fail in the aged pregnancy among the females.

EPIDEMIOLOGY IN NURSING 5
References
Braunthal, S., & Brateanu, A. (2019). Hypertension in pregnancy: Pathophysiology and
treatment. SAGE Open Medicine, 1-15.
Caetano, M., Ornstein, M., Dadelszen, V., Hannah, M., Logan, A., Gruslin, A., . . . L.A.
(2004). A Survey of Canadian Practitioners Regarding the Management of the
Hypertensive Disorders of Pregnancy. HYPERTENSION IN PREGNANCY, 61-74.
Jacobs, B. B. (2016). Respect for human dignity in nursing: Philosophical and practical
perspectives. Canadian Journal of Nursing Research Archive.
Lamminpää, R., Vehviläinen-Julkunen, K., Gissler, M., Selander, T., & Heinonen, S. (2016).
Pregnancy outcomes of overweight and obese women aged 35 years or older–A
registry-based study in Finland. Obesity research & clinical practice, 133-142.
Magee, L. A., von Dadelszen, P., & Rey, E. (2015). Less-tight versus tight control of
hypertension in pregnancy. New England Journal of Medicine, 407-417.
Magee, L. A., von Dadelszen, P., & Singer, J. (2016). The CHIPS randomized controlled trial
(Control of Hypertension in Pregnancy Study) is severe hypertension just an elevated
blood pressure? Hypertension, 1153-1159.
Nzelu, D., Dumitrascu-Biris, D., Hunt, K. F., Cordina, M., & Kametas, N. A. (2018).
Pregnancy outcomes in women with previous gestational hypertension: a cohort study
to guide counselling and management. Pregnancy hypertension, 194-200.
Vollman, A. R., Anderson, E. T., & McFarlane, J. M. (2007). Canadian community as
partner: Theory & multidisciplinary practice. Lippincott Williams & Wilkins.