---
title: "Practice nurse management of hypertension in primary care: evidence and implications"
id: "pubmed-42576364"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42576364"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42576364/"
doi: "10.1017/S1463423626101455"
published_at: "2026-08-11T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Practice nurse management of hypertension in primary care: evidence and implications
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42576364
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42576364/)
- **DOI:** [10.1017/S1463423626101455](https://doi.org/10.1017%2FS1463423626101455)
- **Published At:** 2026-08-11T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Aim: The review examined current approaches to **hypertension (HTN)** diagnosis and treatment in primary care and explored alternative management models involving **practice nurses (PNs)**. - Background: HTN is underdiagnosed and often poorly controlled in the UK despite existing national **guidelines** for diagnosis and management. - Rationale: Primary care workload pressures from an ageing population and fewer general practitioners (GPs) have prompted interest in team-based care and new roles to support GPs. - Scope: A scoping review was conducted using the PRISMA-ScR checklist framework with searches across six databases (BNI, CINAHL, Embase, Emcare, Medline, PubMed) between December 2023 and February 2024. - Search strategy: Four search structures and Boolean operators were used to identify literature on independent or collaborative **hypertension management** by practice nurses; qualitative and quantitative studies, reports, and articles were eligible. - Key findings: HTN remains a major risk factor for mortality and morbidity; many affected patients remain undiagnosed and most diagnosed patients are inadequately treated. - Role of practice nurses: PNs already manage many chronic non-communicable diseases (diabetes, asthma, COPD) but HTN is generally not part of their routine remit. - Evidence for PN involvement: The review found strong quantitative and qualitative evidence supporting PN roles as **care coordinators** in HTN management, which could improve patient outcomes and free GP time. - System issues: New roles lack nationally agreed remits or standardised working practices, and institutional barriers must be addressed to enable PN-led HTN care. - Geographic focus: The context and evidence considered were framed in the UK primary care setting. - Limitations: Details about individual studies, effect sizes, or specific interventions were not reported in the source abstract.
## Clinical Analysis & Structured Key Points
Practice nurse management of hypertension in primary care: a scoping review - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Skip to main page content The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site. The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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Sunday Monday Tuesday Wednesday Thursday Friday Saturday Report format: Summary Summary (text) Abstract Abstract (text) PubMed Send at most: 1 item 5 items 10 items 20 items 50 items 100 items 200 items Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: 5 10 15 20 50 100 Create RSS Cancel RSS Link Copy Actions Cite Collections Add to Collections Create a new collection Add to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error Please try again Add Cancel Permalink Permalink Copy Display options Display options Format Abstract PubMed PMID Cite Display options Display options Format Abstract PubMed PMID Abstract Aim: To review the current diagnosis and treatment of hypertension (HTN) and explore alternative care management options. Background: HTN is underdiagnosed and poorly managed in the UK. With an increasing emphasis on teamwork in primary care (PC), what is the evidence base supporting the partial or complete management of HTN by practice nurses (PNs)? Methods: Using the PRISMA-Scr checklist as a framework, six database searches (BNI, CINAHL, Embase, Emcare, Medline, and PubMed) were conducted using Boolean Operators between December 2023 and February 2024, employing four search structures to find literature on independent or collaborative HTN management by PNs. Qualitative and quantitative research studies, reports, and articles were all considered. Findings: HTN is a significant risk factor for mortality and morbidity. Despite clear national guidelines on the diagnosis and management, many patients affected by this condition remain undiagnosed, with the majority of those diagnosed inadequately treated. PC is struggling to manage the workload due to an ageing population and reduced general practitioner (GP) numbers. The development of new roles to support GPs in their work is underway, but current roles remain vague and without nationally agreed remits or working practices. PNs currently manage most chronic non-communicable diseases, such as diabetes, asthma, and chronic obstructive pulmonary disease; however, HTN is not typically part of their remit. There is strong quantitative and qualitative evidence supporting PNs' involvement in HTN management as care coordinators. Such a move could improve patient outcomes and release GP time, but institutional barriers need to be addressed. Keywords: hypertension; nursing remit; primary care nursing; primary health care. PubMed Disclaimer Publication types Scoping Review Actions Search in PubMed Search in MeSH Add to Search Review Actions Search in PubMed Search in MeSH Add to Search MeSH terms Humans Actions Search in PubMed Search in MeSH Add to Search Hypertension* / diagnosis Actions Search in PubMed Search in MeSH Add to Search Hypertension* / nursing Actions Search in PubMed Search in MeSH Add to Search Nurse's Role* Actions Search in PubMed Search in MeSH Add to Search Primary Care Nursing* Actions Search in PubMed Search in MeSH Add to Search Primary Health Care* Actions Search in PubMed Search in MeSH Add to Search United Kingdom Actions Search in PubMed Search in MeSH Add to Search [x] Cite Copy Download .nbib .nbib Format: AMA APA MLA NLM Send To Clipboard Email Save My Bibliography Collections Citation Manager [x] NCBI Literature Resources MeSH PMC Bookshelf Disclaimer The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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