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pandora earrings Data sources Ovid Medline, Cochrane Central Register of Controlled Trials, British Nursing Index, Cinahl, Embase, Database of Abstracts of Reviews of Effects, and the NHS Economic Evaluation Database.Conclusions Nurse led interventions for hypertension require an algorithm to structure care. Evidence was found of improved outcomes with nurse prescribers from non UK healthcare settings. Good quality evidence from UK primary health care is insufficient to support widespread employment of nurses in the management of hypertension within such healthcare systems.IntroductionEssential hypertension is a major cause of cardiovascular morbidity.1 In 2003 the prevalence of hypertension in England was 32% in men and 30% in women.2 Since the prevalence of hypertension increases with age it is a growing public health problem in the Western world faced with ageing populations.3 The lowering of raised blood pressure in drug trials has been associated with a reduction in stroke of 35 40%, heart attack of 20 25%, and heart failure of over 50%.4 To achieve these benefits, aggressive and organised treatment to attain blood pressure targets is required, yet often contacts with health professionals do not trigger changes in antihypertensive therapy5; a phenomenon termed “clinical inertia.”6Most patients require a combination of antihypertensive drugs to reach target blood pressure pandora earrings.