Date of Conferral

11-25-2025

Date of Award

November 2025

Degree

Ph.D.

School

Nursing

Advisor

Leslie Hussey

Abstract

Hypertension (HTN) is associated with significant health complications, including stroke, myocardial infarction, heart failure, and kidney disease. Despite advances in the treatment and management of HTN, a lack of medication adherence contributes to the persistence of HTN-related morbidity and mortality affecting men in The Bahamas. The purpose of this qualitative descriptive phenomenological study, guided by Pender’s health promotion model and Bandura’s social cognitive theory, was to explore the lived experiences of Bahamian men diagnosed with hypertension regarding their adherence to prescribed medications. Using Giorgi’s descriptive phenomenological method, in-depth, semistructured interviews were conducted with 11 participants. Data were analyzed through repeated readings, identification of meaning units, transformation into psychologically sensitive expressions, and synthesis into an essential structure that represented shared experiences. The essence of the phenomenon reflected a transformation from reluctance to responsibility, sustained by faith, family influence, and self-discipline. Key recommendations include integrating family-based and faith-informed strategies into clinical practice and addressing male-specific concerns such as sexual side effects. Findings may inform culturally responsive nursing interventions and health education programs that enhance adherence to and management of chronic diseases, thereby improving health outcomes and fostering positive social change within Bahamian communities.

Included in

Nursing Commons

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