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Penn State College of Medicine, School of Nursing at The Pennsylvania State University, University Park, PA, USA.
This integrative review identifies barriers to implementing the Dietary Approaches to Stop Hypertension (DASH) diet in hypertensive African American women. Databases were searched for original research published between 1999 and 2009. Barriers included clinicians' low adherence to nutritional counseling and patients' lack of knowledge regarding nutrition and the consequences of hypertension.