Graduation Semester and Year
Spring 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Dr. Deborah Behan
Abstract
Background: Hypertension affects nearly half of the population in the U.S., with the prevalence disproportionately higher in African Americans (Centers for Disease Control and Prevention [CDC], 2023). Complications of uncontrolled hypertension, such as cardiovascular disorders and stroke, increase with age, prompting the importance of controlling high blood pressure in older adults. African American older adults are at higher risk of developing uncontrolled hypertension and related complications due to the lack of healthcare access, financial constraints leading to the inability to access healthier food choices, exercise capabilities, weight control, adherence to recommended medications, and knowledge deficit.
Methods: This project focused on blood pressure control in African American older adults using a hypertension self-care management bundle. This hypertension bundle consists of a shared decision-making process, a low-sodium and DASH diet, increased physical activity, weight control, and medication adherence to control hypertension in older AA adults.
Results: The post-intervention blood pressure, both systolic and diastolic, sodium intake, weight, and physical activity were noted to be improved. The pre-intervention and post-intervention questionnaires also showed an increase in the participants’ knowledge of hypertension. This quality improvement project can be utilized as a guide to achieving blood pressure control in AA older adults with uncontrolled hypertension.
Conclusion: This quality improvement project can be utilized as a guide to achieving blood pressure control in AA older adults with uncontrolled hypertension.
Keywords
African Americans, Shared Decision-Making, Uncontrolled Hypertension, High Blood Pressure, Diet, Weight Management, Exercise
Disciplines
Cardiology | Family Medicine | Family Practice Nursing | Geriatric Nursing | Geriatrics | Internal Medicine | Preventive Medicine | Public Health and Community Nursing
License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Jobe, Sigga and Behan, Deborah, "Improvement of Hypertension Self-Care Management in African American Older Adults with Uncontrolled Hypertension Through Shared Decision-Making" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 4.
https://mavmatrix.uta.edu/nursing_dnpprojects/4
Included in
Cardiology Commons, Family Medicine Commons, Family Practice Nursing Commons, Geriatric Nursing Commons, Geriatrics Commons, Internal Medicine Commons, Preventive Medicine Commons, Public Health and Community Nursing Commons