Graduation Semester and Year
Spring 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Dr. Cathy Brown, DNP, RN, AGPCNP-BC, CNS
Abstract
Abstract
Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (<140/90 mmHg) compliance.
Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management perspective. The bundle consisted of HBPM, an antihypertension medication algorithm, lifestyle education, and a hypertension wallet card for patients to document their home blood pressure readings. Twenty participants, 15 females and 5 males, diagnosed with HTN received the HBPM bundle during the eight-week project. Two BP readings were collected pre-HBPM bundled, after eight weeks of intervention, two BP were taken post-HBPM bundles.
Results: Participants were 18 years and older with an average age of 54.6; the convenience sample comprised 75% females and 25% males, with the majority being African American (AA). The results showed that both pre-HBPM and post-HBPM bundle Systolic BP (SBP) and Diastolic BP (DBP) differences were significant with p values <.001 and <.027., respectively.
Conclusion: HBPM bundled significantly improved HTN adequately controlled <140/90 mm Hg for adult patients diagnosed with HTN in a public health center.
Keywords
adults, hypertension, uncontrolled BP, home HBPM, interventions, HTN wallet cards, vulnerable population, self-monitoring BP, and remote monitoring BP.
Disciplines
Cardiology | Cardiovascular Diseases | Community Health and Preventive Medicine | Family and Consumer Sciences | Family Medicine | Family Practice Nursing | Interprofessional Education | Nursing Administration | Other Pharmacy and Pharmaceutical Sciences | Preventive Medicine | Primary Care | Public Health and Community Nursing | Public Health Education and Promotion | Quality Improvement
License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Victorian, Christine Jennifer, "Home Blood Pressure Monitoring Bundle for Hypertension Outcomes in Adult Patients Receiving Care in Public Health Clinics" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 5.
https://mavmatrix.uta.edu/nursing_dnpprojects/5
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Community Health and Preventive Medicine Commons, Family and Consumer Sciences Commons, Family Medicine Commons, Family Practice Nursing Commons, Interprofessional Education Commons, Nursing Administration Commons, Other Pharmacy and Pharmaceutical Sciences Commons, Preventive Medicine Commons, Primary Care Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Quality Improvement Commons