Graduation Semester and Year

Summer 2026

Language

English

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Tiffany Trent

Second Advisor

Cynthia Plonien

Abstract

Aim

Uncontrolled hypertension remains a significant risk factor for cardiovascular disease. This quality improvement project aimed to improve hypertension knowledge and blood pressure control among adults with uncontrolled hypertension by implementing lifestyle counseling, home blood pressure monitoring, and regular follow-up.

Design

This quality improvement project used a pre- and post-intervention design.

Methods

Forty-one adults with uncontrolled hypertension took part in an eight-week educational program. Outcomes measured included weight, systolic and diastolic blood pressure, and HK-LS scores. Descriptive statistics and paired-samples t-tests analyzed the results.

Results

Participants showed significant improvements in weight, blood pressure, and hypertension knowledge. Mean weight decreased from 202.39 lbs to 199.16 lbs; SBP from 147.10 mmHg to 133.93 mmHg; DBP from 90.71 mmHg to 83.51 mmHg; and HK-LS scores from 15/22 to 19/22.

Conclusion

The educational intervention improved hypertension knowledge and blood pressure control. The findings support using structured education, home blood pressure monitoring, and regular follow-up to enhance hypertension management in primary care.

Keywords

hypertension, patient education, blood pressure monitoring, lifestyle modification, quality improvement, primary care

Disciplines

Family Practice Nursing | Public Health and Community Nursing

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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