School of Nursing
Doctor of Nursing Practice (DNP)
Tonia R. Kennedy
nurse-led clinics, hypertension, primary care nursing, nurse-managed
Anderson, Veronica, "Implementing A Nurse-Driven Evidence-Based Quality Improvement Protocol For Blood Pressure Management In Primary Care" (2021). Doctoral Dissertations and Projects. 3226.
Hypertension is a global chronic medical condition that is life threatening and eventually fatal if left untreated. Elevated blood pressure will disrupt the function of the cardiovascular system and impact the function of major organs, resulting in devastating complications for the patient while increasing cost for the healthcare system. This evidence-based quality improvement project is aimed at increasing control for veterans with high blood pressure and lowering blood pressure to a goal under 140/90 through a nurse driven education program. A quasi-experimental project design was utilized to improve nursing practice in managing hypertension care by addressing veterans understanding of self-care management and nurses’ knowledge of hypertension management. Descriptive statistics were used to describe the data collected over a two-month period. Findings suggested that when using a combination of the structured hypertension education program, optimized nursing support, and frequent monitoring, blood pressure and self-care management for veterans improved. Implications for practice is to implement a nurse-driven protocol to be adopted by the Primary Care service line for enhanced hypertension care.