Holistic blood pressure management plan in primary care
View File(s)
- Author(s)
- Details
-
Dr. Marilyn L. King, DNP, FNP-BC, MSN in Clinical Systems Leadership, RN
- Sigma Affiliation
- Beta Mu
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for King, Marilyn L. by View
Title | Page Views |
---|
Popular Works for King, Marilyn L. by Download
Title | Downloads |
---|
View Citations
Citations
Purpose: The purpose of this Doctor of Nursing (DNP) quality improvement (QI) project was to demonstrate the usefulness of implementing a bilingual educational module for patients with hypertension on improving knowledge, self-efficacy, and self-management at Kids Kare Pediatrics and Family Kare Clinic.
Background: Uncontrolled hypertension (HTN) is one of the leading causes of death and disability worldwide. Approximately half of individuals diagnosed with HTN achieve adequate blood pressure (BP) control, with a little over a third reporting proper medication adherence. While African Americans are more prone to developing cardiovascular-related complications and premature death, Hispanic Americans, such as Mexican Americans, have higher rates of uncontrolled BP and are disproportionately affected by diabetes mellitus and chronic kidney disease (CKD). Healthcare providers must consider the interconnectedness between mental and social factors, chronic disease, and holistic management. Providing patients with a holistic educational pamphlet in English and Spanish is a quick, inexpensive way of delivering health information on HTN disease management to different populations.
Methods: The project design was descriptive quantitative and included the use of a validated tool, the Self-Efficacy for Managing Chronic Disease (SEMCD) 6-item scale to assess pre and posttest self-efficacy. The posttest also inquired about age, enhanced knowledge, perceived usefulness, and if participants would recommend the pamphlet to their friends and family. The Model for Improvement guided the implementation and evaluation of the holistic educational pamphlet. The project director delivered the pretest, the educational intervention, and then the posttest face-to-face in the clinic.
Results: Of the nineteen participants, eleven were Spanish-speaking and eight were English-speaking. Individuals who participated in this QI project had a history of HTN, prediabetes or diabetes mellitus, dyslipidemia, anxiety, and/or depression. All of the participants reported increased knowledge and increased self-efficacy in certain domains. All of the participants indicated they found the pamphlet useful and would recommend it.
Conclusions: A holistic, evidence-based educational intervention was effective in increasing hypertension knowledge and self-efficacy in self-management at a primary care clinic. Quality improvement projects (QI) such as these can increase the application of evidence-based interventions for different races and ethnicities, chronic diseases, and practice settings.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Blood Pressure; Chronic Disease Management; Hispanics or Latinos; Holistic; Hypertension; Racial and Ethnic Minorities |
Grantor | The University of Arizona |
Advisor | Prettyman, Allen; Reed, Pamela; Dowling, Evangeline |
Level | DNP |
Year | 2021 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Recognizing limitations to blood pressure management by Latinos with hypertension: A primary focus group study
Delva, Sabianca; Han, Hae-Ra (2016-07-13)Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Background: Latinos in the United States - the largest and the fastest increasing ethnic minority group in the country - are experiencing increasing ... -
A scoping review of the literature addressing psychological well-being of racial and ethnic minority nurses during the COVID-19 pandemic
Abrahim, Heather L.; Holman, E. Alison (Elsevier, 2022-11-17)Background: The COVID-19 pandemic has affected the well-being of nursing professionals, especially long-term and acute care nurses, many of whom are nurses of color. Purpose: We examine the evidence and gaps in the ... -
Desired and received support for racial and ethnic minority nursing faculty
Ro, Kumhee; Sin, Mo-Kyung; Villarreal, Joshua D.; Liu, JessieDiverse faculty attract students from underrepresented minority groups and play an important role in promoting diversity. The purpose of this study is to examine the desired and received support for racial/ethnic minority ... -
Chronic kidney disease management with chronic care model at primary care in Thailand
Pantong, Uraiwan III (2017-09-28)The majority of patients with chronic kidney disease (CKD) stages 3-4 in Thailand are managed by nurse practitioner in primary care. Early intervention may can reducing the progression of disease and decreased mortality. ... -
Chronic obstructive pulmonary disease (COPD) discharge care bundle: Self-management education
Graham, Kimberly L.; Smith, Lenora W.; Smith, Willie H. Jr.The chronic obstructive pulmonary disease (COPD) discharge care bundle form will provide the nursing staff with a structured process for COPD patient education aiding in discharge preparedness that will improve COPD care outcomes.