Date of Conferral
2022
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Anna Hubbard
Abstract
Cardiovascular disease is the leading cause of death globally, with hypertension (HTN)the primary causal factor. The nursing professions' role as a critical agent in facilitating the management of patients should be based on best practices. No specific standard exists in the United States for nurses despite the publication of Clinical Practice Guidelines (CPGs) on HTN for adults. A gap in practice was identified in an outpatient primary care clinic located on the Gulf Coast of Mississippi, as there is no comprehensive CPG for nurses to provide patients with complete HTN diagnosis and management care. A literature review revealed that clinical CPGs could improve patient outcomes by initiating combination therapy with antihypertensive medications. This project attempted to answer the practice-focused question: "Can the creation of a Clinical Practice Guideline for uncontrolled hypertension in adults lead to better patient outcomes?" Health promotion and disease prevention underpin the central concepts guiding this project. Six nurses participated in the creation of the CPG. The CPG was then created using the Appraisal of Guidelines Research and Evaluation tool evaluating three sources of evidence. This project can impact social change as utilization of an evidence-based CPG can lead to better HTN management.
Recommended Citation
McDonald, Nar'Cissa, "Creating a Clinical Practice Guideline for Patients with Uncontrolled Hypertension" (2022). Walden Dissertations and Doctoral Studies. 12777.
https://scholarworks.waldenu.edu/dissertations/12777
