Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Susan Hayden

Abstract

In the United States, obesity affects almost 50% of the population with estimates of 60–70% of hypertension in adults attributable to adiposity. The practice gap addressed in this project is a lack of standardized patient education on lifestyle modifications aimed at reducing hypertension in the obese patient, which is the recommended first line of treatment for these patients. The practice focused questions were answered when evidence from the literature supported the implementation of a clinical practice guideline developed from evidence-based literature focused on patient education about lifestyle modification as the initial treatment for the reduction of hypertension in the obese patient. This project followed the Walden University DNP Project Manual for Clinical Practice Guideline Development. Three content experts evaluated this guideline for quality and rigor using the Appraisal of Guideline for Research and Evaluation (AGREE) II tool. The overall appraisal score was 83% with each of the six domains scoring above 79%, indicating that this was a high-quality guideline as all domains were scored above 70%. Four end users reviewed content and usability reporting that this guideline provides specific details about lifestyle modifications to recommend and will be helpful in guiding the educational conversations with patients. This newly developed guideline will provide evidence-based lifestyle modification education as a first line of treatment to reduce hypertension in the obese patient, which will address the gap in practice and provide a positive social change in the community by reducing the risk of associated morbidity and mortality and reduce the need for antihypertensive medication while being cost effective and readily available to areas with fewer resources.

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