Date of Conferral
2022
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Susan Hayden
Abstract
Medication nonadherence represents one of the major barriers to achieving optimal health, particularly for African Americans (AAs). Poor adherence to medications is a significant problem that can lead to increased morbidity, mortality, and health care costs. Clinical practice guidelines (CPGs) provide current, evidence-based interventions for changing health behaviors to improve medication adherence (MA). The purpose of this project was to develop an evidence-based patient education CPG to address MA among AA patients with hypertension (HTN). The project site was a medium-sized health care clinic in the South Central United States with a high rate of uncontrolled HTN among AA patients. The medical director/CEO, two nurse practitioners, and a staff nurse at the project site served as content experts and evaluated the guideline using the Appraisal of Guidelines for Research and Evaluation (AGREE) model. Results from the AGREE II instrument showed domain scores that ranged from 98% to 100%, with all scores greater than the 75% benchmark. A 96% agreement rate from three out of the four expert panelists indicated that the expert panel agreed that the guideline was an effective tool that should be implemented in the project site. Three end users, nurses at the clinic, also reviewed the guideline for content and usability and reported that the guideline was a tool that would be easy to implement. Implementation of the guideline may bring about changes in health beliefs, values, and lifestyle that increase MA among AA patients with HTN. These changes may improve patients’ blood pressure control and quality of life.
Recommended Citation
Ekechukwu, Beatrice Chisara, "A Clinical Practice Guideline to Promote Medication Adherence Among Adult African Americans With Hypertension" (2022). Walden Dissertations and Doctoral Studies. 13330.
https://scholarworks.waldenu.edu/dissertations/13330
