Date of Conferral



Doctor of Nursing Practice (DNP)




Annie Hubbard


Adherence to antihypertensive medications is essential for positive outcomes in treating hypertension (HTN). But the rate of nonadherence to antihypertensive medications among African Americans (AA) is low. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would assist in improving hypertensive medication adherence in the AA patient population as well as assess whether the CPG would be recommended by a team of content experts for use in their practice. The Hypertension Medication Adherence CPG incorporated the medication adherence model and the transtheoretical model to generate evidence-based interventions. Grading of Recommendations Assessment, Development, and Evaluation method was used to critically appraised the evidence from the literature. A four-member expert panel evaluated the CPG using the Appraisal of Guidelines for Research and Evaluation II instrument to validate the content and ensure usability. A benchmark of 70% or greater was used to select the quality of each domain. All six-domains scored 96% or above and the overall assessment score was 100%. All four appraisers confirmed they would recommend the use of the CPG in their practice. CPGs can provide nurses with a roadmap to patient care by applying evidence-based interventions that encourage patients to adhere to their medications. The project has potential implications for social change as it could improve nursing practice around strategies for improving medication adherence in all disease modalities.