Date of Conferral

11-11-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Sue Bell

Abstract

Hypertension (HTN) is the chief cause of cardiovascular disease in the United States. Due to the mortality and morbidity and the increased healthcare costs associated with HTN, nursing staff need to have knowledge to control and help patients manage the condition. HTN disproportionately affects African American men due to non-adherence to medication, lifestyle issues, and health disparities. Nurses can only support patients managing HTN if they have current evidence-based knowledge. Staff knowledge deficit was a significant issue affecting the clinic's management and control of HTN. Providers' knowledge gap was considered a leading factor in patient nonadherence to prescribed antihypertensive medications. In-service staff education was created to increase nursing knowledge of the Joint National Committee (JNC-8) guidelines for effective HTN control and management. The project aimed to evaluate the effectiveness of staff education on nurses’ knowledge of current best practices in the diagnosis and treatment of HTN. Two theoretical models supported the project: the medication adherence and health belief models. Twelve nursing staff were recruited to participate. A pretest and posttest using a 16-item, 5-point Likert questionnaire was administered to assess the participants' knowledge of the JNC-8 guidelines. The t-test p-value of 1.14 was significant at a = .05. Continuing education on HTN was recommended for nurses regarding patient education, goal setting, and nutrition to promote social change, equity, and inclusion to confront healthcare knowledge disparities affecting African American men with HTN in a clinic setting.

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