Date of Conferral

8-7-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lilo Fink

Abstract

A primary care medical clinic experienced an increase in hospital readmission for hypertensive patients, as evidenced by a consistent lack of standardized patient education on medication adherence and a notable increase in readmission rates for uncontrolled hypertension. Hypertension is a significant public health problem associated with an elevated risk of heart disease, stroke, and kidney disease. The gap in practice identified was a lack of knowledge among the medical staff in teaching patients about hypertension medication adherence. The practice-focused question was: Does educating primary care medical staff on the importance of medication adherence in hypertension improve knowledge, as evidenced by pre- to post-surveys? Both the ADDIE and the Johns Hopkins evidence-based models were used in this educational project. The Walden librarians provided valuable support and guidance for this educational research project, helping to identify 45 relevant articles from MEDLINE/PubMed, CINAHL Complete/EBSCO, ProQuest, and the Cochrane Library, and 15 of these articles were used for the project. Research articles, expert reviews, and clinic policies provided the foundational evidence for the PowerPoint presentation and pre/post survey. Twelve medical staff members enrolled in a single, in-person educational training session completed pre- and post-surveys during one of the three sessions offered. Staff knowledge significantly improved, increasing from 65% at baseline to 95% after the educational session, indicating a mean 30 percentage point score gain (p = <.05). This project contributes to positive social change by integrating technology into hypertension management to improve BP control and subsequently reduce age-specific cases of stroke and cardiovascular disease, leading to healthier communities.

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