Date of Conferral
2-12-2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Anna Hubbard
Abstract
This clinical practice guideline addressed the practice problem of the lack of standardized and consistent hypertension management in the home setting. Addressing this practice problem is important within nursing practice, as uncontrolled blood pressure increased the risk of hospitalizations, emergency department visits, and long-term cardiovascular complications. The practice question focused on translating evidence-based hypertension guidelines into clinical practice and evaluating their impact on patient outcomes in the home care setting. The purpose of the project was to engage three voluntary participants in evaluating the clinical practice guideline per the American College of Cardiology and American Heart Association hypertension guidelines within home-based primary care, using the AGREE II tool to appraise guideline quality. The 3-member expert panel appraised the clinical practice guideline, and all domains exceeded the 70% or greater threshold. Analytical strategies included descriptive and comparative analysis of data collected over an eight-week period. Findings suggested that standardized, nurse-led blood pressure monitoring supported evidence-based practice, enhanced clinical decision-making, and promoted equitable cardiovascular care in the home care setting. Key recommendations include incorporating standardized blood pressure monitoring into routine nursing practice, providing ongoing patient education, and supporting nurse-led guideline implementation to strengthen chronic disease management and patient-centered care.
Recommended Citation
Yuille, Farrah Lynn, "Improving Blood Pressure Control in Home Care Patients Through Implementation of ACC/AHA Hypertension Guidelines and Structured Blood Pressure Monitoring" (2026). Walden Dissertations and Doctoral Studies. 19114.
https://scholarworks.waldenu.edu/dissertations/19114
