Date of Conferral
8-6-2026
Date of Award
August 2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Dr. Barbara Niedz
Abstract
This doctoral project was an evidence-based staff education intervention designed to improve healthcare team knowledge, attitudes, and clinical practices related to the management of uncontrolled hypertension within a federally qualified health center (FQHC). The practice problem addressed was the persistent challenge of uncontrolled hypertension among patients receiving primary care services, which contributes to increased risk for cardiovascular disease, stroke, and preventable health disparities. Thus, the practice-focused question that guided the project asked whether a multidisciplinary staff education program at a rural FQHC improve healthcare staff’s knowledge, skills, attitudes, and workflow related to the management of uncontrolled hypertension? Findings demonstrated statistically significant improvements in hypertension knowledge and attitudes among all participants and within professional subgroups, including nurse practitioners and support staff. Participants also demonstrated improved understanding of standardized blood pressure measurement practices and the importance of collaborative workflows. Qualitative findings identified barriers affecting hypertension outcomes, including medication affordability, transportation limitations, health literacy challenges, competing social priorities, inconsistent follow up, and limited time for patient education. The project has implications for nursing practice by demonstrating the role of nurses and advanced practice nurses as leaders in evidence-based practice implementation. The project supports positive social change by addressing diversity, equity, and inclusion through recognition of social determinants of health and the development of equitable, culturally responsive approaches to hypertension management.
Recommended Citation
Mosby-Peterson, Doris Marie, "Staff Education to Increase Knowledge and Shape Attitudes Among Staff to Improve Control of Hypertension in Primary Care" (2026). Walden Dissertations and Doctoral Studies. 20547.
https://scholarworks.waldenu.edu/dissertations/20547
