Date of Conferral

2016

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Eileen Fowles

Abstract

Suboptimal cardiovascular health among African American (AA) women contributes to high costs of care related to acute illness, chronic illness, and disability. Using the health promotion model, this needs assessment project examined risk factors that predispose adult AA women between the ages of 21 to 64 years of age to higher incidence of cardiovascular disease (CVD). Seventy of the 300 charts that met the inclusion criteria (female AA patients, 21 to 64 years of age, receiving care in a community clinic in an urban city of Texas) were audited for this project. Descriptive analysis showed that 66% of the women did not have a diagnosis of CVD, 32% were noted as being at risk for CVD, and risk for diagnosis of CVD was not listed in 3% of the charts. The audit also showed that 7% of the AA women did not monitor their diet, 60% monitored their diet, and 33% lacked knowledge of heart healthy diet. Sixty-seven percent of charts audited noted a family history of CVD, 33% noted no family history of CVD, while 3% noted an unknown family history of CVD. The ages of the patients ranged from 21-64 (M = 24.9 years). Weight ranged from 104-225 lbs. (M = 172.5 lbs.) and height ranged between 52-73 inches (M = 61.13 inches). Body mass index (BMI) calculated showed 1.43% of the women were underweight, 11.4% showed normal BMI, 32.86% were overweight, and 54.29% were obese. Study recommendation included implementation of a patient education that will help increase awareness of CVD among the patient population at the clinic. Findings from this project could increase awareness on the importance of creating cultural congruent education program that will help educate minority populations more effectively in the management of cardiovascular disease.

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