Date of Award

Spring 5-22-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Sharon Boothe-Kepple, PhD, MSN, FNP-C, PHN (Chickasaw)


The Aim of this Evidence-Based Project (EBP) was to find a gap in care among adults working in a large financial institution who had the presence of elevated blood pressure at an onsite health clinic visit in the previous 3 years. Background: Screening for elevated blood pressure in an occupational health setting identified adults with one of the most common chronic medical conditions. Additionally, almost one-half of all adults in the United States have hypertension (HTN); a preventable risk factor for strokes and heart disease (Office of the Surgeon General, 2020). This Surgeon General’s report revealed that HTN control had plateaued in the United States at approximately 26% for individuals who were affected by HTN. The need is great to uncover reasons why adults in a workplace setting might not be seeking care after screening for HTN (>130/80). The Iowa Model was used to guide this EBP for its ease of application. Process Used: Adults aged 30 years to 68 years were selected from the electronic health record based on their first presentation of HTN at a clinic visit. Demographic information included age, sex, body mass index (BMI), family history, and medical history of HTN. Assessment of Findings: Data were analyzed using Excel and Intellectus Statistics to explore relationships among demographic characteristics. Analysis revealed that adults who visited the clinic and had HTN visited their primary care provider; however, some individuals do not receive follow-up care. Common characteristics among those individuals included elevated BMI (> 25), alcohol use, presence of stress, blood pressure medication, and a family history of HTN or cardiovascular disease (CVD). Conclusion: The findings will be implemented into a template in the Electronic Health Record for employees to follow-up with occupational health or their primary care provider.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Included in

Nursing Commons