Date of Award

Spring 5-22-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Karen Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN

Abstract

Abstract

The literature is clear that the diagnosis, treatment, and plan of care for hypertension in adults should rely, at least in part, on ambulatory blood pressure. Using in-office blood pressures alone risks inaccurate measurements and can result in inappropriate treatments. Many clinics, however, do not adhere to this recommendation and will fall back on clinic readings which puts the patient at risk of mismanaged hypertension and polypharmacy. This project was formulated to identify the extent to which hypertensive patients were diagnosed and managed without the use of home blood pressure monitoring in a small local community clinic. This project will also explore and identify sources for low-to-no cost at-home monitors for patient use. The hope is that this project will encourage a future project to initiate routine home blood pressure monitoring for hypertensive patients at this clinic to improve adherence to evidence-based practice.

Keywords: white coat hypertension, ambulatory blood pressure, home blood pressure, hypertension, outpatient clinic

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