Date of Award

Spring 5-31-2026

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Eligio David Soliman Jr., DNP, APRN FNP-BC, CDCES

Abstract

Hypertension affects nearly half of adults and significantly increases the risk of stroke and cardiovascular disease; however, poor medication adherence remains a primary barrier to effective blood pressure management. The purpose of this evidence-based practice (EBP) project was to improve antihypertensive medication adherence among adult patients in a primary care setting. Guided by the Iowa Model of Evidence-Based Practice to Promote Quality Care, the project utilized a pre-test/post-test design at a private practice clinic. The sample included adults with a hypertensive diagnosis and active prescriptions. Medication adherence was defined as the Morisky Medication Adherence Scale (MMAS-8) scores, measured before and after a 4-6-week nurse led intervention. The protocol consisted of an initial in person education session followed by a structured follow up phone call. The implementation plan focused on patient engagement and clinical follow up over a 6-week period. The analysis plan involved describing the patient group and comparing adherence scores before and after the intervention to identify changes in behavior. Data management included the use of un-identified, password protected electronic records to ensure participant protection. Although results showed no significant improvement in adherence due to scheduling limitations and small sample size, the project identified critical logistical barriers. These findings highlight the necessity for adaptable scheduling models to better support nurse-led adherence interventions and improve long term cardiovascular health.

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