Implementation of High Blood Pressure Guidelines in Clinical Practice

Author

Jessica WalkerFollow

Date of Award

Fall 12-14-2018

Document Type

DNP Project

Project Team Faculty Member

Sobczak, Bernadette

Project Team Faculty Member

Omondi, Linda

Keywords

hypertension, primary care, high blood pressure, ASCVD risk, 2017 AHA/ACC guidelines

Abstract

Abstract

This quality improvement project implemented 2017 Guidelines for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults. An in-service education session on the 2017 High Blood Pressure Guidelines was provided to clinical staff. In addition, the AHA/ACC pooled cohort 10-year risk calculator was installed to computer desktops or smart phones, for providers. “Seven simple tips to get an accurate blood pressure reading” (American Medical Association, 2016) was posted in exam rooms and proper measurement and documentation techniques were reviewed with clinical staff. Review of recommended non-pharmacological treatment methods with proper patient education documentation was also conducted. Comparison of pre and post intervention measurements of repeated blood pressure readings and patient education supported staff assertion that their practice was in alignment with these recommendations. Three out of four providers used the ASCVD risk calculator and found benefit in clinical decision-making and discussion of blood pressure management. ASCVD risk calculation was recorded in 18 records during the intervention period.  Identified needs include further reinforcement of new concepts and adding small blood pressure cuffs to standard exam room equipment.  Use of ASCVD calculation for further risk stratification in those with Stage 1 hypertension was introduced and implemented into practice.

Recommended Citation

Walker, Jessica, "Implementation of High Blood Pressure Guidelines in Clinical Practice" (2018). Doctor of Nursing Practice Projects. 71.
https://spark.siue.edu/dnpprojects/71

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