Nurse-led Hypertension Clinic in Primary Care

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Christa Cichowicz (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Julia Kordsmeier

Abstract: Background: Hypertension remains a global health issue affecting adults which results in increased cardiovascular disease and healthcare expenditures. Answering the Surgeon General’s Call to Action to recognize and address hypertension, nurses within primary care are in a unique position to enhance hypertension management. Purpose: To improve blood pressure control and knowledge related to self-management in patients with hypertension through a nurse-led hypertension clinic, focusing on education and bi-weekly follow-up. Methods: A descriptive quantitative quality improvement project was implemented at a large internal medicine practice using a pre-posttest of the Hypertension Evaluation of Lifestyle and Management (HELM) knowledge scale, and a pre-post measurement of blood pressure following enrollment into a six-week nurse–led hypertension clinic. Results: Six participants were enrolled in the nurse-led hypertension clinic with two participants reflecting a mean blood pressure decrease of 20.4% systolic and 14.6% diastolic. Hypertension knowledge improved 21.4% from baseline. Recommendations and Conclusion: Recommendations for the development of nurse visits solely focused on hypertension and the development of nurse-driven protocols to monitor blood pressure, assess symptoms, and titrate medication provides numerous benefits to include increased provider access, decreased healthcare utilization and improved patient outcomes.

Additional Information

Language: English
Date: 2023
Hypertension, Interventions, Nurse, Patient Education, Primary Care, Self-Care

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