Hypertension: PICOT
Practice Issue (Foreground): Hypertension
Hypertension, or high blood pressure, is a prevalent condition that poses significant health risks, including heart disease, stroke, and kidney failure. It is often called the "silent killer" because it may not exhibit symptoms until causing severe damage. Addressing hypertension is crucial for improving patient outcomes and enhancing the quality of life.
Organization Philosophy, Mission, and Vision Alignment
My organization's philosophy, mission, and vision emphasize patient-centered care, a commitment to improving community health, and the pursuit of excellence in healthcare delivery. For example, part of my organization's mission is to improve the health and well-being of our community through outstanding and compassionate care; thus, a project on hypertension directly supports this mission by aiming to manage and reduce the prevalence of high blood pressure, thus enhancing community health.
Project Alignment with the Institution's Mission
A Doctor of Nursing Practice (DNP) project focusing on hypertension aligns with the core mission of my healthcare institution, which promotes patient-centered care, the improvement of community health, and is committed to healthcare excellence. The initiative to tackle hypertension is appropriate, as this is a prevalent health issue, and it naturally intersects with our organizational.
Firstly, improving patient outcomes through evidence-based interventions is at the heart of the project. Hypertension is a significant risk factor for numerous cardiovascular and renal diseases, and it requires interventions that can lower blood pressure effectively and safely (Zhou et al., 2020). In using strategies grounded in the latest research, such as lifestyle modifications, pharmacological adherence, and regular patient monitoring, the project can contribute to the betterment of patient health outcomes. This project...
Lastly,...
O (Outcome): Reduction in blood pressure levels, decreased incidence of hypertension-related complications, and improved patient satisfaction.
T (Time): 12 months after program implementation.
PICOT Question
In adults diagnosed with hypertension (P), how does the implementation of a hypertension management program including lifestyle modification support, medication adherence strategies, and regular monitoring (I) compare to usual care (C) in reducing blood pressure levels, decreasing the incidence of hypertension-related complications, and improving patient satisfaction (O) within 12 months (T)?
Inclusion of DNP Essentials and Role-Specific Competencies
This project integrates several DNP essentials, including the use of evidence-based practice, quality improvement methods, and interprofessional collaboration to address a significant health issue. It also encompasses role-specific competencies such as leadership in healthcare systems, healthcare policy advocacy, and the application of clinical expertise to effect change in patient and system outcomes.
Conclusion
Addressing hypertension through a DNP project offers a promising avenue for aligning with an organization's mission, improving organizational performance, and aligning with current healthcare business models. With a focus on evidence-based interventions and the incorporation of DNP essentials and competencies, this project holds significant potential for improving patient care…
References
Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovasculardisease. Hypertension, 75(2), 285-292.
Marseille, B. R., Commodore?Mensah, Y., Davidson, P. M., Baker, D., D'Aoust, R., & Baptiste,D. L. (2021). Improving hypertension knowledge, medication adherence, and blood pressure control: a feasibility study. Journal of clinical nursing, 30(19-20), 2960-2967.
Pruette, C. S., & Amaral, S. (2021). Empowering patients to adhere to their treatment regimens:a multifaceted approach. Pediatric transplantation, 25(1), e13849.
Schutte, A. E., Srinivasapura Venkateshmurthy, N., Mohan, S., & Prabhakaran, D. (2021).
Hypertension in low-and middle-income countries. Circulation research, 128(7), 808-826.
Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden andeffective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18(11), 785-802.
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