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How DNPs Can Shape Hypertension Policies Essay

Identifying Evidence-Based Advanced Practice Nursing Culturally Sensitive Interventions for Hypertension

Today, hypertension represents a significant health concern in the United States. Indeed, in 2021, it was identified as either the primary or a contributing factor in 691,095 deaths across the country. The prevalence of hypertension among American adults is alarmingly high, nearly half (48.1%) of the adult population, equating to nearly 120 million individuals, affected by this disorder (Fact about hypertension, 2024). Moreover, it is reasonable to suggest that the prevalence of hypertension will continue to increase well into the foreseeable future as Americans of all ages are confronted with a veritable obesity crisis as well as multiple existential threats that loom on the political and environmental horizons. As a result, it is essential for nursing leaders to identify evidence-based nursing interventions that can mitigate this alarming trend and help Americans avoid the wide array of harmful health effects that are associated with hypertension. To this end, the purpose of this proposal is to review the relevant literature to provide a problem statement including a guiding inquiry question as well as the objectives and aims of the proposed study. Finally, the proposal provides a discussion concerning the significance of this practice problem in response to this growing public health threat as discussed further below.

Problem Statement

Although almost half of the American adult population already suffers from hypertension, the prevalence of this disorder is disproportionately higher among minority populations (Contreras et al., 2024). In this regard, Contreras and his associates (2024) advise that, Minoritized racial and ethnic groups suffer disproportionately from the incidence and morbidity of hypertension as well as its associated cardiovascular, pulmonary, and systemic conditions. These disparities are largely explained by social determinants of health, including access to care, systemic biases, socioeconomic status, and environment (p. 285). Therefore, the proposed studys guiding inquiry question is, How does the implementation of a DNP-guided, culturally tailored hypertension self-management...

Through their expertise in patient education, care coordination, and population health, nurses can drive the development and implementation of sustainable, community-based programs that promote healthy behaviors and improve access to preventive care (Blankinship et al., 2021).

Finally, nursing leaders play a vital role in advancing research and generating evidence-based recommendations to inform best practices in hypertension management. By conducting rigorous studies and disseminating findings, nursing leaders can contribute to the broader understanding of sociocultural determinants influencing hypertension, ultimately shaping policies and practices that address this public health threat more effectively. Therefore, by developing and implementing culturally tailored, evidence-based interventions, such as self-management education programs, nurses can empower individuals, particularly those from marginalized communities, to take an active role in managing their hypertension and improving their overall well-being at both the meso and macro levels (Hannan et al.,…

Sources used in this document:

References

Blankinship, L. A., Rouse, W. A., Bernstein, J., Kruk, J., & Aboul-Enein, B. H. (2021). A Narrative Review of Ethnic Minority Studies for Faith-Based Health Promotion Interventions with Special Reference to the Contemporary Christian Nurse. Journal of Religion & Health, 60(2), 1375–1387.

Contreras, J., Nussbaum, J., Cangialosi, P., Thapi, S., Radakrishnan, A., Hall, J., Ramesh, P., Trivieri, M. G., & Sandoval, A. F. (2024). Pulmonary Hypertension in Underrepresented Minorities: A Narrative Review. Journal of Clinical Medicine, 13(1), 285.

Facts about hypertension. (2024). Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/bloodpressure/facts.htm.

Hannan, J. A., Commodore-Mensah, Y., Tokieda, N., Smith, A. P., Gawlik, K. S., Murakami, L., Cooper, J., Koob, S., Wright, K. D., Cassarino, D., Arslanian-Engoren, C., & Melnyk, B. M. (2022). Improving hypertension control and cardiovascular health: An urgent call to action for nursing. Worldviews on Evidence-Based Nursing, 19(1), 6–15.

Tjia, J., Pugnaire, M., Calista, J., Esparza, N., Valdman, O., Garcia, M., Yazdani, M., Hale, J., Terrien, J., Eisdorfer, E., Zolezzi-Wyndham, V., Chiriboga, G., Rappaport, L., Puerto, G., Dykhouse, E., Potts, S., Sifuentes, A. F., Stanhope, S., Allison, J., … Sabin, J. (2021). COmmuNity-engaged SimULation Training for Blood Pressure Control (CONSULT-BP): A study protocol. Medicine, 100(5), e23680.

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