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Document Type

DNP - University Access Only

Award Date

2021

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Nicole Gibson

Second Advisor

Lori Hendrickx

Keywords

self-measured blood pressure, SMBP, hypertension, patient education

Abstract

Introduction: Self-Measured blood pressure (SMBP) programs have been shown to decrease blood pressure.
Evidence Summary: A review of literature occurred regarding multiple aspects of SMBP programs with 28 articles and guidelines utilized for the literature review. Patients who had uncontrolled hypertension (HTN) at a clinic visit were referred to the SMBP program. Patients obtained a blood pressure monitoring device and were educated on device use, HTN, the Dietary Approaches to Stop Hypertension (DASH) diet, lowsodium diet, weight-loss, and physical activity. The organization's hypertension (HTN) Quality Indicator score and the patient's blood pressure were evaluated pre-and post-implementation.
Gaps: Lack of evidence identifying a preferred SMBP program was noted. Limited evidence regarding the appropriate duration of an SMBP program was available. There was insufficient evidence regarding the number, duration, or combination of educational topics that should be offered as part of an SMBP program.
Recommendations for Practice: SMBP programs help patients decrease their blood pressure. Nurses must validate blood pressure measurement devices and educate patients with high blood pressure regarding HTN, DASH diet, low-sodium diet, weight-loss, and regular physical activity to assist with blood pressure reduction.


Number of Pages

134

Publisher

South Dakota State University

Rights

© 2021 Hillary Newborg

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