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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Becky Randall


high blood pressures, rural, primary care, cue card, knowledge, and communication.


High blood pressure affects 65 million people in the United States, half with undetected or uncontrolled blood pressure putting them at serious risk of morbidity and mortality (Margolius & Bodenheimer, 2010). Providers can assist in lowering patient’s blood pressure values through the use of evidence-based guidelines, innovative delivery models, enhanced communication and promote adherence to the treatment plan (CDC, 2012). This paper discusses a Practice Innovation Project that took place in a rural, Midwestern town. Adult patients with elevated blood pressure readings were provided with a tailored-messaged cue card to present to their provider. A knowledge questionnaire was completed at the initial and follow-up appointments. A health literacy questionnaire was completed at the initial appointment to determine if there was a direct correlation with knowledge questionnaire results. The communication assessment questionnaire was completed at follow-up appointment to evaluate provider-patient communication. The methodology for this project was quasi-experimental. Pretest and posttest knowledge questionnaire results were tabulated and a t-test analysis was completed on the entire sample. The goal of this study was to evaluate patient’s knowledge, improve patient-provider communication and decrease the prevalence of high blood pressure readings in patients’ charts. Although the results showed that there was no statistical significance with the effectiveness of the tailored-messaged cue card compared to their knowledge scores, there was still valuable information learned from this study.

Library of Congress Subject Headings

Hypertension -- Prevention
Patient education


Includes bibliographical references (pages 71-79)



Number of Pages



South Dakota State University


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