Degree Name
Nursing Practice, DNP
Publication Date
2-16-2026
First Advisor
Sandra King
Second Advisor
Beatrice Bailey
Abstract
Hypertension (HTN) is one of the leading causes of clinic visits and prescription medication use in primary care settings. Despite the availability of evidence-based guidelines to improve HTN management, adherence in clinical practice is often lacking. At the project site, 30% of patients have uncontrolled HTN. This is attributed to providers’ inadequate knowledge of the JNC-8 HTN management guidelines and inconsistent adherence to them. This project aimed to improve hypertension management in a primary care setting by educating providers on the JNC-8 guidelines to enhance adherence to evidence-based practices over six weeks. The purpose was to align medical providers with best practices in HTN management through targeted educational interventions on the JNC-8 guidelines. Kurt Lewin's Change Theory and the Donabedian framework guided this project. The methodological approach involved a pre- and post-QI design, with educational sessions conducted for providers. The project was implemented among five providers using the Plan-Do-Study-Act (PDSA) model. A Likert-Scale style questionnaire was used to assess clinical providers' knowledge of HTN management in accordance with the JNC-8 guidelines. Cronbach's alpha was used to assess the internal consistency and reliability of the pre- and post-tests, yielding an alpha coefficient of 0.88. The data were analyzed using descriptive statistics. The mean pre-intervention score was 77.80, with a standard deviation of 7.17, indicating variability in baseline knowledge. The post-intervention mean was 100, with a standard deviation of 0. The level of significance was established at alpha .05. The findings indicated an improvement in providers’ HTN management knowledge post-intervention, as evidenced by a mean score of five and a standard deviation of zero.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Aliu, Toyin K., "Quality Improvement Project: The Impact of Hypertension Management Education in Primary Care" (2026). Doctor of Nursing Practice Projects. 310.
https://arch.astate.edu/dnp-projects/310
