Year of Publication

2016

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Sharon Lock

Clinical Mentor

Dr. Shirl Johnson

Committee Member

Dr. Debra Hampton

Abstract

Abstract

Purpose: The purpose of this study was to evaluate current provider practice of the management of hypertension among African Americans in a primary care clinic in Louisville, KY. Specific aims of the study were to: 1) assess provider adherence to the JNC 8 guidelines related to African Americans with hypertension and, 2) assess provider adherence to hypertension lifestyle education and counseling.

Methods: This descriptive study used a retrospective chart review to evaluate provider management of hypertension. Medical records of African American men and women in a primary care practice in Louisville, KY were reviewed. A random sample of 100 charts, 50 male and 50 female patients with a diagnosis of essential hypertension (ICD9: 401 or ICD10: I-10) who were seen in the office between January 1, 2015 and December 31, 2015, were reviewed.

Results: The majority of providers (60%) adhered to the JNC 8 guideline by prescribing calcium channel blockers, thiazide diuretics, and angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers according to the guideline algorithm. Patients whose blood pressure readings were within normal range were more likely to have been prescribed JNC 8 adherent medications and received lifestyle counseling.

Conclusion: Practitioners that incorporate lifestyle counseling and JNC 8 adherence into their treatment of African Americans with hypertension are more likely to have patients with optimal blood pressure control.

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