Year of Publication
Doctor of Nursing Practice
Dr. Sharon Lock
Dr. Shirl Johnson
Dr. Debra Hampton
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.
Bundrent, Danielle, "Hypertension and African Americans: A Retrospective Review of Provider Education on Lifestyle Counseling and Medication Management" (2016). DNP Projects. 109.