High blood pressure prevalence in African Americans

Statement of the Problem

High blood pressure (HBP) prevalence in African Americans in the US is among the world’s highest. Much of non-Hispanic African American men and women have high blood pressure. High blood pressure also occurs earlier in life and is typically more extreme for African Americans (Maraboto & Ferdianand, 2020).

Uncontrolled hypertension (HTN) in the USA is particularly prevalent and devastating among Black people who are more vulnerable than people from other racial / ethnic groups to the effects of this disease. Moreover, the findings of evidenced based data in this population are frequently underrepresented in cardiovascular clinical trials, restricting their ability to accurately apply them. In this analysis, we summarize and examine the information that is currently available regarding risk factors, manifestations, complications and HTN management in this often difficult to treat population. This practice change project seeks to better understand to what degree of increasing patient’s knowledge on the DASH diet is a best approach for treatment of patients with hypertension (Maraboto & Ferdianand, 2020)

Health organizations urge healthcare providers to participate in programs that help patients control high blood pressure (CDC, 2017). Lifestyle changes recommendations to treat HTN include weight management, exercise, and diet (Yang et al., 2015). Many patients do not adhere to the recommendations because of insufficient education. Educating patients about lifestyle modifications can have a significant impact on their beliefs about hypertension (Yang et al., 2015). Patel et al. (2016) indicated that lack of education was a common reason that patients did not adhere to diet education.

There are many barriers to the management of patients with hypertension, and one that is see daily by health care providers is lack of patient education. It was not known if or to what degree the implementation of a Dietary Approach to Stop Hypertension (DASH) intervention education program would impact the patients’ blood pressure when compared to no intervention among African American patients diagnosed with hypertension in an outpatient clinic in Washington, D.C.

Clinical Question

The primary objective of this practice change project is to determine if a diet approach that emphasizes rich fruits, vegetables, and low fat significantly reduces the development and increased the management of HTN among African Americans. The study also evaluates if lifestyle practices such as exercise and physical therapy significantly reduce the development and management of HTN among black Americans. The PICOT question is: Does the implementation of a Dietary Approach to Stop Hypertension education intervention for patient’s impact blood pressure readings for patients diagnosed with hypertension at an outpatient clinic in Washington, D.C. over a four-week period of time?

The following clinical question guides this quantitative project: 

CQ: To what degree does the implementation of a Dietary Approach to Stop Hypertension education intervention for patient’s impact blood pressure readings for patients diagnosed with hypertension at an outpatient clinic in Washington, D.C. over a four-week period?

The independent variable will be defined as the implementation of a Dietary Approach to Stop Hypertension education for approximately 30 African American adult patients with hypertension. The dependent variable will be defined as mean systolic and diastolic blood pressure before and after the intervention. The question leads to a search for the best evidence that can contribute to a decision about the patient’s care (Harmic, 2009). 

This DPI project will employ a pretest posttest design guided by the theoretical framework Pender’s health promotion model. All patients will be given a 20-minute educational overview on HTN and the effectiveness of the DASH diet. There will be a 5-question pre-posttest designed by DASH “Fruits and Vegetable” given to patients about the DASH diet.  Provider will then counsel and educate patients with hypertension about the DASH and patients’ blood pressures will be evaluated before and after the intervention of the DASH diet.  The DASH was created 20 years ago, and quantitative data demonstrates it consistently lowers BP across a diverse range of patients with HTN and prehypertension (Steinberg, Bennett, & Sevetkey, 2017). Barriers to patients incorporating the DASH diet into their hypertensive management could possibly be lack of provider knowledge and training, and patients lack awareness of the potential benefits of the DASH diet as a means of hypertension management.

Project Methodology Comment by Sharina Sigur: This section is underdeveloped.

A clinical practice change project will be designed and implemented to educate patients about a dietary approach to stop hypertension (DASH) diagnosed with hypertension. This project focuses on increasing patient knowledge and improving HTN management. Patients will be recruited from an outpatient clinic in Washington, D.C. The participants will consist of approximately 10 African American adults diagnosed with hypertension. A pre-posttest design will be utilized and guided by Nolan Pender health promotion model. 

Quantitative methods are most appropriate in the following circumstance: a) clearly defined study variables. b) large sample size available in a cost-effective manner, c) validated instrument available for data collection, and d) a desire to generalize study findings (Leedy, Ormrod, & Johnson, 2019). Quantitative data follow a linear sequence in obtaining answers to quantitative questions (Polit & Beck, 2017). Quantitative methodology is most appropriate for this DPI project, as the focus of quantitative data is to determine the relationship or trends between independent and dependent variables (Polit & Beck, 2017).


Get Professional Assignment Help Cheaply

fast coursework help

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason may is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Our essay writers are graduates with diplomas, bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college diploma. When assigning your order, we match the paper subject with the area of specialization of the writer.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

How It Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essayPLACE THIS ORDER OR A SIMILAR ORDER WITH ASSIGNMENT DEN TODAY AND GET AN AMAZING DISCOUNT

order custom essay paper
Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

We value our customers and so we ensure that what we do is 100% original..
With us you are guaranteed of quality work done by our qualified experts.Your information and everything that you do with us is kept completely confidential.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

The Product ordered is guaranteed to be original. Orders are checked by the most advanced anti-plagiarism software in the market to assure that the Product is 100% original. The Company has a zero tolerance policy for plagiarism.

Read more

Free-revision policy

The Free Revision policy is a courtesy service that the Company provides to help ensure Customer’s total satisfaction with the completed Order. To receive free revision the Company requires that the Customer provide the request within fourteen (14) days from the first completion date and within a period of thirty (30) days for dissertations.

Read more

Privacy policy

The Company is committed to protect the privacy of the Customer and it will never resell or share any of Customer’s personal information, including credit card data, with any third party. All the online transactions are processed through the secure and reliable online payment systems.

Read more

Fair-cooperation guarantee

By placing an order with us, you agree to the service we provide. We will endear to do all that it takes to deliver a comprehensive paper as per your requirements. We also count on your cooperation to ensure that we deliver on this mandate.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
error: Content is protected !!
Open chat
1
You can contact our live agent via WhatsApp! Via +1 817 953 0426

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 20% with the discount code VICTORY