Abstract

The purpose of this quality improvement (QI) project was to create a hypertension control protocol for the patient aligned care teams (PACT) to follow when a Veteran presents to the primary care clinic (PCC) with uncontrolled hypertension. Despite past interventions, uncontrolled hypertension was still problematic in the Department of Veteran Affairs (VA) Healthcare System. Past and present research suggested that the Veteran population was at higher risk of developing hypertension than those of the civilian population. In hopes to reduce uncontrolled hypertension in the VA's PCCs, the Measure Properly, Assessment of Pharmacology, Alternative Medication Interests, Routine Outreach, and Partner with the Veteran (MAARP) evidence-based protocol was developed. The MAARP protocol aided PACT providers in the closer management of hypertension; ultimately, reducing the number of Veterans with uncontrolled hypertension. . The MAARP components promoted a closer monitoring of the Veterans from the PACTs, encouraged alternative therapies to control hypertension, involved the Veterans in making personal health changes, endorsed the heavy use of Nurse Visit (NV) to follow-up with Veterans, improved Home Telehealth (HT) participation, and improved the Veterans comfort levels with automatic blood pressure (BP) obtainment.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 31147836; ProQuest document ID: 3037302093. The author still retains copyright.

Author Details

Alyssa S. Dudley, DNP

Sigma Membership

Theta Sigma

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Veterans Affairs, Self-Efficacy, Home Telehealth, Hypertension

Advisor

Richelle Rennegarbe

Second Advisor

Jill Parsons

Third Advisor

Shawna Adams

Degree

DNP

Degree Grantor

McKendree University

Degree Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2024-07-11

Full Text of Presentation

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