Peer-reviewed literature provides valuable insights into evidence-based nursing actions related to hypertension, which can be effective for Mr. John’s condition. For example, a study by Verma et al. (2021), highlights that non-pharmacological modification can be used to manage hypertension, which includes reduced salt intake and consumption of alcohol and saturated fat. It also highlights strategies like time-restricted meals and yoga for HTN management. Another study by Hamrahian et al. (2022), highlights significant information and guidelines for nurses in terms of non-adherence to medication reasons and its negative financial impact on medical costs.
The study mentions the chances of wrong diagnosis and doses and highlights the importance of awareness for long-term medication adherence at all phases of life. Evidence shows that educational intervention for patients has been effective due to awareness about lifestyle modifications and medication adherence to control HTN and reduce risks of cardiovascular diseases (Tam et al., 2020). Moreover, the collaborative care model is a practical approach nurses can use to improve HTN conditions in patients like Mr. John. The evidence demonstrates that the pharmacist-physician, nurse-patient, and other professionals are effective due to improved monitoring, follow-ups, adherence, and consistent care (Dixon et al., 2021).
The sources for EBPs that can guide nurses to take effective actions for patients like Mr. John in HTN management are tested through the CRAAP test. The test allows a checklist of five key factors essential for a source to be effective. Firstly, the sources were current (C) as they were from past five-year publications; for instance, a study by Dixon et al. (2021) is from the year 2021, which says collaborative and team-based care is effective in HTN management. The literature is relevant (R) to the HTN issue, providing necessary information about improved patient outcomes. I ensured that the information from sources was based on authority (A) and accuracy (A); for instance, the study by Tam et al. (2020) and his colleagues is based on expert field authors and rigorous research methodology. Lastly, all the sources align with the (P) of managing HTN for patients like Mr. John through pharmacological and non-pharmacological interventions.
Potential Barriers and Guiding Framework
Several barriers can hinder the implementation of EBP in managing hypertension. For instance, a lack of awareness among healthcare providers and patients about effective practices for HTN management can create hindrances. Resistance to change is another barrier that can impact implementation due to non-traditional ways to manage a health condition like HTN, which can cause treatment non-adherence concerns such as lifestyle modifications, self-management strategies, and medication adherence, which can pose challenges in practical implementation.
Limited access to resources such as education programs can impede EBPs (Bhandari et al., 2021). The guiding framework to overcome these barriers is the Iowa Model to promote quality care. This model integrates research findings, professional experience, patient inclination, and organizational resources to facilitate evidence-based decision-making and practice change. It provides a structured approach to identify, address, and evaluate issues by keeping barriers in check. This model will allow nurses to implement HTN management practices based on evidence and sustain change, enhancing excellence for Mr. John through lifestyle modification and best practices (Cullen et al., 2022).
The American Nurse Association (ANA) establishes standards of nursing practice and ethical guidelines that inform nursing care for patients with hypertension. For example, the ANA’s scope and standards of practice outline the competencies and responsibilities of nurses in assessing, planning, implementing, and evaluating care for individuals with cardiovascular conditions like HTN. Through education, advocacy, and resources, the ANA supports nurses staying updated on EBP, promoting patient education and self-management, and collaborating with interdisciplinary teams to optimize patient outcomes (Ernstmeyer & Christman, 2021).
For Mr. John, adherence to ANA standards ensures he receives thorough, patient-centered care customized to his choices. The American Heart Association (AHA) plays a role in developing clinical practice guidelines and recommendations for managing HTN. These guidelines are evidence-based strategies for risk assessment, lifestyle modifications, and pharmacological interventions. Nurses can leverage AHA resources, educational materials,
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