Clinical scholarly Project: Improving Hypertension among African American Adults using Text Message
Reminder to Encourage Aerobic Exercise.
Essential 1: Scientific underpinning for Practice
The Doctor of Nursing Practice [DNP] program prepares nurses to incorporate nursing science with knowledge
of biophysical, psychosocial, ethics, and organizational as a foundation for their highest level of nursing
practice. Addressing future and current issues in nursing requires a strong scientific foundation and developing
and evaluating new practices based on nursing theories and theories from other disciplines (American
Association of Colleges of Nursing [AACN], 2006). The DNP Essential I is applied to my project which is using
text message reminder to encourage adult African Americans ages 19 to 65 to do aerobic activity to control
Hypertension. DNP essential 1 is applied here because the project is based on evidence from previous
research of using text messaging to improve hypertension. This implies that regular exercise will decrease high
blood pressure and as such decrease cardiovascular events.
The doctoral project will utilize health belief model (HBM) which is based on behavioral change. The theory
addresses the readiness of an individual to change their health behaviors based on their beliefs which includes
perceived susceptibility, perceived benefits, perceived severity, and perceived barriers (Hoseini et al., 2014).
This theory allows clear understanding of the factors affecting the decision of an individual towards prevention
of a disease. Previous studies depict that increasing the perceived severity of hypertension lead to greater
reduction in both systolic and diastolic blood pressure (Hoseini et al., 2014). In my DNP role, I will educate my
patients based on evidence-based practice on the non-pharmacological and low-cost ways of managing
hypertension and other chronic diseases to improve outcomes.
Essential II - Organizational and Systems Leadership for Quality Improvement and Systems Thinking
DNP graduates are prepared to adequately add to nursing science by assessing, interpret, and scattering proof
into practice. DNP graduates have an obligation to acclimatize nursing science and practice with patients'
complex requirements. The principal abilities required in creating clinical practice rules incorporate creating
evidence-based intercessions and assessing practice results (AACN, 2006). This essential is demonstrated in
leading and partnering with other stakeholders to ensure that the CSP project is successful and participants
protected. The DNP project provides an opportunity to put clinical practice guidelines, evidence-based
intervention, and the ability to evaluate practice outcomes. The DNP role ensures accountability in the quality
of care and management of hypertension in all patients and their families. The DNP leadership role also
ensures quality improvement and patient safety using advance communication skills (AACN, 2006).
Essential III- Clinical Scholarship and Analytical Methods for Evidence-Based Practice
The DNP graduate apply scholarship and research by integration and dissemination of new knowledge and
translation of research into practice (AACN, 2006). This essential prepares a DNP graduate on how to use
analytical methods to appraise existing literature to determine the best evidence. This essential applies to the
CSP project with the extensive literature search to find the best evidence for this project. To use this essential,
the DNP graduate must demonstrate how to use information technology to collect accurate data, analyze data,
design evidence-based interventions, predict outcomes, and identify gaps in evidence. DNP essential III will
enable the use of quality improvement processes to educate other stakeholders and organizations about the
CSP findings. Therefore, the current project allows DNP graduate to exercise their skills and knowledge to
facilitate meaningful organization-wide healthcare delivery changes. As one of the technologies tipped to
improve the quality of care provided, text messaging presents an opportunity to introduce a cutting-edge
technology that enhances healthcare while working hand-in-hand with the communities to develop policies and
initiatives at improving the quality of care and outcomes (American Association of Colleges of Nursing, 2006).
Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and
Transformation of Health Care
This DNP essential prepares advanced practice nurses to use technology and information systems to improve
patient care and provide leadership in healthcare organizations as well as academics. It also equips nurses in
evaluation of legal and ethical issues in healthcare regarding information technology, communication networks,
and patient care knowledge (AACN, 2006). This essential applies to the clinical project by integrating the use of
text message in management of hypertension. Low-cost mobile technology has the potential to motivate adults
to engage in daily aerobic exercise (walking) and thus prevent mortality and morbidity caused by hypertension
(Chow et al., 2015). Thus, the use of technology helps to provide low-cost, safe, and efficient care.
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Moreover, the project will utilize SPSS to analyze and interpret the data for this project. The project will also
utilize the use of computer to store information about the subjects, the use of teaching documents, and mobile
phones for auto reminder for aerobic activity. Technology is central to protected, productive, patient-focused
care. The use of technology facilitates direct communication and interaction between health care providers and
the patients. DNP must utilize technology innovations for efficient patient care to make the right clinical
decision based on the available evidence.
Sample Solution