Date of Award
7-2012
Document Type
Independent Study
Degree Name
Master of Science (MS)
Abstract
The author developed a learning event that is designed to provide a continuation of the didactic and clinical methodologies taught in undergraduate, basic nurse education programs. The staff development learning event Effective Blood Pressure Measurement is based upon a clinical question this author posed after years of professional observation noting the ambiguity demonstrated by health care providers and various institutions with regards to clinical practice guideline use, and the lack of enforcement on training and oversight of accurate blood pressure measurement (BPM) in the clinical setting. The ambiguity and lack of oversight has been linked to poor blood pressure control in some of our most vulnerable populations, and has led to the expense and a myriad of unintended consequences such as prescribing hypertensive medication to someone who is normotensive (white-coat hypertension). and the absence of inquiry into differential diagnoses. The aim of the event is to ensure proper training of observers as to the essential components for ensuring blood pressure measurement accuracy of the adult. ambulatory care patient for experienced nursing staff in a large, family practice clinical setting. The learning event is designed to provide two, two-hour blocks of instruction which incorporates didactic, classroom and e-learning instruction with an observational structured examination (OBSE) component to be delivered during the annual skills fair of nursing staff. Another consideration for use of this event would be in the initial orientation of newly hired nursing staff and for reeducation and/or just in time training. The learners will become familiar with the Jo int National Committee (JNC-7) on Prevention. Detection. Evaluation. and treatment of High Blood Pressure and the American Heart Association (AHA) Counci l on High Blood Pressure Research' specific guidelines regarding blood pressure measurement and screening techniques, and will be able to apply these principle and standards in the routine blood pressure screening of adult ambulatory, family practice clinical patients.
Recommended Citation
Mommerency, Sheri L., "Effective Blood Pressure Measurement" (2012). Theses and Dissertations. 4624.
https://commons.und.edu/theses/4624