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To reach health goals through managing uncontrolled hypertension by assigning RNs to manage patient care proactively.

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Groups were set-up to record BP on a schedule and how these results were compared to control group at the end of the trial

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The uncontrolled hypertension patients that were assigned RN visits had a higher success rate in reaching their BP goals in a faster time frame than the control group.

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The data shows that the benefit of this practice can lead to better outcomes for the patient and RNs that take part

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Collaborative, evidence-based, and innovative care strategies using inter professional team members have the potential to continue to improve hypertension control patients.

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By implementing the use of RNs to visit patients at home gave the results a promising outcome.

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The results showed an improvement to patients with uncontrolled hypertension

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The QI Project quantitative
Study involved 60 in two groups
30 were women and 30 men
Vital signs were checked consistently

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Adults 18 to 60 year old patients with hypertension and uncontrolled hypertension
BP goal of <140/90 mm Hg and >90/50 mm Hg

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Patients with uncontrolled hypertension will continue to increase, particularly as the diagnosis and management of high blood pressure align with guidelines endorsed by the 2017 American College of Cardiology/American Heart Association

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What is the effectiveness of enhanced RN visits as compared to usual care for improving outcomes in patients with hypertension

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Intervention took place in two primary care clinics serving both primary care internal medicine and family medicine patients
Conducted from February to December 2016
Sample group of 15 males and 15 females and a control group of 15 males and 15 females
Average age of 55 for the sample group and 56 for the control group

# data[].attributes.headline
Kronebusch, B. J., Rismeyer, D. L., Enos, M. M., Swenson, L. L., Witwer, S. G., & Hunt, V. L. (2020). Registered Nurse Visits to Improve Hypertension Management: A Quality Improvement Project. Nursing Economic$, 38(3), 121–132.

# data[].attributes.subject
Kronebusch, B. J., Rismeyer, D. L., Enos, M. M., Swenson, L. L., Witwer, S. G., & Hunt, V. L. (2020). Registered Nurse Visits to Improve Hypertension Management: A Quality Improvement Project. Nursing Economic$, 38(3), 121–132.

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In 2015, the Center for Disease Control and Prevention reported only 48% of adults with hypertension were well controlled

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RN visits every 2 weeks for 12 weeks

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RN visits for medication management and lifestyle modifications resulted in patient reaching BP goal, while improving access to care for other acute and complex conditions.

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RN performing these visits and telephone calls experienced enhanced satisfaction with their roles

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The benefits of this model of care are far reaching as an approach to chronic disease and optimal outcomes

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RN visits were effective in helping patients achieve BP control at a higher rate and shorter time than usual care without negatively impacting provider satisfaction or patient safety

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93% of patients reached their BP goal in a median 2 weeks compared to 86% in a median 8 weeks in usual care group

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A limitation that was found during this project was that physicians were slow to enroll patients into the group.
Another limitation was group size. This was a small group and implementation would need to be carried out on a larger scale to get more accurate results