Hypertension - Nursing
Assessment Description
The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 Evidence-Based Practice Project: Evaluation of Literature assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.
A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.
In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:
Introduction - Describe the clinical issue or problem you are addressing. Present your PICOT statement.
Search methods - Describe your search strategy and the criteria that you used in choosing and searching for your articles.
Synthesis of the literature - For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
Comparison of articles - Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
Conclusion - Provide a summary statement of what you found in the literature.
Complete the APA Writing Checklist to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Refer to the Evidence-Based Practice Project Proposal – Assignment Overview document for an overview of the evidence-based practice project proposal assignments.
You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Literature Evaluation Table
Learner Name: Kieran M Njobe
NUR-550
PICOT:
In Adults diagnosed with HTN age 45-60 in the US does Increased education regarding diet and exercise as compared to no increased education decrease blood pressure within 12 months? Assessment of the impact of high blood pressure in the country is the direction of the PICOT to determine how there can be organizational methods of promoting blood pressure management among citizens. Analysis of the chronic condition’s management can involve improvement of education concerning dieting and exercise as productive methods of generating better care.
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
Article Title and Year Published
Research Questions/ Hypothesis, and Purpose/Aim of Study
Design (Quantitative, Qualitative, or other)
Setting/Sample
Methods: Intervention/ Instruments
Analysis/Data Collection
Outcomes/Key Findings
Recommendations
Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Global Burden of Cardiovascular Diseases Collaboration. The Burden of Cardiovascular Diseases Among US States, 1990-2016. JAMA Cardiol. 2018;3(5):375–389. doi:10.1001/jamacardio.2018.0385
Title: The Burden of Cardiovascular Diseases Among US States, 1990-2016
Published: 2018
The study’s aim was to determine how hypertension resulted in social issues after citizens got affected by lifestyle changes and a transformation in the normal lives.
Qualitative study
The study got conducted on different valid sources and government agencies to determine how hypertension had increase over many years
Required intervention were to establish lifestyle changes for better physical statuses
Data got collected from government agencies like the census bureau for each state whereby it was possible to determine accurate state issues
It was evident that there more than 900,000 deaths due to cardiovascular conditions
Adherence to medical requirements and improvement of lifestyle changes was implemented by the study
The article supports the fact that hypertension is a dangerous condition that should get managed on a daily basis to prevent occurrence of cardiovascular diseases
Leening, M.J.G., & Ikram, M.A. (2018). Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments. PLoS Med 15(3): e1002539. https://doi.org/10.1371/journal.pmed.1002539
Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments
To determine how coronary heart disease occurred after unmanaged hypertension
Qualitative study
Assessment of different treatment guidelines on the issue of cardiovascular disease (CVD) to determine required guidelines for management of the chronic condition
Lowering cholesterol levels offered a basis to improve patients’ conditions
Management of all risk factors is the appropriate method to handle hypertension conditions
The study performed literature review of different sources and it was possible to determine effective treatment procedures
It was discovered that patients’ use of medication with strict adherence would offer proper management of their conditions
Cholesterol lowering processes were also discovered to be of high standard
Establishment of clinical trials would offer an effective basis to handle patient conditions by using the knowledge gained to handle patient treatment procedures
The article supports the PICOT question since it possible to discover that cardiovascular conditions that develop after hypertension can get managed by improving treatment standards
Tran D-MT, Lekhak N, Gutierrez K, Moonie S (2021) Risk factors associated with cardiovascular disease among adult Nevadans. PLoS ONE 16(2): e0247105. https://doi.org/10.1371/journal.pone.0247105
Risk factors associated with cardiovascular disease among adult Nevadans
To determine how existence of risk factors create worse conditions for patients
Quantitative Study
The study got conducted in Nevada to determine how the residents got exposed to risk factors for hypertension
Application of a cross-sectional study got performed to determine how residents’ lifestyles promoted their behavioral risk factors. Variables in the study were presence or occurrence or coronary heart diseases
Participants got asked questions to determine their personal awareness for the condition and personal connection with healthcare providers
Risk factors got determined to be cholesterol level, alcohol intake, smoking, high BMI, and unbalanced lifestyle
The study promoted better lifestyle actions for persons with hypertension to allow them to gain a proper wellbeing
It is proper to study how hypertension can get managed by applying lifestyle changes to prevent occurrence of cardiovascular disease
Ahuja, R., Ayala, C., Tong, X., Wall, H. K., & Fang, J. (2018). Public Awareness of Health-Related Risks From Uncontrolled Hypertension. Preventing chronic disease, 15, E40. https://doi.org/10.5888/pcd15.170362
Public Awareness of Health-Related Risks From Uncontrolled Hypertension
To determine how uncontrolled hypertension resulted in limited wellbeing for patients
Quantitative study
An online study got implemented and used a survey to seek accurate data from persons suffering from the chronic condition
Using panel surveys would establish a reliable and accurate data collection process
Collection of demographic data to determine how patients’ backgrounds and conditions resulted in reduction in their wellbeing
It was discovered that hypertension occurred for different people regardless of their ages.
There was limited knowledge about hypertension and the condition’s risks.
The study proposed educational improvement for all society members to allow them proper access of valid hypertension knowledge
There is connection with the PICOT based on existence of patients that are not fully aware of the conditions’ dangers.
Tackling G, Borhade MB. Hypertensive Heart Disease. [Updated 2021 Jul 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539800/
Hypertensive Heart Disease
To determine valid explanation of heart disease and how there are diverse treatment approaches for the condition
Qualitative study
The article performed a proper explanation after getting valid scholarly knowledge about heart diseases and hypertension definitions
Analysis of different sources got performed to handle issues of limited knowledge of hypertension.
Access of valid definitions form different scholars got conducted to facilitate understanding of how hypertensive issues create worse conditions on people
There was discovery of how to handle normal, elevated, stage 1, and stage 2 hypertension depending on patients’ conditions
The proposed direction was to ensure early knowledge improvement concerning hypertension to offer proper healthcare statuses for patient conditions
IT is possible to understand how the PICOT question can offer a reliable treatment environment for patient conditions depending on their issues
US Preventive Services Task Force. Screening for High Blood Pressure in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(18):1878–1883. doi:10.1001/jama.2020.20122
Screening for High Blood Pressure in Children and Adolescents
US Preventive Services Task Force Recommendation Statement
To determine proper method of establishing patient improvement in large societies
Quantitative study
There was a study on different participants where their blood pressure measurement got taken to determine impact of background factors
The study analyzed the participant’ measures and compared them to known standards where it was possible to access valid knowledge f the condition’s prevalence
It was possible to analyze patient conditions after assessing how their biological statuses influence occurrence of other conditions
The study conducted by a government department discovered ways to generate conducive patient physical conditions
The suitable change is to promote adherence to hypertension management processes by performing early detection
The PICOT question receives support in relation to the existence of hypertension in people that were not even aware of their chronic conditions that later on caused cardiovascular conditions
Guirguis-Blake JM, Evans CV, Webber EM, Coppola EL, Perdue LA, Weyrich MS. Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2021;325(16):1657–1669. doi:10.1001/jama.2020.21669
Screening for Hypertension in Adults
Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
To determine how screening of blood pressure measurements is applicable in the condition’s management
Quantitative study
The study got conducted on different participants and valid sources that implemented a systemic review to handle the study direction
Study of the government’s mandate on management of hypertension offered a reliable possibility to improve the condition on the public
Study of control groups and uncontrolled groups of patients got conducted to determine how treatment adherence offered better care
It was discovered that screening for hypertension offered better CVD outcomes due to preparedness
Involvement of frequent screening for hypertension offers better patient conditions
The PICOT question receives support since the screening process is discovered as a reliable method to perform patient evaluations
Zhou, B., Perel, P., Mensah, G.A. et al. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nat Rev Cardiol (2021). https://doi.org/10.1038/s41569-021-00559-8
Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension
To determine how hypertension is a critical disease in comparison to its prevalence in other countries
Qualitative study
There was a thorough analysis of how to generate better treatment on patients by determining worldwide trends in the condition’s occurrence
Analysis of different sources got conducted to determine how residents of different countries got affected by hypertension and how there were gender discrepancies in the condition’s occurrence.
Data collection of the conditions’ prevalence got provided by accurate sources all containing valid information related to the disease in the entire world
The main findings were that the condition is mostly prevalent in men yet geography and age factors create a different outcome
Since there was discovery that hypertension occurs more in low-income areas, the appropriate improvement is for the government to implement strict adherence to treatment measures
It is imperative to conducted analysis on a large dataset to ensure the PICOT questions compares its findings with a large knowledge area
Singh, S., Shankar, R., & Singh, G. P. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International journal of hypertension, 2017, 5491838. https://doi.org/10.1155/2017/5491838
Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi
To determine how hypertension affects people based on their gender
Quantitative study
The study got conducted on different participants to determine how their environment affected their hypertension conditions
Use of cross-sectional technique allowed discovery of information in the study based on the issues of the local population
The study analyzed how participants behavioral risk factors and their level of hypertension occurred due to sociodemographic factors
It was discovered that men were more predisposed to get hypertension based on the high prevalence in their gender.
The appropriate improvement is for men to ensure they get provided with educational improvements on the dangers of hypertension
The PICOT question gets a strong foundation since the study indicated how men suffer more due to the condition
Luo, D., Cheng, Y., Zhang, H., Ba, M., Chen, P., Li, H. et al. Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis BMJ 2020; 370 :m3222 doi:10.1136/bmj.m3222
Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis
To determine how young persons are predisposed to getting hypertension.
Quantitative study
The study sought valid data from government and health agencies and compared the findings to study participants
Statistical analyses got conducted to handle the studys direction and proper participant observations.
Searching data from valid sources offered an accurate analysis procedure
It was discovered that early treatment of the condition offered better reduction of cardiovascular diseases
The appropriate direction is to perform more research on the study participants and use the outcome to create knowledge improvement
Connection is evident with the PICOT question to facilitate better guided learning of how treatment offers high standard wellbeing for the chronically ill persons
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