Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2024


Doctor of Nursing Practice (DNP)

Primary Advisor

Joyce Knestrick Ph.D., FNP-BC, FAANP, FAAN


Background: The low rate of blood pressure management knowledge has been identified as an essential risk factor for uncontrolled hypertension (HTN). Providing an educational intervention for HTN management in a retail clinic setting will allow timely treatment of HTN and decrease the costs of associated health related complications.

Objectives: This project aimed to improve hypertension knowledge and blood pressure management in patients diagnosed with hypertension or patients with blood pressure readings that exceed the guidelines, seeking care in a retail clinic.

Methodology: A pre-post educational intervention was used in this evidence-based project. Following BP screening, 46 participants met the eligibility criteria and convenience sample of 36 participants were enrolled. Hypertension knowledge was assessed using the hypertension evaluation of lifestyle and management (HELM) scale. Participants received a one-to-one educational session and printed materials. Pre-and post-intervention HTN knowledge scores and BP measurement were compared using paired t-test. The differences in pre-and post-test and 8- week post-intervention BP was compared using Cohen’s d for repeated measures.

Results: 31 participants completed the project. There was a decrease in BP measurement across blood pressure categories, Stage 2 HTN (8.3% to 0%), Stage 1 HTN (61.1% to 44.4%), and elevated BP (30.6% to 41.7%) and increase in HTN knowledge (consistently positive 95% CI).

Conclusion: Providing HTN education in a retail clinic setting is effective to positively impact knowledge of HTN risk factors and management, favorably impact blood pressure, and lead to a practice change in the retail clinic. Further study is recommended to evaluate longer-term impact on HTN management.

Open Access




To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.