Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2024


Doctor of Nursing Practice (DNP)

Primary Advisor

Joyce Knestrick


Background: Hypertension (HTN) is a significant risk factor for life-threatening occurrences. Although ample evidence supports the use of multiple forms of patient education to manage hypertension and reduce complications effectively, many clinicians continue to underutilize multifaceted educational approaches.

Aim/Objectives: This quality improvement project highlights the importance of a comprehensive, evidence-based, and easily accessible standardized protocol to support clinicians. The goal was to deliver crucial information to patients, promote self-care, and improve health outcomes. Evaluating the score of the HELMs and the healthcare provider survey was pivotal in measuring knowledge enhancement.

Method: Pre- and post-tests were utilized to collect and analyze data using a descriptive analysis method. Quantitative data was collected using the HELMs scale and the Healthcare Provider Survey. SPSS was used to enter all the provider survey data and the HELMs scores. The statistical analysis calculated the frequency and mean to complete the responses.

Results: A paired t-test of the HELM scale pre and post-test examined the effectiveness of the standardized protocol. Knowledge rose significantly after the intervention, with a mean difference of 25.74 (p < 0.1) between pre-and post-test scores. Clinicians learned how to customize treatment and education to improve patient outcomes. After the intervention, the mean was 1.14 (SD = 0.44), showing improvement. The observed decrease of 0.76 in the mean score between the pre-and post-surveys (p <0.001) suggests an improvement in managing hypertension. The satisfaction survey commended standardized protocol for hypertension education. Surveys concluded that the education improved clinicians’ skills and knowledge.

Conclusion: Hypertension education has shown promise, allowing clinicians to give evidence-based care. Standardized protocols help physicians improve patient outcomes. This project shows that clinical practice requires structured teaching and delivery. The small sample size (n=5) prevented statistical significance despite good results. This standardized protocol needs further research and implementation to become widespread.

Open Access




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