This assignment is going to be a continued project for the next 16 weeks. During the weeks, you will need to use the ATTACHED project and incorporate it into the question

/ Nursing / By

This assignment is going to be a continued project for the next 16 weeks. During the weeks, you will need to use the ATTACHED project and incorporate it into the questions asked. There will be 2 assignments each week, and each will be 6 pages, making it 12 pages.

Please details attached.

10

Effectiveness of Aerobic Exercise on Ambulatory Blood Pressure in Hypertensive Patients

Submitted by

Chinyere Christiana Pamugo

A Direct Practice Improvement Project Presented in Partial Fulfillment

of the Requirements for the Degree

Doctor of Nursing Practice

Grand Canyon University

Phoenix, Arizona

January 11, 2023

© by Chinyere Christiana Pamugo, 2023

All rights reserved.

GRAND CANYON UNIVERSITY

Effectiveness of Aerobic Exercise on Ambulatory Blood Pressure in Hypertensive Patients

Chinyere Christiana Pamugo

has been approved

January 11, 2023

APPROVED:

Dawn Robinson DNP, MSN, RN, LNHA, DPI Project Chairperson

Khoa Don Nguyen, MD., DPI Project Mentor

ACCEPTED AND SIGNED:

________________________________________

Lisa Smith, Ph.D., RN, CNE

Dean and Professor, College of Nursing and Health Care Professions

_________________________________________

Date




Abstract



Physical exercise may improve hypertension and minimize cardiac complications. At the project site there were no standardized guidelines for hypertensive patients utilizing aerobic exercise as a blood pressure (BP) management mechanism, so an evidence based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the translation of Saco-Ledo et al.’s research on aerobic exercise would impact systolic and diastolic blood pressures when compared to current practice among adult hypertensive patients in a primary care clinic in southwest Texas over four weeks. Dorothy Orem’s self-care deficit theory and Kurt Lewin’s change model provided the scientific underpinnings for the project. Data were retrieved from the clinic’s electronic medical records on adult hypertensive patients (
N=10) and compared at baseline and four weeks post implementation. A paired-sample
t-test showed a statistically and clinically significant improvement in systolic BP from baseline (
M = 152.60,


EXTENSION COURSE

This is going to be a continued project for the next 16 weeks. During the weeks, you will need to use the

ATTACHED
 paper and incorporate it into the questions. There will be 2 papers each week, and each will be 6 pages.


WEEK 1


Continued Sustainability Paper


A Full and Complete 6-Page

Provide a review of your project, describe how you planned for sustainability during the development of your project, discuss barriers for sustainability of your project and how you planned for and continue to overcome these, discuss stakeholder for your projects and how to engage these stakeholder to keep your project going.

Use five to six scholarly, academic references to support your paper that are less than 5 years old.


Theory Evaluation Paper


A Full and Complete 6-Page

Develop a full and complete 6-page APA paper discussing the theory or theories used for your project and how this specifically applied to your project.

Discuss at least two other theories (one nursing and one change theory) that you could have used instead.

Compare and contrast theories used to those analyzed. Using hindsight, discuss which theories (Nursing and Change) would be the be to support your project and why?

Use five to six scholarly, academic references to support your paper that are less than 5 years old.

This assignment is going to be a continued project for the next 16 weeks. During the weeks, you will need to use the ATTACHED project and incorporate it into the questions asked. There will be 2 assignments each week, and each will be 6 pages, making it 12 pages. Please details attached. 10 Effectiveness of Aerobic Exercise on Ambulatory Blood Pressure in Hypertensive Patients Submitted by Chinyere Christiana Pamugo A Direct Practice Improvement Project Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Nursing Practice Grand Canyon University Phoenix, Arizona January 11, 2023 © by Chinyere Christiana Pamugo, 2023 All rights reserved. GRAND CANYON UNIVERSITY Effectiveness of Aerobic Exercise on Ambulatory Blood Pressure in Hypertensive Patients Chinyere Christiana Pamugo has been approved January 11, 2023 APPROVED: Dawn Robinson DNP, MSN, RN, LNHA, DPI Project Chairperson Khoa Don Nguyen, MD., DPI Project Mentor ACCEPTED AND SIGNED: ________________________________________ Lisa Smith, Ph.D., RN, CNE Dean and Professor, College of Nursing and Health Care Professions _________________________________________ Date Abstract Physical exercise may improve hypertension and minimize cardiac complications. At the project site there were no standardized guidelines for hypertensive patients utilizing aerobic exercise as a blood pressure (BP) management mechanism, so an evidence based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the translation of Saco-Ledo et al.’s research on aerobic exercise would impact systolic and diastolic blood pressures when compared to current practice among adult hypertensive patients in a primary care clinic in southwest Texas over four weeks. Dorothy Orem’s self-care deficit theory and Kurt Lewin’s change model provided the scientific underpinnings for the project. Data were retrieved from the clinic’s electronic medical records on adult hypertensive patients ( N=10) and compared at baseline and four weeks post implementation. A paired-sample t-test showed a statistically and clinically significant improvement in systolic BP from baseline ( M = 152.60, EXTENSION COURSE This is going to be a continued project for the next 16 weeks. During the weeks, you will need to use the ATTACHED paper and incorporate it into the questions. There will be 2 papers each week, and each will be 6 pages. WEEK 1 Continued Sustainability Paper A Full and Complete 6-Page Provide a review of your project, describe how you planned for sustainability during the development of your project, discuss barriers for sustainability of your project and how you planned for and continue to overcome these, discuss stakeholder for your projects and how to engage these stakeholder to keep your project going. Use five to six scholarly, academic references to support your paper that are less than 5 years old. Theory Evaluation Paper A Full and Complete 6-Page Develop a full and complete 6-page APA paper discussing the theory or theories used for your project and how this specifically applied to your project. Discuss at least two other theories (one nursing and one change theory) that you could have used instead. Compare and contrast theories used to those analyzed. Using hindsight, discuss which theories (Nursing and Change) would be the be to support your project and why? Use five to six scholarly, academic references to support your paper that are less than 5 years old.

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