This is the 2nd week of the going project that will continue for the next 16 weeks. During the weeks, you will use the ATTACHED DNP project to answer some of the que

EXTENSION COURSE

This is the 2nd week of the going project that will continue for the next 16 weeks. During the weeks, you will use the

ATTACHED
DNP project paper to answer some of the questions below. There will be 2 papers each week, and each will be 6 pages.

WEEK 2

Identifying Population Gaps Paper

A Full and Complete 6-Page

For week 2, you will develop a full 6-page APA paper identifying gaps in care for individuals, communities, and populations related to your topic and community. Determine and discuss additional programs needed for promotion/disease prevention interventions that support your project and population.

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

Identification of New Literature Paper

A Full and Complete 6-Page

For week 2, you will develop a full 6-page APA paper discussing at least 8 new research studies (literature not used in your current manuscript) that support your project. Provide an overview and synopsis of each article. Compare and contrast each of the eight research studies, identify which best supports and aligns with your project and explain why.

Use eight scholarly, empirical research studies that are less than 2 years old for this paper.

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

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,