Dnp- 840a 10 strategic points

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Please see the attached documents. There is an OLD format and there is a TEMPLATE of a NEW one. Kindly help update using the new Template as some sections are missing from the old.

Grand Canyon University

College of Doctoral Studies

Ten Strategic Points: QUANTITATIVE

Aligns with new v9.0 Template

Please find below an updated copy of the 10 strategic points that is focused on a quantitative study. This copy includes tips in the right-hand column to guide you as you develop your 10 strategic points. Delete the bulleted items in the right column as you add your own information there.

Ten Strategic Points

The ten strategic points emerge from researching literature on a topic, which is based on, or aligned with a defined need or problem space within the literature as well as the learner’s personal passion, future career purpose, and degree area. The Ten Strategic Points document includes the following key points that define the research focus and approach:

Strategic Points Descriptor

Learner Strategic Points for Proposed Study


Dissertation Topic– Provides a broad research topic area/title.

Topic comes out of problem space supported by the literature, not the learner’s head or personal agenda

Aligned to the learners’ program of study, and ideally the emphasis area

Researchable and feasible to complete within the learners’ doctoral program of study including extension courses as needed.



Literature Review – Lists primary points for four sections in the Literature Review: (a) Background of the problem and the need for the study based on citations from the literature; (b) Theoretical foundations (theories ,models, and concepts) and if appropriate the conceptual framework to provide the foundation for study); (c) Review of literature topics with key themes for each one; (d) Summary.

· Background to the problem

· Literature is predominantly from past 5 years

· Historical treatment of problem being studied

· Clearly defines a stated need

· Theoretical foundation

· Theories, models, or concepts and if appropriate the conceptual framework are described to guide the research and the data collection

· Review of literature topics

· Relevant to the topic

· Demonstrates breadth of knowledge


Problem Statement – Describes the problem to address through the study based on defined needs or problem space supported by the literature

· Statement is structured appropriate for the design

· Researchable

· Quantitative: Researchable variables to be better understood


Sample and Location – Identifies sample, needed sample size, and location.

· Size is appropriate for design

· Likely to be able to access it/get permission

· Identify alternative to their organization (associations, community orgs, research companies, snowball sampling, etc.)


Research Questions – Provides research questions to collect data to address the problem statement.

· Appropriate for the design

· Resulting data will address the problem statement

· Minimum of 2


Hypothesis/Variables – Data sources are valid; variables are clearly defined and measurable (quantitative)

· Quantitative: Data sources are valid; variables are clearly defined and measurable



Methodology and Design – Describes the selected methodology and specific research design to address the problem statement and research questions.

· Methodology and design sections

· Appropriate for problem statement

· Justifies the methodology or design using problem statement and citations

· Methodology does not discuss design, instrument, data collection

Design does not discuss instrument, data collection, data analysis


Purpose Statement – Provides one sentence statement of purpose including the problem statement, methodology, design, target population, and location.

· Purpose statement = Methodology + design + problem statement + sample + location



Data Collection – Describes primary instruments and sources of data to answer research questions.

· Quantitative: Validated/previously used instrument or data source clearly identified for each variable; demographic variables identified and appropriate to the study. Comment by GCU: In quantitative studies various demographics can be variables. One might compare transformational leadership behaviors for males and females or different management levels within an organization or between different age groups. Or demographic variables might be one of the predictor variables in a hierarchical regression

· Describes sample; various permissions needed; recruiting and select final sample; data collection steps; how data will be stored, security maintained, privacy maintained


Data Analysis – Describes the specific data analysis approaches to be used to address research questions.

· Quantitative: Include testing assumptions; descriptive statistics; specific inferential statistics appropriate for design and type of variables; appropriate for hypotheses

· Data analysis approach aligned to the design/variables/RQs & hypotheses

Quantitative 10 Strategic Points, v. 9.0 August 10, 2020



Comment by Jesus Diaz: Title page is incorrect, refer to template. Remove header

Marian Alli

Grand Canyon University

DNP- 840A Leadership for Advanced Nursing Practice

Dr. Guelsy Diaz

March 8, 2023.

10 Strategic Points Document for a Quality Improvement Project

Ten Strategic Points

The 10 Strategic Points

Title of Project

Impact of depression screenings and counseling to high
school adolescents Comment by Jesus Diaz: Review template for proper format


Theoretical Foundation

Literature Synthesis

Practice Change Recommendation

Background to Chosen Evidence-Based Intervention:

i) Background of the practice problem/gap at the project site. One of the primary causes of disability worldwide, depression affects a sizable percentage of the population. Persistent feelings of sadness and guilt, changes in sleeping patterns (insomnia or oversleeping), changes in appetite, decreased mental and physical energy, unusual irritability, inability to enjoy once-enjoyed activities, difficulty working, and thoughts of death or suicide are all symptoms that can be associated with any type of depressive disorder. These “down” symptoms alone may indicate a unipolar depressive disorder like dysthymia or severe depression if they are present. A person may be diagnosed with bipolar illness if they experience alternating spells of depression and euphoria. Adolescents and young adults increasingly have difficulties with their mental health (Poppen et al., 2016). An individual’s mental health is something only they can fully comprehend, making it difficult for friends and loved ones to spot warning signs in time to intervene. Juvenile and young adult suicide is a major problem in today’s world. A lack of life experiences, self-confidence, and faith in one’s own skills contribute to the suicides of many young individuals. Comment by Jesus Diaz: Remove this prompt

ii) Significance of the practice problem/gap at the project site. Mental illness has been a problem that is affected the population for a long period and worryingly young people and adolescents are experiencing many effects that lead to some committing suicide. The stress that today’s youth encounter nowadays is the most significant of all these issues, especially the pressure they receive based on their academic expectations and poor communication about their troubles to their parents. There is also a gap in the schools in terms of students receiving counseling services because there are limited professional counselors that attend to student needs. Despite the fact that psychologists claim stress could be caused by anything, many young people find the rapid pace of modern life to be a significant source of anxiety. Many young individuals are inspired to take their own lives by the media’s glorified depiction of suicide (Poppen et al., 2016). The reality that suicide is always fatal seems to be lost on many young people. Young people, in other words, consider suicide an option for self-expression or as a means of making up for past misdeeds. Comment by Jesus Diaz: Remove

iii) Theoretical Foundations:

1)Nursing theory:

The most likely reasons for people to take their own lives are outlined in Emile Durkheim’s theory of suicide. According to the theory, a person’s lack of social integration may be a contributing factor in their decision to take their own life after experiencing chronic depression. It is possible that individuals do not have adequate psychosocial assistance to help them deal with the difficulties of life (Poppen et al., 2016). There is limited psychological assistance in schools making it a significant cause of the burden of psychological issues that leads to chronic depression. These individuals have weak egos because they lack sufficient social networks in their immediate environment. It is society’s fault, according to Durkheim, because the regulations that restrict people’s actions are so lax. He is of the opinion that individuals’ actions are influenced by social problems such as the economic crisis, pressure from academic work for high school adolescents, and particularly when such people are unable to cope with their depression. Additionally, the notion indicates that an individual may choose to end their own life if they have the perception that the regulations that are in place restrict their freedom.

2)Evidence-Based Change Model:

A wide number of approaches can be taken to bring about change in healthcare organizations. The data, assessment, and plan (DAP) project’s activities, which include community and adolescent education, community presentations to improve awareness of depression, and teaching positive coping strategies, will be efficiently implemented with the use of the PDSA model’s four steps: plan, do study, and act. During the “plan” phase of the DAP program, a group consisting of school nurses, parents, instructors, and students themselves will serve as the program’s leaders. After the planning stage comes to the “Do” stage, which is where the actual execution of the program takes place. The DAP program will include a variety of components, including public education, the promotion of healthy emotional expression among adolescents through the medium of painting, and the instruction of coping skills (Poppen et al., 2016). The “Study” step is where you’ll be doing any kind of analysis or assessment of the program. A few of the factors that are taken into consideration are the return on investment, any necessary adjustments, and the possibility of unfavorable repercussions. The final phase of the PDSA process is referred to as the “Act.” It includes conducting an in-depth analysis of the project’s goals and results.

Annotated Bibliography Comment by Jesus Diaz: Follow the format in the template and correct spacing of the reference. Make sure it meets APA requirements.

Kroning, M., & Kroning, K. (2016). Teen Depression and Suicide: A Silent Crisis. Journal of Christian Nursing, 33(2), 78.

Kroning et al. discuss the hidden epidemic of adolescent depression. They discovered that over 11% of all teenagers and nearly a third of all high school students suffer from depression. About one-fifth of high school pupils (about 17%) have seriously considered suicide. Intriguingly, adolescent depression is rarely given the attention it deserves. The article describes the events leading up to the death of a 17-year-old girl and discusses the warning indicators of depression that could have been observed. Teen depression is a major public health problem. Many adults have witnessed kids’ melancholy and incorrectly assumed it was due to hormonal changes, defiance, or general adolescent irritability. When comparing causes of mortality among people aged 15–24, suicide is by far the most common worldwide. The article provides a detailed plan that can save the life of a depressed person and keep them from even considering suicide.

Best, P., Manktelow, R., & Taylor, B. (2014). Online communication, social media, and adolescent wellbeing: A systematic narrative review.
Children and Youth Services Review
41, 27-36

Researchers in this study used a narrative synthesis method and a valued appraisal instrument to read the articles and analyze the findings. The research aimed to answer the following question: “What are the positive and negative consequences of social media among youth?” (Best et al., 2014). Further, this study illustrates the beneficial and bad effects of social media use on adolescents’ mental health; this outcome aids me in my investigation of the relationship between adolescent use of the internet and their physical and mental well-being. Evidence from Best et al. (2014) shows that social media can have both beneficial and negative effects on adolescents’ mental health; however, the authors also suggest that further research is needed to strengthen the connection between social media and adolescents’ psychological well-being.

O’Reilly, M., Dogra, N., Hughes, J., Reilly, P., George, R., & Whiteman, N. (2018). Potential of social media in promoting mental health in adolescents. 
Health Promotion International, 1-11.

The study details the examination of three primary topics: the role of social media in the mental health of teenagers, the benefits and problems of social media and mental health, and the future directions for research on these topics. Further, this lends credence to the idea that social media can have both beneficial and detrimental effects on young people’s mental health. Finally, the study does a fantastic job of disaggregating responses by gender and age, resulting in a wide range of perspectives on the potential effects of social media. The concepts of social media opinion, mental health, and views for the future of social media in the context of health informed the design of the focus group.

Wang, X., Cai, L., Qian, J., & Peng, J. (2014). Social support moderates stress effects on depression. International Journal of Mental Health Systems, 8(1), 41.

The paper explores how social support plays a role in mitigating depression and other stress-related outcomes. A survey of college students was administered to assess their levels of social support, stress, and depressive symptoms. In a regression study, it was discovered that social support mitigates the association between depression and stress. Undergraduate students who had high-stress levels were discovered to be having depression. The students who reported having social support from faculty and peers were in a different situation. Anxiety manifests itself mentally when the needs of the spirit exceed the capabilities of the body. It’s very uncommon for this to lead to additional feelings of negativity, despair, and anxiety, all of which can stunt a person’s ability to mature and flourish as a person. Individual and environmental variables both play a role in the development of depression.

Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience: JPN, 40(4), 219–221.

The article discusses how common depression is among women. Major depressive disorder is a serious health problem that affects many people. It is estimated that in 2010, depression disorders were the second-leading cause of burdens for Canadians with disabilities, after mobility impairments. When people are depressed, it often results in their own death by means of suicide or a stroke. Depression ranks as the third leading cause of death around the world because of all these deaths. Education and income, maltreatment, and other socioeconomic issues all have a role in exacerbating women’s already high suicide incidence.

iv) Summary of the findings written in this section.

The adolescents that suffer from depression are contributed by multiple factors that include social issues, academics, lack of support, and the influence of social media. The limited resources for addressing mental health in high school result in cases of chronic depression. There is a need for screening to assist adolescent students in the preliminary stages and avoid cases of depression.

Problem Statement

3) Problem Statement:

Since depression have been a huge problem among adolescents in high school we need to know whether prior screening, counselling and creating awareness will help in mitigating the risks and consequences. Comment by Jesus Diaz: Does not meet the format in the template. This must be

It is not down if the implementation of ____ would impact _____ among ____ patients. Follow the wording in the template.

PICOT to Evidence-Based Question

4) PICOT Question Converts to Evidence-Based Question:

(P)The purpose of this quantitative, quasi-experimental quality improvement project is to
(I) determine if or to what degree the translation of research by Anand et al. utilizing the Patient Health Questionnaire-9 (PHQ-9) will impact the number of depression screenings and referrals to a child psychologist
(C) compared to current practice
(O) among adolescents at a high school setting in urban Texas
(T) over eight weeks. Comment by Jesus Diaz: This is not in the correct PICOT format either. Use the template

Evidence-Based Question:

To what extent does prior screening to students, counseling and creating awareness reduce adolescent depression in high school? Comment by Jesus Diaz: Incorrect wording as well.




Inclusion and Exclusion Criteria

5) Sample, Setting, Location

I) Sample size:15 high school students patients in mental health care will be used to take part in the study to give the required data Comment by Jesus Diaz: Missing data on how you determined that this is the sample size you need. G power analysis calculator? Sample size calculator?

ii) Location : Urban Texas Comment by Jesus Diaz: ii. should be the setting. You must use the template to not lose track of anything

(ii) Inclusion criteria:

· High school adolescent students (12- 17)

· patients in mental health care Comment by Jesus Diaz: Needs correcting, see template

iii) Exclusion Criteria:

· Adolescent who have never received mental health care

· < 12 years

· 17> years

Define Variables

6)Define Variables:

i. Independent Variable (Intervention): Therapy/counseling and having enough counsellors. Comment by Jesus Diaz: Spell / grammar check entire document

ii. Dependent Variable (Measurable patient outcome): Depression Comment by Jesus Diaz: Needs to be more specific

Project Design

7) Project Design
: Comment by Jesus Diaz: Formatting of this section is off, use template

The purpose of this project is to evaluate the impact of therapy/counseling interventions on the mental health well-being of high school adolescents.

i) A sample of students will be selected and randomly assign them to either the intervention or control group.

ii) The sample group will receive individual or group therapy/counseling sessions, while the control group will receive no intervention. We will measure mental health well-being before and after the project

iii) Collect data on demographic factors, previous mental health treatment, and changes in academic performance.

iv) Comparison of mental health well-being scores between the intervention and control groups to determine if the intervention had a significant impact.

Purpose Statement

8) Purpose Statement:

The purpose of this quality improvement project is to determine if the implementation of therapy/counseling intervention would impact the mental health well-being among high school adolescents. The project was piloted over eight weeks in an urban setting within Texas state. Comment by Jesus Diaz: How will you measure this?

Data Collection Approach

9) Data Collection Approach:

iii. To gather and analyze demographic data, I will use an Excel spreadsheet. Items will include; Age, Gender, Risk assessment, and Score Comment by Jesus Diaz: This should start with i.

The numbers are off, use the template

iv. To ensure that the collected data can be replicated, the survey instrument employs a standardized, organized format. In the realm of data collecting and analysis, spreadsheets are widely regarded as among the most efficient and trustworthy tools available.

v. Describe the step-by-step process you will use to collect the data, explain where the data will come from, and how you will protect the data and participants.

a) I will first seek the approvals from necessary authorities and also get the consent from the target participants that is the counsellors and high school adolescents.

b) Sample 15 participants from Urban Texas mental health care

c) High school adolescent patients in mental health care are given an evaluation questionnaire to fill out, with two weeks allotted to finish the process.

d) Compile the data collected from all participants in a spread sheet for analysis

vi. Potential ethical issues pertaining to this project is that participants are needed to sign the informed consent form as soon as they agree to take part in the study, demonstrating their willingness to allow the data to be shared. The participants’ anonymity is protected by the confidentiality guarantees inherent in the informed consent process. The participant has the moral right to expect that their date would be kept private and discreet. There should be no potential conflict of interest between the researcher and the participant.

vii. I would analyze the Belmont report and make sure that all the requirements are adhered to in the research study. This will help to come up with accurate results on the impacts of prior screening, counselling and creating awareness to adolescent depression.

Data Analysis Approach

Data Analysis Approach:

Using a descriptive statistical method and demographic analysis, I would examine the provided descriptive data and demographic information. If I were to analyze the quantifiable patient outcomes, I would use the chi-square test and ANOVA. In this case, I would resort to the techniques employed by statisticians. A possible source of error in the data is that respondents provided false information, especially about demography. To deal with this difficulty, we can establish a range within which each given piece of data should lie to ensure that our results can be reproduced.


Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience: JPN, 40(4), 219–221.
Comment by Jesus Diaz: Per APA: all journal titles and volume numbers should be italics. Line spacing should be corrected on all references as well

Best, P., Manktelow, R., & Taylor, B. (2014). Online communication, social media, and adolescent wellbeing: A systematic narrative review.
Children and Youth Services Review
41, 27-36

Kroning, M., & Kroning, K. (2016). Teen Depression and Suicide: A Silent Crisis. Journal of Christian Nursing, 33(2), 78.

O’Reilly, M., Dogra, N., Hughes, J., Reilly, P., George, R., & Whiteman, N. (2018). Potential of social media in promoting mental health in adolescents. 
Health Promotion International, 1-11.

Poppen, M., Sinclair, J., Hirano, K., Lindstrom, L., & Unruh, D. (2016). Perceptions of Mental Health Concerns for Secondary Students with Disabilities during Transition to Adulthood. 
Education And Treatment Of Children
39(2), 221-246.

Wang, X., Cai, L., Qian, J., & Peng, J. (2014). Social support moderates stress effects on depression. International Journal of Mental Health Systems, 8(1), 41.

© 2020. Grand Canyon University. All Rights Reserved.

10 Strategic Points

The 10 Strategic Points

Broad Topic


1. Broad Topic Area/Title of Project: The Effectiveness of Aerobic Exercise on

Ambulatory Blood Pressure (ABP) in Hypertensive patients.



2. Literature Review:

a. Background of the Problem/Gap:

 The periods from 1988-1994, 1999-2000, and 2009 and 2010

experienced a rapid rise in the prevalence of hypertension among the

adult population in the US (Wang et al., 2019),

 Hypertension causes 50% of deaths through end-stage renal disease

(ESRD) and stroke (Wang et al., 2019).

 Hypertension between 1999 and 2000 was 31.8%, with a rise

between 2007 and 2008 in adult population affected by hypertension

to 48.5%, culminating at 53.8% between 2013 and 2014 (Muntner et

al.), 2020).

 The current ambulatory blood pressure stands at 43.7%, as argued


by a study by Adams and Wright (2020).

 In a systematic review by Saco-Ledo et al. (2020), the authors affirm

that hypertension is a critical condition and is currently the leading

cause of premature global deaths.

 The American Heart Association set the new hypertension diagnosis

threshold in the systematic review as a BP ≥ 130/80 mmHg

(Asayama, et al., 2019).

 However, the European Society of Hypertension (ESH) maintains

that hypertension is best defined using a threshold ≥ 140/90 mmHg

(Saco-Ledo et al., 2020).

b. Theoretical Foundations (models and theories to be the foundation for

the project):

 The Kurt Lewis Change Model (Kurt, L., 1947): – The framework

will be used as a change model theory to help the project’s

participants and organization (site) modify their mentality and see

need for change in practice that yields positive health outcome the

implementation (AHA guideline aerobic exercise education

program) can be used to reduce ambulatory blood pressure. The

model consists of three stages: unfreezing, changing (movement),

and refreezing (Lewin, 1947).

 The Orem’s Self-care Theory (Dorothy Orem, 1995) :- Orem, self-

care theory entails the ability of individuals to initiate and perform


those activities that take care of the aspects of life, contributes to

their health maintenance, sustains life, and improves wellbeing

(Orem, 1995) . The theorists related self-care to the ability of

patients to be aware of their environment utilizing the five

dimensions of self-care requisites, universal self-care requisites,

Normalcy, developmental self-care requisites , and health deviation

self-care requisite (Nasresabetghadam et al., 2021).

Review of Literature with Key Organizing Themes and Sub-themes

Health Interventions

 Advanced cardiac therapy: – Shilly et al. (2019) postulate that

advanced cardiac therapies improving outcomes network

(ACTION) plays a pivotal role in enhancing the critical

outcomes associated with hypertension. ACTION collaborates

closely with the health care system and is committed to

unrelenting collaboration to help patients struggling with heart


 Behavior/lifestyle change: – In providing support for

hypertensive patients, exercise interventions have been adopted

to be used as a gateway through which the said patients can

reduce their ambulatory blood pressure to a significant extent by

improving their behavior and lifestyles (Cordeiro et al., 2018).


 Inclusive care for hypertensive patients: – Cordeiro et al. (2018)

posit that care systems meant for patients diagnosed with

hypertension should comprehensively address the complex

social and medical issues attributing to the high hospitalization

rates among the said population.

Hindrances to blood pressure self-care

 Reduced ejection fraction: – Cautela et al. (2020) argues that

reduced ejection fraction can be used to manage low blood

pressure among ambulatory heart failure patients. The ejection

fractions may be managed by limiting them to mid-range or

preserving a given ejection fraction. The reduction in ejection

fraction has successfully managed other factors that cause heart

failure, such as valve disease (Cautela et al., 2020).

 Multimorbidity: – Patients diagnosed with hypertension are at

risk of another condition that co-occurs with hypertension, such

as chronic heart failure or even coronary heart disease

(Saco-Ledo et al., 2020).

Need for Aerobic exercises

 Cardiovascular conditioning: – Platini et al. (2019) postulates

that cardiovascular conditioning, done through tera gymnastics

which combines breathing techniques with body part movements


and rhythms, can be used to improve treatment. The authors also

add that exercise in the form of tera gymnastics can best be

utilized in reducing high blood pressure.

 Reducing vascular resistance (vasoconstriction): – According

to Nemeth et al. (2018) who conducted a study on the reduction

of blood pressure in hypertensive patients through

transcutaneous carbon dioxide (CO2) treatment, CO2 treatment

has the capability to reduce peripheral vascular resistance thus

activating vasodilation pathways.

 Reducing ventricular hypertrophy/rigidity: – In a study by

Mateus et al. (2020), the authors argue that by reducing

ventricular hypertrophy or rigidity helps prevent systemic

hypertension caused by chronic kidney disease.

Inclusive Care Structure for patients with heart failure

 Advanced cardiac therapy: – Peng et al. (2019) postulate that

advanced cardiac therapies improving outcomes network

(ACTION) plays a pivotal role in enhancing the critical

outcomes associated with pediatric heart failure. ACTION works

in close collaboration with the health care system and is

committed to unrelenting collaboration in efforts to help patients

struggling with heart failure.


c. Summary

 Gap/Problem: High ambulatory blood pressure among the hypertensive


 Prior studies: Saco-Ledo et al. (2020) postulated that aerobic exercise

has been effective in reducing office blood pressure among hypertensive


 Quantitative application: Various data sources exist, and they can be

used to collect numerical information on how the implementation of

aerobic exercise would impact blood pressure compared to current

practice among adult hypertensive patients.

Significance: Implementing aerobic exercise reduces ambulatory blood

pressure among adult hypertensive patients.



3. Problem Statement:

It is not known if or to what degree the implementation of aerobic exercise would

impact blood pressure scores when compared to current practice among adult

hypertensive patients in primary care clinic in urban Southwest Texas in

Four- weeks.





4. Clinical/PICOT Questions:

To what degree does the implementation of American Heart Association guideline

aerobic exercise would impact blood pressure when compared to current practice

among adult hypertensive patients in a primary care clinic in southwest Texas in

four- weeks?

Sample 5. Sample (and Location):

a. Location: Urban Texas

b. Population: Southwest Texas

c. Sample: 10 adult hypertensive patients

d. Inclusion Criteria

 For participation, one must be at least 18 years, diagnosed with

hypertension, independently seeking intervention to manage their

hypertension, no musculat incapacitation, taken their medications,

and be a resident in Texas.

e. Exclusion Criteria

 The following factors would exclude a patient from participating in

the quality improvement project; patients below 18 years of age,

without a hypertension diagnosis, patients not independently looking

for intervention to manage their hypertension, not taking their

medications, and not a resident in Texas.




6. Define Variables and Level of Measurement:

a. Independent Variable (Intervention): AHA guideline Aerobic exercise

b. Dependent Variable: Patient ambulatory blood pressure.


and Design

Methodology and Design: The quality improvement project will use a quantitative

methodology with a quasi-experimental design carried out in primary care

clinic in urban Southwest Texas in four- weeks. This quantitative quasi-

experimental design project on implementation of AHA guideline on

aerobic exercise would impact blood pressure scores when compared to

current practice among adult hypertensive patients in primary care clinic in

urban Southwest Texas in four- weeks, drew its application from previous

systematic review and meta-analysis research done in the United States.

The research expanded on the topic that “aerobic exercise reduces

ambulatory blood pressure in patients with hypertension (Saco-Ledo et al.,

2020) .



Purpose Statement:

The purpose of this quantitative, quasi-experimental project is to determine if or to

what degree the implementation of American Heart Association’s guideline

on aerobic exercise would impact blood pressure when compared to current

practice among adult hypertensive patients in a primary care clinic in

southwest Texas over four weeks.





Data Collection Approach:

 The project implementation will follow approval from the Grand Canyon

University IRB in association with the clinic.

 The primary investigator (PI) will make sure that there are explanations of

the expectations of the project to the clinic’s team comprising of one MD, 2

nurse practitioners, 2 registered uses, and 1 medical assistant.

 The demographics will be collected reviewing the clinics electronic health


 The 1st day of BP pre-implementation data will be the baseline data., as

collected by the digital digital ambulatory blood pressure monitor (DABPM

known as Oscar 2 device instrument as the tool(Statistical Solution, 2019) .

 The pre-test data will be collected primarily from 10 patients who

participate in the project pre-and post-implementation of the aerobic

exercise education intervention program.

 The patients’ BP data will be obtained and documented using an ABPM log

(Urbina et al., 2008)

 Post-test data, including the patients’ SBP and the DBP measurement, will

be collected post-implementation of the project from the 10 patients

 PI will record responses under the initials of the participants (10) on their

participation cards, which will be issued to them after consent is signed.





Data Analysis Approach:

o The quantitative methodology will be used in collaboration with the pre-test

and post-test design.

o The variables included aerobic exercise and blood pressure readings will be

used as the key indicators used in the analysis software.

o The data will be collected using the primary care clinic’s electronic health

records with aspects like demographic data like sex and age.

o After the data extraction, it will be stored using the Microsoft Excel format

using the various classifications.

o The IBM SPSS model will then feed in the various parameters before the

representation into various figures.

o The demographic data will act as a descriptive statistic and take into

account the participants’ age, time, and diagnosis.


APA formatted sources

Adams, J. M., & Wright, J. S. (2020). A national commitment to improve the care

of patients with hypertension in the US. Jama, 324(18), 1825-1826.

Cautela, J., Tartiere, J. M., Cohen-Solal, A., Bellemain-Appaix, A., Theron, A.,

Tibi, T., … & Girerd, N. (2020). Management of low blood pressure in

ambulatory heart failure with reduced ejection fraction patients. European

journal of heart failure, 22(8), 1357-1365.

Cordeiro, R., Monteiro, W., Cunha, F., Pescatello, L. S., & Farinatti, P. (2018).

Influence of acute concurrent exercise performed in public fitness facilities


on ambulatory blood pressure among older adults in Rio de Janeiro city.

The Journal of Strength & Conditioning Research, 32(10), 2962-2970.

Goessler, K. F., Buys, R., VanderTrappen, D., Vanhumbeeck, L., & Cornelissen,

V. A. (2018). A randomized controlled trial comparing home-based

isometric handgrip exercise versus endurance training for blood pressure

management. Journal of the American Society of Hypertension, 12(4), 285-


Lewin, K. (1947). Frontiers in group dynamics: concept, method, and reality in

social science; social equilibria and social change. Human Relations, 1, 5–


Mateus, N. L. F., Leal, P. V., Marques, B. C., da Silva, K. F., Mattei, D. R., &

Carvalho, E. R. (2020). Non-Cardiogenic Thromboembolism in a Persian

Cat with Hypertrophic Cardiomyopathy. Acta Scientiae Veterinariae, 48.

Muntner, P., Hardy, S. T., Fine, L. J., Jaeger, B. C., Wozniak, G., Levitan, E. B., &

Colantonio, L. D. (2020). Trends in blood pressure control among US adults

with hypertension, 1999-2000 to 2017-2018. Jama, 324(12), 1190-1200.

Nemeth, B., Kiss, I., Ajtay, B., Peter, I., Kreska, Z., Cziraki, A., … & Ajtay, Z.

(2018). Transcutaneous carbon dioxide treatment is capable of reducing

peripheral vascular resistance in hypertensive patients. in vivo, 32(6), 1555-


Nwankwo, T., Coleman King, S. M., Ostchega, Y., Zhang, G., Loustalot, F.,

Gillespie, C., … & Merritt, R. (2020). Comparison of 3 Devices for 24-Hour

Ambulatory Blood Pressure Monitoring in a Nonclinical Environment


Through a Randomized Trial. American journal of hypertension, 33(11),


O’Brien, C., & McLellan, A. T. (1996). Myths about the treatment of addiction.

Lancet, 347(8996), 237-240.

Orems, D. (1995). Nursing Concepts of practice (5th ed). Mosby.

Peng, X., Su, Y., Hu, Z., Sun, X., Li, X., Dolansky, M. A., … & Hu, X. (2018).

Home-based telehealth exercise training program in Chinese patients with

heart failure: A randomized controlled trial. Medicine, 97(35).

Platini, H., Pebrianti, S., & Maulana, I. (2019). Tera Gymnastic Effective for

Patient with Hypertension. Jurnal Keperawatan Padjadjaran, 7(3), 218-223.

Saco-Ledo, G., Valenzuela, P. L., Ruiz-Hurtado, G., Ruilope, L. M., & Lucia, A.

(2020). Exercise reduces ambulatory blood pressure in patients with

hypertension: a systematic review and meta-analysis of randomized

controlled trials. Journal of the American Heart Association, 9(24),


Shilly, S., Merchant, K., Singer, P., Frank, R., Gurusinghe, S., Infante, L., &

Sethna, C. B. (2019). Left ventricular cardiac geometry and ambulatory

blood pressure in children. The Journal of Clinical Hypertension, 21(5),


Statistical Solutions. (2019). Quasi-experimental research designs.




Urbina, E., Alpert, B., Flynn, J., Hayman, L., Harshfield, G. A., Jacobson, M.,

Mahoney, L., McCrindle, B., Mietus-Snyder, M., Steinberger, J., Daniels,

S., & American Heart Association Atherosclerosis, Hypertension, and

Obesity in Youth Committee (2008). Ambulatory blood pressure

monitoring in children and adolescents: recommendations for standard

assessment: a scientific statement from the American Heart Association

Atherosclerosis, Hypertension, and Obesity in Youth Committee of the

council on cardiovascular disease in the young and the council for high

blood pressure research. Hypertension (Dallas, Tex. : 1979), 52(3), 433–


Wang, D., Hatahet, M., Wang, Y., Liang, H., Bazikian, Y., & Bray, C. L. (2019).

Multivariate analysis of hypertension in general US adults based on the

2017 ACC/AHA guideline: data from the national health and nutrition

examination survey 1999 to 2016. Blood Pressure, 28(3), 191-198.

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