Abstract TU158: Improving Hypertension Through Self-monitoring and Target Blood Pressure

Abstract

Nicole Cabrera-Heiring 10/9/2025 Background: Hypertension is a prevalent chronic condition associated with increased risk for cardiovascular disease, particularly in underserved populations. Effective blood pressure control is essential to reduce morbidity and mortality. Objective: To evaluate the impact of a structured self-measured blood pressure (SMBP) intervention on blood pressure control among adults with uncontrolled hypertension in a federally qualified health center in the southwestern United States. Methods: A Doctor of Nursing Practice (DNP) quality improvement project was conducted using the Iowa Model of Evidence-Based Practice and Pender’s Health Promotion Model. Adult patients with uncontrolled hypertension participated in a 10-week SMBP program. Pre- and post-intervention blood pressure readings were collected through supervised clinic visits and chart review. Intervention: The project implemented the American Heart Association’s Target: BP™ protocol, providing patient education, SMBP training, weekly monitoring, and ongoing staff support to promote adherence and accurate measurement. Results: Post-intervention analysis showed significant improvements in blood pressure, with systolic values decreasing from M = 153.1 (SD = 8.5) to M = 126.9 (SD = 7.2) (p < .001) and diastolic values decreasing from M = 92.4 (SD = 6.1) to M = 80.5 (SD = 5.7) (p < .001). Conclusions: The project demonstrated that structured SMBP interventions integrated into primary care can improve hypertension control, support patient engagement, and enhance nursing practice. Ongoing staff training and quality improvement infrastructure are essential for sustainability. Keywords: Hypertension, Self-Measured Blood Pressure, Target: BP™, Nurse-Led Intervention, Evidence-Based Practice