Hypertension

Bndie1
evaltable.docx

Literature Evaluation Table

Learner Name: Kieran M Njobe

NUR-550

PICOT:

In Adults diagnosed with HTN age 45-60 in the US does Increased education regarding diet and exercise as compared to no increased education decrease blood pressure within 12 months? Assessment of the impact of high blood pressure in the country is the direction of the PICOT to determine how there can be organizational methods of promoting blood pressure management among citizens. Analysis of the chronic condition’s management can involve improvement of education concerning dieting and exercise as productive methods of generating better care.

Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article

Article Title and Year Published

Research Questions/ Hypothesis, and Purpose/Aim of Study

Design (Quantitative, Qualitative, or other)

Setting/Sample

Methods: Intervention/ Instruments

Analysis/Data Collection

Outcomes/Key Findings

Recommendations

Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal

Global Burden of Cardiovascular Diseases Collaboration. The Burden of Cardiovascular Diseases Among US States, 1990-2016. JAMA Cardiol. 2018;3(5):375–389. doi:10.1001/jamacardio.2018.0385

Title: The Burden of Cardiovascular Diseases Among US States, 1990-2016

Published: 2018

The study’s aim was to determine how hypertension resulted in social issues after citizens got affected by lifestyle changes and a transformation in the normal lives.

Qualitative study

The study got conducted on different valid sources and government agencies to determine how hypertension had increase over many years

Required intervention were to establish lifestyle changes for better physical statuses

Data got collected from government agencies like the census bureau for each state whereby it was possible to determine accurate state issues

It was evident that there more than 900,000 deaths due to cardiovascular conditions

Adherence to medical requirements and improvement of lifestyle changes was implemented by the study

The article supports the fact that hypertension is a dangerous condition that should get managed on a daily basis to prevent occurrence of cardiovascular diseases

Leening, M.J.G., & Ikram, M.A. (2018). Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments. PLoS Med 15(3): e1002539. https://doi.org/10.1371/journal.pmed.1002539

Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments

To determine how coronary heart disease occurred after unmanaged hypertension

Qualitative study

Assessment of different treatment guidelines on the issue of cardiovascular disease (CVD) to determine required guidelines for management of the chronic condition

Lowering cholesterol levels offered a basis to improve patients’ conditions

Management of all risk factors is the appropriate method to handle hypertension conditions

The study performed literature review of different sources and it was possible to determine effective treatment procedures

It was discovered that patients’ use of medication with strict adherence would offer proper management of their conditions

Cholesterol lowering processes were also discovered to be of high standard

Establishment of clinical trials would offer an effective basis to handle patient conditions by using the knowledge gained to handle patient treatment procedures

The article supports the PICOT question since it possible to discover that cardiovascular conditions that develop after hypertension can get managed by improving treatment standards

Tran D-MT, Lekhak N, Gutierrez K, Moonie S (2021) Risk factors associated with cardiovascular disease among adult Nevadans. PLoS ONE 16(2): e0247105. https://doi.org/10.1371/journal.pone.0247105

Risk factors associated with cardiovascular disease among adult Nevadans

To determine how existence of risk factors create worse conditions for patients

Quantitative Study

The study got conducted in Nevada to determine how the residents got exposed to risk factors for hypertension

Application of a cross-sectional study got performed to determine how residents’ lifestyles promoted their behavioral risk factors. Variables in the study were presence or occurrence or coronary heart diseases

Participants got asked questions to determine their personal awareness for the condition and personal connection with healthcare providers

Risk factors got determined to be cholesterol level, alcohol intake, smoking, high BMI, and unbalanced lifestyle

The study promoted better lifestyle actions for persons with hypertension to allow them to gain a proper wellbeing

It is proper to study how hypertension can get managed by applying lifestyle changes to prevent occurrence of cardiovascular disease

Ahuja, R., Ayala, C., Tong, X., Wall, H. K., & Fang, J. (2018). Public Awareness of Health-Related Risks From Uncontrolled Hypertension. Preventing chronic disease, 15, E40. https://doi.org/10.5888/pcd15.170362

Public Awareness of Health-Related Risks From Uncontrolled Hypertension

To determine how uncontrolled hypertension resulted in limited wellbeing for patients

Quantitative study

An online study got implemented and used a survey to seek accurate data from persons suffering from the chronic condition

Using panel surveys would establish a reliable and accurate data collection process

Collection of demographic data to determine how patients’' backgrounds and conditions resulted in reduction in their wellbeing

It was discovered that hypertension occurred for different people regardless of their ages.

There was limited knowledge about hypertension and the condition’s risks.

The study proposed educational improvement for all society members to allow them proper access of valid hypertension knowledge

There is connection with the PICOT based on existence of patients that are not fully aware of the conditions’ dangers.

Tackling G, Borhade MB. Hypertensive Heart Disease. [Updated 2021 Jul 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539800/

Hypertensive Heart Disease

To determine valid explanation of heart disease and how there are diverse treatment approaches for the condition

Qualitative study

The article performed a proper explanation after getting valid scholarly knowledge about heart diseases and hypertension definitions

Analysis of different sources got performed to handle issues of limited knowledge of hypertension.

Access of valid definitions form different scholars got conducted to facilitate understanding of how hypertensive issues create worse conditions on people

There was discovery of how to handle normal, elevated, stage 1, and stage 2 hypertension depending on patients’ conditions

The proposed direction was to ensure early knowledge improvement concerning hypertension to offer proper healthcare statuses for patient conditions

IT is possible to understand how the PICOT question can offer a reliable treatment environment for patient conditions depending on their issues

US Preventive Services Task Force. Screening for High Blood Pressure in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(18):1878–1883. doi:10.1001/jama.2020.20122

Screening for High Blood Pressure in Children and Adolescents

US Preventive Services Task Force Recommendation Statement

To determine proper method of establishing patient improvement in large societies

Quantitative study

There was a study on different participants where their blood pressure measurement got taken to determine impact of background factors

The study analyzed the participant’' measures and compared them to known standards where it was possible to access valid knowledge f the condition’s prevalence

It was possible to analyze patient conditions after assessing how their biological statuses influence occurrence of other conditions

The study conducted by a government department discovered ways to generate conducive patient physical conditions

The suitable change is to promote adherence to hypertension management processes by performing early detection

The PICOT question receives support in relation to the existence of hypertension in people that were not even aware of their chronic conditions that later on caused cardiovascular conditions

Guirguis-Blake JM, Evans CV, Webber EM, Coppola EL, Perdue LA, Weyrich MS. Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2021;325(16):1657–1669. doi:10.1001/jama.2020.21669

Screening for Hypertension in Adults

Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

To determine how screening of blood pressure measurements is applicable in the condition’s management

Quantitative study

The study got conducted on different participants and valid sources that implemented a systemic review to handle the study direction

Study of the government’s mandate on management of hypertension offered a reliable possibility to improve the condition on the public

Study of control groups and uncontrolled groups of patients got conducted to determine how treatment adherence offered better care

It was discovered that screening for hypertension offered better CVD outcomes due to preparedness

Involvement of frequent screening for hypertension offers better patient conditions

The PICOT question receives support since the screening process is discovered as a reliable method to perform patient evaluations

Zhou, B., Perel, P., Mensah, G.A. et al. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nat Rev Cardiol (2021). https://doi.org/10.1038/s41569-021-00559-8

Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension

To determine how hypertension is a critical disease in comparison to its prevalence in other countries

Qualitative study

There was a thorough analysis of how to generate better treatment on patients by determining worldwide trends in the condition’s occurrence

Analysis of different sources got conducted to determine how residents of different countries got affected by hypertension and how there were gender discrepancies in the condition’s occurrence.

Data collection of the conditions’ prevalence got provided by accurate sources all containing valid information related to the disease in the entire world

The main findings were that the condition is mostly prevalent in men yet geography and age factors create a different outcome

Since there was discovery that hypertension occurs more in low-income areas, the appropriate improvement is for the government to implement strict adherence to treatment measures

It is imperative to conducted analysis on a large dataset to ensure the PICOT questions compares its findings with a large knowledge area

Singh, S., Shankar, R., & Singh, G. P. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International journal of hypertension, 2017, 5491838. https://doi.org/10.1155/2017/5491838

Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi

To determine how hypertension affects people based on their gender

Quantitative study

The study got conducted on different participants to determine how their environment affected their hypertension conditions

Use of cross-sectional technique allowed discovery of information in the study based on the issues of the local population

The study analyzed how participants behavioral risk factors and their level of hypertension occurred due to sociodemographic factors

It was discovered that men were more predisposed to get hypertension based on the high prevalence in their gender.

The appropriate improvement is for men to ensure they get provided with educational improvements on the dangers of hypertension

The PICOT question gets a strong foundation since the study indicated how men suffer more due to the condition

Luo, D., Cheng, Y., Zhang, H., Ba, M., Chen, P., Li, H. et al. Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis BMJ 2020; 370 :m3222 doi:10.1136/bmj.m3222

Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis

To determine how young persons are predisposed to getting hypertension.

Quantitative study

The study sought valid data from government and health agencies and compared the findings to study participants

Statistical analyses got conducted to handle the study's direction and proper participant observations.

Searching data from valid sources offered an accurate analysis procedure

It was discovered that early treatment of the condition offered better reduction of cardiovascular diseases

The appropriate direction is to perform more research on the study participants and use the outcome to create knowledge improvement

Connection is evident with the PICOT question to facilitate better guided learning of how treatment offers high standard wellbeing for the chronically ill persons

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