Hypertension
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.
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
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Article Title and Year Published
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Research Questions/ Hypothesis, and Purpose/Aim of Study
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Design (Quantitative, Qualitative, or other)
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Setting/Sample
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Methods: Intervention/ Instruments
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Analysis/Data Collection
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Outcomes/Key Findings
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Recommendations
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Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal |
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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
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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 |
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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 |
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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 |
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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. |
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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 |
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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 |
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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
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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 |
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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 |
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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 |
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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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