Date of Award
Summer 8-12-2026
Document Type
Scholarly Project
Degree Name
Doctor of Nursing Practice (DNP)
First Advisor
Heather Norris
Second Advisor
Olubunmi Awe, DNP, FNP-C, APRN
Abstract
Practice Problem: Hypertension is a leading contributor to cardiovascular disease, and suboptimal adherence to remote patient monitoring (RPM) limits opportunities for timely intervention and effective blood pressure management in outpatient primary care.
PICOT: The PICOT question that guided this project was: Among outpatient clinic nursing staff responsible for remote patient monitoring (RPM) in adults with hypertension (P), how does implementation of a structured nurse-led education and reminder protocol (I), compared to standard RPM practices consisting of routine onboarding and passive reminder processes (C), influence patient adherence to RPM protocols (O) over a 10-week period (T)?
Evidence: Evidence supports nurse-led education, structured follow-up, and standardized clinical workflows as effective strategies for improving patient adherence to remote patient monitoring and hypertension management. The project was guided by the Johns Hopkins Evidence-Based Practice Model and Lewin's Change Theory.
Intervention: Fifteen adults enrolled in an outpatient RPM program received standardized onboarding education and weekly reminder contacts.
Outcome: RPM adherence improved from 33% at baseline to 67% by Week 10, exceeding the 60% benchmark. Blood pressure reading counts increased significantly (t(14) = −3.16, p = .007), with 100% onboarding completion, 93% reminder completion, 87% workflow compliance, and 100% participant retention.
Conclusion: The intervention improved RPM adherence and implementation outcomes, supporting standardized nurse-led education and structured follow-up as sustainable strategies to strengthen hypertension management in outpatient primary care.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Family Practice Nursing Commons, Public Health and Community Nursing Commons, Telemedicine Commons
Comments
Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice