University Report: EBP in Diagnosing Hypertension and Nursing Practice

This report delves into the critical role of evidence-based practice (EBP) in diagnosing hypertension. It underscores the significance of EBP in nursing, emphasizing its ability to improve patient outcomes by integrating the best available evidence with clinical expertise. The report highlights the importance of staying updated with the latest protocols and practices. It explores various diagnostic approaches, including early screening, team-based management, lifestyle modifications, and the use of ambulatory blood pressure monitoring (ABMP). The report also discusses pulmonary hypertension and the use of right heart catheterization (RHC). The conclusion reinforces the value of EBP in delivering efficient patient care and reducing the risk of cardiovascular disease, urging nursing professionals to remain current with evolving practices to enhance the quality of care within the community. The report also references key studies and guidelines to support its findings.

Running head: MAKING EVIDENCED-BASED DECISION
EBP IN DIAGNOSING HYPERTENSION
Name of the Student:
Name of the University:
Author Note:

1EBP IN DIAGNOSING HYPERTENSION
Introduction
Evidence-based practice (EBP) is a problem-solving approach in the direction of the
medical practice that incorporates the best-designed evidence from values of patients, studies,
clinical data and other professionals holding expertise in decision making. This paper intends
to discuss the importance of adopting the evidence-based practice in nursing professionals.
Importance of EBP
It is important because it provides the maximum expertise as well as knowledge
regarding the particular disease need to be treated. It also promotes the approach of
examination in healthcare professionals. It also improves the patient’s outcomes by receiving
the best-evidenced based practice in the diagnosing as well as in the treatment.
Importance of EBP in Nursing Professionals
According to Grove & Gray (2018), nursing professionals can incorporate the
evidence-based program in their diagnosis or treatment. Starting from asking the clinical
question for identifying the problem to applying the evidence-practice will help in more
accuracy as well as higher quality of care to the patients. This approach utilizes researches
from multiple shreds of evidence like analyzing the case, reports, studies or personal
experiences. Nursing professionals can stay updated with the latest protocols or any practice
for patients. Therefore, the EBP approach increases the higher chance of recovery for
patients.
Hypertension
Hypertension also knows as high blood pressure that is a condition when there is a
higher force of blood against the artery walls. The major complication results in stroke,
coronary artery diseases, and many other cardiovascular risks.

2EBP IN DIAGNOSING HYPERTENSION
Best Diagnosing Practice in Hypertension based on Evidence
According to Siu (2015), screening for high blood pressure in advance that is before
detecting any cardiovascular disease or hypertension, will reduce the chances of any chronic
complication. Team-based hypertension management is another approach to diagnose as well
treats the patient for hypertension (Himmelfarb, Commodore-Mensah & Hill, 2016). It is a
patient-centric approach where apart from traditional diagnosing hypertension, nursing
professionals will educate or counsel with effective skill-building. For illustration, identify
their lifestyle and educate the conditions and preventive measures.
According to Greenland & Peterson (2017), the blood pressure ranging from 120/80-
129/80 mm Hg is considered as stage one hypertension that is elevated BP. The second stage
of hypertension includes more than 140/90 mm Hg, the recommendation of treatment should
be based on individual risk of cardiovascular disease. Stage one hypertension includes
recommending the modification of lifestyle. If the patient reaches the second stage of
hypertension than along with lifestyle moderation drug therapy is also recommended.
Another approach suggested by Schwartz & McManus (2015), ambulatory blood pressure
monitoring (ABMP) results in effective diagnosing of hypertension. Traditional measures of
blood pressure predict less as compared to ABMP in terms of stroke or any other
complication. It also identifies masked hypertension that carries the major cardiovascular
risk. Pulmonary hypertension is another outcome of hypertension and it can be treated as well
as diagnosed with the help of right heart catheterization (RHC) (Rosenkranz, & Preston,
2015).
Conclusion
From the above discussion, it can be concluded that evidence-based practice in
nursing professionals deliver effective as well as efficient care to the patients. Diagnosing

3EBP IN DIAGNOSING HYPERTENSION
hypertension results in reducing the risk of cardiovascular disease and the risk of major
chronic complications. Nursing professionals should stay updated with the practices as well
as an approach to manage the treatment of hypertension. Therefore, evidence-based practice
is a very important factor in delivering quality care to the community.

4EBP IN DIAGNOSING HYPERTENSION
References
Greenland, P., & Peterson, E. (2017). The New 2017 ACC/AHA Guidelines “Up the
Pressure” on Diagnosis and Treatment of Hypertension. JAMA, 318(21), 2083.
https://doi.org/10.1001/jama.2017.18605
Grove, S. K., & Gray, J. R. (2018). Understanding Nursing Research E-Book: Building an
Evidence-Based Practice. Elsevier Health Sciences.
Himmelfarb, C., Commodore-Mensah, Y., & Hill, M. (2016). Expanding the Role of Nurses
to Improve Hypertension Care and Control Globally. Annals Of Global Health, 82(2),
243. https://doi.org/10.1016/j.aogh.2016.02.003
Rosenkranz, S., & Preston, I. (2015). Right heart catheterisation: best practice and pitfalls in
pulmonary hypertension. European Respiratory Review, 24(138), 642-652.
https://doi.org/10.1183/16000617.0062-2015
Schwartz, C., & McManus, R. (2015). What is the evidence base for diagnosing hypertension
and for subsequent blood pressure treatment targets in the prevention of
cardiovascular disease?. BMC Medicine, 13(1). https://doi.org/10.1186/s12916-015-
0502-5
Siu, A. (2015). Screening for High Blood Pressure in Adults: U.S. Preventive Services Task
Force Recommendation Statement. Annals Of Internal Medicine, 163(10), 778.
https://doi.org/10.7326/m15-2223