Write a 4–6 page analysis of your previously selected (HYPERTENSION MANAGEMENT), including a proposed solution and possible ethical implications. For this assessment, you will analyze the same current

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Hypertension Management Research Skills

Overview of Hypertension

Doctors define hypertension as high blood pressure which appears as a chronic medical condition that elevates blood pressure levels inside the arteries. The condition presents a major heart attack and stroke risk which makes it the world's main contributor to death and sickness rates. High blood pressure remains undetectable during most of its existence making it known as "the silent killer." Managing hypertension properly remains vital because it stops disease complications from happening while enhancing patients' daily functionality.

Personal Interest and Professional Experience

My commitment to understanding hypertension management grew from both private experiences along with healthcare work experiences. Hypertension affects members of my family so I am personally invested in full awareness of its proper management techniques. As a registered nurse in a Medical-Surgical unit I meet hypertensive patients every day throughout my professional duties. I gained understanding of hypertension management issues through my personal experience because I learned about how patients handle their treatment plan while making lifestyle adjustments and requiring ongoing medical checks.

Discussion of Research

My research to identify optimal hypertension care strategies included reviewing scholarly journal articles that presented data on patient education programs and self-management workshops along with telehealth initiatives and integrated care models and community health programs and mobile health applications.

Research and Selection Process

I used precise search terminology including "hypertension management" together with "patient education" and "self-management" as well as "telehealth","integrated care", and "community health" with "mobile health". I also used keywords such as: "lifestyle changes", "hypertension prevention", and "hypertension support" within the Capella University Library to locate relevant articles. The research retrieved content through PubMed and CINAHL databases. The selection criteria were as follows: The latest five-year period served as the time constraint for publication date, the articles emphasize therapeutic strategies for hypertension management, and full article evaluation after abstract assessment.

Credibility and Relevance Assessment

The research materials used for analysis come from established peer-reviewed journals that establish information credibility. The study's findings remain relevant for today's clinical practice because all published research materials emerged within the last five years. The articles analyze separate interventions used for treating hypertension while offering significant findings about treatment methods that enhance patient results.

Annotated Bibliography

Babatunde, A. O., Ogundijo, D. A., Afolayan, A. O., Awosiku, O. V., Aderohunmu, Z. O., Oguntade, M. S., Alao, U. H., Oseni, A. O., Akintola, A. A., & Amusat, O. A. (2024). Mobile health technologies in the prevention and management of hypertension: A scoping review. Digital Health, 10.1177/20552076241277172. https://journals.sagepub.com/doi/pdf/10.1177/20552076241277172

Babatunde et al. (2024) carried out a scoping review which assessed mobile health (mHealth) technology success in hypertension prevention alongside management strategies. The authors reviewed 44 studies from 2017 to 2024 consisting mainly of RCTs and they separated their interventions into mobile apps and web-based platforms as well as SMS/offline tools. The reviewed research confirmed that mHealth technologies succeeded in improving several health measures such as blood pressure management together with medication compliance and lifestyle changes like eating and exercising properly. The authors demonstrated that mHealth solutions could scale to low- and middle-income countries even though most studies investigated U.S. populations. The disadvantages of mHealth were better access to remote patient management and tailored treatments at reduced healthcare delivery costs. The analysis supports merging mHealth technology with primary healthcare platforms to create better patient access while lightening professional workload. The research reported several limitations because intervention variations were inconsistent and researchers lacked sustained data on effectiveness. This review demonstrates mHealth technologies present a promising pathway to control hypertension at a global level especially for underserved patient groups.

Buis, L. R., Kim, J., Sen, A., Dawood, K., Kadri, R., Richardson, C. R., & Levy, P. (2024). The Effect of an mHealth Self-Monitoring Intervention (MI-BP) on Blood Pressure Among Black Individuals With Uncontrolled Hypertension: Randomized Controlled Trial. JMIR mHealth and uHealth, 12, e57863. https://mhealth.jmir.org/2024/1/e57863

Buis et al. (2024) used a randomized controlled trial to evaluate how the MI-BP mobile health intervention helped Black Americans control their uncontrolled hypertension. The research assigned volunteers to either the MI-BP app intervention group or the usual care control group for participation. The MI-BP mobile app included features that allowed users to track blood pressure levels as well as medication intake and received individualized feedback. As a result of the study the intervention group experienced meaningful reductions in their systolic blood pressure measures when compared to the control group participants who showed the greatest outcomes among regular app users. The authors suggest that the intervention succeeded in improving self-management by providing personalized feedback and regular monitoring with medication reminders. The research demonstrates how cultural adaptation in mHealth technology creates potential solutions for decreasing hypertension control gaps among racial/ethnic minorities who lack sufficient healthcare access. The analysis suffers from several limitations because it depends on participant self-reports of some adherence measures and the follow-up period was only six months. Similar mHealth solutions should integrate into standard hypertension care protocols for high-risk populations because the research results indicate they can lower cardiovascular health disparities.

Lv, M., Wu, T., Jiang, S., Chen, W., & Zhang, J. (2021). Effects of Telemedicine and mHealth on Systolic Blood Pressure Management in Stroke Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials. JMIR mHealth and uHealth, 9(6), e24116. https://mhealth.jmir.org/2021/6/e24116/

Lv et al. (2021) analyzed telemedicine and mobile health (mHealth) interventions through a systematic review to measure their blood pressure control impact on stroke patient systolic pressure. Researchers received information from multiple randomized controlled trials that investigated stroke patients with hypertension. The telespective blood pressure measurements conducted between digital health interventions against general medical practices yielded statistically meaningful systolic blood pressure decreases. These interventions achieved multiple efficient elements through a combination of telemonitoring blood pressure at regular intervals with medication tracking and automation of reminders along with provider feedback services. Patients experienced their most significant beneficial effects when medical technology tools coordinated with strict formal lifestyle modification programs. Stroke recurrence risks can decrease through these technologies since patients receive better health management participation while receiving continuous blood pressure monitoring. Several disadvantages persist in this study because intervention methods between research works differ extensively while follow-up durations lack consistency. Research results indicate telemedicine and mHealth solutions in post-stroke care systems demonstrate substantial capability to better secondary stroke prevention for patients who need remote follow-up care services.

Summary

The annotated bibliography finalization made me understand better which management methods work to treat hypertension. Research findings prove that remote care practices with self-monitoring systems and mobile health technologies result in effective blood pressure management. Research evidence shows healthcare organizations need to implement cutting-edge technologies in hypertension care. Since such delivery models create better health outcomes for patients alongside decreased demands on healthcare resources. Medical solutions need to address specific health needs of communities lacking proper hypertension practices according to research findings.

References

Babatunde, A. O., Ogundijo, D. A., Afolayan, A. O., Awosiku, O. V., Aderohunmu, Z. O., Oguntade, M. S., Alao, U. H., Oseni, A. O., Akintola, A. A., & Amusat, O. A. (2024). Mobile health technologies in the prevention and management of hypertension: A scoping review. Digital Health, 10, 1–20. https://doi.org/10.1177/20552076241277172

Buis, L. R., Kim, J., Sen, A., Dawood, K., Kadri, R., Richardson, C. R., & Levy, P. (2024). The effect of an mHealth self-monitoring intervention (MI-BP) on blood pressure among Black individuals with uncontrolled hypertension: Randomized controlled trial. JMIR mHealth and uHealth, 12, e57863. https://doi.org/10.2196/57863

Lv, M., Wu, T., Jiang, S., Chen, W., & Zhang, J. (2021). Effects of telemedicine and mHealth on systolic blood pressure management in stroke patients: Systematic review and meta-analysis of randomized controlled trials. JMIR mHealth and uHealth, 9(6), e24116. https://doi.org/10.2196/24116