Construct a case report (2,000-2,250 words) using your Direct Practice Improvement (DPI) Project’s purpose, problem, and clinical questions. Apply your chosen nursing theory and evidence-based change model from the Topic 3 assignment to support your DPI Project. Your case report must include the headings provided below. Refer to the “Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews” template, located in the DNP-815A folder in the DC Network, to complete your assignment. The specific criteria for this assignment are located on this template. • Case Report Background • Christian Worldviews • Organization’s Mission and Vision to Theory and Model • Pulling It Together

Introduction

In America, in a group of every 10 individuals, 6 of them have a chronic disease such as kidney failure, cancer, gall bladder blockage, and so forth. There are also other deadly chronic diseases that are the major causes of deaths and disability in America (Schiffrin et al., 2020). They have increased the costs of healthcare, and an example of such a disease is hypertension. Modern health care promotes change by collecting data and using the data in problem solutions. This paper uses the Direct Practice Improvement (DPI) approach to provide a solution to increase hypertension awareness and control in a period of four weeks. The following paper outlines the interaction between religious beliefs, Christian faith being the selected example, and medical practice in both nursing theory and evidence-based models.

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Purpose of the Project

‘’In adult patients, 18 to 85 years old with hypertension treated in an out-patient setting (P), how does the Newest Vital Sign (NVS), Hypertension Knowledge level scale (HK-LS) questionnaire, and healthcare effectiveness Data and Information Set (HEDIS) guidelines (health literacy tools) applied in teach-back method (1) compare to traditional teaching (without teach-back) (C) improve hypertension awareness and management (O) within a four-week period (T)?’’

Hypertension has been a common problem affecting adults in the USA, which has been a common risk factor. Hypertension is a severe chronic disease that also poses a great risk of evolving other chronic conditions such as heart failure, problems of the brain, and kidney-related problems. According to data from the National Health and Nutrition Examination Survey, which was conducted between 2017 to 2018, the commonness of hypertension in adults was 45.4%, with a higher percentage affecting men at the rate of 51.0% and women at 39.0% (Wang et al., 2018). It was reported that hypertension was increasing with age as a higher percentage was reported among the aged. At the age of 18 to 39, it was at a percentage of 22.4, a percentage of 54 for the age of 40 to 59, and a percentage of 74.5 for those of 60 and above years of age (Taylor et al., 2018). The comprehensive report indicated that approximately 1.3 billion people worldwide have hypertension. The report further suggested that the majority of those with hypertension are low and middle-income earners.

Christian Worldviews

The nine beliefs are outlined within the doctrinal statements of the Grand Canyon University and reflect a number of major Christian convictions. These include the use of the old and new testament, the union of the father, son, and the holy spirit, man created in the likeness of God, the regeneration of the holy spirit, and salvation as defined by Christ’s Church. Another three beliefs are focused on Jesus, stating that salvation can only be attained through Jesus, the story of his resurrection, and the recollection of his life. These specific beliefs relate to Christian worldviews and health through the beliefs that give credence to the existence of God and that God takes a hand in the process of healing. Other aspects of the doctrinals claim that man was created in the image of God and was like God. However, having broken the moral nature that was initially given to him, all people are inheriting the sinful nature from generation to generation, and therefore, we are all condemned.

Christians, therefore, say that as a result, God takes moral actions against humans as they are sinners, and an example is the evolution of chronic diseases such as hypertension. In summary, Christians believe that there is a punishment in the form of detachment; an example is a chronic disease that may require isolation, such as the prevailing COVID-19 epidemic.

Organization’s Mission and Vision to Theory and Model

The prevalence of a chronic illness in society calls for an immediate change in the ways in which healthcare is provided in society. The current healthcare system is complicated and lacks special access to technology. Healthcare providers lack enough information on the special care required by patients with hypertension, and instead of offering the needed complex healthcare by the said patients, they emphasize advanced home-based care. This results in poor communication between the patients and the nurses, which poses the risks of the occurrence of medical severe results. According to recent revelation, most patients with chronic diseases have little or rather no knowledge at all of their condition (Mills & He 2020). In that case, most of them do not comply with the medical prescription since they do not know what they are getting treated for an

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