Defense Date

7-20-2026

Graduation Date

Fall 12-18-2026

Submission Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Doctor of Nursing Practice (DNP) Program

School

School of Nursing

Faculty Mentor

Manjulata Evatt

Keywords

Remote Patient Monitoring (RPM), Hypertension Management, Blood Pressure Self-Monitoring, Acute Healthcare Utilization, Emergency Department Visits, Quality Improvement

Abstract

Hypertension (HTN) affects nearly half of U.S. adults and remains a leading cause of preventable emergency department (ED) visits, hospitalizations, and healthcare costs due to poor blood pressure (BP) control (Fryar et al., 2024; Mullins et al., 2019). Traditional care models often lack the continuous monitoring and timely intervention needed for effective chronic disease management. Remote Patient Monitoring (RPM) provides an innovative approach by delivering real-time BP data, enabling early clinical intervention, and encouraging patient engagement in self-management (Omboni et al., 2020).

This Doctor of Nursing Practice (DNP) project evaluated the effectiveness of an RPM intervention in reducing acute healthcare utilization among adults with HTN. The intervention included standardized BP monitoring protocols, patient education, and provider-guided clinical interventions to improve BP management and decrease ED visits and hospitalizations. The project was guided by Orem’s Self-Care Deficit Nursing Theory, which emphasizes patient self-management, and the Plan-Do-Study-Act (PDSA) framework, which supported implementation and continuous quality improvement (QI) (Institute for Healthcare Improvement, 2024; Khademian et al., 2020). The Johns Hopkins Evidence-Based Practice Model informed the translation of evidence into practice (Dang et al., 2022).

Evidence supports RPM’s effectiveness in HTN management. Meta-analyses have shown that telemonitoring significantly reduces both SBP (systolic blood pressure) and DBP (diastolic blood pressure) compared to standard care (Baral et al., 2023). Moreover, RPM programs have been associated with up to a 50% reduction in avoidable ED visits and hospital admissions (Taylor et al., 2021). The successful integration of RPM into practice depends on implementing structured protocols and workflows that ensure scalability and sustainability (HealthSnap, 2023).

Anticipated outcomes of this DNP project include reduced acute healthcare service use (e.g., ED visits and hospitalizations), improved BP management, and enhanced patient self-care. Additionally, provider workflows are expected to become more efficient using standardized protocols and escalation pathways. The implications extend beyond HTN management, offering a reproducible, scalable model for managing other chronic conditions that aligns with value-based care models and population health strategies (HealthSnap, 2023).

Language

English

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