Home Blood Pressure Monitoring

Project Abstract

  1. Abstract Title

Home Blood Pressure Monitoring project

  1. All names associated with the project

Jeanette Paris RN-BSN

Dr. Michael Rust

  1. Poster Category

DNP Project

  1. Purpose/Goal Statement

To implement the use of home blood pressure monitoring to improve BP control in a group of patients with BP >140/90

  1. Relevance to conference theme and objectives

Clinical Concerns for Practicing Nurse Practitioners and Nurse-Midwives

Brief description of:


Patients were selected from a population health database and a list of participants was established. Patients were provided education on monitoring BP at home and were given a BP log with instructions to check BP twice daily. Printed information about lifestyle interventions was given based on AHA guidelines. Participants were asked to report BP readings to the office by phone, electronic message, or bringing the paper to the office at least monthly. Patients were given parameters for when to report elevated BP (>140/90) or go to the ER (>180/120). Patient encounters were documented in the electronic health record (EHR). Results were assessed by manual chart review and evaluation of descriptive statistics. The proportion of patients who achieve their target BP goals at three months, according to national clinical practice guidelines, was analyzed. Patients were given a voluntary survey after three months of participation in the project. The survey results were used to help determine effective implementation from a patient perspective.


Based on this project, a HBPM, when combined with clinical support that involves cointerventions such as education, behavioral change management, and communication of treatment recommendations to patients, is effective in improving BP control.

  • 100% of patients achieved the target BP goal of
  • Patients had an average 33-point reduction in SBP and a 24-point reduction in DBP.
  • Education regarding lifestyle interventions was completed on all participants.
  • The patient’s primary care provider made medication intensification and treatment recommendations based on home BP readings.
  • The survey results indicate that HBPM improves patient satisfaction and access to care. Ongoing communication with members of the healthcare team is an important factor in producing these results.


Future studies should address broad-based implementation strategies that promote acceptance. System barriers to implementing HBPM could limit its growth, but these barriers can be overcome by adequate education and advocacy for evidence-based practice.

  • Address cost barriers related to reimbursement
  • Support transition to value-based care
  • Address disparities due to age, race, education level, and socioeconomic status

An emphasis on disease prevention and providing health education and counseling to individual patients supports the NP role. An HBPM program with these educational elements has been proven to improve control of HTN, decreasing risk factors for cardiovascular events. The NP can lead by advocating for community and organizational interventions that improve cardiovascular health. Addressing barriers is essential to the overall success of HBPM.


Kentucky Association of Nurse Practitioners and Midwives 36th Annual Coalition Conference

Blankenship, Maire

Feb 13, 2024, 9:49 AM (6 days ago) to me

Dear Jeanette,


On behalf of the Research Committee of the Kentucky Association of Nurse Practitioners and Nurse-Midwives (KANPNM),

I am pleased to inform you that your poster has been selected for acceptance and inclusion at the 36th Annual Coalition Conference.

The conference will be held April 23-26 at the Central Bank Convention Center, in Lexington, Ky.

You represent a leader in our profession, and we look forward to working with you!

Preliminary information regarding your acceptance is noted below.

· Poster Title: Home Blood Pressure Monitoring

· Presenter: Jeanette Paris

· Date: Wednesday, April 24, 2024

· Time: 10:30-3:30 pm (arrive at least 30 minutes early to get checked in and set up)

Posters should fit on a 4x8 backboard and will need to be attached by push pins. Please be present with your poster in between sessions.

If for any reason you need to withdraw from presenting your poster you will need to contact us.

Please reference the abstract title in your message.

We look forward to your participation in our 36th Annual Coalition Conference.


Maire Blankenship, DNP, NP-C, OCN

Research Committee Chair

Maire Blankenship, DNP, NP-C, OCN

School of Nursing - Medical Center/ WKU Health Services Complex Western Kentucky University 1906 College Heights Blvd., #11036 Bowling Green, KY 42101-1036 270.745.3973 ...

Funding Type

Travel Grant

Academic College

School of Nursing and Health Professions


Family Nurse Practitioner






Dr. Janice Thurmond

Academic College

School of Nursing and Health Professions

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