{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_66"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_66","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Improving recognition of hypertension in pediatric primary care","abstract":"Problem: Pediatric hypertension is a growing health concern that often goes unrecognized due to the complexity of diagnosis. Blood pressure reference ranges vary according to a child's age, sex, and height, and diagnosis requires multiple measurements from multiple encounters. These factors, combined with the challenges of implementing appropriate blood pressure measurement techniques in children, pose a significant barrier to timely recognition and management of pediatric hypertension. Purpose: The purpose of the DNP project is to evaluate the impact of a comprehensive blood pressure screening initiative on the recognition of elevated blood pressure among 3- to 12-year-olds within a pediatric primary care clinic. Methods: A standardized protocol for blood pressure screening was implemented among patients aged 3 to 12 years presenting for a well-child exam. Staff training, education, and adherence reporting were also employed throughout the intervention period. Results 390 participants were included in the project over a 3-month intervention period. The incidence of elevated blood pressure was 3.3%. 15% of encounters were adherent to the intervention protocol, and there was evidence of blood pressure recheck or provider recognition in 31% of encounters. Conclusions The blood pressure screening protocol had minimal impact on improving the recognition of elevated blood pressure. Several limitations likely had a significant impact on project outcomes. Keywords: hypertension, elevated blood pressure, pediatrics, primary care, quality improvement, screening","abstract_html":"Problem: Pediatric hypertension is a growing health concern that often goes unrecognized due to the complexity of diagnosis. Blood pressure reference ranges vary according to a child's age, sex, and height, and diagnosis requires multiple measurements from multiple encounters. These factors, combined with the challenges of implementing appropriate blood pressure measurement techniques in children, pose a significant barrier to timely recognition and management of pediatric hypertension. Purpose: The purpose of the DNP project is to evaluate the impact of a comprehensive blood pressure screening initiative on the recognition of elevated blood pressure among 3- to 12-year-olds within a pediatric primary care clinic. Methods: A standardized protocol for blood pressure screening was implemented among patients aged 3 to 12 years presenting for a well-child exam. Staff training, education, and adherence reporting were also employed throughout the intervention period. Results 390 participants were included in the project over a 3-month intervention period. The incidence of elevated blood pressure was 3.3%. 15% of encounters were adherent to the intervention protocol, and there was evidence of blood pressure recheck or provider recognition in 31% of encounters. Conclusions The blood pressure screening protocol had minimal impact on improving the recognition of elevated blood pressure. Several limitations likely had a significant impact on project outcomes. Keywords: hypertension, elevated blood pressure, pediatrics, primary care, quality improvement, screening","abstract_has_math":false,"creators":["Brown, Kayeleigh","Rose, Sara (Sara Lynn)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Schrader, Kara"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-24T03:16:39Z","subjects":["Children--Diseases--Diagnosis","Hypertension--Diagnosis","Hypertension in children","Pediatric nursing","Primary care (Medicine)"],"languages":["English"],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:66","oclc:1569639788","local:R_1hYZjU8dgJ4rCVP"],"render_values":[{"text":"dnp:66","href":null,"code":true},{"text":"oclc:1569639788","href":null,"code":true},{"text":"local:R_1hYZjU8dgJ4rCVP","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/r24d-n180","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Schrader, Kara"]},{"key":"dc:creator","label":"Author","values":["Brown, Kayeleigh","Rose, Sara (Sara Lynn)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Children--Diseases--Diagnosis","Hypertension--Diagnosis","Hypertension in children","Pediatric nursing","Primary care (Medicine)"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:66","oclc:1569639788","local:R_1hYZjU8dgJ4rCVP","https://doi.org/doi:10.25335/r24d-n180"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Problem: Pediatric hypertension is a growing health concern that often goes unrecognized due to the complexity of diagnosis. Blood pressure reference ranges vary according to a child's age, sex, and height, and diagnosis requires multiple measurements from multiple encounters. These factors, combined with the challenges of implementing appropriate blood pressure measurement techniques in children, pose a significant barrier to timely recognition and management of pediatric hypertension. Purpose: The purpose of the DNP project is to evaluate the impact of a comprehensive blood pressure screening initiative on the recognition of elevated blood pressure among 3- to 12-year-olds within a pediatric primary care clinic. Methods: A standardized protocol for blood pressure screening was implemented among patients aged 3 to 12 years presenting for a well-child exam. Staff training, education, and adherence reporting were also employed throughout the intervention period. Results 390 participants were included in the project over a 3-month intervention period. The incidence of elevated blood pressure was 3.3%. 15% of encounters were adherent to the intervention protocol, and there was evidence of blood pressure recheck or provider recognition in 31% of encounters. Conclusions The blood pressure screening protocol had minimal impact on improving the recognition of elevated blood pressure. Several limitations likely had a significant impact on project outcomes. Keywords: hypertension, elevated blood pressure, pediatrics, primary care, quality improvement, screening","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2025","Includes bibliographical references (pages 26-28)"]},{"key":"dc:format","label":"Dc Format","values":["46 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["Improving recognition of hypertension in pediatric primary care"]}]}],"canonical_facts":{"dc:contributor":["Schrader, Kara"],"dc:creator":["Brown, Kayeleigh","Rose, Sara (Sara Lynn)"],"dc:date":["2025"],"dc:description":["Problem: Pediatric hypertension is a growing health concern that often goes unrecognized due to the complexity of diagnosis. Blood pressure reference ranges vary according to a child's age, sex, and height, and diagnosis requires multiple measurements from multiple encounters. These factors, combined with the challenges of implementing appropriate blood pressure measurement techniques in children, pose a significant barrier to timely recognition and management of pediatric hypertension. Purpose: The purpose of the DNP project is to evaluate the impact of a comprehensive blood pressure screening initiative on the recognition of elevated blood pressure among 3- to 12-year-olds within a pediatric primary care clinic. Methods: A standardized protocol for blood pressure screening was implemented among patients aged 3 to 12 years presenting for a well-child exam. Staff training, education, and adherence reporting were also employed throughout the intervention period. Results 390 participants were included in the project over a 3-month intervention period. The incidence of elevated blood pressure was 3.3%. 15% of encounters were adherent to the intervention protocol, and there was evidence of blood pressure recheck or provider recognition in 31% of encounters. Conclusions The blood pressure screening protocol had minimal impact on improving the recognition of elevated blood pressure. Several limitations likely had a significant impact on project outcomes. Keywords: hypertension, elevated blood pressure, pediatrics, primary care, quality improvement, screening","Thesis (D.N.P.)--Michigan State University. Family nurse practitioner, 2025","Includes bibliographical references (pages 26-28)"],"dc:format":["46 pages","application/pdf"],"dc:identifier":["dnp:66","oclc:1569639788","local:R_1hYZjU8dgJ4rCVP","https://doi.org/doi:10.25335/r24d-n180"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["In Copyright"],"dc:subject":["Children--Diseases--Diagnosis","Hypertension--Diagnosis","Hypertension in children","Pediatric nursing","Primary care (Medicine)"],"dc:title":["Improving recognition of hypertension in pediatric primary care"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}